Our subspecialty training program is designed to provide two to three years or more of advanced clinical and research training in the field of Endocrinology, Diabetes and Metabolism. While our major emphasis is on training academic endocrinologists who have an interest in basic and/or clinical research, our program also fulfills the needs of trainees who wish to become clinician-educators. Our program recognizes that some trainees may evolve into specialists whose activities encompass more than one of the above career paths.
Trainees are given increasing responsibility as they progress through the program and demonstrate their expanding knowledge base and expertise in diagnosis and management of endocrine disease. They serve as leaders of the endocrine team, which consists of the fellow, internal medicine residents and medical students, with attending supervision. Our program emphasizes a scholarly approach to diagnosis and management. Self-instruction; is expected of the trainee along with critical analysis of the patient’s problems and appropriate decision analysis regarding further evaluation and/or management.
Clinical Experience
The first year is devoted entirely to a clinical experience. Since most endocrine care is delivered in an ambulatory setting, the ambulatory experience is emphasized throughout the entire duration of the program. A variety of clinics are included in the teaching program to provide a wide diversity of patients. At Stanford there are weekly clinics in general endocrinology, neuroendocrinology, diabetes and metabolism, as well as a diabetes clinic devoted to transplant patients and patients with cystic fibrosis. At the VA Hospital, there is a weekly general endocrine clinic. Two very busy general endocrinology clinics and two diabetes clinics are conducted weekly at SCVMC. First year fellows participate in all of these clinics at Stanford, the VA and SCVMC. Second year fellows will participate in several specialty clinics at Stanford, which are available for further in-depth training, including bone, pediatric endocrinology, reproductive endocrinology, and thyroid-nuclear medicine. An addition to the specialty clinics this year is a weekly Pituitary Center clinic that focuses on pituitary and hypothalamic disorders.
Inpatient Consultations
Fellows participate in extensive consultative activities on the general ward. During their first year, endocrine fellows spend equal time on the inpatient consultation services at Stanford, the VA and SCVMC. A Stanford/VA fellow lead the Stanford/VA general endocrine consultation team which includes an attending endocrinologist, rotating residents and students. In addition, the Stanford fellow and team provide consultative management to patients with diabetes who are inpatients at Stanford. A second fellow is assigned to lead the inpatient consultative team at SCVMC that includes an attending endocrinologist, a SCVMC internal medicine resident and a medical student. The team is responsible for general endocrine consultations at SCVMC.
Fellows participate in extensive consultative activities on the general ward. During their first year, endocrine fellows spend equal time on the inpatient consultation services at Stanford, the VA and SCVMC. A Stanford/VA fellow lead the Stanford/VA general endocrine consultation team which includes an attending endocrinologist, rotating residents and students. In addition, the Stanford fellow and team provide consultative management to patients with diabetes who are inpatients at Stanford. A second fellow is assigned to lead the inpatient consultative team at SCVMC that includes an attending endocrinologist, a SCVMC internal medicine resident and a medical student. The team is responsible for general endocrine consultations at SCVMC.