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There are separate divisions of Diabetes,
Endocrinology and Metabolism at the San Francisco General Hospital, the
Department of Veterans Affairs Medical Center, and the University of
California Hospitals. The clinical year involves a four-month rotation
at each of the three hospitals. These rotations involve extensive
inpatient and outpatient exposure to the full spectrum of problems in
endocrinology which include disorders of the thyroid, adrenal,
pituitary, parathyroids, and gonads; endocrine hypertension; metabolic
bone diseases; type 1 and 2 diabetes mellitus and lipid
disorders.
The clinical year gives trainees a broad exposure to a large cadre of
full-time and part-time clinical faculty (> 75 faculty members) with
specialized expertise in these problems. Fellows lead a weekly clinical
conference throughout the year and present two individual divisional
seminars in their clinical year. There is an emphasis throughout on
outpatient endocrinology and consultative endocrinology. Approximately
40% of a fellow's time is spent in endocrinology subspecialty clinics,
including diabetes, lipid, thyroid, metabolic bone, pediatric and
endocrine surgery clinics.
All fellows have an Endocrine Continuity Clinic for three years. This
ensures them the opportunity to follow patients long enough to witness
the natural history of endocrine disease and its therapy unfold. Clinic
conferences are supplemented with in-depth individualized faculty
training and mentoring. All fellows attend the monthly Endocrine
Fellows-Faculty Journal Club. Fellows are encouraged and supported to
attend one national meeting in diabetes, endocrinology, and
metabolism.
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