Endocrinology & Metabolism Training Program



Grand Rounds: Every Thursday 12 p.m. - 1 p.m.

Case Presentation: Every Thursday Afternoon

Core Conference: Every Monday 9:30-10:30 a.m. and Tuesday 9:30-11:30 a.m.

Fellow Lecture Series: Every Tuesday 12 p.m.– 1 p.m.

Research Conference: Monthly

Journal Club: Monthly


Educational Purpose: To discuss a variety of diseases of endocrinology, metabolism, and nutrition in considerably greater depth than what can usually be accomplished in the ambulatory care clinics or bedside setting. Correlation with endocrine biochemistry, physiology, and pathophysiology is an integral part of the conference.

Teaching Method: This is a fellow-conducted conference: fellows have the responsibility of selecting appropriate cases and preparing presentations. Typically, one fellow will present 1-2 cases per conference in depth, followed by discussion and a presentation of teaching points or relevant literature as well.

Disease Mix: All endocrine diseases are discussed. Cases reflecting disorders that may be less commonly encountered in a typical ward or clinic experience are highlighted during this conference.

Procedures and Services: Appropriate use of biochemical testing, imaging, and biopsy, as well as review of techniques for the above studies, cytopathology, and pathology are discussed as relevant during conference.

Reading Lists and Educational Resources: An integral part of most conference sessions includes hand-out materials summarizing important points, with lists and resources on specific groups of endocrine diseases.

Evaluation: Fellows who present at conferences are evaluated by attending physicians who are present at conference. Their performance in this venue is part of the overall evaluation by attendings and the program director. Also see section on evaluation.

Specific aspects of the clinical conference-case conference experience: Fellows Case Conference represents a major teaching opportunity for both the individual fellow presenter as well as all those in attendance at these sessions. This allows teaching of important points from clinical endocrinology, and, as appropriate, biochemistry and pathophysiology, in a format that also permits open discussion and assessment of appropriate clinical decision-making.

Basic Science Conferences: Selected Endocrine Grand Round Sessions, Selected Endocrine Journal Club Sessions, Selected Fellows Didactic Course Sessions

Educational Purpose: To instruct trainees in the basic biochemistry, physiology, and pathophysiology of the endocrine system. Subject areas have included molecular biology, immunology as related to endocrinology and metabolism, signal transduction pathways, biology of hormone receptors and principles of hormone action, biology of sexual development, reproductive endocrinology, endocrine aspects of sexual dysfunction, among other topics.

Faces in the crowd

Teaching Method: Faculty lead the conferences, which are usually in a seminar / open discussion format allowing interaction between the fellows and faculty speaker.

Evaluation:The faculty will evaluate fellows’ participation and interaction, while the fellows will also evaluate the effectiveness of the faculty in communicating the educational topics.

Basic Science Conferences are held on a MINIMUM monthly basis, in that Grand Rounds Conferences generally includes at least one session monthly devoted to a basic science topic; this is also well-supplemented by journal clubs and fellows didactic course sessions which alternate basic science topics with clinical discussions.

Additionally, many other basic science conferences take place within our institution on a daily basis in both basic science and clinical departments. Their schedules are posted throughout the medical center and its website and fellows are encouraged to attend as time allows.

Journal Club

Educational Purpose: To discuss a variety of both clinical and basic science aspects of endocrinology, metabolism, and nutrition in greater depth than at the bedside or ambulatory care setting, with an emphasis on emerging endocrine literature. Participation in the conference allows fellows additional training in critical appraisal of the literature, epidemiology, biostatistics, and clinical decision theory.

Teaching Method: Fellows are expected to accurately summarize AND critically appraise a paper from the endocrine literature: they present analyses of experimental groups and design, methodology of measurements, and of statistical analysis. The topic is open for an interactive discussion between the presenting fellow, the other fellows who are all in attendance at this session, and attendings who attend as well.

Disease Mix: Literature relating to all endocrine diseases are discussed.

Procedures and Services: As research concerning endocrine procedures or services is published; those papers may come under discussion in Journal Club

Reading Lists and Educational Resources: Most sessions include a handout with not only the journal article but also a summary and appraisal sheet.

Evaluation: Fellows who present at conferences are evaluated by attending physicians who are present at conference. Their performance in this venue is part of the overall evaluation by attendings and the program director. Also see section on evaluation. Additionally, fellows may evaluate faculty as facilitators of Journal Club and active participants.

Journal Club occurs once per month and it serves as teaching sessions during which Endocrine Board Review Questions are discussed among the fellows and attending educators).

Specific aspects of the journal club experience: Journal Club is unique in that it allows Endocrine Fellows to continue to develop and hone skills which are initially taught to them during residency: that of accurate and critical appraisal of the literature including attention to study design, methodology, and analyses. Further development of these skills develops physicians who not only can critically interpret the new endocrine literature but who also will focus this type of attention to detail in designing studies of their own.

