Division of Endocrinology Fellowship Curriculum | First Year

As both an active primary care hospital and a regional, national, and international tertiary/ quaternary referral center, Children’s Hospital has a large and varied patient population with an unsurpassed diversity of endocrine diseases and their complications.

In the first year, fellows divide their time between inpatient and outpatient rotations that alternate every 2-4 weeks:

  • Inpatient Endocrinology Service: 4 months
  • Inpatient Diabetes Service: 2 months
  • Outpatient Endocrinology & Diabetes Service: 6 months

Inpatient Rotations

On the inpatient Endocrinology and Diabetes Services, the fellows work closely with Endocrinology Division faculty to evaluate and manage all endocrine and diabetes consultations within Boston Children’s Hospital, as well as in the newborn nurseries and neonatal intensive care units at the adjacent Brigham and Women's Hospital (BWH) and Beth Israel Deaconess Medical Center (BIDMC). Fellows directly supervise the care of all endocrine and diabetes patients admitted to the Boston Children's Hospital Endocrine Service. While on inpatient rotations, fellows maintain one half-day clinic session per week.

Outpatient Rotations

On the outpatient service, each fellow conducts 2-3 half-day clinics each week that expose him/her to a wide range of pediatric endocrine disorders including type 1 and type 2 diabetes, puberty and growth disorders, obesity, metabolic bone diseases, reproductive endocrinology, thyroid and thyroid nodules, disorders of sexual differentiation, transgender medicine and brain tumor/neuroendocrine dysfunction. Each clinic session is highlighted by a lively post-clinic conference at which all fellows, house staff, students, and faculty review the cases of instructive patients seen in clinic that day.

In the diabetes programs, the fellow works with multidisciplinary teams that include nurse educators, nutritionists, and social workers to treat both type 1 and type 2 diabetes. Working closely with Endocrine Division faculty, fellows develop their own panel of patients whom they follow longitudinally, allowing them to observe the course of treatment and monitor outcomes.

The outpatient rotations include 4 months of urgent care/educational outpatient experiences during which the fellow sees new patients in need of urgent consultations, interacts with primary care physicians about possible referrals, attends 1-2 endocrine subspecialty clinics per week, and has approximately 5-10 hours/week available for scholarly activities. Fellows are encouraged to carry out an independent clinical research project during this time.

Night/Weekend Call

Each first year fellows takes call from home for the inpatient Endocrinology and Diabetes services one weeknight per week (Mon-Thu).

Weekend inpatient calls are divided evenly among fellows of all three years and occur every 9th weekend (on average). Weekend inpatient call includes daytime rounding in the hospital and overnight call from home (Fri and Sat nights). In addition, every 9th weekend each fellow takes diabetes outpatient call from home (Sat/Sun mornings 8a-12p) to allow for more efficient inpatient rounding, and covers overnight inpatient call from home on Sunday evening.

Education and Conferences

Participating in education as both a teacher and a learner is an essential component of a career in academic medicine. Each of our fellows receives an appointment as a Clinical Fellow at Harvard Medical School (HMS), and has the opportunity to teach at many levels. We are proud that our Endocrinology fellows are traditionally highly regarded as teachers of the medical students and residents at Boston Children’s Hospital, both on the wards and in more formal settings at the hospital and/or medical school.

During the first year, each fellow prepares and presents approximately 10 clinical conferences attended by endocrinologists at Boston Children's Hospital, Joslin Diabetes Center (JDC), BWH, BIDMC, and the other Harvard-affiliated teaching hospitals in the area. These conferences give the fellow the opportunity to investigate clinical topics in depth and to engage a group of senior endocrinologists in discussion. Fellows also attend a variety of educational conferences including Fundamentals of Endocrinology, Fellows’ Journal Club, Endocrinology Case Conferences and Division Seminars, and a variety of endocrine subspecialty and multidisciplinary conferences.