The pediatric endocrine physician faculty members are directly responsible for all patient care. The pediatric endocrine fellow will be supervised at all times by a faculty member and will provide inpatient care, outpatient care, and consultative services on under direct supervision. Goals and objectives of each clinical rotation (as described by the six ACGME competencies) will be distributed to each pediatric endocrine fellow and faculty member within the section.
During the first year of training, the pediatric endocrine fellow will attend most of the outpatient clinics and be available for in-patient consultations most of the time. It is anticipated that the clinical exposure will be great, and under the direct supervision of faculty, the fellow will develop clinical expertise in the types of clinical problems cared for by practicing pediatric endocrinologists. Over the following 2 years, the fellow will have the opportunity of following patients longitudinally, under the supervision of experienced faculty, to gain a greater understanding of the chronic nature of the endocrine and diabetes-related disorders of childhood. In addition to patient-care experiences, the fellow will receive regular, didactic instruction regarding endocrine disorders and diabetes mellitus.
The pediatric endocrine fellows will have scheduled fellow’s endocrine continuity clinics, as well as fellow’s diabetes continuity clinics throughout the month. Patients new to our practice, or established patients interested in being followed by the pediatric endocrine fellow, will be scheduled into a designated clinic. A faculty member will directly supervise each of those clinics
The first year pediatric endocrine fellow will be on call one half of the inpatient call per month, giving the fellow 2 full weekends free and 2 weeks free of night call, on average. All of the night and weekend call will be from home. On rare occasions, the fellow and attending may need to come into the hospital from home to evaluate a patient. The fellow will have the first month call free.
The second year fellow will be on night call for one week and take one weekend of call per month, on average. The third year fellow will be on night call for one week and take one weekend of call per month, on average. Holidays will be divided among the fellows, as per their preference. Third year fellows will also take 2-4 weeks of inpatient service divided between the beginning and end of the year.
As stated above, all call is in home call. The call does not change from rotation to rotation. The evening call will generally begin at 5pm and end at 8am the following day, and from 4pm Friday until 8am Monday morning.