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.
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 20 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.
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.
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.
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:
- Neuroendocrine Clinic
- Thyroid Clinic
- Thyroid Biopsy Clinic
- Pump Clinic
- Pediatric Clinic
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.
Conferences and Didactic Lectures
During the course of the academic year, fellows participate in a series of lectures and conferences at OMC. These provide the Endocrinology fellow with the opportunity to:
- prepare and present cases for discussion
- review the relevant medical literature for self-learning and presentation to faculty
- attend lectures provided by local and national experts on topics ranging in basic and clinical endocrinology
The following is a description of the conferences routinely attended by all endocrinology fellows.
Clinical Case Discussion Conference
Fellows prepare one case weekly for discussion; cases are usually developed from recent inpatient and outpatient endocrine consultations performed. Typically, patients are presented whose problems pose interesting or difficult diagnostic or therapeutic decision making. During the discussion, the presenting fellows also briefly present the key literature relevant to the case.
OMC Endocrine Grand Rounds
Local, national endocrinologists and international are invited to present lectures on recent research findings relevant to adult general and pediatric endocrinology. This conference is held monthly. Fellows also present at these conferences.
Endocrine Journal Club
Fellows and faculty present critical reviews of recent journal articles. Typically two articles are discussed at each journal club session.
Endocrine Research Conference
This monthly conference provides the opportunity to endocrine fellows and faculty to present their ongoing research.
Multi-disciplinary Endocrine Tumor Conference
The Endocrine surgeons, radiologists, pathologists, and endocrinologists hold monthly conferences to discuss challenging patient issues.
Core Endocrine Didactic Lectures
Fellows and staff share the educational responsibilities. These one hour lectures on essential topics in endocrinology, including endocrine emergencies, and additional topics are done in power point and then submitted and archived so fellows can then review topics at later dates.