We aim to provide: 1) outstanding clinical training so that our fellows may become recognized experts in their field, who are sought out to provide consultative care and to disseminate best practices in the communities that they serve, 2) opportunities to conduct research, with appropriate training and mentorship to guide our fellows towards productive careers as independent physician scientists, 3) experiences and coaching to develop our fellows into excellent clinician educators so as to inspire the next generation of endocrinologists.
Specifically, our program includes a combination of patient care with graded supervision in both in-patient and ambulatory settings, a didactic curriculum, and mentoring with dedicated time for scholarly activity.
Training is done at two sites: The Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center.
What You Should Know
The ACGME accredited program is 2 years at the successful completion of which all fellows are certified as board eligible. Recognizing that applicants have different goals, we offer two tracks:
Clinical Scholars Track
The goal of this program is for fellows to become outstanding clinical endocrinologists in either academic or clinical practice settings. This track is best suited for persons who wish the focus of their career to be sub-specialty patient care and/or medical education.
During the second fellowship year, clinical experiences are tailored to individual goals. In addition, we expect our fellows to engage in scholarly activity with the idea that they can further develop into or be recruited as super-specialists.
Want a career in medical education? There are specific course offerings through the Institute for Excellence in Education that we encourage interested fellows to take during their second year. All fellows can hone their teaching skills during specific clinical talks they give to the Osler Medicine housestaff.
The duration of training is for 2 years and is funded by the division. We currently aim to accept two fellows to this track each application cycle.
Research Scholars Track
The goal of this track is for fellows to become well rounded endocrinologists who are strongly positioned for careers as clinician scientists at academic centers whose focus is grant-funded research. To help accomplish this, after the first year of fellowship, fellows devote most of their time to a research project under the guidance of a mentor. In addition, we strongly encourage taking coursework to develop a strong foundation and Hopkins has a fantastic Graduate Training Program in Clinical Investigation that may be appropriate for some.
The duration of training is typically 3 years. The third year is not part of ACGME requirements and is highly flexible. Funding for the research years comes primarily through our clinical research T32. Therefore, we encourage interested candidates to review a list of potential mentors/research.
Intensive clinical training is the primary aim of the first fellowship year. All first-year fellows divide their time between inpatient consultation services and endocrine subspecialty clinics.
In the second year, for fellows on the clinical scholars track, the emphasis is on the ambulatory setting reflecting the fact that most contemporary practice of endocrinology and metabolism occurs in the outpatient setting. Clinical scholars track fellows will participate in approximately 300 half-day clinic sessions over the course of their fellowship. One of these experiences is a continuity clinic where fellows maintain their own weekly endocrine consultative practice.
Fellows on the research scholars track maintain a continuity clinic in their second year of fellowship. Based on this, we expect that after 2 years of fellowship, research scholars track fellows will participate in ~150 half-day clinic sessions.
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.
To get a sense of how time is apportioned, see a sample of a fellow’s schedule in the table below.
Vacation: 4 weeks of vacation are generally taken in 1-2 week segments during JHH clinic or JHBMC Consult+Clinic blocks
Inpatient Consults: Our fellows lead the endocrine consultative service to assist primary services throughout the hospital in the diagnosis and management of complex patients. For 5-6 weeks out of the year, our endocrine fellows take specific diabetes consult requests at JHH, primarily from surgical services. 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.
Clinic rotations: Fellows participate in clinic with our endocrine faculty in sub-specialty clinics (pituitary, adrenal, metabolic bone, thyroid, advanced endocrine cancer, diabetes, gonadal disorders/transgender medicine). In most circumstances, fellows work-up new consults so they can learn about diagnosis and initial management decisions from experts in the field.
Electives: In the second-year possible electives are: Pediatric Endocrinology, Reproductive Endocrinology, Lipid Clinic, Pituitary Clinic, Thyroid Biopsy Clinic, Nuclear Medicine Clinic, Private office rotation, Continuity clinics
We offer a robust combination of didactic lectures and clinical conferences for fellows to acquire foundational knowledge and understand nuances of clinical care.
