Year 1 (PGY-4) Curriculum

  • To teach how to diagnose, treat, and manage patients with endocrine disease.

  • To teach the trainee the role of the consultant and how to effectively consult.

  • To teach basic endocrine system and concepts for understanding the pathophysiology of endocrine diseases in general and rarer endocrinologic diseases in particular.

  • To teach basic principles for the treatment of these diseases.

  • To expose the trainee to current research in endocrinology through didactic lectures and grand rounds.

  • To learn the fundamentals of outpatient-focused approach to endocrine disease.

  • To further our trainees' education in quality assurance, cost containment and ethics.

  • First year fellows spend 34 weeks on inpatient consults, spread throughout the year.

  • First year fellows spend 18 weeks of research prep, research, and administration combined time.

  • Endocrine Clinic | Weekly
    Diabetes Clinic | Every Other Week
    Thyroid/FNA Clinic | Every Other Week

Year 2 (PGY-5) Curriculum

  • To further the education of the trainee relevant to the diagnosis of and care and treatment of patients with endocrinologic diseases. Fellows who plan a career in clinical endocrinology will have an opportunity to have more outpatient clinical sessions.

  • To further expose the trainee to current research in treatment, diagnosis, and etiology of endocrinologic diseases. This is accomplished through the fellow’s direct involvement in a research project in addition to continued involvement in selected patient care activities including endocrine clinics.

  • Fellows in the second years are encouraged to participate in laboratory or clinical research; opportunities for research are detailed in the Research section of this website.

    Fellows who have a strong interest in developing a career in research may elect to do a third year through discussion with the Division Chief, Fellowship Program Director, and Research Mentor.

  • Second year fellows spend 18 weeks on inpatient consults, spread throughout the year.

  • Second year fellows spend 34 weeks of research prep, research, and administration combined time.

  • Second Year (Clinical Focus):
    Endocrine Clinic | Weekly
    Diabetes Clinic | Weekly
    Thyroid/FNA Clinic | Every Other Week
    Sub-Specialty Clinic | Varies

    Second Year (Research Focus):
    Endocrine Clinic | Weekly
    Diabetes Clinic | Every Other Week
    Thyroid/FNA Clinic | Every Other Week

Year 3 (PGY-6) Curriculum

  • Fully funded and grant-supported.

  • To further the education of the trainee in basic science or clinical research related to endocrinologic diseases. This is accomplished through the fellow’s continued direct involvement in a research project.

  • To provide an opportunity for the trainee to pursue additional training in research methods.

  • To continue the fellow’s clinical exposure to endocrinologic diseases through selected endocrinology continuity clinics and specialty clinics (2 clinics per year).

  • Full-time research work, supplemented by outpatient clinic sessions.

  • Endocrine Clinic | Weekly
    Diabetes Clinic | Every Other Week
    Thyroid/FNA Clinic | Every Other Week

Clinical Rotations

Consults

Inpatient consultations will be referred from a) residents, attending physicians, physician assistants and nurse practitioners caring for patients on the medical and surgical services, including patients followed as outpatients in the Endocrinology and Diabetes clinics; b) residents and attendings caring for patients on all other hospital services (except Pediatrics) including patients followed in outpatient Endocrinology, Thyroid and Diabetes clinics.

The fellows will consult on an average of 40-50 new patients each month; in addition, they will evaluate approximately 10 patients per month in the Emergency Department.  The endocrinology fellow is the primary consultant at the Milstein or Allen Hospitals, under the supervision of a full-time faculty member in the Division of Endocrinology serving as the Attending on Service. Inpatient rounds are conducted on a daily basis.

Endocrine Inpatient Consult

On the inpatient Endocrine Consult Service, fellows diagnose and manage common and rare endocrine diseases and supervise medical students and medical residents on the consult service. The diverse endocrine pathology encountered comes from the surrounding neighborhoods, tertiary care referrals, and varied interests of the faculty.

Diabetes Inpatient Consult

On the inpatient Diabetes Consult Service, fellows assist teams with the management of inpatient diabetes including complicated steroid-induced diabetes and tube-feed associated hyperglycemia. Of note, fellows assist the medical teams, and a separate Diabetes Surgical Consult Service comprised of a physician’s assistant and attending sees consults called by surgical teams from Monday to Friday.

 

Anticipated Clinical Progress

  • Fellows should acquire comprehensive knowledge of the pathophysiology and clinical features of diverse endocrinologic conditions, methods applicable to the diagnosis and evaluation of disease activity, and pertinent therapies and their side effects.

    Fellows will also have experiential knowledge of the impact of these chronic illnesses on patients and their families, the impediments to providing optimal health care for this patient population, and the systems available to help eradicate these issues. These skills utilize all of the general competencies.

  • Fellows should demonstrate independent and comprehensive management decision- making in the longitudinal continuity care of patients.

    This care focuses on the potential long- term sequelae of endocrine disease, the multidisciplinary care required to address issues of care, and the psychosocial support systems needed by these patients.
 

Clinics

Endocrine Continuity Clinic

Fellows have a weekly outpatient Endocrine Clinic where they manage common and rare endocrine diseases in the outpatient setting.

Thyroid Clinic

Fellows have outpatient Thyroid Clinic every other week throughout fellowship where they manage outpatient thyroid disorders.

Diabetes Clinic

Fellows have outpatient Diabetes Clinic at the Naomi Berrie Diabetes Center approximately every other week for 18 months where they work with an interdisciplinary team and learn to read downloads and manage insulin pumps.

Thyroid Biopsy Clinic

Fellows work directly with endocrine and surgery attendings to gain experience in thyroid ultrasound and fine needle aspiration of thyroid nodules.  They will all become ECNU certified.