Clinical Rotations

The first year of our fellowship program provides clinical training with rotations in inpatient consult services and outpatient clinics to achieve proficiency in general endocrinology and diabetology as well as lipidology.

Inpatient consult rotations are each 2 week blocks. We have separate inpatient diabetes consult service rotations and general endocrinology inpatient consult rotations. Fellows can expect to have a total of 5-6 months of inpatient rotations during their first year of training, equally distributed between diabetes and endocrinology services. The inpatient services cover both Jackson Memorial Hospital and University of Miami UHealth Tower/Sylvester Cancer Center. The consult team consists of a fellow and Faculty attending and often other learners including internal medicine residents and medical students.

First year fellows are assigned 4 half-day outpatient clinics per week which are comprised of one morning clinic dedicated to diabetes and another to general endocrine patients, each at Jackson Memorial and the other at Miami VAMC. First and second year fellows rotate through the Friday afternoon Thyroid FNA clinic at Jackson Memorial Hospital. Another highlight of our first-year curriculum is a Lipid Disorders Clinic with Dr. Ronald Goldberg at th Daibetes Research Institute occurring each Wednesday AM(Each first year fellow will be in this clinic approximately once monthly).

• The second year of clinical training has a focus on outpatient endocrinology and allows dedicated time for more in-depth learning and exposure to endocrine subspecialties. Subspecialty rotations include Diabetes, Thyroid, Neuroendocrine/Adrenal/Reproductive, Bone/Pediatrics( 5 weeks each). The subspecialty rotations are primarily based out of UHealth Faculty clinics at Sylvester Cancer Center, Diabetes Research Institute clinics and the Comprehensive Diabetes Center at UHealth.
  
  
• Outside of the dedicated subspecialty blocks, second year fellows will have 1-2 months total of inpatient consult service coverage and 4-5 months of research block time in which they continue to have 2-3 half-day clinics including their weekly continuity clinic (JMH general endocrinology clinic). The other half-day clinics occurring during research blocks include Sylvester Cancer Center (SCCC) and Diabetes Research Institute (DRI) with a focus on learning advanced diabetes management including care of the patient with diabetes technologies (insulin pumps and CGMS) and care of patients with complex and rare endocrine disorders such as MEN syndromes, Cushing syndrome, Acromegaly, advanced thyroid cancer, CAH and others. Towards the end of the second year Fellows are encouraged to choose faculty and clinics as an elective based on their own interests. Fellows desiring to gain expertise in a particular rare endocrine disease or research methodology with an off-site mentor at other academic institutions in the U.S. are able to pursue such opportunities during the second year of training.

Other highlights of the second year of training include dedicated time for completion of research and QI projects as well as focused training in procedures including Endocrine Testing Center rotation and reporting of thyroid ultrasound and DXA.