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Art DeCross MD AGAF
 12 years as Program Director -University of Rochester Med Center
 Upstate New York, ~ 1 million catchment, only University in region, a 1 hospital
 program, 800 beds, Liver Tx program, on and off site office visits/endo suites.

2001-05 SMALL program                        2007-2013 MEDIUM program
5-6 fellows, 4-5 faculty                     9 fellows, now 11 faculty

• Issues:                                   • Issues:
    – Faculty: stretched too thin               – Very few!
        • Teaching                              – Encouraging scholarship among
        • Mentoring                               clinical faculty
        • Scholarship                           – Faculty participation in
    – Faculty: “’tag” you’re the                  assessment process
      hepatologist
    – Fellows:
                                            • Major Threat: justify
        • cross coverage disruptive to
          research, electives, etc.           existence (funding cuts to 9
• Major Threat: Lose faculty.                 fellows; program mission)

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GI Face-Off - Issues Facing Medium Programs

  • 1. Art DeCross MD AGAF 12 years as Program Director -University of Rochester Med Center Upstate New York, ~ 1 million catchment, only University in region, a 1 hospital program, 800 beds, Liver Tx program, on and off site office visits/endo suites. 2001-05 SMALL program 2007-2013 MEDIUM program 5-6 fellows, 4-5 faculty 9 fellows, now 11 faculty • Issues: • Issues: – Faculty: stretched too thin – Very few! • Teaching – Encouraging scholarship among • Mentoring clinical faculty • Scholarship – Faculty participation in – Faculty: “’tag” you’re the assessment process hepatologist – Fellows: • Major Threat: justify • cross coverage disruptive to research, electives, etc. existence (funding cuts to 9 • Major Threat: Lose faculty. fellows; program mission)