Endocrinology Fellowship Program
The Endocrinology, Diabetes and Metabolism Fellowship Training Program at UC Davis Health System is two years with an emphasis on clinical endocrinology and research. Research opportunities are expected and encouraged. The educational objectives of the training program are to develop clinical competence in endocrinology, diabetes, and metabolism in order to diagnose and manage inpatients and outpatients. During their training, fellows are expected to (a) learn appropriate and cost-effective means to diagnose and treat patients with endocrine, diabetes, metabolism and clinical nutrition disorders, (b) learn how to be a consultant in endocrinology, diabetes and metabolism in inpatient and outpatient settings, (c) learn biochemical and physiological aspects of endocrinology, diabetes and metabolic disorders, (d) develop experience in the performance and interpretation of clinical laboratory tests including immunoassays, (e) gain experience in conducting ultrasonography and ultrasound guided fine needle aspirations of the thyroid gland, (f) participate in and learn from a multidisciplinary diabetes education and treatment program, (g) learn how to read, analyze and critique journal articles relevant to endocrinology, diabetes, and metabolism including statistical analysis, study design, power statistics, and writing clinical research protocols, and (h) participate in research under the mentorship of an experienced scientist in order to learn the principles and practice of scientific inquiry.
During their training, fellows will be provided opportunity to achieve cognitive knowledge, psychomotor skills, interpersonal skills, professional attitudes, and practical experience required of an endocrinologist. The training program emphasizes scholarship, professionalism, self-instruction, development of critical analysis of clinical problems and the ability to make appropriate decisions. Fellows will be encouraged to participate in professional organizations, community programs, and institutional committees.
At the end of the training program, fellows will develop expertise in the evaluation and management of endocrine disorders including disorders of the parathyroid, pituitary, thyroid, adrenal, and gonads, and endocrine function of the kidney, brain, and other "non-endocrine" tissues, lipid disorders and basic principals of nutrition.
Participation in research is expected and encouraged. The fellowship training program provides opportunities for both clinical and basic research. Experience in research is acquired through mentorship, active participation in research projects, attendance of divisional research conferences, departmental research meetings, and attendance of regional and national scientific meetings. Fellows will work closely with a mentor who will guide them throughout their fellowship. The mentor will introduce the fellow to the basics of research, study design, research methodology and interpretation and analysis of data and the fellows may join an existing research project or develop their own research plan.
The Endocrinology, Diabetes, and Metabolism Fellowship Program is based at UC Davis Medical Center. This is a 528-bed teaching hospital, which is the primary hospital for the UC Davis School of Medicine. All subspecialty services and excellent ancillary support are available at this institution. The fellows receive all of their inpatient consult experience at this medical center.
During both the first and second year of fellowship, experience is obtained through rotations in the five outpatient clinics per week, including general endocrine, diabetes, pediatric endocrine, thyroid and PCOS/reproductive endocrine at UC Davis Medical Center, the VA outpatient clinic, and inpatient consultation services. Consultative rounds with faculty members of the Endocrine division are held three or more times per week and the rounds are divided into teaching rounds for 60-90 minutes followed by patient management rounds. In addition, formal teaching sessions including one clinical conference, one basic science conference, one literature review conference, one research conference and one or two case study conferences are scheduled every month. The Endocrinology faculty and fellows rotate in planning and in conducting these conferences. The program provides clinical exposure to a wide variety of acute and chronic endocrine problems and offers an opportunity for fellows to participate actively in their diagnosis and management.
Second-year fellows assume progressively increasing responsibility and independence in patient care, especially in the outpatient setting. This increased independence and responsibility is predicated upon increased competence, knowledge, and confidence gained during the first year of fellowship. In addition, second-year fellows participate as lecturers in the endocrine noon conferences, discussion leaders in "IMD 420F Metabolic Regulatory" (a second-year endocrine course for medical students). At the end of each rotation written evaluation of the fellows' performance is completed by the supervisor attending. Fellows obtain a copy of their evaluation and the supervising attending discusses fellows' performance with them at the end of each rotation. Semiannually the program director reviews the fellows' performance with them and provides them with feedback about their performance in the previous six months.
At the end of each rotation written evaluation of the fellows' performance is completed by the supervisor attending. Additional feedback is obtained from the diabetes care team (CDE/RDs and RNs) and from patients seen in the Fellow’s continuity clinic. Fellows obtain a copy of their evaluations and the supervising attending discusses fellows' performance with them at the end of each rotation. Semiannually the program director reviews the fellows' performance with them and provides them with feedback about their performance in the previous six months. At the end of each rotation written evaluation of the supervising attending is completed by the fellows. Semiannually, the fellows provide a written evaluation of the training program. Evaluations of the program by fellows are discussed by the endocrinology division during division meetings.