Pediatric Endocrinology Fellowship

Message from the fellowship director

A photo of Dr. Lisa Madison, Director of OHSU's Pediatric Endocrinology Fellowship.

Thank you for your interest in the Pediatric Endocrinology Fellowship Training Program at Oregon Health & Science University. Our mission is to develop outstanding pediatric endocrinologists with the knowledge and skills to build productive and fulfilling careers as clinicians, educators, researchers, and advocates. We strive to provide this training in a diverse, inclusive, collegial educational environment where trainee wellbeing and professional development are among our utmost priorities and in alignment with the University's triple aims of healing, teaching, and discovery. During training, our fellows live and work in the Portland, Oregon metro area with its broad range of cultural and outdoor offerings, all of which is within easy driving distance of the Oregon Cascades, the Pacific Ocean, and the unrivaled wilderness of the beautiful Pacific Northwest. We look forward to meeting you to discuss how our training program can support your ongoing professional development.

Lisa Madison, M.D.
Fellowship Program Director

How to apply

The Pediatric Endocrinology Fellowship Program accepts applications through ERAS and participates in the NRMP Pediatric Specialties Match in the fall. We accept one-two new fellows per year. Applicants must come from an ACGME, ACGME-I, or AOA accredited residency training program; graduates of a medical school outside the United States must hold a valid ECFMG certificate. No other filters are applied in the screening process – there are no exam score cut-offs, minimum research requirements, or publication requirements to be considered for an interview. We welcome applicants of any race, ethnicity, gender, sexual orientation, and religion.  

For your ERAS application, please provide the following: 

  • A one-page personal statement describing your interest in pediatric endocrinology training 

  • A letter of recommendation from your residency program director 

  • Two additional letters of recommendation 

  • MSPE from medical school (formerly called the “Dean’s Letter”) 

  • Medical school transcript 

  • USMLE transcript 

  • ECFMG certificate (if applicable) 

Please also see the OHSU GME information on Applying to OHSU Residencies and Fellowships.

Oregon Health and Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu

Interview day

Our interview season generally runs from late August or early September through mid-November. Applicants for the 2021 entering class will only be interviewed virtually due to the COVID-19 pandemic and associated travel restrictions. The virtual interview day will be approximately four hours in length with opportunities to meet our faculty and fellow as well as a chance to participate in one of our weekly educational experiences.

Clinical training

The Pediatric Endocrinology Fellowship Training Program is a comprehensive three-year program that provides all of the necessary experiences to become board eligible by the end of the third year. The first year focuses on developing key clinical skills in both the inpatient and outpatient settings, with approximately 25% of time set aside for the acquisition of introductory research skills that will support the fellow’s scholarly work in years two and three. 

Clinical training takes place in Doernbecher Children’s Hospital, the Doernbecher Pediatric Specialty Clinics, the Doernbecher Gender Clinic at Cornell West, and the Harold Schnitzer Diabetes Health Center. Interested fellows also have the opportunity to travel to outreach sites at Salem Health in Salem, Oregon, and Riverbend Pavilion in Springfield, Oregon. 

Inpatient and outpatient experiences are blended throughout the first year of training. Fellows spend approximately three weeks per month providing inpatient care in partnership with a pediatric resident subspecialty team in the hospital, as well as providing consultation to the PICU, NICU, hematology-oncology, and pediatric surgical services. Two days per week, after morning rounds, first-year fellows move on to the outpatient clinic where they rotate through the following clinical experiences:

  • General pediatric endocrine clinic

  • Diabetes Clinic

  • Gender Clinic

  • Turner Syndrome Clinic (Butterfly Clinic)

  • DUETT Clinic (Differences in Sexual Differentiation)

  • Thyroid Nodule Clinic

  • Neuro-oncology Clinic

  • Skeletal Dysplasia Clinic 

In the second and third years, fellows’ time is primarily spent on scholarly work, but they do return to the inpatient consult service six-eight weeks per year. All fellows participate in continuity clinic as well, one half day per week in the first year and one full day per week in the second and third years. 

