Endocrinology, Diabetes and Metabolism Fellowship

One half day per week.

Fellow’s continuity clinic with faculty supervision throughout first and second year. Fellows are the primary manager of these patients under faculty supervision.

F1: August to June, 1 to 2 half days of clinic each week of outpatient blocks (7 patient slots)

F2: July to June, 1 half day of clinic each week for the full year (8 patient slots)

F1: September-June: three half day clinics/week when not doing inpatient endocrine consult service on a rotating schedule to include clinics in specialized areas: 

• Adrenal
• Bone/Mineral
• Diabetes 
• Lipids
• Obesity
• Pituitary
• Thyroid
• Dedicated experience in Fine Needle Aspiration Biopsy

None during on-service months

F2: July-June: one half day clinic per week with research mentor.

F2: One month of Pediatric Endocrinology clinic at Nationwide Children’s Hospital (three half day clinics per week) is required.

F2: One month of Reproductive Endocrinology clinic with Department of Reproductive Endocrinology and Center for Women’s Health (two half day clinics per week).

F2: Elective clinical rotations available include Advanced Thyroid Cancer & Neuroendocrine Tumors, Pregnancy-related Endocrinology & Diabetes. 

8 or 9 two week blocks between F1 and F2

Consult blocks start August of F1 and finish in August of F2

Inpatient diabetes block – 2 weeks in July of F1

Fellows have a foundational experience in managing inpatient diabetes in the Ross Heart and University Hospitals. Fellows work closely with nurse practitioners and round with faculty daily.

Procedures- Required

• DXA interpretation: Fellows spend time learning how to interpret DXA scans at Continuity Clinic, during a monthly fellow’s conference devoted to Metabolic Bone and mineral disorders, outpatient attending Bone Clinic, and during fellow’s Pre-clinic conference.
• Thyroid ultrasound and Fine Needle Aspiration Biopsy: We introduce these techniques during a tutorial in the summer, followed by dedicated time spent in weekly Thyroid FNA Clinic, and continued US interpretation during fellows pre-clinic conference.
• Continuous glucose monitoring & insulin pump downloads: New fellows are introduced to this during focused ½ month inpatient Diabetes Consult during summer of F1, followed by focused experience in Diabetes Technology Clinic, fellow’s pre-clinic conference to gain expertise in problem-solving this technology.
• 131I administration- Fellows are present with Endocrine Division faculty who are Authorized Users of radioactive iodine for administration of 131I in the treatment of hyperthyroidism and thyroid cancer.
• Fellows maintain a log of all procedures.

Procedures- Optional

• F2: In the spring of the second year, fellows are nominated to attend “Endocrine University”, a Clinical Procedure Certification Course offered by the Mayo Clinic, a week-long course toward achieving certification in CGM/insulin pump interpretation, DXA scan interpretation, and Thyroid ultrasound and FNA biopsy.
• F2: Opportunity to participate in other certification courses at fellow’s personal expense. This can include the AACE Nuclear Medicine course to fulfill the NRC requirements for training in radiation biology, physics and safety in the use of radioactive iodine.

Weekly Conferences

• Opportunities for additional specialty training are available through the Endocrine Fellows Foundation, NIH, AACE and other organizations. 
• Participation in Divisional, Regional and National CME meetings is desirable and will be encouraged.
• Participation in all CME programs provided by the Division including Endocrinology Update, Mazzaferri Lecture, Kroc Lecture, and Metabolic Bone Disease Update.

• Completion of minimum of 24 months training in Endocrinology, Diabetes and Metabolism ACGME certified training program
• Average of 2 rotating half day endocrine clinics per month for 24 months in which 1 half-day continuity clinic per month for at least 20 months
• 1 month of pediatric endocrinology
• 2 weeks of reproductive endocrinology
• Presentations at Board Review Conference, Journal Club and Endocrine Case Conference about 6-8 times per year
• A minimum of one didactic course on biostatistics or study design (or other “approved” course germane to research initiative)
• Completion of a research study as evidenced by:
  
  • protocol development/IRB submission
  • research conferences covering study design
  • grant preparation and submission
  • abstract submission
  • presentation of results at Research Conference and OSU Fellows Research Symposium
  • preparation of final manuscript for submission

• Participation in teaching activities as evidenced by:
  
  • small group tutorials for medical students during their endocrinology block

Some of the benefits to the fellow educational teaching experience include:

• House Staff and Medical students rotating on the Inpatient Endocrine Consult Service
• Small group tutorials for 1st and 2nd year medical students (required Year 1 and 2)
• Present at CME programs given by Division (optional in Year 2)

View a sample of teaching conferences

A wide range of research areas are available for our fellows in the Endocrine Division and there are additional opportunities to interact with collaborating scientific faculty at Ohio State. Many of the faculty members hold current NIH, other federally or privately funded research grants spanning basic science to clinical outcomes research.

Endocrinology division faculty are nationally and internationally recognized in various areas of endocrine research. Our core faculty includes: Irina Azaryan, Elizabeth Buschur, Kathleen Dungan (Associate Division Director), Luma Ghalib, Roger Harty, Willa Hsueh, Steven Ing, Joshua Joseph, Raheela Khawaja, Lawrence Kirschner, Hala Mualla, Fadi Nabhan, Lekshmi Nair, Vallikantha Nellaiappan, Benjamin O’Donnell, Matthew Ringel (Division Director), Laura Ryan, Jennifer Sipos and Kathleen Wyne. 

View our team

Endocrinology research project

Research is a primary goal of the OSU Endocrinology Fellowship Program to train academic leaders for tomorrow. Fellows actively explore potential research opportunities with faculty on-going and newly established research initiatives. Training will incorporate protocol development/experimental design; research techniques; data analysis; presentation skills and scientific writing. Requirements and timeline for completion will include:

• Prior to fellowship start: identify project areas of interest/back ground reading
• July-September Year 1: choosing a mentor: Time will be provided in the first two months for  new fellows to meet with potential research mentors and complete CITI training. Mentors can be outside the Division and approval by the program director required.
• October-December Year 1: project development
• January Year 1: present proposed protocol at research conference is required within the first 6 months of fellowship. The goal of this exercise is to develop presentation skills and to utilize faculty expertise to feedback on proposed project.
• January-June: IRB submission (if appropriate), learn techniques
• Year 1: prepare and submit grant for funding
• Year 2: Submit and present data at OSU Fellow Research Symposium (required in Year 2)
• Submit abstract(s) to regional/national meetings and present data if accepted
• Prepare and submit manuscript

• Annual presentation of study progress. First year fellow discusses research proposal at midyear. Second year fellow presents a summary presentation at end of fellowship.
• All fellows are also required to attend at least 75% of endocrinology research conferences where other faculty and guest speakers will present basic and clinical endocrine research.

• Each fellow will be expected to submit an abstract for at least one national meeting by Year 2 and if accepted, to prepare and present the data at that venue.
• Fellows will also be encouraged to attend regional/national scientific meetings to enhance networking and scientific exchange.