Challenges faced by young Gastroenterologists: Technical skills but no cognitive skills; No choice in small towns; Is someone willing to accept them? Remuneration; Professional growth; Recognition; Work conditions; Comfort levels with the boss; Post residency skills: Biggest need, many aspire to be at the cutting edge.

Possible solutions: Look at your interests; Assess the needs of your town/city/institution; Be the early mover; Planning time should be preferably early in your career; Ensure access to patients and equipments before you train; Apply for fellowships and hands-on training; Grow within the team: Don’t become a rival early in your career; Look for a mentor as a leader; Discuss management strategies in gut club or local forum.

Role of senior Gastroenterologists: Be the role model; Draw protocols; Ensure training; Supervise procedures; Audit; Work as a team; Support young team members; Share your experience and patient volumes.