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Program Information

Description of Training Program:

The subspecialty training program in Endocrinology, Diabetes and Metabolism at the University of Pennsylvania provides the advanced training and experience needed to acquire the knowledge, skills, and attitudes in all competencies required by a consultant in this field. The goal of the fellowship program in Endocrinology, Diabetes, and Metabolism at the University of Pennsylvania School of Medicine is to train outstanding endocrinologists for academic careers, either as clinician-educators or researchers pursuing clinical, translational and/or basic endocrine research. 

This is accomplished by providing:

  1. Broad and intensive clinical exposure and teaching to acquire the knowledge, skills, attitudes, and experience required for all of the competencies needed by a consultant in this field
  2. Training in and opportunities for teaching and academic presentations
  3. Post-doctoral level training in basic, translational, or clinical research
    The program recognizes that some fellows may evolve into specialists whose activities encompass more than one of the above career paths. The teaching environment and educational experiences for fellows, detailed below, will equip them to become strong clinicians, educators, and investigators.

The first year of fellowship is devoted predominantly to clinical training.  Fellows spend 12 months simultaneously participating in Ambulatory Endocrine and Diabetes Training, which involves mixture of clinics, and Inpatient Endocrine and Diabetes Training.  All clinical training in the first year occurs at both the Hospital of the University of Pennsylvania and its associated clinical practices in the Perelman Center for Advanced Medicine and the Philadelphia Veteran Affairs Medical Center.  Fellows also attend divisional conferences, including Journal Club, Endocrine Grand Rounds, Endocrine Case Conference, Diabetes Didactic Conference, Thyroid Clinical Case Conference, Sella Conference, and the Institute of Diabetes, Obesity and Metabolism research seminar series. 

During the late fall/early winter of the first year, fellows choose whether to follow the research or clinical educator pathway for the second year.  Both pathways include all therequired educational, clinical and research components to train fellows to become an independent Board certified endocrinologists The research pathway is targeted to those fellows who will embark on investigative careers in basic science, translational, or clinical research.  For these fellows, the primary emphasis becomes the fellow's individual research project (basic science, or clinical/translational research), supervised by a faculty mentor and they maintain one weekly continuity clinic.  In addition, fellows who wish to further pursue clinical/translational research may apply for post-graduate degree programs awarding either a Masters of Science in Clinical Epidemiology or a Masters of Translational Research.  The goal is for the fellow to transition to a research associate position at the conclusion of the fellowship program and then subsequently, to apply for independent mentored research funding as they continue to prepare for research careers in academic medicine. 

If the fellow chooses the clinical educator pathway, the second year is structured to develop further the skills of a consultant endocrine specialist, a clinical innovator, and an educator, and to plan and perform a primary clinical research project with a faculty mentor. The clinical educator educational pathway is designed for those who will pursue careers in clinical endocrinology, including those in the academic setting.  Therefore, this second year has more clinical exposure to refine clinical, technical, and didactic skills, including additional neck ultrasound, insulin pump and continuous glucose monitoring training.  The fellows in the clinical educator pathway maintain continuity clinics in a variety of settings.  In addition, fellows conduct a mentored scholarly research project with a goal of abstract presentation and subsequent publication, perform a Quality improvement project, and actively engage in didactic activities targeted at all levels of medical training. 

All fellows assume progressive independence in clinical care as they advance in the program and they participate in divisional conferences. This fellowship program is supervised by Susan J. Mandel, MD MPH, Program Director.  Upon completion of our Program, all fellows are well equipped to provide expert clinical care for individuals with endocrine and metabolic disorders, and/or to pursue investigative careers in clinical, translational or basic research.  We provide a supportive environment in which fellows assume graduated levels of independence in caring for male and female patients, from culturally and economically diverse backgrounds, who suffer from a broad range of endocrine disorders, including diabetes, lipid disorders, osteoporosis and bone metabolism, thyroid, pituitary, adrenal disease, reproductive disorders, endocrine neoplasia, pediatric endocrinology and clinical nutrition. 

Fellows acquire the technical and procedural skills necessary to enable them to provide complete, clinical, patient care services, including, thyroid ultrasound and biopsy, interpretation of bone densitometry, and radioiodine scanning and therapy.  Throughout the Program, ethical and compassionate behavior and cultural competency are emphasized, as is the impact of socioeconomic factors on health care delivery.  Fellows are prepared to negotiate the increasingly challenging practice environment.  Fellows also receive education and mentoring that enable them to become active participants and future leaders in clinical, translational, and/or basic research

Susan J. Mandel, M.D., M.P.H.
Fellowship Program Director
Sherard M. Graham, B.A.
Fellowship Program Coordinator