Clinical Training

The fellows entering this program are well-trained, excellent pediatricians who have graduated from accredited pediatric residency programs and are board-eligible in general pediatrics. Our Training Program builds upon this background, providing a longitudinal clinical experience that prepares a pediatrician to diagnose and manage the full range of outpatient and inpatient endocrine disorders, including diabetes.

Tracks available in the Pediatric Endocrinology Fellowship Program:

Fellows can either be in the research-intensive track, which is sponsored in part by the NIH Metabolism Training Program, or the clinician-educator track. The research-intensive track involves 6 months of clinical rotations each during the first and third year of training, while the remaining 24 months are devoted to research. On the clinician-educator track, fellows spend a total of 21 months in clinical training and 15 months on research.

Clinical Training in the Program:

Training in the clinical aspects of the program includes inpatient/consultative care and 2-3 days per week of endocrine outpatient clinics at the various locations within the University Hospitals / Rainbow Babies and Children’s Hospital system. Fellows are expected to assume primary responsibility for the care of patients with type 1 and type 2 diabetes as well as the full gamut of general endocrine disorders and the clinics are designed to optimize longitudinal care. The in-patient clinical rotations are performed at UH Rainbow Babies & Children’s Hospital, which is an active primary care hospital and a major tertiary care center. The bulk of the out-patient clinical experiences occur at the four off-site pediatric subspecialty centers. Fellows are exposed to a unique mixture of endocrine cases ranging from the more common disorders, such as diabetic ketoacidosis and growth problems, to rarer disorders, such as congenital adrenal hyperplasia, precocious and delayed puberty, and thyroid dysfunction. In addition, because of the many active clinical programs at UH Rainbow Babies and Children’s Hospital, fellows are also exposed to acquired endocrine dysfunction secondary to premature birth, critical illness, and systemic diseases such as cystic fibrosis and oncologic disorders.

Fellows on the research-intensive track spend a total of 12 months on clinical rotations, while fellows on the clinician-educator track spend a total of 21 months on clinical rotations.

The clinic schedule of fellows is designed to foster longitudinal care of children with chronic medical conditions. Physicians and staff in our division care for patients from a large area in northeast Ohio, spanning diverse geographic, racial, cultural and socio-economic backgrounds. In addition to the general pediatric endocrinology and diabetes clinics, fellows also have the opportunity to participate in specialty clinics addressing the needs of children with Prader-Willi syndrome, Turner syndrome, lipid disorders, obesity and oncologic disorders.

Our physicians and staff care for over 900 children and adolescents with diabetes and over 3,000 children and adolescents with various endocrine disorders. The division averages more than 10,000 out-patient visits per year.

Children with diabetes account for more that 200 admissions per year to the Pediatric Endocrinology service. Our division provides over 300 in-patient consultations yearly, in the general pediatric ward, pediatric and neonatal intensive care units, the hematology and oncology unit and the child and adolescent psychiatry unit. The daily census on the endocrinology in-patient and consultation service averages 4 patients, and varies between 3 and 10.

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