As a fellow, you will...
- Gain lots of experience treating children with common and rare endocrinopathies due to large referral area
- Learn from attending physicians who trained across the world
- Establish a strong continuity clinic with increasing autonomy throughout training
- Work with other subspecialists in multidisciplinary clinics, including brain tumor, polycystic ovarian syndrome, differences in sex differentiation, neuro-oncology, and gender health clinics
- Develop bonds with other fellows through the joint fellowship curriculum
- Experience all the other fun things Milwaukee has to offer (festivals, music events, restaurants, breweries, etc.)!
About the Fellowship Program
The division has an ACGME-accredited fellowship training program in pediatric endocrinology and diabetes. We accept one fellowship physician per year for three years of training. It is the goal of our fellowship training program to train pediatricians with an interest and potential for continuing in an academic medical career including continued involvement in research and teaching.
- History: Program established in 2005
- Duration: 3 Years
- Prerequisite Training/Selection Criteria: Must have completed certified residency program
- VISAS Accepted By MCW: J1, & H1B
- VISAS Accepted By Program: J1
Goals & Objectives for Training
The broad educational goals of the program are to develop the knowledge, skills, and attributes that will allow the pediatric endocrine fellow to provide excellent care to children with endocrine disorders and diabetes mellitus. This will be accomplished by providing opportunities for direct inpatient, outpatient, and consultative patient care to patients with endocrine disorders and/or those referred for endocrinology consultation under the direct supervision of full-time faculty.
In addition, the program will train fellows to have the necessary knowledge, skills, and attributes to pursue a career that will combine scholarly activity with clinical care. During all years of training, the fellow will have the opportunity to pursue clinical and/or laboratory-based research.
Instruction regarding study design, epidemiology, and biostatistics will be available through the research mentor, pediatric endocrine faculty, and the Joint Fellowship Curriculum, with the goal of training the fellow to be academically productive. Both within the section as well as in collaboration with other sections of the Department of Pediatrics, multiple scholarly opportunities exist. Under the supervision of a research mentor, the program will aim to develop the academic potential of the pediatric endocrine fellow. A summary of the goals of the training program will be distributed to each pediatric endocrine fellow and faculty member within the section, as well as to each research mentor on an annual basis.
- Nationally recognized/accredited diabetes program
- USNWR nationally ranked clinical program in Endocrinology and Diabetes
- From the start of fellowship, fellows have their own Diabetes and Endocrinology continuity clinics. The fellows’ own continuity clinics allow them to build relationships with families and learn more about the pathophysiology and progression of various diseases including Diabetes Type 1 & 2, puberty, and growth disorders.
- Fellows participate in specialized clinics including: Disorders of Sexual Development, Gender Health clinic, Polycystic Ovarian Syndrome, Brain Tumor, Bone Marrow Transplant, Metabolic Bone Disease, and Genetics clinics.
- Inpatient experience at Children's Wisconsin allows fellows to build expertise in evaluation/management of endocrine and diabetes mellitus issues while patients are acutely ill or post-surgical following a recent procedure.
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 5:00 pm and end at 8:00 am the following day, and from 4:00 pm Friday until 8:00 am Monday morning.
In addition to participating in a core curriculum in scholarly activities, all fellows will be expected to engage in projects in which they develop hypotheses or in projects of substantive scholarly exploration and analysis that require critical thinking. Areas in which scholarly activity may be pursued include, but are not limited to: basic, clinical, or translational biomedicine; health services; quality improvement; bioethics; education; and public policy. In addition to biomedical research, examples of acceptable activities might include a critical meta-analysis of the literature, a systematic review of clinical practice, a critical analysis of public policy, or a curriculum development project with an assessment component.
Work Product of Scholarly Activity
Involvement in scholarly activities must result in the generation of a specific written "work product" as outlined by the ABP. Examples of include, but are not limited to:
- A peer-reviewed publication in which a fellow played a substantial role
- An in-depth manuscript describing a completed project
- A thesis or dissertation written in connection with the pursuit of an advanced degree
- An extramural grant application that has either been accepted or favorably reviewed
- A progress report for projects of exceptional complexity, such as a multi-year clinical trial
The fellow’s Scholarship Oversight Committee (SOC) will be instrumental in guiding the fellow’s activity towards an acceptable product. In addition to the work of the SOC, the department will provide all subspecialty fellows with the opportunity to participate in a departmental research, education, and scholarship forum to present their work product and receive feedback from department faculty.
Scholarship Oversight Committee (SOC)
The SOC in conjunction with the trainee, the mentor, and the program director will determine whether a specific activity is appropriate to meet the ABP guidelines for scholarly activities. These activities require active participation by the fellow and must be mentored. The mentor(s) will be responsible for providing the continuous ongoing feedback essential to the trainee’s development.