Night and weekend call runs from Friday at 5 pm to Friday at 5 pm, no more often than every third week on average. All night call is taken from home, with attending physician backup by pager and phone. Weekend morning rounds include participation in diabetes education. 

Our Pediatric Endocrinology team sees almost 4,000 endocrine and 3,500 diabetes outpatients annually, with a growing proportion seen virtually. In addition there are approximately 150 inpatient endocrine and 150 inpatient diabetes admissions yearly.

Didactics

Throughout the three years of fellowship training, fellows participate in a wide range of educational activities to further their learning. These include: 

  • Pediatric endocrinology chart review (weekly) 

  • Combined case conference and literature review with adult and pediatric endocrine teams (weekly) 

  • Journal club (monthly) 

  • Division-wide quality improvement work group (monthly) 

  • Board review with program director (monthly) 

  • Core Content Lecture series (monthly):

    • Thyroid I, II and III
    • Renal water and electrolyte handling
    • Lipids and lipoproteins
    • Multiple endocrine neoplasia syndromes
    • Growth and the growth hormone axis
    • Insulin secretion, hyperinsulinism and MODY
    • Vitamin D and bone
    • Differences of sexual differentiation
    • Adrenal disease
    • Diabetes beyond insulin and metformin
    • Obesity and adipocyte hormones
    • Menstrual regulation and PCOS
    • Neuroradiology

Fellows’ are also highly encouraged to participate in the educational offerings of the Department of Pediatrics including: 

Finally, all fellows participate in OHSU’s Human Investigations Program (HIP). The HIP curriculum includes education in protocol design, human subjects’ protection, research ethics, scientific writing, biostatistics and more. Tuition for the certificate program is paid by the Department of Pediatrics and the Division of Pediatric Endocrinology. Fellows also have the opportunity to expand their education to pursue a Master of Clinical Research degree through the HIP program.

Teaching opportunities

Fellows are actively involved in teaching learners at multiple levels. Fellows teach medical students and residents daily during inpatient rounds and outpatient clinic sessions. They also lead small-group teaching sessions designed to supplement the clinical experience for medical students and residents rotating on our service. Pediatric endocrinology fellows often present at Pediatric Noon Conference on topics such as growth and diabetes. Our pediatric endocrinology board review sessions are fellow-led, with fellows taking the lead in selecting PREP questions for review and supplementing the PREP content with additional teaching as needed. Finally, fellows provide education for our division and for our adult endocrinology colleagues during the clinical case conference and literature review that we share with the adult Endocrinology division.

Trainees focus primarily on research in the second and third years of the fellowship program. The primary purpose of this training period is the acquisition of hands-on research experience and the completion of a research project that can serve as the foundation for a fellow’s research portfolio if they choose to seek a junior faculty position in academic medicine after fellowship. For those fellows who do not choose to pursue research in the next phase of their careers, the research years of their training serve to underscore the scientific thinking skills and systematic lifelong acquisition of knowledge expected of all subspecialists. Fellows have a choice between two research tracks during their training: 

  • Basic science research track – Fellows electing to focus on a basic science project can expect to spend about three and a half days per week in the laboratory (with one day of continuity clinic and one half day of pediatric endocrinology educational activities per week). Fellows following the basic science research track will identify a laboratory mentor prior to the end of their first year of fellowship. Trainees will be provided with descriptions of faculty members' research areas at the beginning of their first year and will identify possible mentors. Fellows will then have the opportunity to meet with potential mentors and discuss projects and attend laboratory meetings of potential mentors' research groups. Once a trainee has identified a mentor, they will develop a research project that provides maximal exposure to the range of research techniques and approaches used in the mentor's laboratory. Fellows have worked in numerous laboratory settings across campus including the Papé Family Pediatric Research Institute, the Vollum Institute, and the Oregon National Primate Research Center.  

