Rotations
Year 1
- UMMC Endocrinology consults – 3 months
- UMMC Midtown – 2 months
- Baltimore VA Medical Center – 2 months
- Ambulatory – 4 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 faculty specialty clinics.
Inpatient Consults
Fellows provide endocrine and diabetes consultative services to patients at University of Maryland Medical Center (UMMC), the Baltimore VA Medical Center (BVAMC) and UMMC Midtown. Fellows operate under the direct supervision of one attending physician.
Services covered include general medicine, oncology, transplant surgery, vascular surgery, trauma, cardiovascular medicine, pituitary and orthopedic surgery. Fellows are involved in managing endocrine emergencies, such as thyrotoxicosis, myxedema, post-surgical diabetes insipidus, adrenal crisis and calcium emergencies.
Fellows will establish continuity care in the VA and Midtown ambulatory clinics with discharged patients. Specifically at the Midtown campus, fellows work in an inter-professional 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: BVAMC and UMMC 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 women’s health, medical management of obesity, metabolic bone and thyroid disorders. Thyroid biopsy clinics exist at each site, with fellows completing on average 40 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 Endocrinology consults – 1 months
- UMMC Midtown – 2 months
- Baltimore VA Medical Center – 2 months
- Research/Clinical – 7 months
In addition to continued exposure to inpatient consults, fellows in their second year elect to pursue either a research or 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 University of Maryland Center for Diabetes and Endocrinology (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.