Curriculum
Clinical Simulation
Clinical Training First Year
The first year for all fellows is dedicated to fulfilling the ACGME clinical training requirements with intensive inpatient and outpatient clinical rotations at the University of Rochester. The clinical experience is divided into inpatient, outpatient, and academic blocks. The first-year fellows rotate thru these blocks every 2 weeks.
General overview of the first-year schedule
|
Inpatient block 2 weeks |
Outpatient block 2 weeks |
Academic block 2 weeks |
|---|---|---|
| Inpatient consult service on weekdays | No inpatient | No inpatient |
| Thursday PM and Friday PM continuity clinics | Thursday PM and Friday PM continuity clinics | Thursday PM and Friday PM continuity clinics |
| Urgent Endocrine clinic (Tuesday AM) |
Urgent Endocrine clinic (Tuesday AM) |
|
|
Thyroid biopsy Clinic Metabolic bone Clinic Pituitary Clinic Thyroid cancer clinic Transgender clinic |
Thyroid biopsy clinic Prepare for presentations Identify Research and QI mentor and project |
|
| Alternate weekend and overnight calls with other fellows | Alternate weekend and overnight calls with other fellows |
Alternate weekend and overnight calls with other fellows
|
|
Postsurgical pituitary patient follow-up (Tuesday PM) |
Consultation Simulation
Inpatient Block
First-year: The 2-week inpatient block is run primarily by the 1st year fellows. The fellow is the team leader, incorporating a multidisciplinary group that includes nurse practitioners, diabetes educators, medical students, and residents.
The first-year fellow continues to participate in the two continuity clinics on a weekly basis while being on the inpatient block. The fellows are scheduled with their own patients under the guidance of an attending preceptor.
The following clinics are continued during the inpatient block
Diabetes Clinic
The first-year fellows have a diabetes continuity clinic one half-day per week thru out their fellowship, where they work closely with faculty, diabetes educators, and nutritionists, to master the care of type 1 and type 2 diabetics. This clinic provides fellows with extensive training in insulin pumps and continuous glucose monitoring.
General Endocrine Clinic
Throughout their fellowship, fellows have a general endocrine continuity clinic one half-day per week. Here they see patients with all endocrine disorders, including thyroid dysfunction or cancer, adrenal disease, bone disorders, obesity, transgender issues, and much more. During their third year, fellows see patients independently, with faculty supervision only as needed.
Call Service: The call service is shared by the 1st and 2nd-year fellows with an average of 1-2 night call(s) per week and an average of 1 weekend per month.
Overview of Inpatient block schedule
|
Monday |
Tuesday |
Wednesday | Thursday | Friday | |
|---|---|---|---|---|---|
| AM | Inpatient | Inpatient | Inpatient | Inpatient | Conferences Inpatient |
| PM | Inpatient | Inpatient Educational Session | Inpatient | Inpatient Continuity clinic | Inpatient Continuity clinic |
Outpatient Block
First year: The first-year fellows will have the following clinic during the 2-week outpatient block.
Metabolic Bone Disease Clinic
First-year fellows attend the Metabolic Bone Disease clinic one-half day per week. In this clinic, the fellows see patients with both osteoporosis, review dexa scans and see rare and complicated metabolic diseases.
Thyroid Biopsy Clinic
During the first years, the fellows have up to four ultrasound-guided fine needle aspiration one-half day per week. The cytology is reviewed in the multi-disciplinary conference with a thyroid pathologist in 24 hours.
Fellows Urgent Clinic
The first-year fellows participate in a one-half day per week in the Urgent clinic. In this clinic, urgent patients with a variety of endocrine conditions like hyperthyroidism, gestational diabetes, hypoglycemia etc. are scheduled. The patients are scheduled under the fellows under faculty supervision.
Multidisciplinary Pituitary Clinic
Our nationally recognized pituitary clinic is the largest in the region and one of the largest in the Northeast. First-year fellows attend the Multidisciplinary Pituitary Clinic one-half day per week. In this clinic, the fellows see patients with both medical and surgical pituitary experts. Fellows follow patients both in outpatient and inpatient (postsurgical) settings.
Transgender Clinic
The first-year fellow rotates one-half day once a month. The clinic offers a multidisciplinary approach toward the support of transgender individuals under the supervision of faculty, some of whom have national reputations in the field of sex steroid biology, and are highly trained in the use of all types of hormone therapy.
Thyroid Cancer Clinic
The first-year fellow rotates one-half day thrice a month. Our thyroid cancer clinic at the University Of Rochester Medical Center is run in collaboration with experienced endocrine surgeons, head and neck surgeons (ENT), pathology, and nuclear medicine.
Diabetes Clinic
The first-year fellows have a diabetes continuity clinic one half-day per week thru out their fellowship, where they work closely with faculty, diabetes educators, and nutritionists, to master the care of type 1 and type 2 diabetics. This clinic provides fellows with extensive training in insulin pumps and continuous glucose monitoring.