Research Conferences: Discussions of Research occur during Endocrine Grand Rounds and the Stedman Nutrition and Metabolism Center Forums

Educational Purpose: To acquaint fellows with the status of current research carried out by the faculty, other fellows, members of other Divisions within the Department of Medicine. Fellows can participate in interactive discussions during these sessions as well.

Teaching Method: Interactive discussion of presented research in the areas of clinical and basic science endocrinology and metabolism including design, analysis, and interpretation of the data. Those fellows actively participating in either basic or clinical research will present their research project to the division at least annually: all upper level fellows give Endocrine Grand Rounds at least once per year, and first-year fellows present topics of potential research interest twice yearly.

Disease Mix: Research may be presented that relates to any and all endocrine disease.

Specific aspects: Research Conferences are available to fellows in the Division of Endocrinology, Metabolism, and Nutrition through a variety of venues, resulting in the realistic expectation that fellows attend Endocrine Research discussion sessions at least once monthly, and likely more often. Endocrine Grand Rounds occurs on a weekly basis in the division, and approximately at least twice monthly, Grand Rounds will be a presentation by either a fellow or division faculty in which the presenter’s on-going research is discussed in-depth.

On-Line Educational Program

The USF fellowship program at USF also benefits from the on-line educational program from Baylor College of Medicine who is the official producer of "Grand Rounds in Endocrinology" for Medscape, an internet medical education service. To access the information go to www.medscape.com/diabetes-endocrinology. At the Medscape Endocrinology Home page, look under "Editor's Choice."

Didactic activities:

1. Basic/Clinical Endocrinology seminar and Board Review (Dr. Gomez-Daspet every Tuesday from 1:15 p.m. to 3 p.m.) the main goal and objective is to assist the trainees in the preparation for the Endocrine Board exam while covering high yield areas stressed on those exams.

2. Monthly Nuclear Medicine Conference (3rd Monday of each month, 11 a.m.-12 p.m.) given by Nuclear Medicine faculty members in the Tampa VA Hospital Nuclear Medicine Service in order to become familiar with principles of radioimmunoassay, thyroid imaging and uptake studies, total body radioactive iodine scanning, use of radioactive iodine for ablative therapy for thyroid cancer, radioactive imaging of other endocrine glands (e.g. parathyroid, adrenal), and other isotopic scanning, used to advance medical knowledge and to assess competency in knowledge, practice-based learning, and system-based practice.

3. Genetic conferences (Dr. Bidot, Tuesday 10:45 a.m. to 11:45 a.m.) weekly, the main goal is to develop a better understanding of the genetics problems (clinical, ethic, molecular) affecting the practice of endocrinology and to assess medical knowledge and critical review of medical literature.

4. Case Presentations and Round Table Discussions (all faculties) weekly, every Thursday from 1:15 p.m. to 3 p.m. This is a very important activity in the curriculum, during this discussion we assess the trainees’ competency and provide feedback in core areas such as patient care, medical knowledge, practice-based learning and experience, communication skill and system-based practice.

5. Medical Journal Club (all faculty) monthly, the first Thursday of each month after case presentation, this is another important activity aimed to assess communication skill, medical knowledge, scholarly activity, practice-based learning and system-based learning, we have a paramount goal that the trainee become proficient in the critical assessment of medical literature.

6. Tumor Board Conference (at Moffitt Cancer Center, Wednesday 11 a.m. to Noon). The Fellows are encouraged to go twice a month as permitted by their schedules; the Fellows can attend weekly. These activities are aimed to assess and enhance medical knowledge and improve their patient care ability in a more specialized area, which are Endocrine tumors and malignancies.

7. Core Curriculum Endocrine Conference: (Dr. Ganguly) weekly, every Tuesday from 9:45 a.m. to 10:45 a.m. The main goal of these conferences is to advance the knowledge in core medical problems impacting clinical care in the endocrine practice.

8. USF Grand Rounds: The trainees are encouraged to participate in this educational experience. The main objective is to cover interdisciplinary topics not limited to ethical, socioeconomic, quality assessment, medical/legal and cost-containment issues affecting GME and medical practice.

9. Research conference (monthly): these conferences are held on Tuesdays at noon, averaging one per month (12 total). The main objective of these conferences is to make the trainee aware of different research projects in our institution and to keep the trainee up to date in the progress of those researches. Also, to cover some areas of research important in their formation such as: research methodology, compliance, inform consent, and research protocol. The trainees are encouraged to participate in the research orientation conference provided by the VA Research Office and to take the online training in research ethics, research subjects and compliance, available at the VA as TEMPO hours.

10. Clinic Review Conference (Dr. Morrison) weekly, every Monday from 9:30 a.m. to 10:30 a.m. The main goal and objective is to advance the trainee's knowledge regarding common issues in the daily practice of clinical endocrinology.

11. Endocrine Noon Conference: Held every Tuesday, when research conferences are not presented. At these conferences invited speaker’s present lectures in areas requested by the Fellows, or areas that need to be addressed, controversial topics, or areas that need to be covered to fulfill ACGME requirements.