  • Clinical research track – Fellows who prefer to focus on a clinical research project will also identify a mentor during their first year of fellowship. Trainees will be provided with a list of mentors both within the Division of Pediatric Endocrinology and across other divisions and departments who are available to work with a fellow. Fellows may join an existing clinical project in which they can take a substantial role or may design a protocol to answer a new research question. Many fellows choose to use the Human Investigations Program Protocol Development course as a working group to build their project. Fellows performing clinical research will learn to navigate the IRB process and will be responsible for subject recruitment and consent, data collection, and data analysis. 

The overall goal of research training is to give the fellow first-hand experience in identifying a research area/question, formulating a research plan, performing the pertinent studies and preparing the results of these studies for presentation and publication. Our trainees regularly present their work at regional, national, and international conferences. 

All trainees, regardless of research track, are guided by a Scholarship Oversight Committee (SOC) consisting of their research mentor, at least one member of our division, and at least one faculty member outside of our division. The fellow meets with their SOC at least twice a year to present their research progress from design through implementation, discuss any barriers they have encountered, and ensure that they are on track to complete the research requirements of their training.

Research publications by our recent graduates

  • Connelly KJ, Larson EA, Marks DL, Klein RF. Neonatal estrogen exposure results in biphasic age-dependent effects on the skeletal development of male mice. Endocrinology. 2015;156(1):193-202. doi:10.1210/en.2014-1324
  • Ford GA, Denniston S, Sesser D, Skeels MR, LaFranchi SH. Transient versus Permanent Congenital Hypothyroidism after the Age of 3 Years in Infants Detected on the First versus Second Newborn Screening Test in Oregon, USA. Horm Res Paediatr. 2016;86(3):169-177. doi:10.1159/000448658

  • Thornburg KL, Kolahi K, Pierce M, Valent A, Drake R, Louey S. Biological features of placental programming. Placenta. 2016;48 Suppl 1(Suppl 1):S47-S53. doi:10.1016/j.placenta.2016.10.012

  • Los EA, Ramsey KL, Guttmann-Bauman I, Ahmann AJ. Reliability of Trained Dogs to Alert to Hypoglycemia in Patients With Type 1 Diabetes. J Diabetes Sci Technol. 2017;11(3):506-512. doi:10.1177/1932296816666537

  • Pierce MJ, LaFranchi SH, Pinter JD. Characterization of Thyroid Abnormalities in a Large Cohort of Children with Down Syndrome. Horm Res Paediatr. 2017;87(3):170-178. doi:10.1159/000457952

  • Langlois F, Manea A, Lim DST, et al. High prevalence of adrenal insufficiency at diagnosis and headache recovery in surgically resected Rathke's cleft cysts-a large retrospective single center study. Endocrine. 2019;63(3):463-469. doi:10.1007/s12020-018-1784-0

  • Pierce M, Ramsey K, Pinter J. Trends in Obesity and Overweight in Oregon Children With Down Syndrome. Glob Pediatr Health. 2019;6:2333794X19835640. Published 2019 Apr 2. doi:10.1177/2333794X19835640

  • Provide fellows with the breadth and depth of clinical experiences necessary to build a solid foundation of medical knowledge, critical-thinking abilities, diagnostic acumen, and clinical skills to become exceptional pediatric endocrine clinicians. 

  • Engage fellows in scholarly work that teaches the science of endocrinology and builds the research skills that will equip them to emerge as academic leaders in our field, including the opportunity to complete a certificate or master’s degree of clinical research. 

  • Provide fellows with opportunities to teach at the bedside, in didactic settings within our institution, and through presentation of their research at regional and national meetings, such that they develop the skills and confidence to recruit and mentor the next generation of pediatric endocrinologists. 

  • Enhance the educational experience with a curriculum in professionalism, patient safety, advocacy, and improvement science to provide fellows with the tools to better themselves, their practices, their communities, and our healthcare system and to inspire a commitment to lifelong professional development.