General Endocrine Clinic
Throughout their fellowship, fellows have a general endocrine continuity clinic one half-day per week. Here they see patients with all endocrine disorders, including thyroid dysfunction or cancer, adrenal disease, bone disorders, obesity, transgender issues, and much more. During their third year, fellows see patients independently, with faculty supervision only as needed.
Overview of Outpatient block schedule
|
Monday |
Tuesday |
Wednesday | Thursday | Friday | |
|---|---|---|---|---|---|
| AM | Metabolic bone Clinic | Thryoid path conference Urgent clinic (8:40-12:00) |
Pituitary Clinic | Thyroid Cancer Clinic (1st, 2nd and 4th Thursday of the month) | Conferences |
| PM | FNA |
Educational session |
Transgender Clinic (3rd Wednesday of the month) |
Continuity clinic | Continuity clinic |
Academic Block
During this 2 weeks block, the first-year fellows will continue with some outpatient clinic responsibilities as well as focus on other learning modalities like preparing for case conferences and journal clubs.
The following clinics are continued during this block
Thyroid Biopsy Clinic
During the first years, the fellows have up to four ultrasound-guided fine needle aspiration one-half day per week. The cytology is reviewed in the multi-disciplinary conference with a thyroid pathologist in 24 hours.
Fellows Urgent Clinic
The first-year fellows participate in a one-half day per week in the Urgent clinic. In this clinic, urgent patients with a variety of endocrine conditions like hyperthyroidism, gestational diabetes, hypoglycemia etc. are scheduled. The patients are scheduled under the fellows under faculty supervision.
Diabetes Clinic
The first-year fellows have a diabetes continuity clinic one half-day per week thru out their fellowship, where they work closely with faculty, diabetes educators, and nutritionists, to master the care of type 1 and type 2 diabetics. This clinic provides fellows with extensive training in insulin pumps and continuous glucose monitoring.
General Endocrine Clinic
Throughout their fellowship, fellows have a general endocrine continuity clinic one half-day per week. Here they see patients with all endocrine disorders, including thyroid dysfunction or cancer, adrenal disease, bone disorders, obesity, transgender issues, and much more. During their third year, fellows see patients independently, with faculty supervision only as needed.
Overview of Academic block schedule
|
Monday |
Tuesday |
Wednesday | Thursday | Friday | |
|---|---|---|---|---|---|
| AM | FNA | Thyroid path conference Urgent clinic (8:40 - 12:00) |
Prepare for presentations | Prepare for presentations | Conferences / Prepare for presentations |
| PM | Prepare for presentations |
Postsurgical Pituitary inpatient follow up |
Prepare for presentations | Continuity clinic | Continuity clinic |
Clinical Training Second Year
The second and third years are devoted primarily to research in one of the Divisional or Institutional labs. During these two years, fellows continue to see patients in their continuity endocrine clinics, as well as in other subspecialty clinics. The thirst year fellow does not participate in covering weekday or weekend calls.
Inpatient Service: The second year is the backup to cover their colleagues in case of emergencies as well as to cover the inpatient service in the absence of mid-level providers.
Call Service: The call service is shared by the 1st and 2nd-year fellows with an average of 1-2 night call(s) per week and an average of 1 weekend per month.
Outpatient: During the second year, fellows continue to see patients in the continuity clinic as well as in some specialty clinics. All of these clinics are one-half day per week.
Diabetes Clinic
The first-year fellows have a diabetes continuity clinic one half-day per week thru out their fellowship, where they work closely with faculty, diabetes educators, and nutritionists, to master the care of type 1 and type 2 diabetics. This clinic provides fellows with extensive training in insulin pumps and continuous glucose monitoring.
General Endocrine Clinic
Throughout their fellowship, fellows have a general endocrine continuity clinic one half-day per week. Here they see patients with all endocrine disorders, including thyroid dysfunction or cancer, adrenal disease, bone disorders, obesity, transgender issues, and much more. During their third year, fellows see patients independently, with faculty supervision only as needed.
Sub-Specialty Rotations
During their second year, fellows participate in several half-day outpatient subspecialty elective clinics.
- Pediatric endocrinology: 4 week
- Reproductive endocrinology: 4 weeks
- Lipids: 4 weeks
Overview of Second-year Schedule
|
Fellow 1 |
Fellow 2 |
Fellow 3 |
|---|---|---|
|
-No inpatient |
-No inpatient |
-No inpatient |
|
Thursday PM and Friday PM continuity clinics |
Thursday PM and Friday PM continuity clinics |
Thursday PM and Friday PM continuity clinics |
|
Subspecialty Clinic |
Subspecialty Clinic |
Subspecialty Clinic |
| -Research and QI mentor and project -Prepare for presentations |
-Research and QI mentor and project -Prepare for presentations |
-Research and QI mentor and project -Prepare for presentations |
| Alternate weekend and overnight calls with other fellow | Alternate weekend and overnight calls with other fellow | Alternate weekend and overnight calls with other fellow |