Training Timeline

Training timeline for the division of Pediatric Endocrinology, School of Medicine at UNC Chapel Hill

First yearSecond year Third year
Outpatient Clinics Continuity clinics in Diabetes & Endocrinology. 

Diabetes, Endocrinology and Specialty ClinicsContinuity clinics in Diabetes & Endocrinology. 

Diabetes, Endocrinology and Specialty Clinics
Specialty Clinics – Turner’s Syndrome, Comorbidities of Obesity, T2DM, Lipid Disorders
Inpatient exposure On-Service Time

1st year: 8 months
2nd year: 3 months
3rd year: 2 months
Research/Scholarly Activities Brainstorm project ideas

Set up Scholarship Oversight Committee

Interview several investigators to choose research mentor

Make preparations for research project
Finalize IRB

Start research project

Collect and analyze data
Write manuscript

Submit for publication

Pursue additional interests
UNC has incredible research opportunities. UNC investigator Dr. Sancar received the 2015 Nobel Prize in Chemistry. Some example of our current fellows research includes projects looking at the immune response in Turner Syndrome, autoimmune modulation in type 1 diabtes and quality of education program and stress factors in children and their families with newly diagnosed Type 1 Diabetes Mellitus
Academic lectures/
Core curriculum
Weekly board review, pediatric endocrinology conferences, and combined adult and pediatric lectures.

Summer series on the fundamentals of pediatric endocrinology
Career Development Establish mentors Explore career interests Apply for jobs
Formally meet with Program Director and Scholarship Oversight Committee twice yearly.
National Conferences

Fellows attend at least one national meeting per year. Attendance at other meetings is covered if fellow is presenting

Clinical service is covered by faculty to allow all fellows to attend the PES meeting annually

Fellows routinely submit abstracts and present research at the national meetings every Spring.

Annual Fun Activities Monthly division social outings; Winter holiday party; Fellowship retreat and graduation party.
Vacation Time 20 Monday through Friday workdays annually as paid time off (PTO includes all vacation, sick and personal leave). It is expected that 15 days will be used as vacation and up to 5 days for sick and personal leave

The University of North Carolina Pediatric Endocrinology and Diabetes Fellowship program

 The Division of Pediatric Endocrinology at UNC offers a rich training environment for young physicians and researchers to receive a comprehensive educational experience, drawing on our close relationship with other world-class clinical teachers and researchers within the UNC School of Medicine community.

Residency

We play a major role in training pediatric residents in the Pediatrics Residency Program at UNC to become the next generation of primary care pediatricians, subspecialists, and leaders in academic centers.

Fellowship

UNC offers an unparalleled opportunity for studying pediatric endocrinology within a strong general pediatric setting. Our training program consists of a comprehensive clinical and research experience spanning three years. This program is intended for physicians who desire to pursue a career in academic medicine that combines both clinical and research activities as well as medical education in endocrinology and diabetes. The clinical management of outpatient and inpatient endocrine disorders, including diabetes, is emphasized in the first year. The second and third years are primarily devoted to in-depth investigation of an area of basic, clinical, or quality improvement research under the supervision of faculty mentors. Each year, the program accepts one first year fellow.

The First Year

As both an active primary care hospital and a major regional and national care center, UNC Children’s Hospital has a large and varied patient population with exceptional diversity of endocrine diseases and their complications. In the first year, fellows divide their time between monthly inpatient and outpatient rotations:

  • Inpatient service and consults (8 months)
  • Outpatient care, including endocrinology subspecialty clinics, and research activities (3-4 months)

Inpatient Service

In the inpatient endocrinology and diabetes service, the fellow works closely with a faculty member to evaluate and manage all endocrine and diabetes consultations within the NC Children’s Hospital.  The fellow also directly supervises the care of all endocrine and diabetes patients admitted to the Children's Hospital Endocrine Service, in collaboration with the pediatric resident team.

Outpatient Care

In the outpatient endocrinology clinic, the fellow holds 1-2 full-day clinics each week, which exposes them to a wide range of pediatric endocrine disorders, including type 1 and type 2 diabetes, puberty and growth disorders, obesity, metabolic bone diseases, reproductive endocrinology, thyroid and thyroid nodules, disorders of sexual differentiation, transgender medicine, and brain tumor/neuroendocrine dysfunction.   In the pediatric diabetes programs, the fellow works within a multidisciplinary team that include nurse educators, nutritionists, and social workers to treat both type 1 and type 2 diabetes.  Fellows develop continuity with their patients whom they follow longitudinally during their training, with guidance from the faculty. The fellows also rotate through subspecialty clinics with a focus on Turner syndrome, bone metabolism, comorbidities of obesity, lipid disorders, disorders of sexual differentiation, and transgender medicine.

