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Education


Introduction

Thank you for your interest in the Endocrinology Fellowship at The University of Florida. The main purpose of our program is to prepare individuals for rewarding careers as well as educate physicians to become outstanding clinicians, teachers and scientists in the broad field of Endocrinology and Metabolism. It is a two to three year fellowship program that provides high quality clinical and research training in endocrinology, diabetes, and metabolism. Graduates of this program will be trained and fully equipped to function as clinical endocrinologists, clinical educators, or clinician scientists, depending on the individual career goals of the individuals.

The division includes faculty with international reputations in clinical endocrinology and in both basic and clinical research. Exceptionally strong clinical training exists in diabetes mellitus, thyroid, pituitary, and adrenal disease.

Areas of research emphasis include mechanisms and treatment of type 2 diabetes, insulin secretion and signaling pathways, autoimmune endocrine diseases, including type 1 diabetes, thyroid cancer, drug metabolism, pharmacogenetics, inborn errors of metabolism and gene therapy for mitochondrial metabolic disorders.


Fellowship – the 1st Year

The first year of fellowship is devoted predominantly to clinical training. Fellows spend 12 months participating in both ambulatory and inpatient endocrine and metabolism training. All training in the first year occurs at the University of Florida, Shands hospital and the Malcom Randall VA hospital. In addition to their clinical training, fellows attend divisional conferences, including Endocrine Grand Rounds, Journal Club, Endocrine Case Conference, Research Conference, board review, pathology conference, nuclear medicine conference, research-in-progress meetings, along with the core curriculum lectures. In addition, fellows attend the AACE Thyroid Ultrasound conference to prepare them for the path to ECNU certification.


Fellowship – 2nd and 3rd Years

During the late fall/early winter of the first year, fellows choose whether to follow a research or clinical educator pathway for the second, and if appropriate, third year. Both pathways include all the required educational, clinical and research components to train fellows to become an independent board-certified endocrinologist. The research pathway is targeted to those fellows who choose to embark on investigative careers in basic science, translational, or clinical research. For these fellows, the primary emphasis becomes the fellow’s individual research project, supervised by a faculty mentor while they maintain one weekly continuity clinic. In addition, fellows who wish to further pursue clinical/translational research have opportunities for additional graduate work in clinical research. The goal is for the fellow to transition to independent mentored research funding as s/he advances on a research career track in academic medicine.

If the fellow chooses the clinical pathway, the second year is structured to further develop the skills of a consultant endocrine specialist. This second year has more clinical exposure to refine specialty-specific skills, including additional neck ultrasound, bone densitometry, insulin pump and continuous glucose monitoring training. In addition, fellows conduct a mentored scholarly project with a goal of abstract presentation and subsequent publication, perform a quality improvement project, and actively engage in supplementary didactic activities.

Upon completion of our training program, all fellows will be fully competent to provide expert clinical care for individuals with endocrine and metabolic disorders, and/or to pursue investigative careers in clinical, translational or basic research. We provide a supportive environment in which fellows assume graduated levels of independence in caring for all patients coming to us from culturally and economically diverse backgrounds, who suffer from a broad range of endocrine disorders, including diabetes, lipid disorders, osteoporosis and bone metabolism, thyroid, pituitary, adrenal disease, reproductive disorders, endocrine neoplasia, and clinical nutrition.

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