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NICHD-NIDDK Interinstitute Endocrine Training Program

  • Monica C. Skarulis, MD, Director, Inter-Institute Endocrine Training Program
  • Smita Baid, MD, Associate Director, Inter-Institute Endocrine Training Program
  • Lynnette Nieman, MD, Senior Investigator, Director of Human Subjects Research
  • Susmeeta T. Sharma, MD, Senior Fellow
  • Jenny Blau, MD, Clinical Fellow
  • Jaydira del Rivero, MD, Clinical Fellow
  • Kerri Kissell, MD, Clinical Fellow
  • Mitra Rauschecker, MD, Clinical Fellow
  • Mihail Zilbermint, MD, Clinical Fellow

The Inter-Institute Endocrinology Training Program (IETP) seeks to train internal medicine physicians to become first-rate endocrinologists who seek investigative careers. The National Institute of Diabetes and Digestive and Kidney Diseases (Diabetes Branch, Metabolic Diseases Branch, Clinical Endocrinology Branch, and the Islet Autoimmunity Branch), The National Institute of Child Health and Human Development (Program in Developmental Endocrinology and Genetics, Program in Reproductive and Adult Endocrinology), and The National Institute of Dental and Craniofacial Research participate in this program, with faculty from all three institutes. As part of the Fellowship program, fellows see patients who are enrolled in teaching and training protocols. A clinical component of these studies allows residents to learn by participating in clinical care; an optional research component permits investigation of unusual disorders not covered by specific hypothesis-driven protocols. Fellows also care for patients enrolled in hypothesis-driven protocols.

The IETP provides a comprehensive training experience that involves not only the NIH clinical branches working in endocrinology but also Georgetown University Hospital, Washington Hospital Center, and the Walter Reed Army Medical Center. The basic and clinical endocrine research facilities at the NIH are among the most extensive and highly regarded in the world. Thus, the fellowship is ideal for physicians who seek a broad education in both research and clinical endocrinology. Clinical training occurs largely in the first year. At any one time, fellows are responsible for five to ten patients on the inpatient service of the NIH. Under the supervision of the endocrine faculty, the trainee has complete responsibility for all aspects of a patient's care. Fellows make daily rounds, discuss patients with the attending physicians, and participate in management decisions related to both patient care and clinical investigation. Although all patients are admitted under peer-reviewed research protocols, there are many other aspects of diagnosis and patient care that fall entirely under the discretion of the endocrine fellows.

The remaining two years are spent primarily in laboratory or clinical research under the direction of a senior investigator in one of the several endocrinology branches of the NIH. During this research period, active clinical experience continues through bi-weekly continuity outpatient clinics and participation in clinical conferences. In addition, fellows on the endocrine service serve as consultants to the rest of the Clinical Center, where patients are not selected with regard to endocrine problems. Thus, the fellows gain experience with several common problems of endocrine disease that may occur in any general medical ward. Clinical research activities include programs in all the areas of endocrine and metabolic diseases. Study design, outcome measures, statistical analysis, and ethical and regulatory issues are stressed.

Contact

Adult Inter-Institute Endocrine Training Program (IETP)
NICHD, NIDDK, NIDCR, NIH
Bldg. 10, Rm 6-3940
10 Center Drive, MSC 1613
Bethesda, MD 20892 1613
Phone: 301-496-1913
Fax: 301-480-4517

Program Coordinator: Sandra Wallace, sandraw@mail.nih.gov
Program Director: Dr. Monica Skarulis, monicas@mail.nih.gov
Associate Program Director: Dr. Smita Abraham, abrahambsm@mail.nih.gov
Online Application: https://www.aamc.org/services/eras/

Publications

  • Sharma ST, Raff H, Nieman LK. Prolactin as a marker of successful catheterization during IPSS in patients with ACTH-dependent Cushing's syndrome. J Clin Endocrinol Metab 2011;96:3687-3694.
  • Skarulis MC, Celi FS, Mueller E, Zemskova M, Malek R, Hugendubler L, Cochran C, Solomon J, Chen C, Gorden P. Thyroid hormone induced brown adipose tissue and amelioration of diabetes in a patient with extreme insulin resistance. J Clin Endocrinol Metab 2010;95:256-262.
  • Baid SK, Rubino D, Sinaii N, Ramsey S, Frank A, Nieman LK. Specificity of screening tests for Cushing's syndrome in an overweight and obese population. J Clin Endocrinol Metab 2009;94:3857-3864.
  • Brown RJ, Kelly MH, Collins MT. Cushing syndrome in the McCune-Albright syndrome. J Clin Endocrinol Metab 2010;95:1508-1515.
  • Webb R, Mathur A, Chang R, Baid S, Nilubol N, Libutti SK, Stratakis CA, Kebebew E. What is the best criterion for the interpretation of adrenal vein sampling results in patients with primary hyperaldosteronism?. Ann Surg Oncol 2012;19(6):1881-1886.

Collaborators

  • Kenneth Berman, MD, Director, Endocrine Training Program, Washington Hospital Center, Washington, DC
  • Francesco Celi, MD, Clinical Endocrinology Branch, NIDDK, Bethesda, MD
  • Michael T. Collins, MD, Craniofacial and Skeletal Diseases Branch, NIDCR, Bethesda, MD
  • Alan H. DeCherney, MD, Program in Reproductive and Adult Endocrinology, NICHD, Bethesda, MD
  • Phillip Gorden, MD, Diabetes Branch, NIDDK, Bethesda, MD
  • Babette Glister, MD, Director, Endocrine Training Program, Walter Reed Army Medical Center, Bethesda, MD
  • Ranganath Muniyappa, MD, Clinical Endocrinology Branch, NIDDK, Bethesda, MD
  • Stephen J. Marx, MD, Metabolic Diseases Branch, NIDDK, Bethesda, MD
  • Lawrence Nelson, MD, Program in Reproductive and Adult Endocrinology, NICHD, Bethesda, MD
  • Karel Pacak, MD, Program in Reproductive and Adult Endocrinology, NICHD, Bethesda, MD
  • Nicholas Patronas, MD, Diagnostic Radiology, NIH Clinical Center, Bethesda, MD
  • James C. Reynolds, MD, Nuclear Medicine Department, NIH Clinical Center, Bethesda, MD
  • James Segars, MD, Director, Reproductive and Infertility Gynecology Training Program, NICHD, Bethesda, MD
  • William F. Simonds, MD, Metabolic Diseases Branch, NIDDK, Bethesda, MD
  • Constantine Stratakis, MD, Program in Developmental Endocrinology and Genetics, NICHD, Bethesda, MD
  • Joseph Verbalis, MD, Director, Endocrine Training Program, Georgetown University Medical Center, Washington, DC
  • Lee S. Weinstein, MD, Metabolic Diseases Branch, NIDDK, Bethesda, MD

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