We believe that providing foundational knowledge from our wonderful and highly experienced clinical experts is critical to a fellow’s development. To accomplish this we provide:
a yearly intensive series of didactics (~10 lectures during orientation week and 10-12 lectures over the remainder of the summer) aimed at ensuring fellows are well prepared to function as the leaders of our inpatient consultative services
Fellows’ Curriculum Lecture Series
A lecture series (~ 21 lectures) that spans two years. These are more detailed lectures where faculty share and discuss nuances of care in their area of clinical expertise
Clinical Conferences and Specialty Group Meetings
Margolis Clinical Conferences
Weekly sessions (fall-spring) consisting of:
- Case discussions: informal discussions of active cases
- Clinical case presentations: formal presentation of challenging or unusual cases
- Journal clubs: presentation of article with focus on evaluation of study design, analytical methods and study limitations and strengths
- Pathology conference: collaboration with pathology residents to focus on highlighting critical cyto- and surgical pathology features
Endocrinology Grand Rounds
Weekly (fall-spring): presentations by faculty on clinically relevant topics and translational research.
Thyroid Tumor Center Meetings
Monthly: multi-disciplinary meeting of otolaryngologists, general surgeons, endocrinologists, radiologists, & radiation oncologist to discuss challenging cases and optimize care.
Adrenal Center Meetings
Monthly: multi-disciplinary meeting of surgeons, endocrinologists, & radiologists to discuss challenging cases and optimize care.
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.
At Johns Hopkins we have a tradition of excellence in research, clinical care and education. In all facets our faculty have become leaders through their scholarship. We believe that engaging in scholarly activity is an important part of one’s training but also a way to give back to the wider endocrine community. All fellows identify an area of concentration with a mentor with project type differing based on the fellow’s track. In terms of productivity, all fellos are enjoined to submit an abstract for presentation at a national meeting (e.g. Endocrine Society, ADA, ATA, ASBMR or AACE). Clinical Scholars often take an introduction to clinical research course. We invite you to look at our faculty profiles, to get a sense of the breadth of clinical interests within our division.
We individualize details of each fellow's program to meet her or his goals and needs. A major feature of this effort is a Mentorship Committee (MC) assigned to each fellow. The Committee consists of 3-4 faculty members who meet twice yearly to hear about the fellow's progress and to suggest routes toward a successful pursuit of his or her career goals.
The ACGME provides “milestones” based upon which a fellow’s progress is evaluated. These are discussed with fellows during formative and summative assessment. Our goal in all of this is the fellows’ growth and maturation into fantastic clinical endocrinologists.
Fellow Sample Schedule
|Block||Year 1: All tracks||Year 2: Clinical Scholars||Year 2: Research Scholars|
|1||JHH Inpatient Consults||Ambulatory Clinics/Research||Research|
|2||JHH Inpatient Diabetes Consults||Ambulatory Clinics/Research||Research|
|3||JHBMC Inpatient Consults*||Ambulatory Clinics/Research||Research|
|4||JHH Inpatient Consults||Ambulatory Clinics/Research||Research|
|5||JHH Ambulatory Clinics**||Ambulatory Clinics/Research||Research|
|6||JHBMC Inpatient Consults*||Ambulatory Clinics/Research||Research|
|7||JHH Inpatient Consults||Ambulatory Clinics/Research||Research|
|8||JHH Ambulatory Clinics||Ambulatory Clinics/Research||Research|
|9||JHBMC Inpatient Consults*||Ambulatory Clinics/Research||Research|
|10||JHH Inpatient Consults||JHH Inpatient Consults||Research|
|11||Research||Ambulatory Clinics/Research||JHH Inpatient Consults|
|12||JHH Inpatient Diabetes Consults**||Ambulatory Clinics/Research||Research|
|13||JHBMC Inpatient Consults*||Ambulatory Clinics/Research||Research|
*JHBMC Inpatient Consults is 50% time devoted to inpatient consultative work and 50% to work in ambulatory sub-specialty clinics
Research Scholars track fellows maintain an ambulatory continuity clinic throughout their fellowship (similar to clinical scholars track fellows)
**Vacation is typically taken during JHH Inpatient Diabetes consult, JHH ambulatory clinic or JHBMC months in 1-2 week blocks, totaling 4 weeks.