Endocrinology Fellowship

Rotations schedule

Rotations are on a monthly basis year-round at two training sites, Baylor Scott & White Health (hospital system and clinic) and Central Texas Veterans Affairs Health Care System (hospital and clinic).

The patient population at Baylor Scott & White Health includes adolescents. The two facilities offer sufficient volume and diversity in age and gender to provide broad experience with common and uncommon endocrine disorders. Together, rotations at the two sites also increases the probability that fellows will treat patients with rare endocrine diseases such as Cushing, acromegaly and carcinoid syndrome.

Fellows do not take in-house call. Fellows are required to take call during inpatient rotations on week days and two weekends out of four.

Rotations description

Ambulatory rotation

Fellows serve as consultants in the outpatient endocrinology, diabetes and metabolism service. The ambulatory clinic provides opportunity for diagnosis, treatment and follow-up of patients with:

• Type 1 and type 2 diabetes
• Síndrome metabólico
• Thyroid/parathyroid disorders
• Adrenal disorders
• Metabolic bone disease
• Pituitary disorders

Fellows are also involved in patient counseling and education, and they also participate in multidisciplinary diabetes education and treatment. At Central Texas VA Health Care System, fellows have an opportunity to evaluate and treat disorders seen in this male-predominant population.

Inpatient rotation

Fellows gain experience and demonstrate competence in inpatient management of diabetes, specifically:

• Intensive insulin management
• Parenteral nutrition support
• Management of fluid
• Trastornos electrolíticos

Fellows also manage the endocrine consult service and play a role in patient and resident education.

Electives

Elective options include:

• Endocrinología Pediátrica
• Cirugía endocrina
• Genética
• Podología
• Nuclear medicine as it relates to endocrinology
• Lipid clinic
• Insulin pump management

Conferences

Endocrinology core curriculum

This weekly conference, presented by faculty, covers core endocrine topics.

Clinical case conferences

Meeting once month, this conference has two types of facilitation; in-depth review of a subject using a case example or endocrine round table where complex cases are presented by fellows and faculty discuss management.

Club de diarios

Fellows choose a journal article to present methodology and findings to the group once a month.

Endocrine tumor board

Two times per month, this board reviews thyroid cancer, neuro endocrine tumors and is attended by endocrinology, surgeons, pathology and nuclear medicine.