Clinical Training and Conferences

Clinical Training

 

The principle focus of the first year of fellowship is clinical endocrinology. First year fellows participate in outpatient and inpatient
care across the entire spectrum of clinical endocrinology. Clinical training sites include the University of Colorado
Hospital (UCH), the Rocky Mountain Regional Veterans Administration Medical Center (RMR VAMC), and Denver Health Medical Center. We believe that having a strong focus on clinical training during the first year allows each new fellow to make a smooth transition from the role of well-trained general internist to skilled clinical endocrinologist. During the first year, fellows learn through supervised patient care, didactic conferences, and multidisciplinary conferences.

 

Liz_Thomas 200
I completed my Endocrinology fellowship at the University of Colorado and can tell you that it is an excellent place to train! We encounter a wide variety
of endocrine disorders and have the opportunity to treat patients in several
different settings, with a wide range of attending expertise.
- Liz Thomas, MD, Assistant Professor, Endocrinology Faculty
Internal Medicine Subspecialty Clinical Liaison

Inpatient Endocrine Consult Services

 

With support and supervision from the faculty, one of the roles of the first year fellows is to help run the inpatient endocrine consult service. This includes managing the consult team (consisting of the 3 first year fellows, residents and medical students), seeing initial consultations and follow ups, presenting to the consult attending and Endocrine team during daily rounds, and acting as a liaison to the primary teams.

Each first year fellow is assigned to inpatient consults at one of the 3 hospitals (UCH, RMR VAMC, or DH), and they move between the sites on a rotating basis. There is a dedicated didactic teaching session with the VA and UCH consult attendings for all first year fellows at least two times per week.

Fellows in the clinical-educator track will cover 4-6 weeks of inpatient endocrine consults during their 2nd year of training. All 2nd year fellows (both tracks) will spend 2 weeks on the inpatient Glucose Management Team (GMT) at UCH.

University of Colorado Hospital
University of Colorado Hospital

With 3 distinct clinical sites and a very large regional catchment area that spans hundreds of miles and multiple states, the diversity of endocrine cases seen on the inpatient consult service is especially rich. Please refer to our Facilities page for additional information about the clinical training sites.

A comprehensive list summarizing the great variety of consults seen by recent fellows in the CU Endocrinology Fellowship Program can be viewed here.

We see many common endocrine issues, such as hyperthyroidism, hypercalcemia, pituitary tumors, and consults for glycemic management; uncommon disorders, like acromegaly, adrenocortical carcinoma, and insulinoma; and also some real “zebras”, such as metastatic paraganglionoma with severe hemodynamic instability

Outpatient Clinical Experience

 

The Division of Endocrinology, Metabolism and Diabetes has outpatient clinics in the Anschutz Outpatient Pavilion at UCH,
as well as others at the nearby Anschutz Health and Wellness Center (obesity/weight loss focused) and the University of
Colorado Cancer Center (advanced thyroid cancer clinic). Many of these are multidisciplinary and are held jointly with medical
specialists in areas outside of endocrinology and/or with our surgical colleagues, which presents a unique learning opportunity
for fellows.

health and wellness center on campusAnschutz Health and Wellness Center

The outpatient endocrine clinics offered at UCH include:

list of endo clinic services at uch
Jill with thyroid model 300

 

There are also very active general endocrine outpatient clinics at the Rocky Mountain Regional VAMC and Denver Health Medical Center. The VA also has several specialized endocrine clinics, including a Medical Weight Management clinic, a Thyroid biopsy clinic, a type 1 diabetes (insulin pump) clinic, and a telehealth experience. The telehealth clinic allows for care to be provided to veterans throughout Colorado and the surrounding states where access to endocrine care is limited.

Closeup of VA building shot from groundRocky Mountain VAMC
closeup of VA building shot from ground


First year endocrine fellows typically attend 3-4 half-days of clinic per week. This includes general endocrine continuity clin-ics at the RMR VAMC and DH, a VA telehealth clinic, and specialized clinics focused in pituitary, thyroid neoplasms/biopsy, and advanced diabetes technology (insulin pumps, CGMs) across our core clinical training sites.

Second year fellows attend 1.5 half-days (research track) or 4 half-days (clinical-educator track) of clinic per week. In addi-tion to continuity clinics, 2nd year fellows participate in specialized clinics dedicated to transgender health, metabolic bone disease, lipid disorders, reproductive endocrinology and diabetes/endocrine disorders in pregnancy. Second year fellows also have dedicated elective time. They get to choose from variety of general and specialized endocrine/diabetes clinics at our 3 core hospitals and at other training sites, including pediatric endocrine clinics at the Children’s Hospital Colorado.

Third year research fellows typically attend one half-day of clinic per week (continuity clinic).

Didactics and Clinical Conferences

Educational activities include a large number of dedicated fellow didactics, conferences, and other learning opportunities.

 

diagram of didactics
  • The Basic Clinical Lecture Series runs from July - August.
  •  Review of relevant anatomy, physiology, and pathophysiology
  • Provides foundational knowledge of the diagnosis and management of endocrine disorders for new fellows.
  • Includes the first portion of our innovative thyroid/neck ultrasound curriculum and a hands on thyroid nodule

 

  • First year fellow didactics occur twice weekly year-round.
  • Clinically focused talks presented by the VA and UCH faculty.

 



endo classroom 600


  • Weekly Endocrine Grand Rounds from September - June.
  • Attended by faculty from the Division and throughout the University, practicing endocrinologists from the community, fellows and other housestaff, and students.
  • Clinically relevant presentations including newer developments in the basic sciences that are of increasing importance to a clinician.
  • Endocrine fellows have the opportunity to present a few clinical case discussions throughout the year.



 


  • A weekly Journal Club runs from September - June.
  • Fellows gather to discuss 1-2 recent or landmark articles of their choice.
  • Peer teaching and learning opportunity
  • UCH consult attending participates each week.


zoom endo  600

 


  • Weekly Endocrine Research Conference from September through June.
  • Presentation of the latest endocrine related research by faculty from the Division and throughout the University, as well as visiting professors from other institutions.
  • Senior fellows have the opportunity to present their research projects and findings towards the end of the academic year.
  • Our Endocrine Board Review series provides 2nd year and early 3rd year fellows with the opportunity to meet regularly with faculty content experts to review topics and questions covered by the ABIM Endocrinology Board Exam.

 

sculpture on campus with blue sky

 


Presenter at screen
  • Each of the Clinical Case Conferences are held monthly, including:
    • Diabetes Clinical Conference
    • Metabolic Bone Conference
    • Multidisciplinary Pituitary Conference
    • Multidisciplinary Thyroid/Parathyroid Conference
    • Multidisciplinary Radioactive Iodine Conference
  • The conferences focus on the discussion of interesting or challenging cases and includes review of pathology slides and imaging.
  • The Thyroid and Pituitary Conferences are multidisciplinary with specialists from Endocrinology, Surgery, Pathology and Radiology in attendance. Medical and Radiation Oncology colleagues often participate as well.


research quad in winter from above

 

To learn more about many of the University of Colorado Division of Endocrinology’s outstanding clinical and research programs, please follow the links below:

group endo 800