Endocrinology and Metabolism

Curriculum

    Program Goals and Objectives

    The goal of the two-year fellowship program is to provide a robust educational experience – consisting of a combination of didactic lectures, clinical exposure to patients, and research – that adequately prepares fellows to competently engage in the subspecialty practice of Endocrinology and Metabolism and to pass the ABIM subspecialty board examination. It will also adequately prepare fellows for further training in preparation of entering academia, recognizing that a minimum of three years of fellowship training is usually required for this.

    Also be sure to explore these other pages outlining curriculum and opportunities within the Program:
    Scholarship

    Typical Rotation Schedules
    Typical 1st Year Rotation Schedule Location Length
    MCV Consults VCUHS 4-5 blocks
    VA Clinical VAMC 4 blocks
    Outpatient Specialty Clinics VCUHS/VAMC 2-3 blocks
    Academic/Research VCUHS/VAMC 3 blocks
    Typical 2nd Year Rotation Schedule Location Length
    MCV Consults VCUHS 2 blocks
    VA Clinical VAMC 3 blocks
    Outpatient Specialty Clinics VCUHS/VAMC 3 blocks
    Academic/Research VCUHS/VAMC 3 blocks
    Pediatric Endocrinology VCUHS 1 block
    Elective VCUHS 1 block
    Rotations

      MCV Consults (VCUHS)
      Fellows, with close faculty supervision, lead the Endocrinology Inpatient Consult Service, providing consultative services for hospitalized patients with endocrine conditions including diabetes mellitus. Daily rounds with faculty include dedciated didactic teaching sessions.

      VA Clinical (VAMC)
      Fellows participate in specialty clinics in the morning including dedicated clinics for patients with lipid disorders, metabolic bone disease and diabetes mellitus. Clinic sessions are followed by post-clinic teaching conferences. In the afternoons, fellows round with faculty on the VA Inpatient Endocrine Consult Service.

      Outpatient Speciality Clinics
      Fellows rotate through a variety of specialty clinics at VCUHS and VAMC including clinics dedicated to the management of nodular thyroid disease, transplant-associated diabetes mellitus, weight management, polycystic ovary syndrome, gestational diabetes, and reproductive endocrinology.

      Academic/Research
      All fellows must engage in a research project. A research mentor will be identified by the fellow or assigned by the program director within the first four months of training. Fellows are expected to develop an in-depth expertise in the research area, and to present their research findings at the divisional Research Seminar Series.

      Pediatric Endocrinology
      Fellows will attend pediatric endocrinology clinics at the Parham Road office in addition to maintaining their continuity clinic. Fellows are expected to develop a presentation on a pediatric endocrine topic to present at a Wednesday conference during this rotation.

      Procedures
      All fellows will be trained in the performance of fine-needle aspiration biopsy (FNAB) of the thyroid gland. They are expected to perform FNAB whenever the occasion arises, and to keep a detailed log of procedures performed.

    Conferences

      Post VA Lipid Clinic Conference
      Mondays at noon

      Post VA Endo Clinic Conference
      Tuesdays at noon

      Endocrine Didactic Conference
      Wednesdays at 7:30 a.m.
      (Fellows present weekly)

      Post-Clinic Conference
      Wednesdays at noon

      Endocrine Grand Rounds or Research Seminar Series
      Wednesday afternoons from 4:30-5:30 pm.
      (Fellows are expected to present every 4-6 weeks.)

    Unique Learning Opportunities

      Diabetes Immersion
      In July of each year, fellows are immersed into the life of a diabetic. First-year fellows wear an insulin pump with saline and are asked to count carbs, administer boluses and monitor glucose levels for three days. Second-year fellows wear a continuous glucose monitor and inject saline via syringes as if they were on multiple daily injections. Afterward, fellows are asked to write a reflection on the experience.

      FNA simulation
      Prior to beginning FNA of the thyroid fellows participate in a simulation experience to learn the FNA procedure and become comfortable with the use of the ultrasound.

      Research and Scholarship
      See Scholarship Section.