The University of Washington Endocrinology Fellowship offers two different tracks --a Clinical Scholar and Research track.  Each track provides rigorous clinical training and exposure to all Endocrine subspecialties, extensive experience with different populations, and professional mentorship throughout the program.   

FIRST YEAR CURRICULUM

Our first year curriculum is identical for both tracks, and offers intensive training in the  inpatient and outpatient environments. Inpatient months are focused on inpatient consults with fellows assigned on a hospital service with two outpatient clinic half days per week; outpatient months are focused on rotating at four to six outpatient clinics and scholarly activities.   

Inpatient Consults – 6 months per year

The University of Washington has three teaching hospitals as part of our training program. Each has a unique patient population, and provides different educational experiences. During the first year of fellowship training, each fellow will spend approximately 6 months doing inpatient consults. We have excellent teaching attendings who enjoy working closely with our trainees. There are also opportunities for medical student and resident teaching for those trainees with a strong interest in education. During in-patient rotations, trainees only have clinic 2 half days per week.

Example inpatient schedule:

M

T

W

Th

Fri

Inpatient

Inpatient

Inpatient

Didactics

VA Clinic

UW Clinic

Inpatient

Inpatient

Inpatient

Inpatient

 

Continuity Clinics – 2 half-days per week

Fellows will follow patients at several different continuity clinics during their training, including the University of Washington Medical Center, Harborview Medical Center, and the VA Puget Sound Health Care System.  Each clinic provides a unique clinical experience and serves to give our trainees exposure to different patient populations and a variety of endocrine conditions.

Diabetes Clinics – 1 half-day per week during outpatient blocks

University of Washington has a strong diabetes program, and trainees will have excellent training in all aspects of diabetes. This includes work with insulin pumps, continuous glucose monitors and other diabetes technologies. Trainees will also have the opportunity to spend time in the UW Pregnancy and Diabetes Clinic, the Adolescent and Young Adult Diabetes Clinic and the Latinx Diabetes clinic, which focus on providing care to specific populations.

Subspecialty Clinics – 3 to 4 half-days per week during outpatient blocks

Trainees will rotate through multiple subspecialty clinics during their first year of training. These include:

  • Pediatric Endocrinology at Seattle Children’s Hospital

  • Osteoporosis and Geriatrics at the VA Puget Sound Health Care System

  • Bone and Joint at University of Washington Medical Center

  • Lipids Clinic at the UW Diabetes Institute

  • Weight Management Clinic at the VA Puget Sound Health Care System

  • Thyroid FNA Clinic at the VA Puget Sound Health Care System

Most afternoons during the outpatient blocks are set aside for completing administrative work, self-directed learning or work on clinical research/QI projects.

Example Outpatient Month:

M

T

W

Th

Fri

Peds Endo

Lipid Clinic

Weight Clinic

Didactics

VA Clinic

UW Clinic

Scholarly

Scholarly

Scholarly

Scholarly

 

Evening and Weekend Call

Fellows will have an average of twelve weeks of evening and weekend call, spread across the year.  Overnight call is from 6 pm – 8 am the following morning. Weekend call is from 6 pm Friday – 8 am Monday. Evening and weekend call provides coverage for all 3 inpatient sites.

Scholarly Activity

The University of Washington Endocrinology Clinical Scholar track provides opportunities for clinical research, quality improvement work and medical education projects. Many of our faculty members are involved in clinical research. Areas of clinical interest for our division include:

  • Inpatient diabetes management

  • Management of pituitary adenomas

  • Treatment of Graves Disease

  • Evaluation of thyroid nodules

  • Thyroid cancer survivorship

  • Osteoporosis and metabolic bone disease

  • Health disparities in diabetes care

  • Diabetes technology

Several faculty members have funding to support clinical work in these areas and enjoy working with fellows to develop their research interests.  As well, there is institutional support from the University of Washington for fellow driven Quality Improvement projects to improve the care we provide to our patients.

For those interested in clinical teaching, there are opportunities for professional development through teaching workshops put on by the Center for Leadership in Medical Education (CLIME – link to clime.washington.edu). There are also opportunities for medical student and resident teaching, as well as opportunities to be involved in curriculum development.

All fellows are required to complete a minimum of one scholarly activity per year.  Some examples include:

  • Oral presentation at local or regional meeting

  • Poster or oral presentation at national conference

  • Published manuscript under the mentorship of a faculty members

In addition, fellows are expected to conduct a clinical research project, which culminates in a presentation of the scholarly work to the Endocrine Division at the end of the year of the first year of fellowship

Mentorship

All fellows will be assigned a faculty mentor to help support them during their fellowship.  Mentors are assigned based on clinical or research interest in the fall of the fellow’s first year.

SECOND YEAR CURRICULUM: CLINICAL SCHOLAR TRACK

The clinical scholar track in the second year continues to focus on inpatient and outpatient experience, only with the flexibility of adding additional time for clinical electives based on the fellow’s interest and scholarly activities.  Fellows in this track are expected to have two designated continuity clinics across two hospitals and will cover inpatient consults 6 months per year.

Additional outpatient subspecialty clinics for the 2nd year fellows include:

  • Endocrine Neoplasia Clinic at the Seattle Cancer Care Alliance

  • Reproductive Endocrinology at UW Endocrine Clinic

  • Pituitary Clinic at UW Medical Center

  • Thyroid Nodule Clinic at the UW Endocrine Clinic

  • Latinx Diabetes Clinic at the UW Diabetes Institute

  • Transgender Care at Harborview Medical Center

  • Weight Management Clinic at Harborview Medical Center

  • Community Endocrinology at University of Washington – Northwest Campus

Second year fellows on the clinical scholars track are expected to continue work on clinical or QI projects during the second year. For those trainees who are interested in a more extensive clinical research experience, they have the opportunity to take a one month research elective.

SECOND YEAR CURRICULUM: RESEARCH TRACK

The 2nd and 3rd years for the research track are primarily focused on develop of the trainee’s research project. Fellows will continue to have two half days of clinic per week (one continuity clinic and one elective clinic per month). The remainder of their time will be devoted to their research experience