SCHOOL OF MEDICINE

Department of Medicine

Endocrinology

Fellowship - About the Program

The Division of Endocrinology and Metabolism at Indiana University is an ACGME-accredited program that offers combined clinical and academic training. Most fellows are enrolled in a two-year training program, which includes at least 18 months of clinical training and at least 6 months of faculty-mentored research. Our comprehensive clinical curriculum provides fellows rigorous training in the various aspects of Endocrinology. Fellows interested in a research career are enrolled in a three-year Academic Pathway.

Inpatient Experience:
Clinical training is carried out at four teaching hospitals: IU Health University Hospital (a tertiary and quaternary referral center for the state and surrounding region), Sidney and Lois Eskenazi Hospital, IU Health Methodist Hospital and the Richard L. Roudebush VA Medical Center. The clinical responsibilities are split between three consult services. One fellow covers the Eskenazi Hospital and University Hospital while overseeing one or two medicine residents. A second fellow covers the VA hospital service in addition to participating in a quality improvement project. A third fellow covers the consults at Methodist Hospital. http://medicine.iupui.edu/RESIDENCY/programs/hospitals

Outpatient Experience:
Training includes a half-day per week of continuity clinic at the Eskenazi Health, and a half-day per week at the VA Medical Center. In addition, the fellows participate throughout their training in dedicated outpatient clinics; thyroid clinic, bone clinic, reproductive endocrine clinic, pediatric endocrine clinic, obstetrical diabetes clinic and general endocrine clinics.

Conferences:
Fellows participate in several didactic activities each week. Weekly conferences include Endocrine Grand Rounds, Endocrine & Metabolic Research Seminar Series, Endocrine Case Conference, Bone and Mineral Conference. Additionally there is a monthly multidisciplinary Thyroid-Parathyroid Case Conference.

Research Training:
Multiple research opportunities are available for fellows. Fellows are expected to find a research mentor and project early in their first year. Opportunities for poster presentations and publication to academic journals are encouraged.

Patient characteristics:
We see a large inpatient and outpatient population base with considerable socioeconomic, ethnic, and disease diversity. Inpatient and outpatient referrals to the University Hospital are often from smaller communities throughout the state of Indiana, are of variable age and socioeconomic status, are of equal proportion men and women and are predominantly Caucasian. Eskenazi Hospital is a city/county hospital that serves a predominantly inner ­city population of low socioeconomic status, about 70% of which are either uninsured or on medicaid.

Mix of diseases:
Inpatient and outpatient diabetes management and thyroid disease represent the majority of conditions seen. However, consultations are seen for metabolic bone disease, disorders of calcium metabolism, adrenal disease, pituitary disease, gonadal disorders, electrolyte abnormalities, transgender hormone therapy, parathyroid, neuroendocrine, endocrine hypertension, etc.

Procedural Training:
By the end of fellowship all fellows will have gained proficiency in thyroid ultrasonography, thyroid fine needle aspiration, skeletal dual photon absorptiometry interpretation, management of insulin pumps and continuous glucose monitoring. Thyroid ultrasounds are performed, interpreted and documented by fellows in addition to participating in a weekly ½ day FNA clinic. Fellows perform fine­ needle aspiration of the thyroid performed in conjunction with the Cytopathology Service (Department of Pathology and Laboratory Medicine) and can review the prepared specimen with the attending pathologist. Fellows interpret skeletal dual photon absorptiometry with an attending for a ½ day per week while on the ambulatory rotation. Insulin pump and continuous glucose monitoring experience is gained at fellow and attending clinics.