Please see the Department of Pediatrics fellowship page for departmental benefits available to all pediatric fellows, and the OHSU GME page for Employment and Benefits information, including salary, transportation, and insurance.

    • Appointments and titles

      • Assistant Professor of Pediatrics, Division of Endocrinology, School of Medicine
      • Director, Medical Student Rotation in Pediatric Endocrinology
    • Areas of interest

      • Gender affirming care (transgender healthcare)
      • Differences of sex development (DSD)
      • Type 1 diabetes mellitus
      • Type 2 diabetes mellitus
      • General pediatric endocrinology
    • Appointments and titles

      • Professor of Pediatrics, Division of Endocrinology, School of Medicine
      • Division Chief, Pediatric Endocrinology
    • Areas of interest

      • Thyroid nodules
      • Thyroid cancer
    • Appointments and titles

      • Associate Professor of Pediatrics, Division of Endocrinology, School of Medicine
      • Medical Director, Doernbecher Gender Clinic
      • Director, Pediatric Resident Rotation in Pediatric Endocrinology
    • Areas of interest

      • Transgender Health
      • Differences of sexual differentiation
    • Appointments and titles

      • Associate Professor of Pediatrics, Division of Endocrinology, School of Medicine
      • Manuel Schnitzer Professor of Pediatric Diabetes, Pediatrics, School of Medicine
      • Medical Director for Pediatric Diabetes, Harold Schnitzer Diabetes Health Center
    • Areas of interest

      • Innovations in diabetes care delivery
      • Diabetes technology
      • Clinical Research in Type 1 and Type 2 Diabetes
      • Healthcare Delivery Systems Research
    • Appointments and titles

      • Adjunct Professor of Pediatrics, Division of Endocrinology, School of Medicine
      • Endocrine Consultant to the Newborn Screening Program
    • Areas of interest

      • Thyroid hormone physiology
      • Pediatric thyroid disease
      • Clinical Care
      • Clinical Research
      • Education
    • Appointments and titles

      • Associate Professor of Pediatrics, School of Medicine
      • Director, Pediatric Endocrinology Training Program
      • Endocrine consultant to the Pediatric Brain Tumor Program
      • Endocrine consultant to the Doernbecher Cystic Fibrosis center
    • Areas of interest

      • Endocrine late effects of pediatric cancer treatment
      • CF-related diabetes and other endocrine manifestations of cystic fibrosis
    • Appointments and titles

      • Associate Professor of Pediatrics, Division of Endocrinology, School of Medicine
      • Consultant to the Shriner’s Hospital skeletal dysplasia clinic and metabolic bone disease clinic
      • Regional Specialist in the treatment of osteogenesis imperfecta
    • Areas of interest

      • Primary and secondary osteoporosis in children
      • Calcium and vitamin D metabolism
    • Appointments and titles

      • Assistant Professor of Pediatrics, Division of Endocrinology, School of Medicine
      • Director, Doernbecher Butterfly Clinic (Turner Syndrome Clinic)
    • Areas of interest

      • Management of Turner Syndrome
      • Growth and growth disorders

Current fellows

Julie Park
arriving August 2020, profile coming soon
Residency: University of Missouri 
Medical School: University of Queensland

What our graduates say about their training

“I owe my career trajectory to my fellowship training and junior faculty position at OHSU. I learned incredible clinical care from some of the best endocrinologists I have encountered (and I have worked in multiple institutions!). I remember starting fellowship and thinking "I want to be like them when I grow up!" - and I have continued to hope I can share some of that experience with all residents and fellows. I strengthened my training and rigor as a scientist while completing my Master of Clinical Research, which has served me well at each stage of my career. I found life-long mentors in my academic and research work, and I gained confidence to continue to push myself to the next level of research and clinical care. My heart will always be in Portland - at OHSU - and I continue to think of everyone there as my family."

