During this four-week rotation the Fellows are expected to be familiar with the anatomy of the female and male reproductive system. To learn the normal physiology of the male and female reproductive system to recognize common causes of infertility, to learn the evaluation and treatment of the male and female infertility and the approach to this issue as a couple, to understand the indications, contraindications and complications of some techniques such as in vitro fertilization and gamete intrafollicular transfer and to understand psychological, economic, demographic, and medical implications of infertility. In coordination with the other second year Fellow is responsible for contacting the reproductive endocrinologist section chief to arrange when to start this rotation; the trainee will have direct supervision by the designated attending. At the end of this rotation the trainee will receive a formal written evaluation that will be returned to the Endocrinology Division within seven days of completion.

Based on the trainee's interest and clinical need, the trainee can assist and participate at the VA, Moffitt or USF Clinical Services for training or exposure in other endocrine and non-endocrine issues such as: high-risk pregnancy, genetic inborn errors of metabolism, disorder of the appetite including bulimia or anorexia, obesity, pain management, end of life care, bone density reading and interpretation. If there is interest in receiving training in those areas the trainee should contact the Endocrinology Program Coordinator for additional information.

This rotation is 4 hours/week in the ultrasound Department at the VA. The main goal of this rotation is to learn the techniques used to perform thyroid FNA and at the end of this rotation the trainee will demonstrate competency in this procedure. Another objective is that the trainee have a comprehensive understanding of the indications, contraindications, limitations, and complications of the thyroid FNA, to learn the proper technique used to perform thyroid FNA, to be familiar with the anatomy of the thyroid, blood vessel, nerve and other important structures in the neck, should be able to perform thyroid FNA using thyroid U/S. Faculty supervision will occur during every procedure until proficiency has been acquired. In coordination with the other second year Fellow the trainee is responsible for contacting the attending radiologist to arrange when to start this rotation and you will have direct supervision by him/her. At the end of this rotation and after proficiency has been documented the trainee will receive a written formal evaluation. The endocrine Fellow must provide a logbook documenting at least ten FNA’s initiated and completed by the trainee and with the initial or signed by the supervising attending.

The main goal of this rotation is to advance ones knowledge of the basic principles of research including how research is conducted, evaluated, explained to the patient and applied to patient care and the responsible use of Informed Consent. The trainee will spend at least six months participating in research; he/she will have appropriate protected time for research while maintaining essential clinical experience. The trainee will participate in one (required) or more (elective) research projects involving either clinical studies or basic bench-type laboratory work or both. USF Endocrinology is involved in ground breaking research in Insulin Resistance and Cardiac Hormones and it is recommended that the trainee be involved in one of them. If the trainee elects, he or she can be involved in clinical research in which the trainee will have an Attending who will mentor he/she during this period. It is expected that before graduation the trainee will submit at least one paper for publication, present at least one poster in a scientific or research meeting and a completed research project.

Effective July 1, 2009; this rotation is two hours/month until six visits are completed. The main objective of this rotation is for the trainee to be able to demonstrate a comprehensive understanding of the indications and interpretation of bone mineral density. The second year fellow is responsible for contacting the attending rheumatologist to arrange this rotation.