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Educational/Clinical Experience

The Fellowship Program involves two years of training. The first year and second year consist of intensive inpatient and outpatient clinical training. The majority of the clinical activities are conducted at the main campus.

Throughout their training, fellows attend research and teaching conferences of the Endocrine Division. A peer reviewed publication is expected prior to completion of the fellowship.

The Division of Endocrinology, Diabetes and Metabolism at Ochsner Main Campus (OMC) offers a fellowship program to individuals with MD or MD/PhD degrees who have completed three years of training in Internal Medicine. The goal of the program is to provide superior clinical and research training to physicians who are planning for a career in academic or private practice endocrinology.

During the course of the clinical experience, the trainee performs a variety of procedures and evaluates patients with the following problems: thyroid disorders (including thyroid ultrasound and fine needle aspiration of thyroid nodules and lymph nodes); hirsutism and virilization; hypertension (including pheochromocytoma, primary aldosteronism and renal artery stenosis); sexual dysfunction and infertility (including polycystic ovarian disease); pregnancy-related endocrine diseases; diabetes mellitus, hypoglycemia, metabolic syndrome, and pituitary dysfunction; lipid disorders; osteoporosis; adrenal disorders, metabolic bone disorders, and hypo- or hypercalcemia.

Inpatient Rotations

Typically, Endocrinology fellows spend 3 months (twelve to thirteen 1 week blocks) performing inpatient consultations at OMC during their clinical training. With the supervision of the attending endocrinology faculty, fellows perform the initial evaluation and provide diagnostic and management recommendations to the patient care teams in consultation with the attending Endocrinologist. On average, the fellows follow 8-12 patients during the week but, can cover up to 16-18 patients on the weekends.

Faculty members at OMC are assigned to attend on the inpatient consult service on a weekly basis. Teaching rounds occur Monday through Friday afternoons and weekend mornings. These rounds are designed for education, presentation of new patients, and discussion of ongoing cases and treatment plans.

The inpatient rotation focuses on inpatient management of T1DM, T2DM, and diabetes in pregnancy and also includes inpatient endocrine consultations.

Weekend call responsibilities are shared between the fellow and the nurse practitioner on the diabetes management service. On-call fellows are given the post call Monday off. Holiday coverage is also split between the fellows.

Outpatient Rotations

The majority of outpatient training occurs at OMC. Fellows have four longitudinal morning clinics for the entire academic year, except for the weeks that they are on-call where they have no outpatient responsibilities. In the outpatient clinics, fellows are responsible for the initial evaluation, diagnostic plan, and follow-up care of the patient under the supervision of the endocrinology faculty. These are designed to provide a longitudinal endocrine disease diagnosis and management experience throughout the academic year.

Inpatient Rotations

Similar to the first year, the second year Endocrinology fellows spend 3 months (twelve to thirteen 1 week blocks) performing inpatient consultations at OMC during their clinical training.

Outpatient Rotations

The majority of outpatient training occurs at OMC. Second year fellows choose three longitudinal morning clinics for the entire academic year, except for the weeks on-call where they have no outpatient responsibilities. In the outpatient clinics, fellows concentrate on management plan and follow-up care with focus on EB medicine under the supervision of the endocrinology faculty. (These are designed to provide a longitudinal endocrine disease and management experience throughout the academic year).

6 week rotations in subspecialty clinics vary and are designed to provide intensive outpatient training in the various endocrine subspecialties. Both first and second year fellows participate in:

Fellows are allowed time for independent study time Monday to Thursday afternoons and every Friday that they are not on service. First year fellows are expected to use this time to focus their research interests and begin designing a research proposal and project to be executed during their second year of fellowship.

Fellows are also given four weeks of vacation during their first and second years of fellowship.