Endocrinology and Molecular Medicine

• To achieve broad, in-depth exposure to all aspects of clinical endocrinology.
• Special emphasis at Froedtert Hospital is placed upon management of glucose levels on in-patients from the organ transplant unit. Additional emphasis occurs in the areas of Diabetes in Pregnancy and insulin pumps.
• Special emphasis at the VA Medical Center is placed on patient management through a computerized medical record system.
• Froedtert Hospital is the principal teaching hospital of the fellowship program and the venue for most teaching conferences.

Clinics
Outpatients are seen in the Froedtert East Clinics at Froedtert Hospital (FH) and at the 4B Multi-Specialty Clinic at the Zablocki VA Medical Center.

The Froedtert East Clinics contain eight exam rooms, office space, and several patient care rooms and classrooms for the Diabetes Care Center. The Endocrine Diagnostic Unit is also contained within this location.

Fellows typically evaluate two new patients per clinic and as many follow-up patients as possible (typically four to six). Decisions regarding diagnostic testing and management are made in conjunction with the faculty member during each visit. Fellows are also responsible for dictating the initial letter on consultation to the referring physician and follow-up letters after test results come back.

Fellows follow the same cache of patients for two years throughout one weekly half-day "Continuity Clinic" at the VA Medical Center.

In-Patient Consults
There is not a separate in-patient endocrine service. All patients are admitted to the Medicine Ward teams or other services with the endocrinology service acting as consults.

These are three separate rosters of inpatient consults: the Endocrine Consult Service at FH, the Diabetes Consult Service at FH, and the Endocrine Consult Service at the VA Medical Center. On any given month a fellow is assigned to either the two consult services at FH or the single service at the VA Medical Center.

Each fellow is responsible for approximately five to ten consult inpatients at any given time. Each of the four inpatient consult service sees approximately 10-30 consults per month. While on the FH Diabetes Consult Service, which is separate from the FH Endocrine Consult Service, the fellows monitor fingerstick results and write all insulin orders on the organ transplant patients. All consults are staffed by one of the Endocrinology/Diabetology faculty. Fellows oversee the residents and medical students on the consult service and give short lectures on different endocrine topics during consult rounds. The fellows are also responsible for presenting patients at the Endocrine Surgical Case Conference and Endocrine Case Conferences.

Conferences
Conferences at FH/VAMC include:

• Case Conference
• Journal Club
• Core Conferences
• Fellows Endocrine-Surgery
• Residents Case Conferences
• Endocrine Board Reviews
• Medicine Grand Rounds

Conferences are scheduled from 8:00 am-4:00 pm on Thursdays. Medicine Grand Rounds is from 8:00 am-9:00 am on Fridays.

Research
Research mentors may be chosen from among the FH/VAMC faculty.

Night and weekend call
Fellows are on call some weeknights and one weekend a month. A designated FH/VAMC endocrine staff provides backup.

Evaluations
Faculty evaluate the fellows on a monthly basis. The fellows evaluate the faculty and the rotations on a monthly basis.