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.
Our standard fellowship is a three year training experience. 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. Specifically, first-year fellows can expect to devote 70% their effort to clinical training and 20% to research activities; corresponding percentages are 30% (clinical) and 60% (research) for second-year fellows, and 20% (clinical) and 70% (research) for third year fellows. The remaining time is devoted to other educational activities (conferences, etc.). 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, additional clinical experience is obtained in the third year of fellowship. 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.
Our 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.
Salary support for our fellows comes from three general sources. First year fellows are usually supported by funds provided by the Office of Graduate Medical Education. Thereafter, 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 must be both interested in scientific study and qualified for writing national and statewide grants and similar proposals. Those 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.