Outpatient Clinical Training

A unique aspect of our training program is the extensive outpatient clinical and continuity exposure our fellows receive.

Endocrine/Diabetes Continuity Clinic

Our outpatient clinic is located at Meadowmont, an off-campus clinical site that is a 5 minute car ride from campus. Bus transportation between the Meadowmont clinic and the UNC Hospital is also available at no charge.

  • First year fellows spend on average five half day sessions each week in clinic.
  • Second year fellows spend on average three half day sessions each week in clinic.

The majority of these clinics are general endocrine and diabetes continuity clinics. Patients are directly scheduled with the fellow, not an attending physician. The fellow is the first point of contact for the patient, independently performs the clinical assessment and formulates a treatment plan under the guidance of the assigned faculty attending preceptor for the day. Fellows follow patients longitudinally over the course of their two years. All faculty members precept for the outpatient continuity clinic which offers our fellows a wide exposure to different treatment and management styles.

Multidisciplinary Pituitary Clinic

First year fellows spend one full day each month evaluating patients with various types of pituitary dysfunction. Fellows work closely with a team of endocrinologists, neurosurgeons and radiologists in this multidisciplinary setting and gain state of the art training in diagnosing, treating and managing pituitary disease. Pituitary clinic is optional for second year fellows based upon interest.

Thyroid Ultrasound/Biopsy Clinic

First and second year fellows spend one half day each month performing in office thyroid ultrasounds and biopsies. In addition to becoming expert in thyroid ultrasound and biopsy techniques, fellows learn how to assess for sample adequacy and make the sample slides that are sent to pathology.

Reproductive Endocrinology

Second year fellows spend several half days in the UNC Fertility Outpatient Clinic usually during the second half of the second year.

Pediatric Endocrinology

Second year fellows spend time with our pediatric endocrine colleagues in their Raleigh clinic.  This has been a favorite with our fellows and consistently receives high ratings.

Endocrine Surgery

This opportunity allows second year fellows the chance to observe differences between surgical and medical management of endocrine disease as well as offers a different perspective on thyroid biopsy techniques. Both first and second year fellows are encouraged to shadow in the OR to observe common endocrine surgeries including a thyroidectomy and parathyroidectomy.

Inpatient Consultative Endocrinology

The inpatient endocrine consult service serves the UNC Hospital which is a large, 800+bed academic medical center operated by and for the people of North Carolina in partnership with the UNC School of Medicine. Consisting of the General Adult Hospital, Women and Children’s Hospital, Neurosciences Hospital and a dedicated Cancer Hospital, UNC Hospital is the only state-owned teaching hospital in North Carolina. Its catchment area is broad, offering care to patients from every county and from several neighboring states.

  • The consult service is staffed by an attending, nurse practitioner and one fellow.
  • Each first year fellow will spend 18 weeks total per year covering the inpatient consult service. This time of service is broken into one to two week blocks.
  • Each second year fellow will spend 8 weeks total per year covering the inpatient consult service. This time of service is broken into one to two week blocks.
  • The inpatient service is full of informal teaching moments as the fellow directly interacts with faculty to assess patients and create treatment plans. We also have formal teaching rounds 1-2 times per week that are geared toward the enhancing the fellows’ level of knowledge.
  • All inpatient coverage is at the main UNC campus.

Fellow Learning Opportunities

Learning opportunities abound within the fellowship program at UNC. These include formal didactic training, case conferences, journal club and smaller group sessions. Below is a description of our recurring learning opportunities.

  • Pituitary Conference (monthly)
  • Board Review (weekly)
  • Endocrine Grand Rounds (weekly)
    • Week 1 Journal Club and Fellows Case Presentation
    • Week 2 Endocrine Tumor Board
    • Week 3 Topics in Molecular Endocrinology/Adult-Peds Endocrine Conference and Fellows Case Presentation
    • Week 4/5 Research Presentations
  • Mini-case Discussions (weekly)
  • Fellow’s Didactic Conference (weekly)
  • DXA Interpretation (monthly)
  • Thyroid Nodule Review (monthly)
  • CGM/Pump Review (monthly)
  • Dynamic Endocrine Testing (monthly)
  • Medicine Grand Rounds (weekly)

Fellow Research and Scholarly Pursuits

UNC has historically been ranked in the top 10 nationally in NIH grants received among departments of medicine for many years. In addition to the outstanding faculty in the Division of Endocrinology, UNC is home to the world renowned Gillings School of Public Health as well as the Sheps Center for Health Services Research. What this means for our fellows is that a wide variety of research opportunities exist that span the gamut from basic science to clinical trials to public health to health services research. With multiple successful world renowned physician-scientists within our division and we have the experience and resources to help fellows who plan to pursue research careers launch fruitful careers in academia.

While we expect all of our fellows to engage in scholarly work during their fellowship, which has traditionally been a clinical or basic research project, we recognize that many of our fellows aspire to careers as clinical educators. We have the infrastructure and experience to help fellows become successful clinical educators. Fellows who are interested in pursuing this line of training engage in several key activities over the course of their two years of training:

  • Fellows complete the University of North Carolina Academy of Educators Training Program
  • Fellows teach in a variety of settings and receive structured feedback from clinician-educator faculty and learners
  • Fellows engage in scholarly activity, which usually involves educational research or educational dissemination/implementation projects

We are committed to ensuring our fellows’ success in their scholarly endeavors. All fellows will have a faculty mentorship team as well as a primary mentor that will be created early in the first year of fellowship. The primary mentor will guide the day to day research/training activities while the mentorship team will oversee the general progress of the fellow’s scholarly activities over the course of their training at UNC.