Endocrinology care at UNC Children'sTraining timeline for the Fellowship Program, Division of Pediatric Endocrinology, School of Medicine at UNC Chapel Hill:

 First yearSecond yearThird year
Outpatient clinicsContinuity clinics in diabetes & endocrinology
Specialty Clinics - Turner's Syndrome, Comorbidities of Obesity, T2DM, Lipid Disorders, Bone Clinic
Inpatient/On-call Time8 months3 months2 months
Research/Scholarly ActivitiesBrainstorm 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
Academic lectures/
Core curriculum
Weekly board review, pediatric endocrinology conferences, and combined adult and pediatric lectures

Journal Club

Summer series on the fundamentals of pediatric endocrinology
Career DevelopmentEstablish mentorsExplore career interestsApply for jobs
Formally meet with Program Director and Scholarship Oversight Committee twice yearly.
National ConferencesFellows attend at least one national meeting per year.

Fellows routinely submit abstracts and present research at the national meetings every Spring.
Annual Fun ActivitiesMonthly division social outings; Winter holiday party; Fellowship retreat and graduation party.
Vacation Time20 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.

We teach weekly seminars on core endocrinology topics to residents and medical students.

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 10 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.