First Year of Fellowship
The first year of clinical training provides the trainee with extensive opportunities to diagnose and manage patients with an extremely wide variety of endocrine disorders. The patient mix is diverse as each of the training hospitals provides care to large and unique populations. First-year fellows rotate at five teaching hospitals and affiliated clinics within the Texas Medical Center. The rotations are approximately five weeks each so that fellows rotate through all 5 sites in the first six months, and then return for a second rotation in the latter half of first year:
Ben Taub Hospital, the tertiary care referral center for the Harris Health System which provides comprehensive general and specialist care for over 250,000 persons in Harris County, Texas.
MD Anderson Cancer Center, which is supported from the State of Texas to care for cancer patients throughout the state, and is recognized nationally and internationally as a top cancer center.
Baylor St. Luke's Medical Center, the private teaching hospital for adult patients at Baylor College of Medicine, recognized as a top 10 medical center for cardiovascular disease in the United States.
Michael E. DeBakey Veterans Affairs Medical Center, with 850 active beds serving veterans in a large area of Texas and Louisiana, and a cardiovascular referral hospital for the central portion of the United States.
Texas Children's Hospital/Pavilion for Women, the largest pediatric hospital in the country and a premier academic institution, with a large pediatric endocrine faculty serving a broad array of children and adolescents with endocrine disease. The Pavilion for Women provides state of the art care in obstetrics and gynecology, and is a source of referrals for gestational endocrine disease.
Second Year of Fellowship
Second-year fellows devote the majority of their time to research training and also attend the Fellows' Continuity Clinic at Harris Health’s Smith Clinic and possibly a mentor’s clinic. Well-funded world renowned researchers from basic, clinical and translational tracks are available as mentors from multiple institutions including the Baylor Diabetes Research Center, the VA, Children’s Nutrition Research Center, and Baylor Department of Cell Biology. Fellows who wish to pursue an academic career are encouraged to pursue training in the Clinical Scientist Training Program (Certificate of Added Qualification, Masters or Ph.D. degree) which provides training in areas of study design, statistics, and grant writing.
A structured outpatient month long elective in female reproductive endocrinology/fertility is offered to second fellows. The fellows also are sponsored by the division to attend an intensive course organized by the American Association of Clinical Endocrinologists and American College of Endocrinology (“Endocrine University”), which leads to training in bone density measurement, thyroid ultrasound and fine needle aspiration, and endocrine clinical laboratory supervision.
Third Year of Fellowship (Optional)
A third-year of fellowship training is strongly encouraged for fellows planning for a career in academic endocrinology. Our program is approved by the Texas State Board of Medical Examiners for a third year for research.
Fellows are evaluated by their clinical attending physician(s) at the end of each service period. Evaluations are amalgamated by the Clinical Competency Committee, with faculty representatives from each hospital site. Each fellow meets formally with Dr. Samson and Dr. Mediwala every six months to discuss the evaluations, to monitor progress and address any issues of concern.
Fellows have the opportunity to evaluate and provide feedback on the program during meetings of the Fellowship Curriculum Committee. The committee includes all fellows and faculty representatives from each hospital. This committee discusses academic issues concerning the fellowship program quarterly.
There are more than 40 subspecialty endocrine clinics in the program, covering every possible aspect of endocrine disease.
First-year fellows have three to four half-day outpatient clinics each week in addition to their inpatient consult duties. Three of these are in the hospital to which the fellow is currently assigned, and the fourth clinic is a longitudinal, two-year continuity clinic at Smith Clinic (Harris Health). Second year fellows attend the continuity clinic and may attend additional elective clinics. Clinics are optional for third year fellows.
Each of the hospital rotations and affiliated clinics serve unique patient populations and fellows are exposed to the complete breadth of endocrinology, diabetes and metabolism. In addition to multiple general endocrinology clinics and the Fellows’ Continuity Clinic (Smith Clinic), fellows are trained at specialized clinics, including:
- Ketosis Prone Diabetes (Smith Clinic)
- HIV and Metabolic disorders (Thomas Street Clinic)
- Thyroid Ultrasound and FNA (Smith Clinic)
- Continuous Glucose Monitoring and Insulin Pump Clinic (VA)
- Baylor St. Luke’s Pituitary Center (McNair Campus)
- Endocrine Neoplasia clinics at MDACC (Thyroid cancer, MEN syndromes, Neuroendocrine tumors, Adrenal tumors, Bone disease)
- Reproductive Endocrinology (2nd year elective month- Pavilion for Women)
- Pediatric, Adolescent and transitional endocrine clinics in pediatric diabetes, disorders of sexual development, precocious puberty, growth disorders, thyroid disease, calcium disorders (Texas Children’s Hospital)