Clinical Experiences

The clinical experience consists of either inpatient or outpatient rotations. During the inpatient rotation the fellow and attending on call consult on services requesting pediatric endocrinology and diabetes involvement as well as care for those patients on the pediatric endocrine and diabetes service. Together with the certified diabetes educator, dietician and social worker they work as the New Onset Diabetes education team. The outpatient patient fellow attends two endocrine and two diabetes clinics each week. Throughout the three years, each fellow has his/her own continuity weekly half day endocrine and half day diabetes clinics.

In addition, each fellow has the opportunity to participate in artificial pancreas/closed-loop research studies and gain experience in using varies algorithms using the latest insulin pumps and continuous glucose monitoring systems. During the first year, the fellow is also a member of the medical staff at the local diabetes camp.

The Clinical Competency Committee (CCC) monitors the fellow’s progress in clinical skills during their training.

Quality Improvement

You will learn the skills and philosophy of quality improvement and become involved in an aspect of QI during your fellowship.

Teaching

The fellows participate in many formal and informal teaching opportunities throughout the year.

• Examples include:

• Weekly tutorials to third year medical students about diabetes
• Weekly core topics to pediatric residents
• Morning report, Neonatal Case Conference, PICU Case Conference
• Pediatric Board Review Series
• Neonatal Board Review Series
• Divisional Journal club presentation approximately 4 times per year
• Adult and Pediatric Endocrinology Joint Grand Rounds 2 times per year
• Organization of Pediatric Endocrinologists in Northern California Meeting
• National meetings to include: Pediatric Endocrinology Society, American Diabetes Association, Endocrine Society and Diabetes Therapeutics and Technology meetings
• Quarterly Fellows' College Core Curriculum

Didactics

The fellows are expected to attend a wide range of didactic sessions organize both by the division and the department of pediatrics.

• Examples of Didactic Sessions:

• Annual Boot Camp for First Year Fellows including the top Endocrine and Diabetes Emergencies
• Weekly review of inpatient and outpatient interesting/complex cases
• Weekly Pediatric Endocrine Board Review series
• Weekly Diabetes Clinical Research meeting
• Weekly Joint Pediatric and Adult Endocrine Grand Rounds
• Weekly Genetics Grand Rounds
• Weekly Department of Pediatrics Grand Rounds
• Monthly Multidisciplinary Clinical Diabetes Conference
• Weekly Joint Pediatric and Adult Endocrine Grand Rounds
• Weekly Genetics Grand Rounds
• Weekly Department of Pediatrics Grand Rounds
• Monthly Multidisciplinary Clinical Diabetes Conference
• Bi-weekly Department of Pediatrics Fellows College
  This provides an opportunity to meet, interact and potentially collaborate with other fellows outside of the Pediatric Endocrinology Division. All pediatric fellows meet twice a month to attend these lectures. Topics range from biostatistics to how to negotiate your first job offer.
• The Intensive Course in Clinical Research
  Each fellow completes this course in his/her first year. The fellow spends five days and four evenings immersed in all aspects of research study design and performance. The format combines didactics with intense group/team activities focused on practical issues in clinical research design—from selection of a researchable study question through actual writing of a research proposal. Lectures and panel discussions are presented by an accomplished faculty of Stanford clinical researchers and key leaders from the Stanford community. Every presentation includes a discussion of relevant issues.

Research Experiences

Training in clinical, bench, or translational research is an important part of the fellowship training. During the first year, the fellows meet with possible mentors to formulate ideas for a project. A Scholarly Oversight Committee (SOC) is formed specifically for each fellow and monitors the progress of the fellow’s research and scholarly projects. In addition, the project’s progress is reviewed and discussed by the entire Division quarterly. The fellows may choose research mentors from within the Division or outside of the Division (collaboration with other pediatric subspecialties, Adult Endocrinology/Diabetes, Public Health Policy, Biodesign, etc).

Leadership

There are many opportunities to learn and develop as a leader during your time at Stanford. As a fellow, you can become involved in the Fellows' Council, departmental grand rounds, interdisciplinary research and quality improvement efforts, and more.