Curriculum

Clinical Training

Fellows rotate through inpatient and outpatient clinics to get in depth experience in all aspects of endocrinology.

The first year for all fellows is dedicated towards fulfilling the ACGME clinical training requirements with intensive inpatient and outpatient clinical rotations at the University of Rochester.

The second and third years are devoted primarily to research in one of the divisional or institutional labs. During these two years, fellows continue to see patients in their continuity endocrine clinics, as well as in other subspecialty clinics.

During the first half of their first year, fellows will choose a career mentor within the Divisional faculty. This mentor will work closely with the fellow throughout their training.  In addition, fellows will meet quarterly, either individually or as a group, with the program directors to discuss training or other issues.

Inpatient Service

The inpatient service is run by the 1st year fellows in 2 week blocks at a time. The fellow is the team leader, incorporating a multidisciplinary group that includes nurse practitioners, diabetes educators, medical students, and residents. The call service is shared by the 1st and 2nd year fellows with an average of 1-2 night call(s) per week and an average of 1 weekend per month.

Outpatient Service

During the first year, fellows have two continuity clinics on a weekly basis where they are scheduled with their own patients under the guidance of an attending preceptor.  During the second and third years, fellows have only one weekly continuity clinic.

Thyroid Biopsy Clinic

During the first years, the fellows have up to four ultrasound-guided fmas every other week. The cytology is reviewed in the multi-disciplinary conference with a thyroid pathologist in 24 hours.

Multidisciplinary Pituitary Clinic

First year fellows attend our multidisciplinary pituitary clinic on average every other week. In this clinic, they see patients with both medical pituitary experts as well as with our pituitary surgeon.  Fellows follow patients both in the outpatient and inpatient (postsurgical) setting.  Our nationally recognized pituitary clinic in the largest is the region and one of the largest in the Northeast.

Diabetes Clinic

Our first year fellows have a diabetes continuity clinic one half-day per week, where they work closely with faculty, diabetes educators, and nutritionists, to master the care of type 1 and type 2 diabetics.  This clinic provides fellows with extensive training in insulin pumps and continuous glucose monitoring.

General Endocrine Clinic

Throughout their fellowship, fellows have a general endocrine continuity clinic one half-day per week.   Here they see patients with all endocrine disorders, including thyroid dysfunction or cancer, adrenal disease, bone disorders, obesity, transgender issues, and much more.  During their third year, fellows see patients independently, with faculty supervision only as needed.

Sub-Specialty Rotations

During their second year, fellows participate in several half-day outpatient subspecialty elective clinics.

• Pediatric endocrinology:  4 week
• Reproductive endocrinology: 4 weeks
• Metabolic bone disease: 8 weeks
• Lipids: 4 weeks
• GU/Oncology: 4 weeks
• Transgender Health: 4 weeks

Overview of Endocrine Fellow Weekly Schedule