- Jennifer Raymond, M.D., M.C.R., Fellowship Class of 2011, Associate Professor of Clinical Pediatrics, Division Chief and Clinical Director Diabetes, Children’s Hospital Los Angeles, University of Southern California

"I am incredibly grateful that I completed my pediatric endocrinology fellowship training at OHSU. OHSU has many advantages that I found were not always present at other similar top tier programs. Foremost, the collegiality among the attending physicians, endocrine and diabetes staff, and fellows created an atmosphere of dynamic learning and meaningful mentoring. Do not take this for granted as this is often not the case in training programs that often suffer from infighting and one-upmanship. I also found a culture of mutual respect that is all too often missing in a competitive academic settings. OHSU is the perfect mix of not being too big but nonetheless big enough that on one hand you are not overwhelmed by patient volumes, but on the other you are still getting critical exposure to both common and rare endocrine disorders. Each attending at OHSU has strengths and expertise in various areas and fields that allowed me to form an excellent foundation of understanding when I became an attending physician and helped me pass the pediatric endocrinology boards. Case conferences, which occur weekly, provide exceptional opportunities to ask questions and tackle difficult and rare endocrine disorders. The 2nd and 3rd years of academic work and research are flexible with a multitude of possible opportunities and mentors for research and academic work. I was able to publish two papers from my fellowship, including giving an oral presentation in Milan, Italy at the International Pediatric Endocrinology meeting. I also completed a Master's in Healthcare Ethics during my second and third year of fellowship while on an NIH grant that has been an incredible boon to my career and allowed me to create many ethics series for residents and fellows. To this day I find myself reaching out for advice, both clinical and personal, to the incredible doctors and healers at OHSU. I strongly recommend the OHSU fellowship program. The Pediatric Endocrinology program at OHSU is like a family and one that you enjoy being a part of well past fellowship."

- George Ford, M.D., M.S., Fellowship Class of 2015, Associate Professor and Director of Pediatric Endocrinology, East Tennessee State University

“Pediatric endocrinology fellowship at OHSU challenged and encouraged me in a rich experience in Portland. As a clinician I grew longitudinal relationships with patients and developed leadership skills in developing clinical programs in Turner syndrome and transgender care. With a strong medical school and residency, OHSU Department of Pediatrics strongly supports the Division of Endocrinology and recognizes the important role fellows have in teaching the next generation. This theme of lifelong “teaching while learning” guided my path in seeking a career in academic Pediatric Endocrinology. My clinical research was enhanced through partnerships with the Harold Schnitzer Diabetes Health Center as well as the division of Pediatric Cardiology and research questions first planted in fellowship are still bearing fruit today. I especially appreciated opportunities to engage in advocacy and my community through JDRF, ADA, Turner Syndrome Society and local diabetes camps. The faculty and staff in the division of Pediatric Endocrinology are terrific mentors and equip fellows to provide excellent clinical care, teach our colleagues and future colleagues, ask big questions and stay grounded in our community.”

- Evan Los, M.D., Fellowship Class of 2016, Assistant Professor of Pediatric Endocrinology, East Tennessee State University

“The greatest selling point for our fellowship has always been the collegiality and companionship of attendings that then flows down to the fellows and even the residents that rotate through. Most places will provide you sufficient educational training to be a competent, independent provider after graduation, but few places have an environment of support like that championed by Dr. Madison in this fellowship. Right out of training I might confirm my plans with others in my group, but I quickly found my own comfort in practice. I even notice many of my peers now coming to me for advice on complex thyroid cases since I trained under Dr. Stephen LaFranchi, an international pediatric thyroid expert. No matter where I go, I will always consider OHSU my Ped Endo Home.”

- Melinda Pierce, M.D., Pediatric Endocrinology Staff Physician, Children’s Minnesota

“Throughout my fellowship I had excellent exposure to a multitude of endocrine conditions (“the bread and butter”, as well as “the zebra” cases). I got extensive diabetes experience in the outpatient and inpatient setting. All of the attendings were great, helpful at any time. Their doors were always open whether I had a question or I needed some help in general. The atmosphere was friendly and pleasant. I still miss the weekly chart review sessions when we would meet and discuss cases! Now as a junior attending away from my fellowship program, I still feel supported. Whenever I contact my previous fellowship attendings asking for advice, I always get a prompt reply (which is so helpful!). Last but not least, Portland and Oregon are gorgeous, with great outdoor opportunities and great food!”

