Endocrinology Fellowship Educational Experience

The Clinical Environment 

Prisma Health Richland Hospital and the Dorn VA Hospital serve as the major sites of clinical instruction. Both medical centers provide state-of-the-art facilities serving diverse medical and surgical specialties. Fellows are instructed by four full-time faculty members who supervise a large referral practice. On the consultation services (eight months per year), endocrine fellows learn inpatient management of diabetes mellitus and a host of complex endocrinopathies. However, the majority of clinical instruction occurs in the outpatient setting, reflecting the major venue of health care delivery within the endocrine subspecialty. Fellows participate in thrice weekly endocrine/diabetes clinics at the VA Hospital and a daily referral clinic at the department of medicine offices adjacent to Prisma Health Richland. The fellows see both the usual and unusual endocrine problems at both institutions. Fellows are instructed in performing office thyroid ultrasound, fine needle aspiration of the thyroid with or without ultrasound, insulin pump therapy, and continuous glucose monitoring. Endocrine fellows are assigned to an elective rotation for four months of each year. While continuing to attend continuity endocrine clinics and educational conferences, they devote 50 percent of their effort to a research project during these months. Additional clinical training for endocrine fellows on the elective rotation includes pediatric endocrinology, reproductive endocrinology and bone densitometry.

The Research Environment

The division of endocrinology, diabetes and metabolism provides outstanding opportunities for basic and clinical research. An established endocrine research laboratory offers training in molecular and cellular biology. Trainees are expected to identify areas of research interest by attending research seminars, journal clubs and meetings with potential mentors. Each fellow is expected to present research results at a national meeting and publish original investigations in a referred journal. Conferences include a weekly clinical endocrine and basic science conference, a monthly research conference, a weekly journal club and a weekly core lecture. The journal club reviews current articles related to endocrinology, diabetes and metabolism. The fellow is responsible for literature reviews on assigned topics relating to current clinical problems for presentation at the weekly clinical conferences and for supervision of students and residents rotating in the endocrine service.