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Fellowship Training Components
Clinical training is carried out at four teaching hospitals on the IU School of Medicine—Indianapolis campus: IU Health University Hospital, IU Health Methodist Hospital, Eskenazi Health and the Richard L. Roudebush VA Medical Center. The clinical responsibilities are split between three consult services. One fellow covers Eskenazi Health and IU Health University Hospital while overseeing one-to-two internal medicine residents. A second fellow covers the VA Medical Center hospital service and participates in a quality improvement project. The third fellow covers the consult service at IU Health Methodist Hospital.
Outpatient training for fellows includes one half-day per week of continuity clinic at Eskenazi Health and one half-day per week at the VA Medical Center. In addition, throughout their training, fellows rotate in dedicated outpatient clinics, including a thyroid clinic, bone clinic, reproductive endocrine clinic, pediatric endocrine clinic, obstetrical diabetes clinic and general endocrine clinics.
Several opportunities for research are available for endocrine fellows at IU School of Medicine. Trainees are expected to obtain a faculty research mentor and research project early in the first year of training. Presentations at scientific meetings and publications in peer-reviewed academic journals are strongly encouraged.
Fellows participate in several didactic activities each week. Weekly conferences include Endocrine Grand Rounds, Endocrine and Metabolic Research Seminar Series, Endocrine Case Conference, and Bone and Mineral Conference. Additionally, there is a monthly multidisciplinary Thyroid-Parathyroid Case Conference.
By the end of this training program, all fellows have proficiency in thyroid ultrasonography, thyroid fine needle aspiration, skeletal dual photon absorptiometry interpretation, management of insulin pumps and continuous glucose monitoring. Thyroid ultrasounds are performed, interpreted and documented by fellows in addition to participating in a weekly half-day FNA clinic. Fellows perform fine needle aspiration of the thyroid in conjunction with the Cytopathology Service (Department of Pathology and Laboratory Medicine) and can review the prepared specimen with the attending pathologist. Fellows interpret skeletal dual photon absorptiometry with an attending for a half day per week while on the ambulatory rotation. Insulin pump and continuous glucose monitoring experience is gained in outpatient clinics.
Fellows in this program see a large inpatient and outpatient population with considerable socioeconomic, ethnic and disease diversity. Inpatient and outpatient referrals to IU Health University Hospital are often from smaller communities throughout Indiana and are of variable age and socioeconomic status. Eskenazi Hospital is a city/county hospital that serves a predominantly inner-city population of low socioeconomic status, about 70 percent of which are either uninsured or on medicaid. IU Health Methodist Hospital has a large and varied patient population, including primary care. Clinical care at this facility spans all medical and surgical specialties and includes organ transplantation.