Division of Endocrinology | Residency

The First Year

As both an active primary care hospital and a regional, national, and international tertiary/ quaternary referral center, Children’s Hospital has a large and varied patient population with an unsurpassed diversity of endocrine diseases and their complications.

In the first year, fellows divide their time between inpatient and outpatient rotations that alternate every 2-4 weeks:

Inpatient Rotations

On the inpatient Endocrinology and Diabetes Services, the fellows work closely with Endocrinology Division faculty to evaluate and manage all endocrine and diabetes consultations within Boston Children’s Hospital, as well as in the newborn nurseries and neonatal intensive care units at the adjacent Brigham and Women's Hospital (BWH) and Beth Israel Deaconess Medical Center (BIDMC). Fellows directly supervise the care of all endocrine and diabetes patients admitted to the Boston Children's Hospital Endocrine Service. While on inpatient rotations, fellows maintain one half-day clinic session per week.

Outpatient Rotations

On the outpatient service, each fellow conducts 2-3 half-day clinics each week that exposes him/her to a wide range of pediatric endocrine disorders including type 1 and type 2 diabetes, puberty and growth disorders, obesity, metabolic bone diseases, reproductive endocrinology, thyroid and thyroid nodules, disorders of sexual differentiation, transgender medicine and brain tumor/neuroendocrine dysfunction. The end of each clinic session is highlighted by a lively post-clinic conference at which all fellows, house staff, students, and faculty review the cases of instructive patients seen in clinic that day.

In the diabetes programs, the fellow works with multidisciplinary teams that include nurse educators, nutritionists, and social workers to treat both type 1 and type 2 diabetes. Working closely with Endocrine Division faculty, fellows develop their own panel of patients whom they follow longitudinally, allowing them to observe the course of treatment and monitor outcomes.

The outpatient rotations include 4 months of urgent care/educational outpatient experiences during which the fellow sees new patients in need of urgent consultations, interacts with primary care physicians about possible referrals, attends 1-2 endocrine subspecialty clinics per week, and has approximately 5-10 hours/week available for scholarly activities. Fellows are encouraged to carry out an independent clinical research project during this time based on their interests.

Night/Weekend Call

Each first year fellow takes call from home for the inpatient Endocrinology and Diabetes services one weeknight per week (Mon-Thu).

Weekend call is divided equally among fellows of all three years. Weekend inpatient call occurs every 9th weekend (on average) and includes daytime rounding in the hospital and overnight call from home (Fri-Sun). In addition, each fellow takes diabetes outpatient call from home (Sat/Sun mornings 8a-12p) every 9th weekend to allow for more efficient inpatient rounding.

Education and Conferences

Participating in education as both a teacher and a learner is an essential component of a career in academic medicine. Each of our fellows receives an appointment as a Clinical Fellow at Harvard Medical School (HMS), and has the opportunity to teach at many levels. We are proud that our Endocrinology fellows are traditionally highly regarded as teachers of the medical students and residents at Boston Children’s Hospital, both on the wards and in more formal settings at the hospital and/or medical school.

During the first year, each fellow prepares and presents approximately 10 clinical conferences attended by endocrinologists at Boston Children's Hospital, Joslin Diabetes Center (JDC), BWH, BIDMC, and the other Harvard-affiliated teaching hospitals in the Harvard Medical School (HMS) area. These conferences give the fellow the opportunity to investigate clinical topics in depth and to engage a group of senior endocrinologists in discussion. Fellows also attend a variety of educational conferences including Fundamentals of Endocrinology, Fellows Journal Club, Endocrinology Case Conferences and Division Seminars, and a variety of endocrine subspecialty and multidisciplinary conferences.

The Second and Third Years

Under the supervision of a faculty preceptor selected during the first year, the fellow undertakes a comprehensive investigation of one area of basic or clinical research. In addition to the broad range of areas of investigation offered by the faculty at Boston Children’s Hospital, fellows may choose to work with investigators at affiliated institutions including Joslin Diabetes Center, Brigham and Women’s Hospital, the Broad Institute, Massachusetts Institute of Technology, and Massachusetts General Hospital. Please see “Research Opportunities” for more details.

Each fellow has a Scholarship Oversight Committee that meets with the fellow twice per year to review research progress and scholarly activities. This group also advises the fellow on overall career development, with the goal of guiding the fellow’s post-graduate planning and transition to a faculty position.

In both the second and third years, each fellow continues with longitudinal clinics for one half-day per week at Boston Children's Hospital, seeing a combination of general endocrinology and diabetes. All fellows spend one week at a summer camp for children with diabetes during the summer before their second or third year. At camp, practical issues in diabetes outpatient management are emphasized under the guidance of attending staff.

Night/Weekend Call

Each first year fellows takes call from home for the inpatient Endocrinology and Diabetes services one weeknight per week (Mon-Thu).

In the second and third years, each fellow takes call from home for the inpatient Endocrinology and Diabetes services one weeknight every 6 weeks. Weekend calls are divided evenly among fellows of all three years. Weekend inpatient call occurs every 9th weekend (on average) and includes daytime rounding in the hospital and overnight call from home (Fri-Sun). In addition, each fellow takes diabetes outpatient call from home (Sat/Sun mornings 8a-12p) every 9th weekend to allow for more efficient inpatient rounding.

Education and Conferences

Fellows continue to attend a variety of other educational conferences including Fundamentals of Endocrinology, Fellows Journal Club, Endocrinology Case Conferences and Division Seminars, and a variety of endocrine subspecialty and multidisciplinary conferences. They also present their ongoing research annually to the Endocrine Division.