Endocrinology and Diabetes | Fellowship | Program Overview
The Washington University/St. Louis Children’s Hospital Pediatric Endocrinology Fellowship Program is a three-year comprehensive ACGME-accredited program for pediatricians interested in pursuing an academic medical career in pediatric endocrinology. Our mission is to provide excellence in patient care, teaching and research. The first year of the program focuses on clinical training, and the second and third years are dedicated to research training, either patient-oriented or basic laboratory research.
Clinical Training and Rotations
The first year of the program is dedicated primarily to clinical training in pediatric endocrinology while fellows begin planning their research project. The primary pediatric endocrinology clinical site is on campus at St. Louis Children’s Hospital. The fellows have a shared office in the adjacent administrative building. Each fellow is provided a clinical mentor from faculty.
All fellows are required to complete outpatient rotations in adult endocrinology, transgender care, and metabolic bone disease (at nearby Shriners Hospital St. Louis Center for Metabolic Bone Disease and Molecular Research). Additionally, fellows may choose to rotate through the following sub-specialty clinics: Cystic Fibrosis, Healthy Start (Obesity), Disorders of Sex Development, Turner Syndrome, Neuro Oncology, Transition Clinic (transitioning from pediatric to adult diabetes care) and have the option to complete a rotation in Genetics.
During the first year, each fellow establishes a Continuity Clinic with patients assigned from inpatient admissions and referrals from the community. A rotation of faculty members provides direct supervision as the teaching attending, exposing fellows to a variety of management styles. A broad range of diagnoses are seen in outpatient clinic, with diabetics comprising approximately one-third of the patient mix and two-thirds general endocrinology. Fellows collaborate with diabetes educators, dieticians, social workers, nurse practitioners, and psychologists to provide optimal care to their patients.
The Inpatient Diabetes and Endocrine Service sees a high volume of diabetic patients, and a vast variety of endocrine disorders. Fellows work closely with the attending physician on service and lead daily rounds. During service, fellows’ academic time is protected so that they can attend didactic seminars without interruption.