Although faculty supervision and involvement in all aspects of training continue throughout the program, trainees are allowed to solidify their confidence and refine their clinical diagnostic, judgment, and management skills by developing a greater sense of independence and added responsibility as the fellowship progresses.
During the first six weeks of the academic year, twice-weekly core conferences are given by the Endocrine and Metabolism faculty. The educational objective of this summer series is to introduce the new trainees to a systematic, logical, and scholarly approach to those topics upon which they are most likely to be consulted. Although conducted by the faculty, the increasing responsibility of the second-year fellows is seen in these interactive conferences, in which contributions from the experienced fellowship group are solicited and discussed thoroughly. During this period of time, the second-year fellows also serve as second call, and support the clinical evaluation skills development of the new trainees.
As the fellowship training period progresses, fellows are entrusted with greater teaching responsibilities directed toward the residents and students on the elective rotation. In addition, they are allowed to choose topics for clinical conferences and journal club articles without close consultation with Endocrine Division faculty. As they enter their second (research) year of training, fellows are required to maintain their continuity ambulatory experiences as well as devote 60% of their effort to a well-defined, basic and/or clinical research pursuit. In this way, their roles as subspecialties in each of the three missions of the academic medical center in which they are training (patient care, research, and teaching) are progressively reinforced and strengthened.
Endocrine and Metabolism trainees have important responsibilities for conferences, at which their attendance and participation are required. They prepare and present cases at clinical conferences, and research the scientific and clinical literature relevant to the particular case to be discussed. In addition, they supervise both the residents and medical students on the Endocrinology and Metabolism elective, and assist them in conference preparation and case presentation.
Fellows also are directly responsible for choosing the articles to be discussed at both the weekly Endocrine and Diabetes journal clubs. Initially in close collaboration with the journal club attendings and later with more autonomy, fellows choose original articles from peer-reviewed journals in the field of Endocrinology and Metabolism for each of these sessions. On a rotational basis, each fellow is responsible for the presentation and critical evaluation of each journal article, and for prior distribution of copies of the article to each participating trainee and faculty member.