Review of scholarly activity and the written work product will occur at the local level with each fellow having a SOC responsible for overseeing and assessing the progress of each fellow and verifying for the ABP that the requirement has been met. The SOC must consist of three or more individuals, at least one of whom is based outside the subspecialty discipline; the fellowship program director may serve as a trainee’s mentor and participate in the activities of the oversight committee, but should not be a standing (i.e. voting) member. Particular emphasis will be placed on encouraging identification of committee members whose professional and research responsibilities encompass elements of the trainee’s scholarly interest, but who do not necessarily have a primary appointment in the Department of Pediatrics. Examples of such individuals include faculty in clinical departments in the University of Minnesota Academic Health Center (AHC), faculty in basic science departments, or faculty in the Schools of Public Health or Education.
This committee will:
- Determine whether a specific activity is appropriate to meet the ABP guidelines for scholarly activity.
- Provide guidance in charting a course of preparation beyond the core fellowship curriculum to ensure successful completion of the project.
- Evaluate the fellow's progress as related to scholarly activity.
- Meet with the fellow early in the training period (within 6 months of initiation of fellowship training) and regularly thereafter.
- Require the fellow to present/defend the project related to his/her scholarly activity.
- Advise the program director on the fellow's progress and assess whether the fellow has satisfactorily met the guidelines associated with the requirement for active participation in scholarly activities.
The fellow, in conjunction with the fellowship director or designee and research mentor, should identify the direction for the fellow’s scholarly activity. At the first SOC meeting, the purpose will be to hear the general path the fellow has chosen, to help further outline the path, and determine the specific steps for the fellow to meet the outlined path. The SOC should meet again within 4-6 months of the first meeting and at least semi-annually thereafter to further update and guide the fellow on developing their scholarly path.
A written report by the chair of each trainee's SOC should be completed twice a year and forwarded to the fellowship program director. The Department Education Office will provide the subspecialty training programs with standard forms for documenting each SOC meeting. The fellowship director and the head of the fellow's SOC are expected to monitor whether additional SOC meetings are necessary for fellows who need more help or may be changing their scholarly activity.
The final responsibility of the SOC is to review and approve the final scholarly “work product” of the applicant prior to submission to the ABP.
A program’s ability to provide a satisfactory scholarly experience for all trainees will be evaluated periodically, as described below.
- The Pediatric Residency Review Committee (RRC) of the ACGME will be asked to review the training program’s structure as it relates to the scholarly activity requirements.
- External periodic peer review of the quality of the training environment related to scholarly activity, in addition to that undertaken by the RRC, is highly recommended.
Responsibilities of the Training Program Director
In addition to meeting the requirements of the ACGME related to the six general competencies, the responsibilities of the training program director shall include the creation of a core curriculum in scholarly activities, the identification of a mentor, the creation of the Scholarship Oversight Committee responsible for overseeing and assessing the progress of each trainee, and providing verification to the ABP of the successful completion of training.
It is the responsibility of the training director to review the SOC documentation and clarify the responsibilities and outcomes for each fellow. The SOC and the Fellowship Program Director are both accountable for scholarly progress of individual fellows and will share their recommendations with the Department Chair.
Verification of Scholarly Activity
Upon completion of training, the ABP will require:
- Verification from the training program director that the clinical and scholarly skills requirements have been met.
- A comprehensive document (i.e. personal statement), written by the fellow, describing the scholarly activity that includes a description of his/her role in each aspect of the activity and how the scholarly activity relates to the trainee’s own career development plan.
- The actual “work product” of the scholarly activity as described above.
- Signature of the fellow, program director, and members of the Scholarship Oversight Committee on both the personal statement and work product of the fellow as described above.
The fellow will need to produce the work product and personal statement, as well as obtain approval from the SOC to be eligible to sit for the Subspecialty Board Examination. The decision about the adequacy of the work product is the responsibility of the SOC and the program director.
The pediatric endocrine fellows and faculty will perform annual reviews of the training program, including whether the goals and objectives are being met. The comments will be collated and discussed at an annual meeting including the faculty and pediatric endocrine fellows to discuss these concerns. Changes to the goals, objectives, or curriculum may be implemented when necessary based on feedback received at these review sessions.
