• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content
PEDIATRIC ENDOCRINOLOGY AND DIABETOLOGY FELLOWSHIP PROGRAM
 

PEDIATRIC ENDOCRINOLOGY AND DIABETOLOGY FELLOWSHIP PROGRAM

on

  • 1,382 views

 

Statistics

Views

Total Views
1,382
Views on SlideShare
1,382
Embed Views
0

Actions

Likes
0
Downloads
3
Comments
0

0 Embeds 0

No embeds

Accessibility

Categories

Upload Details

Uploaded via as Adobe PDF

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    PEDIATRIC ENDOCRINOLOGY AND DIABETOLOGY FELLOWSHIP PROGRAM PEDIATRIC ENDOCRINOLOGY AND DIABETOLOGY FELLOWSHIP PROGRAM Document Transcript

    • PEDIATRIC ENDOCRINOLOGY AND DIABETOLOGY FELLOWSHIP PROGRAM Indiana University School of Medicine James Whitcomb Riley Hospital for Children
    • TABLE OF CONTENTS Mission……………………………………………………………………………………………….1 1 Pediatric Endocrinology and Diabetology Fellowship Program………...……………………1 1 Faculty and Section Expertise…………………………………………………….….2 2 Clinical Responsibilities………………………………………………………………22 Research…………………………………………………………….………………….3 3 Coursework……………………………………………………………………………..3 3 Evaluation……………………………………………………………………………….3 3 Past History and Accomplishments……………………………………….…………4 4 Diabetes Clinical Service………………………………………………………………………….4 4 Outpatient Diabetes Clinic……………………………………………………………4 4 Inpatient Diabetes Education…………………………………………………………5 5 Diabetes Camp…………………………………………………………………………5 5 Insulin Pump Program…………………………………………………………………5 5 Endocrine Clinical Service………………………………………………………………………...6 6 Inpatient and Outpatient…….…………………………………………………………6 6 Endocrine Stimulation Testing Clinic…….…………………………………………77 Newborn Screening Program for Congenital Hypothyroidism 7 and Congenital Adrenal Hyperplasia…………………………………….………….7 7 Obesity Clinic…………………………………………………………………………..7 7 Endocrine and Diabetes Research Opportunities……………………………..………………77 Living in Indianapolis………………………………………………………………………………8 8 Applications and Information…………………………………………………………………….10 10 Pediatric Endocrinology and Diabetology Faculty…………….………………………………11 11
    • PEDIATRIC ENDOCRINOLOGY AND DIABETOLOGY FELLOWSHIP PROGRAM Indiana University School of Medicine James Whitcomb Riley Hospital for Children MISSION The mission of the Section of Pediatric Endocrinology and Diabetology is to promote the health of children with endocrine disorders and to advance knowledge through research and other scholarly activities, providing cutting edge clinical services, child advocacy and medical education. The Section of Pediatric Endocrinology and Diabetology is dedicated to the goal of biomedical education through instruction of medical, graduate, and post-doctoral level students, as well as residents and fellows. adolescents with dysfunction PEDIATRIC of the endocrine glands. It ENDOCRINOLOGY AND also offers extensive, multi- The Section of Pediatric disciplinary DIABETOLOGY Endocrinology and educational services for newly FELLOWSHIP PROGRAM Diabetology is committed to diagnosed patients and performing important clinical parents requiring specialized The Fellowship Program is an and basic laboratory research. instruction. Family education, ACGME accredited fellowship State-of-the-art research empowerment, and training program for pediatric projects are ongoing in the psychosocial support are endocrinologists. It is a young, areas of diabetes, bone emphasized. All of the vibrant, and thriving fellowship disorders, neuroendocrinology, Section's clinical faculty are experience that offers reproductive endocrinology Board Certified in Pediatrics. extensive clinical training as and molecular endocrinology. They are also Board Eligible or well as outstanding clinical Board Certified in Pediatric research and basic research The Section of Pediatric Endocrinology and training for future pediatric Endocrinology and Diabetology by having endocrinologists. Diabetology provides completed a minimum of three comprehensive services for years of subspecialty training. The comprehensive fellowship infants, children and is a three-year program. Six 1
    • months of the first year and and residents as being Campus. three months in each of the outstanding. They are subsequent two years are extremely popular with While on the clinical service, devoted to clinical training, students and residents and are the fellow is responsible for while the remaining time is highly sought after to serve as managing the care of dedicated to basic laboratory mentors and advisors. Each inpatients. In addition, the and/or clinical research. faculty member has made a fellow often attends outpatient Throughout protected research sincere commitment to clinic sessions. During the periods, the fellow continues to teaching and they have week, the fellow is expected to attend a half-day