Night/Weekend Call

The on-call fellow takes weeknight call from home two nights during the workweek, with the other two nights being covered by the other fellows.  The first year fellow is on call about 19 weekends per year from home, and may involve daytime rounding in the hospital.  The on-call fellow answers all pagers from within the hospital, outside emergency rooms, and from patients and families at home. The on-call attending is available 24 hours a day to provide guidance, support, and supervision of the fellow on call.

Conferences

During the first and second years, each fellow prepares and conducts approximately 12 clinical conferences attended by students, residents, fellows, and faculty in the Division of Pediatric Endocrinology.  These conferences give the fellow the opportunity to investigate clinical topics in depth, to engage endocrinologists in discussion, and to provide interactive education to trainees.

The Second and Third Years

Under the supervision of the program directors, the first year fellow identifies faculty mentor(s) to plan, coordinate, and implement a comprehensive investigation of one area of basic, clinical, or quality improvement research.  Each fellow also continues with longitudinal clinics for one day per week in general endocrinology and diabetes.  All second or third year fellows spend one week at a summer camp for children with diabetes, where practical issues in diabetes outpatient management are emphasized under the guidance of attending staff.

During the second two years, the fellows continue to be on call and to develop their clinical evaluation and decision making skills with supervision from faculty members.  The second year fellow is on call approximately 3 months per year, while the third year involves about 2 months of on-call time.

Fellowship Curriculum

The fellowship has an extensive curriculum that combines lectures, journal clubs, seminars and case conferences to provide a variety of educational activities, including the opportunity to teach and to learn from multi-disciplinary teams.

Weekly Conferences:

- Fundamentals of Endocrine Summer Seminar Series (core topics in endocrinology)

- Endocrine Teaching Conferences (led by fellows as well as faculty)

- Division of Endocrinology Visiting Lecturers Seminars

- Pediatric Endocrinology Board Review (review of case-based questions, moderated by faculty)

- UNC Division of Adult Endocrinology Research Conferences

- UNC Department of Pediatrics Grand Rounds

Bi-weekly/Monthly/Quarterly Conferences:

- Pediatric Endocrinology Journal Club

- Combined UNC Pediatric and Adult Endocrinology Research and Case Conferences

- Multidisciplinary joint conferences with Radiology, Genetics, Urology, ENT, PICU, and NICU

- Pediatric Endocrinology Division Retreat

 Research Opportunities

Diverse research opportunities exist within the UNC Pediatric Division of Endocrinology, as well as in collaboration with other divisions and departments within the University. A wide variety of projects are available at the level of population sciences, patient-oriented research, isolated genes, cells, and intact organisms that include transgenic mouse models of human diseases.

Examples of past and current research opportunities/projects:

-Immune response to vaccinations in patients with Turner syndrome

-Clinical pathway for outpatient education of pediatric patients with new onset type 1 diabetes

-UNC Pediatric Residency gender dysphoria education initiative

-Effects of anti-CD4 and -CD8 antibodies on remission of diabetes in mouse models

-Assess the effect of diabetic ketoacidosis on neurocognitive function in pediatric patients

-Thyroid screening for newborns born to mothers with Grave’s disease

-Determining the influence of obesity on pubertal timing in girls

-Enhancing empathy and knowledge through experience: the T1D Immersion Education Project

-Omega-3 fatty acids in obesity and effects on B cell activity

-Understanding how Autoimmune Regulator (Aire) gene promotes tolerance in  Autoimmune Polyendocrinopathy Syndrome Type 1 (APS1) mouse models and patient samples

-The effect of cellular and epigenetic mechanisms on the immune response in Type 1 Diabetes, Turner Syndrome, Kabuki Syndrome, and other conditions characterized by immune dysregulation

-The role of the Autoimmune Regulator (Aire) gene in preventing effective anti-tumor immunity

-Etiological and clinical characteristics of central diabetes insipidus in children: a single center experience

-Establisment of postneurosurigcal diabetes inspidus protocol

-Evaluating substance use and insulin misuse in adolescents with type 1 diabetes