Rotations | Endocrinology Fellowship
Year 1
- UMMC/BVAMC consult services: 7 months
- UMMC at Midtown: 2 months
- Ambulatory: 2 months
- Research: 1 month
The first year of fellowship immerses new trainees in clinical care, combining the intensity and volume of consultative services with the longitudinal care provided in continuity clinics. Fellows also have one-on-one experience in the specialty clinics.
Inpatient Consultation (Diabetes and Endocrine)
Fellows provide endocrine and diabetes consultative services to patients at University of Maryland Medical Center, the Baltimore VA Medical Center and the University of Maryland at Midtown.
Fellows operate under the direct supervision of one attending physician.
Services covered include general medicine, oncology, transplant surgery, vascular surgery, trauma, cardiovascular medicine and orthopedic surgery. Fellows are involved in managing endocrine emergencies, such as thyrotoxicosis, myxedema, post-surgical diabetes insipidus, adrenal crisis and calcium emergencies. A busy diabetes consult service guarantees that fellows are facile with insulin management and adjustment upon completion of their training. Often fellows will establish continuity care in the VA and Midtown ambulatory clinics with discharged patients. Specifically, at the Midtown campus, fellows work in an interprofessional team with diabetes educators, community health workers and social workers to improve care for high utilizer patients. Integral to this effort is a longitudinal curriculum into the social determinants of health and impact on diabetes care.
Ambulatory Care
Fellows benefit from a diverse ambulatory clinical experience at two clinical sites: the Baltimore VA Medical Center and UMMC at Midtown. Fellows evaluate patients with a broad spectrum of endocrine disorders, both common and rare, including thyroid, adrenal, pituitary, parathyroid, gonadal and lipid disorders, obesity, endocrine hypertension, metabolic bone diseases, transgender medicine and diabetes mellitus. Specialty clinics include pituitary, women’s health, medical management of obesity, metabolic bone, and thyroid disorders. Thyroid biopsy clinics exist at each site, with fellows completing on average over 50 thyroid biopsies in the two years of fellowship. Fellows will have the opportunity to participate in continuity clinics as well as attending subspecialty clinics.
Year 2
- UMMC/BVAMC consult service: 1 month
- UMMC at Midtown: 2 months
- Ambulatory: 2 months
- Clinical/Research Pathway: 7 months
The second year of fellowship provides senior fellows the opportunity to test their consultative skills with a higher level of independence. Continued sub-specialty clinic exposure allows senior fellows to refine their areas of interest. New to the fellowship program is the creation of two parallel tracks in the second year — a research pathway and a clinical pathway.
Research pathway
Fellows interested in pursuing academic careers continue with their continuity clinic but have the remaining time protected for research endeavors. Fellows often work on clinical research projects, either self-identified projects or joining with ongoing faculty research projects. These fellows present their research updates quarterly and have expectations for 2 submitted manuscripts by the end of their fellowships.
Clinical pathway
Fellows interested in pursuing clinical careers increase their continuity clinics at both the BVAMC and the UMCDE. These fellows work to increase their independence in clinical care. In addition, increased exposure to sub-specialty clinics by working one-on-one with faculty prepares clinical fellows to be ready for the pace of practice upon the completion of their fellowship. These fellows continue to have scholarship requirements of 2 accepted abstracts or manuscripts by the completion of their fellowship.