fellows' received special recognition be available between 7:30 am continuity clinic. for these teaching efforts. and 5:30 pm daily. During the clinical rotations, the fellow Faculty and Clinical Responsibilities takes call every other day and Section Expertise The clinical service is busy. every other weekend on The faculty is nationally Currently, there are 29 half- average. This schedule is recognized in their respective day endocrine or diabetes designed so that the trainee areas of clinical or basic clinics per week and the has at least two nights off each research and they are also outpatient service averages week and has no program accomplished clinicians. Their 300 patients per week. The duties every other weekend. areas of expertise are inpatient service typically The fellowship program is in complementary to one another averages between three and full compliance with the so that there is excellence in ten patients. Because the ACGME duty hours most clinical areas of pediatric program is based in the only requirements. endocrinology including full service children's hospital general endocrinology, growth in the state (population of 5 Each fellow attends a and pubertal development, million), there is a wealth of bimonthly endocrine continuity diabetes, and metabolic clinical activity. Fellows are clinic and a monthly diabetes disorders. also welcome to attend the continuity clinic. In these section’s satellite clinics in clinics, the fellow acquires a As teachers, the faculty has South Bend, Evansville, Fort group of patients that are been recognized by medical Wayne, North Side, and St. followed for the duration of the students, graduate students Francis Hospital South fellowship. Fellows remain actively involved in ongoing outpatient care of these clinic patients via telephone calls and communication with referring physicians. The staff coverage for this clinic includes at least four different faculty members, so that the fellow is exposed to different styles. The fellow is expected to participate in the education of housestaff and medical students when performing clinical service time. On the inpatient service, there is always at least one pediatric resident. The fellow is 2
    • expected to develop productivity. Fellows are University campus. These supervisory experience in encouraged to present the courses include a three week- directing the activities of the results of their work at national long workshop on Molecular other trainees. The fellow will meetings such as the Pediatric Biology, a semester-long present informal teaching Academic Societies (SPR), the course in Clinical Research sessions to these trainees Lawson Wilkins Pediatric techniques, a Summer weekly and formal Endocrine Society, the Endocrine Didactic course, conferences to the entire American Diabetes and a two-year course in Pediatric Endocrinology team Association, and the Statistics and Epidemiology. monthly. In addition, annually Endocrine Society. These There is also an opportunity to the fellow is required to deliver presentations are carefully earn a Masters Degree in lectures to the pediatric coordinated and the entire clinical research through the residents, conferences at the Section participates in School of Medicine. campus-wide Endocrinology Grand Rounds, and journal club presentations. Research The fellow has great flexibility in selecting a research project. During the first six months of the clinical program, the fellow is exposed to the research activities of the Section's faculty and may elect to work with anyone within the Section or in the Adult Endocrinology Section. The trainee is closely mentored by the senior investigator on every project; however, the fellow is preparing the fellow for these expected to participate actively public presentations. Those Evaluation in the scientific design, fellows interested in a career The fellows meet monthly with execution and interpretation of with a major emphasis on the staff physician on the results from each experiment. clinical or basic science inpatient service to evaluate Regardless of whether the research have the opportunity their clinical skills. Trainees project is clinical or basic to apply for additional grant are formally evaluated twice research, the trainee is funding to extend their per year by the entire Section expected to meet twice a week research training, either as a Faculty who meet to discuss with the research mentor and senior fellow or a junior faculty the fellows' clinical and to present a weekly update of member. research progress. Written progress to the rest of the records are kept by the specific research team. In Coursework Director of the training addition, the fellow is expected There is a standard curriculum program who reviews the to present an annual review of of Pediatric Endocrinology evaluation with the fellow. his or her research to the other topics that is covered each Constructive comments are members of the Section. At year during weekly section always expected and progress this meeting, progress is conferences. In addition, each in any areas of weakness is critically reviewed and fellow is encouraged to attend reviewed most carefully at constructive suggestions are several courses that are subsequent evaluations. made to ensure future offered on the Indiana 3
