Fellowship in Endocrinology & Metabolism at UCSD
UCSD offers a two-year Endocrine Fellowship Training Program ideal for those interested in a career in academic endocrinology. The Program is highly geared toward endocrine research (including basic bench research, translational research, and clinical research) in addition to clinical endocrinology. For the incoming class of 2013, we plan to recruit 2 fellows, all through ERAS and NRMP.
Since Research is the key to a career as an Academic Endocrinologist, potential fellows are encouraged to identify a Research Mentor as early as possible (some of the highly sought-after labs should be contacted even before applying for the fellowship program).
Research into Hormone Action is extremely strong at UCSD, including within the Division of Endocrinology, other faculty at UCSD, and several neighboring institutions, such as the Salk Institute, the Scripps Research Institute, and the Burnham Institute. Each fellow and faculty mentor jointly devise a research project (clinical or basic science) that can be completed within 2-3 years. Fellows devote their non-clinical time (equivalent to a total of 10 months out of 24) to research activities. Although the endocrine board eligibility requires only two years of fellowship (including at least 12 months of clinical training), some of our fellows continue to train under the research mentor for an additional 1-2 years prior to launching an independent academic career. Fellows are given the opportunity to present their work in various local and national forums, including presentations at the Endocrine Grand Round at UCSD, scholarly meetings, and publications in peer-reviewed journals. The fellows are also encouraged to apply for mentored career-development awards (such as NIH K08 awards) to facilitate the transition toward independent faculty positions..
The UCSD Endocrinology Fellowship provides rigorous clinical training. Patient care at UCSD spans three hospitals, each with its own in-patient and out-patient clinic components. The three hospitals provide complementary experiences including disparate patient populations.
Each endocrine fellow is assigned to the Inpatient Endocrine Consult Service for a total of 5-6 non-consecutive months during the two years of training. The Consult Service generally consists of the fellow, a medical resident, a fourth-year medical student, and the consult attending physician(s). It covers all three UCSD-affiliated hospitals (the Medical Center in Hillcrest, Thornton Hospital in La Jolla, and the VA Medical Center in La Jolla). The Service sees a diverse array of patients and endocrine-related problems.
The majority of clinical instruction occurs in the outpatient setting, reflecting the major venue of health-care delivery within the Endocrine subspecialty. Fellows develop outpatient practices in three continuity clinics: the Endocrine Clinic at UCSD (Hillcrest), the Endocrine Clinic at the VA, and the Diabetes Clinic at the VA. A wide variety of endocrine problems are seen in these clinics, covering the spectrum of diabetes, adrenal, pituitary, thyroid, and reproductive endocrinology. First-year fellows also rotate through four subspecialty clinics (3 months each): obesity clinic (VA, weekly), thyroid/ENT clinic (Thornton Hospital, every other week), pediatric endocrinology (Children’s Hospital, weekly), and reproductive endocrinology (Kaiser Permanente, weekly). Second-year fellows have the option of taking an elective in the lipid research clinic (UCSD School of Medicine, monthly), thyroid eye clinic (Thornton Hospital, weekly), high-risk OB clinic (Thornton Hospital, weekly), or a clinic at Kaiser Permanente (weekly).
Most of our didactic teaching activities occur at the VA Medical Center. These include the endocrine grand round (every Wednesday), diabetes post-clinic case conference (every Tuesday), endocrine post-clinic case conference (every Thursday), core curriculum lectures (every Wednesday), and the monthly Journal Club. In addition, the quarterly “bone club” dinner seminars take place in the UCSD faculty club.
Opportunities abound at UCSD to obtain mentorship, both from the Faculty in the Endocrine Division and from formal training programs at UCSD. Discussion with individual research mentors provides a good starting point to become tapped-into these resources.
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