The Duke Endocrinology Fellowship Program has separate Clinical and Research Tracks. Of the 3 fellows in each class, there is typically at least one Clinical and one Research fellow. Fellows in both tracks receive rigorous clinical training with extensive exposure to all Endocrinology subspecialties, and fellows in both tracks are expected to engage in scholarship appropriate to their career development.
The 2-year Clinical Track provides an immersive, tailored clinical experience. This Track is designed to produce outstanding general Endocrinologists and Endocrinology subspecialists who are fully prepared for independent clinical work immediately following fellowship. The Clinical Track is ideal for trainees primarily interested in practice in private or academic settings (including clinician-educator roles).
The Research Track is a 3-year program, with the second and third years supported by a T32 training grant from NIDDK. The research track provides a tailored, mentored research experience designed to produce excellent physician-scientists capable of competing successfully for career development and project funding. All interested Research Track fellows are supported to complete a 2-year Master's in Health Sciences degree through the Duke's Clinical Research Training Program.
For fellows in both tracks, training centers around: 1) clinical experiences; 2) scholarly experiences; and 3) didactic educational experiences.
1) Clinical experiences: Our fellowship's core clinical experiences are outlined in the tables above. Through expert faculty mentorship at multiple complimentary training sites, our fellowship provides in-depth exposure to all aspects of inpatient and outpatient Endocrinology. In addition to these core clinical experiences, our fellows have access to a wide range of elective clinical experiences, which facilitate further tailoring of the clinical experience to trainees' interests. Elective options include:
|Fellows engage in a cytopathology practicum prior to participating in thyroid FNA clinic|
- Multidisciplinary thyroid cancer clinic
- Thyroid ultrasound and FNA clinic
- Pituitary clinic
- Bariatric surgery clinic
- Endocrine surgery clinics and OR
- Insulin pump/sensor clinic
- Bone and calcium disorders clinic
- Lipid clinics
- Polycystic ovary syndrome clinic
- Transgender health clinics
- Reproductive Endocrinology clinic
- Pediatric Endocrinology clinics
- Duke Diet and Fitness Center
- Many more elective options for tailoring the clinical experience
2) Scholarly experiences: All fellows are expected to engage in scholarship during fellowship. Research Track fellows typically engage in clinical, translational, or basic research. Clinical Track fellows may engage in any of these or, alternatively, quality improvement and other forms of scholarly activity. Our faculty members have a broad range of research/scholarly interests, which generates countless opportunities for fellows. Our Division has close ties to multiple research centers within Duke, further supporting successful and productive fellow research. Collaborating centers include:
- Duke Clinical Research Institute
- Duke Molecular Physiology Institute
- Duke Translational Medicine Institute
- Durham VA Center for Health Services Research in Primary Care
- Duke Endocrine Neoplasia Group
During the first fellowship year, the program director meets individually with each fellow to explore scholarly interests and outline ideas for potential projects/mentors, and then arranges meetings with potential mentorship teams. In order to further facilitate identification of projects and mentors, our program has developed scholarly pathways, through which fellows have access to expert faculty guidance and established mentorship/projects in areas of interest. Our scholarly pathways include:
- Clinical Trials Pathway (faculty guide: Jennifer Green)
- Health Services Research Pathway (faculty guide: Matt Crowley)
- Clinical/Translational Science Pathway (faculty guide: Dave D'Alessio)
Basic/Translational Science Pathway (faculty guide: Mark Herman)
- Quality Improvement Pathway (faculty guide: Tracy Setji)
3) Didactic educational experiences: Finally, our fellowship offers a comprehensive educational curriculum that is designed to complement fellows’ clinical- and research-based learning.