- Evaluation of fellows by faculty
- Evaluation of faculty by fellows bi-annually
- Evaluation of program by faculty, staff, and fellows annually
- 1 continuity clinic per week
- 2 attending clinics per week (exempt when on call)
- Call experience
- First call for families and provider calls within Children's Wisconsin starting Friday afternoon through the following Friday afternoon; provider calls outside of Children's Wisconsin 3rd year only
- 16 weeks 1st year; 12 weeks 2nd year; 8 weeks + 4 weeks weekends/nights only 3rd year
- Schedule (weekdays)
- 7:30AM: see patients with new onset diabetes in clinic
- 9-12AM: round on established patients in the hospital
- 12PM: see patients with urgent endocrine problems in clinic
- 1-4PM: consults on new patients in the hospital
- Schedule (weekends): round in the hospital as needed
- Remaining time dedicated to research and other academic pursuits
- 7 Board certified/board eligible pediatric endocrinologists
- 5 certified advanced practice nurse practitioners
- 2 research intensive basic science faculty
Bethany Auble, MD
Dr. Auble spends 5 hours per week in a general endocrine clinic, 5 hours per week in Diabetes clinic. She is attending on the inpatients wards for about 12 weeks each year. Dr. Auble will directly supervise the fellow in the care of inpatients, outpatients, and with consultations. While attending on the pediatric endocrinology service, Dr. Auble will hold rounds seven days per week, a time commitment of 10-12 hours weekly, involving fellow education, training and supervision. Though she has a special interest in polycystic ovarian syndrome of the endocrine system, she treats patients with all types of endocrine problems. She is a dedicated advocate for graduate medical education. She will attend the adult endocrine journal club for one hour per week, the pediatric endocrine clinical conference, and the pediatric endocrine teaching conference for 1 to 2 hours every week.
Susanne Cabrera, MD
Dr. Cabrera spends 5 hours per week in a general endocrine clinic, 5 hours per week in Diabetes clinic. She is attending on the inpatients wards for about 12 weeks each year. Dr. Cabrera will directly supervise the fellow in the care of inpatients, outpatients, and with consultations. While attending on the pediatric endocrinology service, Dr. Cabrera will hold rounds seven days per week, a time commitment of 10-12 hours weekly, involving fellow education, training and supervision. Though she has a special interest in disorders of sex differentiation, she treats patients with all types of endocrine problems. She will attend the adult endocrine journal club for one hour per week, the pediatric endocrine clinical conference, and the pediatric endocrine teaching conference for 1 to 2 hours every week.
Patricia Donohoue, MD
Dr. Donohoue is the Section Chief of Pediatric Endocrinology. She has 25+ years experience as a pediatric endocrinologist. She spends approximately 20 hours per week in Endocrine and Diabetes Clinics as well as staffing fellow clinics and newly diagnosed diabetic clinics. She spends 4 hours per month in Brain Tumor clinic. Though she has a special interest in inherited diseases of the endocrine system and disorders of sex differentiation, she treats patients with all types of endocrine problems. While attending on the pediatric endocrinology service about 12 weeks per year, Dr. Donohoue will hold rounds seven days per week involving fellow education, training and supervision. She will attend the med/peds adult endocrine journal club for one hour per week, the pediatric endocrine clinical conference, and teaching conference for two hours every other week.
Samuel Engle, DO
Dr. Engle spends 10 hours per week in a general endocrine clinic and 5 hours per week in Diabetes clinic. He is attending on the inpatients wards for about 12 weeks each year. While attending on the pediatric endocrinology service, Dr. Engle will hold rounds seven days per week. He is very involved in resident/fellow education, training, and coordinates weekly section academic conferences. Though he has as special interest in exercise and type 1 diabetes he treats all endocrine disorders.
Rosanna Fiallo-Scharer, MD
Dr. Fiallo-Scharer spends 5 hours per week in fellows’ continuity clinics as well as her own endocrinology clinic at our New Berlin Clinic location and she spends 5 hours per week in Diabetes Clinic. Dr. Fiallo is the program director for our diabetes programs. She will directly supervise fellows, residents and medical students in the care of inpatients, outpatients, and with consultations. While attending on the pediatric endocrinology service Dr. Fiallo will hold rounds seven days per week. She will attend the pediatric endocrine clinical conference for one hour every week and the pediatric endocrine teaching conference for one hour every week. Over the past 16 years, Dr. Fiallo-Scharer has focused most of her clinical practice and research efforts in the area of type 1 diabetes. Her research has been focused mostly on the application of continuous glucose monitoring technology to daily diabetes management to safely improve glycemic control in youth with insulin-requiring diabetes as well as in testing strategies for preventing hypoglycemia. Dr. Fiallo has also been involved in studies looking at the genetic and environmental determinants of type 1 diabetes autoimmunity, prevention and reversal of type 1 diabetes and tracking the natural history of the disease.
