The Endocrinology and Metabolism Training Program at the University of Virginia provides intensive clinical and research training for physicians who have completed a residency in Internal Medicine. The program fulfills the requirements for subspecialty certification in Endocrinology and Metabolism by the American Board of Internal Medicine (ABIM). We are approved to accept up to four fellows into our program each academic year.
The major purpose of the program is to prepare physicians for a career in academic endocrinology, although our fellows pursue careers with varying distributions of effort in clinical care, scientific investigation, and education. It is the intent of our program to provide a firm grounding in the fundamentals of clinical practice and endocrine research, an approach that will be useful to the future clinician, investigator, and educator alike.
Starting in the 2015 recruiting season (for the July 2016 start date), we will match fellows into one of two tracks:
Three-year clinical/research track: Our standard fellowship is a three-year training experience that combines clinical training with an intensive research experience. We believe that the three-year clinical/research track is most appropriate for fellows who are primarily interested in an academic career. During the first year of training, the fellows have an in-depth clinical experience that will later be reduced when their research projects are started in earnest. Specifically, first-year fellows can expect to devote 80% their effort to clinical training and 20% to research activities; corresponding percentages are 20% (clinical) and 80% (research) for second- and third-year fellows. Note that other educational activities (conferences, etc.) are included in the effort distributions described above. Overall, fellows will complete approximately 80% of their ACGME-required clinical training in the first year, with the remainder of ACGME-required clinical training completed during the second year. Importantly, however, additional clinical experience is obtained in the third year of fellowship; thus, three-year clinical/research fellows obtain ~ 120% of ACGME-required clinical training over three years. Our three-year program places a heavy emphasis on research and learning the basic methods of scientific investigation. Meaningful participation in research fosters important critical thinking and problem-solving skills; and it provides a deeper understanding of the nature (and limits) of scientific evidence, which is the foundation of medical practice. Thus, an in-depth research training is beneficial to all fellows, regardless of a fellow's ultimate career path.
Two-year clinical track: Starting in the 2015 recruiting season (for the July 2016 start date), we will begin to recruit one fellow per year into a two-year clinical track. During the first year of training on this track, the fellow will have an in-depth clinical experience -- essentially identical to the clinical experience described above for the three-year clinical/research track. However, second-year fellows on the clinical track will devote at least 50% of their effort to clinical activities; the balance of the fellow's effort will be devoted to an academic project. Overall, the two-year clinical fellow will obtain ~130% of the clinical training required by the ACGME. We believe that the two-year clinical track is most appropriate for fellows who are primarily interested in a clinical career.
All fellows participate in a broad range of endocrine clinics, including general endocrinology, diabetes mellitus, metabolic bone disease, thyroid, reproduction/infertility, pituitary diseases/neuroendocrinology, pediatric endocrinology, and joint clinics staffed by cardiovascular/endocrinology and obstetrics/endocrinology. Moreover, options for additional experiences in conjunction with radiology and nuclear medicine are available.
Salary support for our fellows comes from three general sources. First year fellows (and second year fellows on a two-year clinical track) are usually supported by funds provided by the Office of Graduate Medical Education. Starting in the second year, clinical/research fellows are generally supported by institutional training grants (from the National Institute of Health) or individual grants obtained by the fellows. All 3-year fellows are expected to submit an entry-level grant application -- either to the National Institutes of Health or other equivalent institution -- during their second year of training. It is the opinion of the division that training in grant writing is an invaluable component of the fellowship experience. Our fellows pursue basic research, clinical research, or a combination of the two, and have been highly successful in obtaining extramural support. Importantly, in the event that a fellow’s grant(s) is (are) not funded, the division is fully committed to support ALL fellows for the duration of their training.
In summary, the Division of Endocrinology at The University of Virginia is looking to attract highly motivated, bright, energetic individuals with a broad range of prior experiences in medicine. Applicants to the three-year clinical/research track must be both interested in scientific study and qualified for writing national and statewide grants and similar proposals. All physicians who train with us will receive the finest educational experience available.
Applications are accepted beginning July 1 through ERAS, with interviews occurring from mid-August to late October. We participate in the National Resident Matching Program (NRMP) Specialties Matching Service. We welcome visiting rotations for Internal Medicine residents from other programs to spend time with the division.