Clinical Program Clinical Endocrinology and Metabolism The Division of Endocrinology and Metabolism at the University of Rochester has strong inpatient and outpatient clinical programs, serving as a major tertiary referral center for Western New York and surrounding areas. With locations at Strong Memorial Hospital, Highland Hospital, and Clinton Crossings, we see the entire spectrum of endocrine disorders, including all endocrine tumors, bone disorders, metabolic abnormalities, pituitary problems and diabetes. In fact our URMC Diabetes Care program is the largest and most comprehensive Diabetes Center in the region. In addition to direct inpatient admissions and a busy inpatient diabetes consultation service, the Endocrine service assists in the treatment of cardiac, renal, liver, and pancreas transplant patients who are admitted to Strong Memorial Hospital. The outpatient clinic is extremely active, seeing more than 12,000 patients per year. The Division takes a multi-disciplinary approach to all aspects of Endocrinology, working closely with surgery, nutrition, ophthalmology, nephrology, and podiatry services, as well as the Pediatric Endocrine and Reproductive programs at the University of Rochester. Diabetes Program The URMC Diabetes Care service at the University of Rochester School of Medicine includes the largest team of physicians, nurse practitioners, diabetes educators, and nutritionists in the region, all of whom work together to ensure the best possible care for ambulatory and hospitalized patients. The outpatient diabetes service, with locations at Strong Hospital, Highland Hospital, and Clinton Crossings, sees over 4000 patient visit per year. Our Diabetes education programs are recognized by the American Diabetes Association. We have one of the largest insulin pump programs in the United States, and have extensive experience in real time continuous glucose monitoring. We also have a comprehensive Gestational Diabetes Program. Finally, we offer both individual counseling and group teaching for patients with diabetes. On the inpatient service, intensive diabetes control is practiced extensively, and the transition between in- and outpatient services is kept seamless through our multidisciplinary approach. The Diabetes Care Program Director is Steven Wittlin, MD. The Associate Director is Victoria Hsiao, MD, PhD. Multidisciplinary Pituitary Clinic Pituitary disease is relatively rare and, given the role of the pituitary as the "master gland" coordinating multiple hormonal systems, tumors of the pituitary gland can be quite varied and protean in their presentation. Successful diagnosis requires the input of both an endocrinologist and a neurosurgeon with expertise in Pituitary disease. In the Multidisciplinary Pituitary Clinic, Laura Calvi, M.D., from the Division of Endocrinology, and G. Edward Vates, M.D., Ph.D. and Catherine Hastings, M.S., R.N., from the Department of Neurosurgery, work with a team of physicians and allied health care providers devoted to the management of patients with pituitary disorders. The clinic sees close to 1000 patient visits per year from all of Western New York and Northern Pennsylvania. This multidisciplinary approach has not only allowed for better, more coordinated and efficient care of patients, but has also enriched the training experience for residents and fellows in both Neurosurgery and Endocrinology. Combined Medical/Surgical Endocrine Tumor Clinic In collaboration with the Department of Surgery, the Division of Endocrinology and Metabolism at the University of Rochester Medical Center has established an Endocrine Tumor clinic. Here patients with tumors of various endocrine tissues, including thyroid, parathyroid, and adrenal, can receive comprehensive care from the original diagnostic workup through potential surgery and post-operative follow-up. The multidisciplinary team includes faculty from the Division or Endocrinology and Metabolism, Jacob Moalem, M.D., from the Department of Surgery, Ellen Giampoli, M.D., from the Department of Pathology, and Vaseem Chengazi, M.B.B.S., Ph.D., from the Department of Nuclear Medicine. We also interact extensively with outstanding thyroid surgeons in the ENT Department. Finally, part of this combined clinic includes the Wolk Thyroid Clinic, which specializes in the diagnosis and treatment of thyroid nodules. In this clinic, led by Dr. Ismat Shafiq, thyroid ultrasounds and fine needle aspirations (FNAs) of thyroid nodules are performed routinely, offering patients rapid workup and diagnosis of any thyroid abnormalities. Metabolic Bone Disease Clinic Led by Dr. Marilyn Augustine, the University of Rochester Metabolic Bone Disease Clinic manages patients with a myriad of bone disorders, including osteoporosis, Paget’s, osteomalacia, hyperparathyroidism, and osteogenesis imperfecta. We use state-of-the-art techniques to diagnose bone and calcium disorders, and offer a litany of treatments that include oral agents, injections, and infusions.