Alvina Kansra, MD
Dr. Kansra’s responsibilities will primarily consist of clinicals as she works on establishing her research and role as faculty. Her clinical schedules are to be developed. Her inpatient attending time will expand to match those of the other members of the section. Dr. Kansra will directly supervise the fellow in the care of inpatients, outpatients, and with consultations. She will attend the adult endocrine journal club for one hour per week, the monthly pediatric nurse practitioner case conference for one hour per month, the pediatric endocrine clinical conference for one hour every other week, and the pediatric endocrine teaching conference for one hour every other week.
Peter M. Wolfgram, MD
Dr. Wolfgram is a board certified pediatrician, and a fellowship trained pediatric endocrinologist. He will directly supervise fellows, residents and medical students in the care of inpatients, outpatients, and with consultations. While attending on the pediatric endocrinology service Dr. Wolfgram will hold rounds seven days per week. He will attend the pediatric endocrine clinical conference for one hour every week and the pediatric endocrine teaching conference for one hour every week. Dr. Wolfgram has a special interest in treating children with endocrinological diseases and diabetes mellitus.
At MCW/Children’s Hospital we believe in providing employees with opportunities for professional and personal growth. Fellows starting the program prior to July 1, 2015, are employed by the Medical College of Wisconsin (MCW).
Stipend amounts for the 2019-2020 Academic Year
The Board of Directors of MCWAH establishes stipends for housestaff. The stipend levels for the academic year beginning July 1, 2019 are:
- PGI: $60,900
- PGII: $61,980
- PGIII: $63,070
- PGIV: $64,150
- PGV: $67,400
- PGVI: $69,570
- PGVII: $71,720
- PGVIII: $73,020
The Working Condition benefit will remain $1,500 for the 2019/20 academic year. This payment is intended to help defray expenses for license fees, DEA fees, license exam fees and text books. This is a taxable benefit that will be paid in two $750 installments; one on the December 31, 2019 paycheck and one on the June 30, 2020 paycheck. There are compliance requirements that must be met to be eligible for this payment. Housestaff who complete mid-year are paid a pro-rated amount on their last paycheck.
The working condition payment provides financial support for your DEA and licensure related fees.
You are required to obtain a Wisconsin License in compliance with MCWAH policy. Licensed housestaff must obtain a DEA number and provide a copy to the MCWAH office.
If you are not in compliance with the policies concerning DEA numbers, licensure and immunization requirements, you will NOT receive the Working Condition payment.
- Health, Dental, Vision, and Life Insurance
- 403(b) Retirement Plan
- Vacation – 22 days per academic year
- Holiday & Floating Holidays
- Sick Leave
- Tuition Reimbursement
- Dependent Care Reimbursement
- Health Flexible Spending Account
- Short-Term Disability and Long-Term Disability
See MCW Benefits for detailed information.
The MCW Professional Risk Management Department coordinates the professional liability self-insurance program and assures liability coverage with the Wisconsin Injured Patients and Families Compensation Fund in excess of the primary annual limits of $1,000,000 per incident and $3,000,000 in the aggregate. Providers are covered for activities within the scope of duties for MCW.
Fellows starting the program on or after July 1, 2015, are employed by the Medical College of Wisconsin Affiliated Hospitals (MCWAH).
The Medical College of Wisconsin Affiliated Hospitals, Inc. (MCWAH) offers an excellent comprehensive benefits package.
View MCWAH Benefits, Conditions & Terms of Employment for information regarding vacations, leaves, insurance, stipends and professional liability.
Our 3-year fellowship program is ACGME accredited and begins on July 1 each year. We accept one fellow each academic year through the National Resident Matching Program (NRMP). Applicants must have completed a US-accredited residency program. Applications from prospective applicants are accepted from July through October via the Electronic Residency Application Service (ERAS). We will access your application and contact you to make interview arrangements.
Complete applications should include the following:
- ERAS application form
- At least 3 letters of reference including Program Director letter
- Medical Student Performance Evaluation/Dean's Letter
- Curriculum Vitae
- Personal statement
- USMLE scores - Steps 1, 2, and 3
- ECFMG certificate for foreign medical school graduates (see visa information below)
Our program currently accept the following visas:
- Permanent Resident Visa
- Visitor Exchange Visa sponsored by ECFMG (J-1)
- For additional visa information please visit Graduate Medical Education.
I trained at Children’s Wisconsin for residency and loved my experience so much that I decided to stay for fellowship! Children’s offers a wide breadth of clinical and research experiences, and the pediatric endocrine fellowship program is happy to work with each fellow, within the confines of the ACGME, to offer a unique training experience.
Dr. Allison Coren
Meet our Team
Bethany Auble, MD
Peter Wolfgram, MD
Pediatric Endocrinology Fellowship Program Coordinator
Children’s Corporate Center
999 N. 92nd St., Suite 730
Milwaukee, WI 53226