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Pediatric Endocrinology Inter-Institute Training Program

  • Constantine A. Stratakis, MD, DSc, Program Director and Scientific Director, NICHD
  • Maya B. Lodish, MD, Deputy Director, Pediatric Endocrine Fellowship, Staff Clinician, NICHD
  • Jeffrey Baron, MD, Head, Section on Growth and Development, NICHD
  • Rebecca Brown, MD, Senior Clinical Fellow, Clinical Endocrinology Branch, NIDDK
  • Angela Delaney, MD, Assistant Clinical Investigator and Head, Unit on Genetics of Puberty and Reproduction, NICHD
  • Rachel Gafni, MD, Craniofacial and Skeletal Diseases Branch, NIDCR
  • Joan Han, MD, Assistant Clinical Investigator and Head, Unit on Metabolism and Neuroendocrinology, NICHD
  • Margaret Keil, MS, CRNP, Director, Pediatric Endocrine Clinical Services, NICHD
  • Fetima Worthington, Program Coordinator, NICHD
  • Deborah Merke, MD, Chief of Pediatric Services Clinical Center, NIH
  • Kristina Rother, MD, Head, Section on Pediatric Diabetes and Metabolism, NIDDK
  • Jack Yanovski, MD, PhD, Head, Section on Growth and Obesity, NICHD
  • James Mills, MD, Senior Investigator at DESPR, NICHD
  • Stephanie Chung, MD, Assistant Clinical Investigator, NIDDK
Pediatric Endocrinology Fellowship group photo

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Pediatric Endocrinology Fellowship group photo

The Fellowship in Pediatric Endocrinology is a three-year ACGME (Accreditation Council for Graduate Medical Education)–accredited program providing comprehensive training in clinical patient management and guidance in the development of research skills. The Fellowship is at the National Institute of Child Health and Human Development (NICHD) and based at the National Institutes of Health (NIH) Clinical Center (CC), in Bethesda, Maryland, one of the largest and most sophisticated research institutions in the United States. The CC maintains clinical research protocols investigating the treatment of adrenal and pituitary tumors, congenital adrenal hyperplasia, Turner syndrome, McCune-Albright syndrome, Cushing’s syndrome, obesity, and others. The fellow gains critical skills in the construction and execution of clinical research projects while learning about more rare pediatric endocrine disorders.

Participating institutions include: The Johns Hopkins University (JHU), Department of Pediatrics; the Division of Pediatric Endocrinology, Children’s National Medical Center (CNMC), Washington, DC; and Georgetown University (GU), Department of Pediatrics, Washington, DC, the co-sponsoring institution. GU, JHU, and CNMC serve as primary care facilities, and the NIH CC is home to a large tertiary care referral and research center. The facilities make available to our fellows pediatric endocrine, diabetes, oncology, metabolic, bone disorders, and other pediatric subspecialty clinics and consult services, as well as general pediatric inpatient and intensive care units. The Fellowship is designed to provide clinical and research exposure that permits the development of academic Pediatric Endocrinologists with experience in both clinical and bench research. The first year of the Fellowship is dedicated to the acquisition of necessary clinical skills in all aspects of the principles and practice of pediatric endocrinology. During that year, fellows rotate through the NIH CC and participating hospitals. The second and third years are focused research years, which permit training in laboratory or clinical research. During these two years, fellows also receive appropriate courses in statistics, biotechnology and laboratory methods, grant and scientific paper writing, and the development and execution of clinical trials. Pediatric Endocrine fellows maintain a weekly continuity clinic with a variety of patients at the NIH CC and have the option of attending continuity clinics at participating institutions beyond their first clinical year.

Educational Program

The Pediatric Endocrinology Fellowship at NIH consists of one year of clinical training, and two years of combined clinical training and research training.

Clinical Training Rotations

A typical training schedule for first-year fellows includes the following rotations: 6–8 weeks at JHU, 6–8 weeks at GU, 6–8 weeks at CNMC, and 6 months at NIH Clinical Research Center. During the second and third years, mandatory clinical responsibilities are limited to a half-day continuity clinic per week and provide inpatient pediatric endocrine consultation on an on-call basis.

Didactic Training

Regularly scheduled didactic courses, seminars, and case conferences enhance clinical experience. These include the following weekly events:

  • Endocrine Grand Rounds
  • Pediatric Endocrine Case Conference
  • Pediatric Post-clinic Conference
  • Lecture series covering both clinical and research topics
  • Journal Club (once a month)
  • Board Review

Fellows are encouraged to attend at least one national/international professional meeting a year during the three fellowship years.

Research Training

Fellows learn how to develop a research protocol, conduct a study, evaluate the results, and create a presentation or a manuscript suitable for publication. Work in a laboratory setting performing state-of-the-art basic science research is closely supervised by internationally known mentors. During the first year, a research mentor is chosen, and the project for each fellow and progress on it are monitored by a committee, as recommended by the American Board of Pediatrics. With the mentor’s help, the fellow defines a topic of special interest and develops a research protocol. The second and third years of the fellowship are dedicated to the successful completion of the selected project(s) with minimal clinical duty requirements.

Call Frequency

There is no in-house call. During the first year, pediatric endocrine fellows are on call from home, supported by one of the endocrine attendings. During the second and third years, fellows take calls from home when they participate in the pediatric endocrine consult service. Third-year fellows attend one month in the wards of the NIH CRC and are on-call from home for the ward during the four weeks.

Teaching Opportunities

Third-year fellows are required to take a supervisory role and cover the pediatric endocrine inpatient service at the NIH CC for one month. During the four weeks, the senior fellow supervises first-year fellows, residents, and students and is responsible for teaching rounds and conferences. In addition, third year fellows are responsible for presenting at the "Noon Conference" to the Georgetown Pediatrics Residents.

Evaluation and Quality Assurance

The fellow meets regularly with the program director, the mentor, and the supervising committee to assess personal goals and objectives and to review evaluations from the staff. All fellows and other staff participate in regular staff meetings, and quality assurance is monitored both at the program and at the hospital level by regular (weekly and other) meetings.

Application Process

The program participates in the ERAS on-line application process as well as the NRMP match program. Contact information is listed below.

Contact

Pediatric Endocrinology Training Program
NICHD, NIH
Building 10, Room 9D42
10 Center Drive, MSC-1830
Bethesda, MD 20892-1830
Phone: 301-451-1466
Fax: 301-480-0378
Email: worthinf@mail.nih.gov, lodishma@mail.nih.gov, or stratakc@mail.nih.gov
Online Application: www.aamc.org/services/eras

For more information, please visit pe.nichd.nih.gov.

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