Delia M. Vazquez, M.D.
Andrea Granados, M.D. Maha ElHassan, M.D.
Mission and Overview
The principal goal is to prepare the fellow for a career in academic medicine in this subspecialty area. Clinical, Research and Teaching skills training are the cornerstones of the training program.
The Pediatric Endocrinology Fellowship Program is three years in duration offering a broad range of both clinical and research opportunities.
The clinical training will include the acquisition of broad clinical skills in pediatric endocrinology and diabetes with exposure to a diverse population of patients ranging in age from newborn to young adult, with both complex and common endocrine problems. The clinical emphasis is to diagnose, manage and understand the physiology of hormonal regulation from infancy to young adulthood. Within the program, the fellow is prepared to become a consultant and work with other disciplines to care for the complex patient with endocrine disorder(s).
The Pediatric Endocrinology training is carried out in an out-patient setting. Three half-day experiences of general diabetes care and intensive insulin management, and 3 half-days of general endocrinology experience are available each week. Fellows also perform consultations and manage children admitted to the Mott Children's Hospital. There are about 25 new consultations each month. Fellows have the opportunity to attend clinics with Adult endocrinology mentors to participate in adult diabetes complications, thyroid and/or adrenal management.
To achieve this objective, the fellows have a continuing responsibility for the care of patients in the outpatient clinic throughout their training. The clinical experience involves patients in the following categories (but not limited to these categories):
- Short stature
- Disorders of anterior pituitary hormone synthesis and secretion
- Disorders of posterior pituitary hormone synthesis and secretion
- Disorders of hypothalamic regulation of hormonal secretion
- Disorders of thyroid hormone synthesis and secretion
- Diagnosis of thyroid nodules and neoplasms
- Disorders of adrenal gland physiology, secretion and metabolism
- Disorders of androgen and estrogen metabolism
- Disorders of sexual differentiation and development
- Disorders of calcium, phosphorus and vitamin D metabolism
- Disorders of parathyroid gland physiology
- Disorders of fluid and electrolytes
- Disorders of carbohydrate metabolism including diabetes mellitus and hypoglycemia
- Abnormal puberty
Broad clinical competence also includes the ability to perform endocrine testing carefully and safely and interpret these results accurately.
Fellowship trainees may participate in the research projects of all faculty members within the division. Fellows may extend experiences by short projects to learn specialized techniques in any laboratory within the University. Interdisciplinary research is encouraged. Research partnerships have been developed in the Reproductive Sciences, for growth research with Adult Endocrinology and Kinesiology, and with the Center for Organogenesis, the Neuroscience Program, Biological Program, Center for Human Growth and Development, the Michigan Diabetes Research and Training Center, and the School of Public Health.
Technical Research Skills
The fellow will learn the basics of clinical assay performance and interpretation. The fellows are also given the opportunity to develop strong expertise in state of the art techniques for molecular biology research, tools, which may be essential to career development in a competitive atmosphere.
The fellow may choose from two types of research projects.
Clinical Research Projects
The fellow is expected to review the pertinent literature to help design a clinical research project, presented for peer review and approval to the General Clinical Research Unit (GCRC) and for intra and extra mural funding. This would include the preparation of the consent form for IRB approval. They will be given the opportunity to participate in formal education with regard to the protection of human subjects and will be expected to understand the ethical and safety issues of research in the child or adolescent. The Statistical Core of the General Clinical Research Center is a resource available to the fellow for the proper analysis of the data. In addition, the fellow will have the opportunity to participate in the “On-Job/On-Campus Clinical Research Course (OJ-OC) pending interest and availability of departmental funds.
Basic Research Projects
The fellow is expected to critically review the literature pertinent to their research interest, help design their own basic research project, collect data and learn and execute the appropriate statistical analyses.
It is expected that the fellow will be first author on one or more peer reviewed manuscripts derived from their project, and/or complete and approved grant proposal for extra-mural funding (funded or unfunded).
Postdoctural Fellowship Opportunity
University of Michigan Graduate Medical Education (GME) Scholars Program
The GME Scholars Program consists of 2 tracks, a Medical Education Track and a Healthcare Administration Track. Interested house officers may choose to participate in one of the scholar program tracks during their training. This innovative program will provide participants with a longitudinal training (a 20-month mini-fellowship) experience in one of the above two areas of concentration. This training will be incorporated into their current GME training program, and is open to all University of Michigan house officers (residents and fellows). The primary goal of the GME Scholars Program is to better prepare graduates to assume and succeed in academic positions with a focus in either medical education or healthcare administration at leading academic medical centers. Additionally, the program will allow participants to establish strong mentoring relationships in their chosen area of study, a network for future collaboration, and might serve as a stepping stone to pursue further graduate study if desired. Program participants will begin to develop the knowledge base and skill set required for them to be successful as the next generation of physician leaders. For additional details, please visit the U-M GME Web Site.
The Pediatric Endocrinology Fellowship Program follows the Graduate Medical Education policy on trainee selection. To view the GME selection policy, please click here. In addition, all trainees must have completed a three year Pediatric Residency program at an ACGME accredited institution.
Thank you for your interest in the University of Michigan’s Pediatric Endocrinology Fellowship Program.
We will begin accepting applications through ERAS on November 15, 2013 for fellowship starting on July 1, 2015.
Exceptions to this process will be considered on an individual basis. You should contact the program coordinator for the specifics regarding exceptions.
To be considered by the fellowship selection committee, applicants must meet our eligibility criteria and submit the following required documents:
- Personal Statement
- USMLE transcript of your USMLE Step I and Step II scores
- ECFMG transcripts
- In-training examination scores
In addition please download and have completed the applicant evaluation form. The person completing this evaluation form should be the same person who is writing your recommendation.
We are only able to accept fellows who are US citizens or have permanent residency because of our sources of funding. Otherwise, it is necessary for fellows to provide funding from other sources for the three year fellowship.
After applications have been screened, selected applicants will be invited for interviews to meet our faculty, fellow, and staff and to tour the facility.
The Pediatric Endocrinology Training Program supports and follows the Graduate Medical Education policy on trainee supervision. To view the policy, please click here.