    • The residents, students and Past History and reviewed scientific journals. fellows also regularly evaluate Accomplishments the faculty. These evaluations The program graduated its first DIABETES are forwarded to the fellow in 1991, and former CLINICAL SERVICE Department Chairman who fellows now have faculty reviews them with the Section positions at major university Outpatient Diabetes Clinic Director, who subsequently medical centers. During their The Pediatric Diabetes Clinical shares them with the faculty. fellowships, trainees have Service provides multi- Evaluation of the faculty and been awarded NIH National disciplinary services for the overall training program is Research Service Awards and children and adolescents with also actively sought from the have consistently received diabetes. Patients followed in fellows. Each year, the fellows competitive grant funding. these clinics are seen every 3- are asked to evaluate the Many fellows have received 4 months for comprehensive program, and their comments travel awards to national and evaluation of their metabolic are utilized in the continuing international scientific control. Patients are seen by reassessment of the program meetings. Each fellow has a physician and usually by a structure and content. been invited to present his or pediatric nurse practitioner at her research findings at each visit and are also national meetings, and each frequently seen by a dietitian fellow has publications in peer- and social worker. All patients 4
    • followed in the Outpatient Diabetes Camp Insulin Infusion (CSII) through Clinics have access to 24-hour Members of the Riley Diabetes the use of an insulin pump per day consultation with a Team have played an integral represents an alternative nurse practitioner or physician. role in the administration and method of insulin Clinics are located at Riley personnel of Camp John administration for motivated Hospital for Children, North Warvel, the American and compliant patients. Side, Riley Subspecialty Clinic Diabetes Association- Recognizing the advantages of at St. Francis Hospital, and the sponsored summer camp. insulin pump therapy, the Riley Fort Wayne and South Bend Fellows are strongly Diabetes Team has greatly satellite clinics. encouraged to attend this expanded its use of insulin camp, as it provides a unique pumps for selected children Inpatient Diabetes Education insight into the lives of their with diabetes. Eligible insulin All patients referred to Riley children with diabetes. This pump candidates are usually Hospital with newly diagnosed annual weeklong, sleep-away on intensive injection therapy Type 1 diabetes mellitus are camp for children with (MDI) and have demonstrated hospitalized for approximately diabetes provides fun and proficiency with carbohydrate three days of medical educational experiences for counting and a high level of evaluation and individual children from 7-18 years of responsibility with daily instruction in basic survival age. The camp also provides diabetes management. Two aspects of diabetes diabetes training experiences full time dedicated pump management. Over 100 for medical students, nursing educators perform the initial patients enter the program students, parents, dietary education in pump use and annually by this route. interns, and other individuals provide telephone follow up for Patients are treated in the and medical professionals with questions and adjustments. Parent Care Unit whenever an interest in diabetes. Many children using insulin possible, and parents begin pumps are followed together in participating in their child's Insulin Pump Program pump clinics. Pump clinics are care from the time of Continuous Subcutaneous structured according to a diagnosis. All families are evaluated and educated by a multi- disciplinary team that includes at least one faculty level physician, endocrine fellow, pediatric resident, nurse practitioner, dietitian, and social worker. Patients are discharged when they demonstrate adequate competence in the technical skills they have learned. They are then followed by phone at least twice per week by a nurse practitioner until the patient's blood sugars stabilize. They are also scheduled for further education in the ADAPT outpatient education program. 5
