OHSU Endocrinology Fellowship Training Program


Introduction

Thank you for your interest in the Endocrinology Fellowship at Oregon Health & Science University. The main purpose of our program is to prepare individuals for rewarding careers in endocrinology and metabolism. It is a two to three year fellowship program that provides high quality clinical and research training in endocrinology, diabetes, and metabolism. Graduates of this program will be trained and fully equipped to function as clinical endocrinologists, clinical educators, or clinician scientists, depending on the individual career goals of the individuals. Robert F. Klein, MD supervises this fellowship program. 

Fellowship - the 1st Year

The first year of fellowship is devoted predominantly to clinical training.  Fellows spend 12 months participating in both ambulatory and inpatient endocrine and metabolism training.  All training in the first year occurs at Oregon Health & Science University and its associated clinical practices in the Harold Schnitzer Diabetes and Endocrinology Health Center as well as at the Portland Veteran Affairs Medical Center.  In addition to their clinical training, fellows attend divisional conferences, including Endocrine Grand Rounds, Journal Club, Endocrine Case Conference, Research-in-Progress meetings, Thyroid Tumor Board, along with the core curriculum lecture series and specialty research seminar series.

Fellowship - 2nd and 3rd Years

During the late fall/early winter of the first year, fellows choose whether to follow a research or clinical educator pathway for the second, and if appropriate, third year.  Both pathways include all the required educational, clinical and research components to train fellows to become an independent board-certified endocrinologist. The research pathway is targeted to those fellows who choose to embark on investigative careers in basic science, translational, or clinical research.  For these fellows, the primary emphasis becomes the fellow's individual research project, supervised by a faculty mentor while they maintain one weekly continuity clinic.  In addition, fellows who wish to further pursue clinical/translational research may apply for post-graduate degree programs awarding a Masters of Clinical Research.  The goal is for the fellow to transition to independent mentored research funding as s/he advances on a research career track in academic medicine.

If the fellow chooses the clinical educator pathway, the second year is structured to further develop the skills of a consultant endocrine specialist and to plan and perform a primary clinical research project with a faculty mentor. The clinical educator educational pathway is designed for those who will pursue careers in clinical endocrinology, including those in the academic setting.  Therefore, this second year has more clinical exposure to refine specialty-specific skills, including additional neck ultrasound, bone densitometry, insulin pump and continuous glucose monitoring training.  The fellows in the clinical educator pathway maintain continuity clinics in a variety of settings.  In addition, fellows conduct a mentored scholarly research project with a goal of abstract presentation and subsequent publication, perform a quality improvement project, and actively engage in supplementary didactic activities.

Upon completion of our training program, all fellows will be fully competent to provide expert clinical care for individuals with endocrine and metabolic disorders, and/or to pursue investigative careers in clinical, translational or basic research.  We provide a supportive environment in which fellows assume graduated levels of independence in caring for all patients coming to us from culturally and economically diverse backgrounds, who suffer from a broad range of endocrine disorders, including diabetes, lipid disorders, osteoporosis and bone metabolism, thyroid, pituitary, adrenal disease, reproductive disorders, endocrine neoplasia, and clinical nutrition.

How to Apply

Applications are made via the Electronic Residency Application Service (ERAS). The application is carefully reviewed upon receipt of all requested materials, and selected applicants are invited to interview. We participate in the National Resident Matching Program and generally accept two individuals per year into our training program.

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Training Resources at OHSU

The OHSU Division of Endocrinology, Diabetes and Clinical Nutrition, headed by D. Lynn Loriaux, MD, PhD, has a long tradition of clinical excellence. The 17 full-time faculty are divided into four sections: general endocrinology (disorders of the hypothalamus, pituitary, thyroid, adrenals, and gonads), diabetes and metabolism, lipids and clinical nutrition, and bone and mineral disorders. The division has a full complement of patient care activities with specialty clinics for clinical nutrition & lipid disorders, diabetes, bone and mineral abnormalities and general endocrinology. In addition, the thyroid tumor and pituitary diseases clinics provide a unique multi-disciplinary clinical experience with endocrinologists and surgeons collaborating on care. The OHSU Endocrine Division offers a complete panel of modern diagnostic tools for accurate and precise evaluation and management of endocrine patients, and supervises operations of the OHSU Dynamic Endocrine Testing Unit, which performs endocrine tests for OHSU and for many community-based clinical endocrinologists. Approximately 10,000 patients are seen in these clinics each year. Another 500 patients per year are seen as inpatient consultations at the University Hospital and the adjacent Portland Veterans Administration Medical Center.

The OHSU Clinical and Translational Research Center (CTRI) is the center for clinical research on campus. This unit has been funded by the National Center for Research Resources branch of NIH as the General Clinical Research Center since 1966. Current NIH funding levels are over $10 million per year. CTRC physical facilities include a 3000 sq ft inpatient unit in University Hospital with 6 inpatient beds and two outpatient facilities: a 10,000 sq ft unit in the Hatfield Research Building and a 5000 sq ft unit at OHSU’s Center for Health & Healing, an outpatient clinical and research facility on the riverfront connected to the main campus by a 3 minute aerial tram ride. Two members of our endocrine faculty, Dr. Eric S. Orwoll and Dr. Jonathan Q. Purnell, have joint appointments as GCRC Program Director and Associate Program Director, respectively. Over 100 investigators utilize the GCRC, with over 150 active protocols. The inpatient component is funded for 1000 patient bed days per year, and outpatient resources annually support nearly 6000 patient visits.