During the fellow's clinical training, he/she evaluates patients with a wide range of endocrine disorders: thyroid diseases (including fine needle aspiration of thyroid nodules and radioactive iodine therapy for hyperthyroidism and thyroid cancer), metabolic bone disorders (osteoporosis, osteomalacia, Paget's disease), hyper- and hypocalcemia, hyperandrogenism in women, sexual dysfunction and infertility, diabetes mellitus, male hypo-gonadism, endocrine causes of hypertension (Cushing's syndrome, hyperaldosteronism, pheochromoctyoma), and pituitary dysfunction. A major portion of the clinical effort in the fellowship program is devoted to evaluation and treatment of patients in an ambulatory care setting.
First year fellows attend two endocrinology clinics and one diabetes clinic per week, during which they work closely with faculty seeing new patients and coordinating follow-up care. In the second and subsequent years of the fellowship program, fellows are required to maintain one continuity clinic. Second year fellows also attend pediatric, lipid, and reproductive endocrinology clinics. Fellows interested in obtaining additional training in diabetes may choose to participate in diabetes clinic in the second and subsequent years in the fellowship program. Inpatient Experience: The consult team is comprised of an attending, first year fellows, medical residents and 4th year medical students taking the Endocrine elective. In conjunction with a faculty-attending physician, the fellow assumes primary responsibility for the in-patient consults and helps with teaching rotating medical students and residents. First year fellows spend 12 months on the endocrinology/diabetes in-patient consult services. Didactic rounds occur five times a week, alternating between the endocrine and diabetes service.