    • group format, in which the and adolescence. These adrenal hyperplasia and patients and parents meet as include growth disorders, adrenal insufficiency, diabetes separate groups with members Turner syndrome, ambiguous insipidus and anterior pituitary of the diabetes team. genitalia, delayed and dysfunction. Faculty and precocious sexual fellows also provide ENDOCRINE development, goiters, consultative support to other CLINICAL SERVICE congenital and acquired clinical services at Riley disorders of thyroid function, Hospital for Children. hypoglycemia, disorders of Outpatient pediatric endocrine Inpatient and Outpatient calcium metabolism, metabolic clinics are held at Riley The Pediatric Endocrine bone disease, adrenal Hospital for Children, North Service treats all endocrine disorders including congenital Side, Riley Subspecialty Clinic problems of infancy, childhood 6 6
    • physicians throughout the state, and we provide similar services to the families and health care providers of babies diagnosed with CAH. We also offer educational services to families and physicians through written materials and formal lectures. Obesity Clinic This clinic was created to help deal with the increasingly prevalent problem of obesity in children. The clinic utilizes a team approach including: physicians, pediatric dietitians, exercise physiologists, psychologists, nurses, and social workers. The evaluation includes assessment of insulin sensitivity in obese children at St. Francis, and the Fort families of patients. Testing is and the effect of early Wayne, Evansville, and South performed in an area where intervention with a Bend satellite clinics. there are appropriate comprehensive weight diversional materials and a management program. Endocrine Stimulation calm, quiet environment. The Testing Clinic presence of parents and ENDOCRINE AND A comprehensive outpatient support objects is encouraged. DIABETES RESEARCH endocrine testing clinic Nursing education is also provides for state-of-the-art often completed in this setting. OPPORTUNITIES evaluation of a broad range of endocrine conditions. Newborn Screening Members of the Section of Provocative serial tests done Program for Congenital Pediatric Endocrinology and on an outpatient basis include Hypothyroidism and Diabetology actively growth hormone stimulation, Congenital Adrenal participate in numerous clinical dexamethasone suppression, Hyperplasia and basic research studies, GnRH, ACTH, low dose The Section of Pediatric and section members ACTH, glucose tolerance, Endocrinology and successfully compete for both insulin tolerance test, water Diabetology is the site of the governmental and non- deprivation studies, GHRH, Indiana Congenital governmental research and mixed meal stimulation. Hypothyroidism Follow-up funding. Clinical research This facility is supervised by Program. The primary goal of interests in diabetes include the Section’s faculty and is the program is to ensure that the study of innovative staffed by nurse specialists in every baby born with strategies to prevent diabetes Pediatric Endocrinology. congenital hypothyroidism in in susceptible patients, new These pediatric endocrine the State of Indiana receives methods of insulin provision, nurses provide pre-testing appropriate and expedient and the vascular effects of verbal and written education treatment. We provide initial insulin. Faculty members in and psychosocial preparation and ongoing consultative several university divisions for the procedure to the services for primary care conduct basic science research related to diabetes. 7
    • Art. Indianapolis is considered the "Automobile Racing Capitol of the World." In addition to the Indianapolis 500 race held each May, the National Hot Rod Association's U.S. Nationals, the Brickyard 400 Nascar and the Formula 1 U.S. Grand Prix races are held here yearly. Professional sports teams include the Indiana Pacers of the NBA and the Indianapolis Colts of the NFL. The Triple-A Indianapolis Indians play baseball in Victory Field, a new downtown stadium. The IHL Indianapolis Ice games are readily available to hockey fans. Professional soccer is represented by the Indiana Blast. The Indiana University Natatorium, site of the 1996 Olympic swimming and diving trials, is conveniently located near the IUSOM campus. Big Clinical endocrine research twelfth largest city, is known as Ten Conference athletics at interests of section members the Crossroads of America. Indiana University and Purdue range from bone metabolism With a metropolitan population University are within an hour's and phytoestrogen effects to of over one million people, drive. Recreational possibilities McCune-Albright