Pediatric Diabetes & Endocrinology
Goals of Pediatric Endocrine Training Program:
- To educate the trainee in the clinical aspects of pediatric endocrinology so that the trainee may serve as an expert consultant to general pediatricians and family practitioners who referpatients for these services.
- To educate the trainee in the research aspects of this discipline and to imprint an investigative and critical approach to problems in pediatric endocrinology and to their solutions.
- To prepare the trainee for a career in academic pediatric endocrinology.
The year-by-year program goals are described below. At the beginning of each year, the goals are distributed to fellows, and the faculty discuss the goals with fellows to ensure that they clearly understand what is expected.
In the first year of training, the educational goal is to provide the fellow with the broadest and deepest clinical experience in pediatric endocrinology possible. To this end, the first year fellow is assigned to out-patient clinics where patients with problems related to general endocrinology, metabolic diseases, and diabetes mellitus and its variants are evaluated, treated, and followed. Fellows are also assigned to the in-patient consultation service. To establish a broad foundation in pediatric endocrinology, the fellow is required to read several textbooks of pediatric endocrinology and is encouraged to read widely in the current endocrine literature. The fellow is assisted in the development history taking and physical examination skills, problem assessment, and patient diagnostic and therapeutic management. In the first year of training, the fellow spends one month with the genetics clinical service and one month in the molecular and cytogenetics laboratories; the goal is to become acquainted with, but not expert, in these disciplines. During the middle of the first year, the fellow is encouraged to initiate a clinical research project such as review of clinical charts of patients with specific illnesses of interest, or to work on a project with one or more faculty members. In the last quarter of the first year, the fellow is guided by the faculty in the development of a laboratory research project; s/he reviews literature concerning the selected investigative project, evaluates various laboratory methodologies that may be helpful in furthering the research effort, and ultimately develops a specific research plan.
In the second year of training, the fellow consolidates clinical expertise by continuing to attend, on a limited basis, out-patient pediatric endocrine/diabetes/metabolic clinics. However, the fellow concentrates primarily on the establishment of a laboratory-based research project under the direct supervision of a laboratory mentor and clinical faculty mentor. It is anticipated that by the middle of the second year of training, the fellow will have generated sufficient data to submit an abstract to pediatric research meetings.
In the third year of training, the fellow's primary responsibility is to complete the laboratory research project and to acquire the investigative skills needed to permit the fellow to become an independent, externally funded faculty investigator. The second and third year fellows are also encouraged to undertake limited clinical research to the extent possible.