Year 1
Outpatient Three-to-five outpatient clinics per week. Two-to-three are half-days of general pediatric endocrinology clinic per week (includes general endocrine continuity clinic), and one to two half-day clinics per week of pediatric diabetes.
Inpatient: The fellow will follow all endocrine patients and consults in C. S. Mott Hospital for a maximum of 7 months. Fellows are responsible for keeping a log of the patients, and diagnosis. This will be discussed with semi-annual and annual evaluations.
Research During this time the endocrinology staff will work with the fellow to identify a clinical or basic science research project and mentor for years 2 and 3. The fellow will be involved with training on basic laboratory techniques in January or February when they are not on call.
Call: The fellow will be on first call and the call will be answered from their home. The call schedule is arranged in blocks of 10 days or less. A staff endocrinologist staffs consults with the fellow on call.
Teaching: During inpatient and outpatient time, fellows will receive both formal and informal teaching from Pediatric Endocrinology faculty regarding the following: pediatric endocrinological disorders, critical review of literature; research design; data collection and analysis; statistics; preparation of abstracts, manuscripts, posters, and oral presentations; ethics; socioeconomic and medical/legal issues; cost containment; substance abuse/physician impairment; and medical informatics.
Diabetes Education: The fellows enroll in all patient education classes that are offered by our Diabetes Education Program. These classes include the following topics: Survival Skills, overview, insulin, sick days and school issues, Food Lab, pattern management, monitoring, living with diabetes, insulin flexible management, carbohydrate counting and pump therapy (basal and bolus adjustments, carbohydrate counting, emergencies).
Diabetes Camp: The fellows enroll in one of two diabetic camps that are offered during summer months.
Endocrine Challenge: The first year fellow can anticipate performing approximately 10 endocrine challenge tests per year. Endocrine challenges consist of: growth hormone provocative tests, ACTH challenge, GnRH challenge, and CRH challenge. Fellows are responsible for keeping a log of these tests.
Year 2
Outpatient: A total of one half-day clinics per week will be spent in the general pediatric endocrinology (includes general endocrine continuity clinic) and two diabetes clinics per month. In addition the fellow selects outpatient clinic electives to achieve well-grounded clinical training goals (see below).
Inpatient: There will be a maximum of 3 months of inpatient care during this year. More inpatient service can be scheduled to assist achieving clinical research goals if needed, and to meet guidelines regarding faculty credentials. Fellows are responsible for keeping a log of the patients, diagnosis and continuity plans. This will be discussed with semi-annual and annual evaluations.
Research: The fellow will spend the remaining time working on his/her clinical or basic science research project.
Call: The fellow will be on first call with a staff endocrinologist performing back-up. The call schedule is arranged in two-week blocks, of 10 days whenever possible.
Teaching: Fellows continue to receive both formal and informal teaching from Pediatric Endocrinology faculty. In addition, more responsibility is given the fellow, in terms of teaching, and explaining therapeutic plans without the faculty member.
Year 3:
Outpatient: One half-day per week will be spent in the general pediatric endocrinology continuity clinic and one diabetes clinic per month. More specific clinics can be scheduled to achieve specific clinical research goals.
Inpatient: For a maximum of 3 months, the fellow will return to the hospital to act as the inpatient attending physician, with a staff endocrinologist performing back-up. The goal will be to consult in at least 24 inpatient cases per year. Fellows are responsible for keeping a log of the patients, diagnosis and continuity plans. This will be discussed with semi-annual and annual evaluations.
Research: The fellow will spend the remaining time completing his/her research project, with the goal of submitting one or more manuscripts for publication prior to completion of fellowship training.
Call: The fellow will be on first with a staff endocrinologist performing back-up to allow for completion of the fellow's research project.
Teaching: Fellows continue to receive both formal and informal teaching from Pediatric Endocrinology faculty.