syndrome Indianapolis offers the abound at Eagle Creek Park, and novel uses of growth advantages of a city with a which offers biking, sailing, hormone. The section has diverse, thriving economy, swimming, fishing and cross- ongoing basic science projects combined with small-town country skiing. Major tennis investigating growth hormone friendliness. complexes and over 30 public releasing hormone-related golf courses are conveniently peptide, the pathogenesis of The downtown area became a located throughout the city. granulosa cell tumors, focal point of the city with the mutations in the FSH receptor, opening of Circle Centre. This The Children’s Museum and abnormalities of G proteins, is a major downtown shopping Indianapolis Museum of Art and the genetic control of mall and entertainment are world renowned. The parturition. Faculty members complex. Downtown world's largest children's also participate in a large landmarks include the Soldiers museum features numerous number of sponsored clinical and Sailors Monument, Union exhibits for children of all ages. trials. Station, the Indiana Repertory Cultural events are offered at Theater, the Indianapolis Zoo Clowes Hall on the Butler University campus, at Verizon Living in Indianapolis in White River State Park and Wireless the Eiteljorg Museum of American Indian and Western Music Center, at the restored Indianapolis, the nation's 8
    • Murat Theater, and at the time or graduate students can Creek Park as well as other Circle Theater, home of the complete studies here or at locations within 20 minutes of Indianapolis Symphony other local universities such as the hospital. House rentals are Orchestra. The Indianapolis Butler University also available. Housing costs Museum of Art is the seventh (www.butler.edu), the are reasonable and many largest in the U.S. Other University of Indianapolis fellows find they can purchase cultural activities include (www.uindy.edu) or Marian a home. dance and opera companies, College (www.marian.edu). professional and amateur The city also has a variety of These are only some of the theater, jazz clubs, comedy public, private and parochial attractions that make clubs, and art leagues and schools to meet the Indianapolis an ideal place to galleries. educational needs of family live. The facilities and members. There are resources are typical of those Indiana University-Purdue affordable new and renovated of a large city, but without the University at Indianapolis apartment complexes (IUPUI; www.iupui.edu) offers downtown and in 170 degree programs. Part- neighborhoods near Eagle 9
    • crowding, congestion and recommendation from Foreign medical graduates other problems that have physicians familiar with the should also submit their troubled many large cities. The applicant's graduate training, a ECFMG certificate number people of Indianapolis are medical school transcript, and and visa information. proud of their community and a curriculum vitae to be treasure it as a great city in submitted through ERAS. which to live, work, play, and raise a family. APPLICATIONS AND INFORMATION For further information, please contact Dr. J. Fuqua or Dr. E. Physicians who will have Eugster, co-directors of the program at: completed residency training in a program approved by the Section of Pediatric Endocrinology Telephone: (317) 274-3889 American Board of Pediatrics Riley Hospital for Children Fax: (317) 274-3882 or will be Board eligible may Room 5960 jsfuqua@iupui.edu apply. Submit applications 702 Barnhill Drive eeugster@iupui.edu through ERAS after November Indianapolis, IN 46202 www.rileyhospital.org 15. We request 3 letters of Contact ERAS at: http://www.aamc.org/students/eras 10
    • PEDIATRIC ENDOCRINOLOGY AND DIABETOLOGY FACULTY Linda A. DiMeglio, M.D. Erica A. Eugster, M.D. John S. Fuqua, M.D. Nadine Haddad, M.D. Associate Professor Associate Associate Professor of Pediatrics Professor Professor of Pediatrics of Pediatrics of Pediatrics Section Director Pediatric Co-Director Endocrinology/ Fellowship Diabetology Program Co-Director Fellowship Program Erik Imel, M.D. Nancy B. Johnson, M.D. Peter A. Lee, M.D., Ph.D. Raghu Mirmira, M.D., Ph.D. Assistant Assistant Professor Associate Professor Professor of Clinical Professor of Pediatrics of Pediatrics Pediatrics of Pediatrics and Medicine and Medicine Director, Pediatric Diabetes Research Zeina Nabhan, M.D. Todd D. Nebesio, M.D. Henry Rodriguez, M.D. Alan D. Rogol, M.D., Ph. D. Assistant Assistant Associate Professor Professor Professor Professor of Clinical of Pediatrics of Pediatrics of Pediatrics Pediatrics Director, Pediatric Diabetes Clinical Program Juan Sanchez, M.D. Emily C. Walvoord, M.D. Associate Associate Professor Professor of Pediatrics of Pediatrics 11