- Anamaria Manea, M.D., Pediatric Endocrinologist, Renown Healthcare, Reno, NV

Alumni

Cheryl E. Hanna, M.D., 1982
Clinical Professor Emeritus, Pediatric Endocrinology
Oregon Health & Science University

Patricia Krainz, M.D., 1985
Private Practice, Tucson, AZ

Scott H. Mandel, M.D., 1987
Retired 

Bruce Boston, M.D., 1994
Professor; Chief of Pediatric Endocrinology
Oregon Health & Science University

Maya Hunter, M.D., 1996
Randall Children’s Hospital, Portland, OR

David Snyder, M.D., 1997
Randall Children’s Hospital, Portland, OR

Marie Bilger, M.D., 1998
Private Practice, Woodinville, WA

Christine Burren, MB, BS, 1998
St Bartholomews Hospital, London

Anna Spagnoli, M.D, 1999
Chair, Department of Pediatrics
University of Nebraska Medical Center 

Abel Lopez-Bermijo, MD, 2000
Hospital Sant Joan de Deu, Barcelona

Andrea Haqq, M.D., 2002
Associate Professor, University of Alberta, Calgary, AB

Daniel Marks, M.D., 2001
Professor of Pediatrics, School of Medicine
Senior Associate Dean for Research, Office of the Dean, School of Medicine
Oregon Health & Science University

Caroline Buckway, M.D., 2001
Associate Clinical Professor
Stanford Children’s Health 

Karin Selva, M.D., 2003
Randall Children’s Hospital
Portland, OR 

Dennis Chia, M.D., 2005
Associate Clinical Professor
UCLA 

Lisa Madison, M.D., 2006
Associate Professor and Pediatric Endocrinology Training Program Director
Oregon Health & Science University

Mark DeBoer, M.D., 2007
Professor, Pediatric Endocrinology
University of Virginia

Jacqueline Bishop, M.D, 2007
Private Practice, Detroit MI

Marcie Drury-Brown, M.D., 2008
Providence St. Vincent Medical Center, Portland, OR

Juliana Austin, M.D., 2009
Assistant Professor and Director of Clinical Endocrinology
University of Southern California

Alicia Marks, D.O., 2010
Rocky Mountain Hospital for Children, Denver CO

Jennifer Raymond, M.D., MCR, 2011
Associate Professor of Clinical Pediatrics
Division Chief, Clinical Director Diabetes
Children’s Hospital Los Angeles, University of Southern California

Maynika Rastogi, M.D., 2011
Private Practice, Coos Bay, OR

Cindy Chin, M.D., 2012
Banner Health, Tucson, AZ

Kara Connelly, M.D, 2013
Associate Professor, Pediatric Endocrinology
Medical Director, Doernbecher Gender Clinic
Oregon Health & Science University

George Ford, M.D., 2015
Director, Pediatric Endocrinology
East Tennessee State University

Evan Los, M.D., 2016
Assistant Professor, Pediatric Endocrinology
East Tennessee State University

Melinda Pierce, M.D., 2017
Pediatric Endocrinology Staff Physician
Children’s Minnesota

Anamaria Manea, M.D, 2018
Private Practice, Reno, NV

Hayley Baines, M.D., 2019
Assistant Professor, Pediatric Endocrinology
Oregon Health & Science University

Lu Doan, M.D., 2020
Children’s Minnesota

Contact us

Lisa Madison, M.D.
Fellowship Program Director
707 S.W. Gaines, CDRC-P
Portland, OR 97239
503-494-1926
madisonl@ohsu.edu

Katherine Larowe, B.S.
Pediatric Endocrinology Fellowship Coordinator
503-494-1927