Intensive clinical training is the primary aim of the first fellowship year. All first-year fellows divide their time between inpatient consultation services, endocrine subspecialty clinics and dedicated scholarly activity.

The clinics occupy modern, fully equipped offices with nursing, laboratory, and administrative support. Adjacent special procedure and conference rooms are available. Most importantly, faculty actively supervise fellows in every clinic paying great attention to their progress and guiding them to become progressively independent.

Inpatient Consults: Our fellows lead the endocrine consultative service at the Johns Hopkins Hospital to assist primary services throughout the hospital in the diagnosis and management of complex patients. Bedside rounds occur daily. In this way our fellows get a wide exposure to complex cases. Frequently medical students or residents take electives and so there is ample opportunity to teach.

In addition, first year fellows serve as consultants on the JHH inpatient diabetes management service for approximately ~2 weeks and on the JHBMC inpatient endocrine and diabetes consultative service for ~2 weeks.

All consult services have an attending assigned. In this way, while we expect fellows to take ownership of the service, they are well supervised by our experienced faculty to provide additional guidance and assistance.  

Ambulatory Care: Training in the ambulatory space is critical for fellows to become progressively independent and understand the nuances of care and engage in the following experiences:

1. Continuity clinic: Weekly, endocrine and diabetes clinics
2. Faculty clinics during the first year: Fellows participate in a diversity of clinics with our endocrine faculty in sub-specialty clinics (pituitary, adrenal, metabolic bone, thyroid, advanced endocrine cancer, diabetes,). In most circumstances, fellows work-up new consults so they can learn about diagnosis and initial management decisions from experts in the field.
3. Subspecialty “blocks” during the 2nd year: Fellows participate in the same faculty clinics as during the second year, but now their experiences are consolidated into specific 4-week rotations focused on the following areas: thyroid, metabolic bone, and pituitary/adrenal.
4. Insulin pump clinic during the second year: Each fellow participates in insulin pump clinic ~ 2 times/month, where they develop a deeper understanding of the nuances of using advanced diabetes technologies.
5. Required rotations in other departments: One of the strengths of any large university-based hospital is that there is expertise within the institution that our fellows can benefit from. Specifically, we require our fellows to spend ~2 weeks in the following rotations:
   1. Lipid clinic in preventive cardiology
   2. Weight management in general internal medicine.
6. Electives: In the second-year possible electives are: Pediatric Endocrinology, Reproductive Endocrinology, Gender dysphoria

• Sample rotation schedule for year 1 for all fellows
• Sample rotation schedule for year 2 clinical scholars track fellows

Clinical Conferences and Specialty Group Meetings

Thyroid Tumor Center Meetings

Monthly: multi-disciplinary meeting of otolaryngologists, general surgeons, endocrinologists, radiologists, & radiation oncologist to discuss challenging cases and optimize care.

Pituitary Conference

Monthly: multi-disciplinary meeting of neurosurgeons, endocrinologists, pathologists & neuroradiologists to discuss challenging cases and optimize care.

Diabetes Center Meeting

Monthly: meeting of care providers and nurses to discuss protocols, recent advances, barriers to care and difficult cases.

Metabolic Bone Conference

Monthly: meeting of pediatric and adult endocrinologists, musculoskeletal pathologists, basic researchers to discuss active clinical cases.