Fellows receive inpatient clinical training primarily at UMMC, UMMC Midtown and BVAMC. UMMC and BVAMC are located adjacent to each other on the UMB campus with easy access between the two buildings via a connecting pedestrian bridge. Inpatients are admitted to general medical, surgical, and/or subspecialty services. As inpatient consultants, fellows in Endocrinology, Diabetes, and Metabolism actively pursue patient care, following patients during their hospitalization and often to Endocrine and Diabetes outpatient clinics. Fellows are also involved in managing endocrine emergencies, such as thyrotoxicosis, myxedema, post-surgical diabetes insipidus, adrenal crisis, calcium emergencies, and hypoglycemia.
The ambulatory clinical experience occurs at the UMMC Midtown campus in the University of Maryland Center for Diabetes and Endocrinology (UMCDE) (General Endocrine, Metabolic Bone, Pituitary, Thyroid and Diabetes Continuity Clinics) and the BVAMC ambulatory clinics (Diabetes, Metabolic Bone, Thyroid Biopsy, and General Endocrine Continuity Clinics). The Midtown site is 1.25 miles (~10 minutes) from UMMC and the BVAMC is 0.2 miles from UMMC. During the second year of fellowship, fellows spend a total of one month working at endocrinology practices based at Greater Baltimore Medical Center (GBMC) which is located 10 miles (~20 minutes) north of UMMC and Mercy Medical Center (MMC) which is located 1.5 miles (~10 minutes) east of UMMC. During time at GBMC and MMC, fellows gain exposure to the practice of Diabetes, Endocrinology and Metabolism in a community setting seeing both outpatients and inpatients with diabetes and endocrine disorders.
Since endocrinology is now predominantly an outpatient specialty, extensive opportunities are provided for fellows in Diabetes, General Endocrinology and Endocrinology Subspecialty Clinics at UMMC Midtown and BVAMC. Fellows spend 4 months during their first year of fellowship on a clinic only rotation (7-8 clinics/wk). During this time, the fellow sees patients in the Diabetes and General Endocrinology Continuity Clinics as well as in Pituitary, Thyroid, and Metabolic Bone Clinics. During the months on Diabetes and Endocrinology Consult Services, fellows spend 4 half days in clinic including UMMC Midtown and BVAMC diabetes and endocrine continuity clinics. During their research months, fellows have 2 clinics/wk (1 continuity clinic and 1 general endocrine). Fellows become integral members of the UMCDE, a multi-disciplinary, state-of-the-art diabetes and endocrinology center. Fine needle aspiration (FNA) biopsies of the thyroid are performed in weekly thyroid clinics, and a close working relationship with radiology, cytopathology and endocrine surgery is maintained. Fellows gain important experience reviewing and interpreting these histopathological specimens. Fellows may also elect to rotate in the Reproductive Endocrine Clinic.
During the fellow’s second year of fellowship, they spend 2 weeks at GBMC and 2 weeks at MMC to gain exposure to the practice of diabetes and endocrinology in a community setting. While at GBMC, fellows see both outpatients and inpatients with diabetes and endocrine disorders whereas at MMC, the rotation is primarily outpatient. During the 4 weeks fellows spend at these locations, they continue to see patients once a week in their continuity clinic. Second year fellows have the option of rotating through PCOS and weight management clinics.
University of Maryland Medical Center
The University of Maryland Medical Center (UMMC) is an 779 bed urban, tertiary care hospital with over 38,000 inpatient admissions and 400,000 outpatient visits each year.
UMMC serves as a primary care center for neighborhood residents of Baltimore and the adjacent suburbs as well as a major referral center for the mid-Atlantic area.
Baltimore Veterans Affairs Medical Center
The Baltimore Veteran Affairs Medical Center (BVAMC) is located adjacent to UMMC with easy access between the two hospitals via a connecting pedestrian bridge.
The BVAMC houses 137 beds and has over 8,000 inpatient admissions and 500,000 outpatient visits each year. Approximately 4000 endocrine/diabetes outpatient visits occur each year.
Involvement in the care of patients at the BVAMC permits the fellow a broader exposure to the spectrum of endocrine diseases than would otherwise be possible by seeing patients drawn solely from the population at large. Furthermore, the BVAMC serves a referral center for patients with more complex endocrine disorders from the surrounding VA Medical Centers and clinics.
University of Maryland Midtown
The UMMC Midtown Campus is a 208-bed community teaching hospital located in Baltimore City with over 100,000 inpatient admissions and outpatient visits each year.
All of the outpatient diabetes and endocrine services for UMMC are located on the UMMC Midtown campus in the University of Maryland Center for Diabetes and Endocrinology (UMCDE).
Greater Baltimore Medical Center
Greater Baltimore Medical Center (GBMC) is a 310 bed community hospital located in Towson, MD, a suburb of Baltimore, which has over 22,000 inpatient admissions and 150,000 outpatient visits each year.
Fellows rotate with physicians at Bay West Endocrinology, a community based private practice group of over 10 endocrinologists. The GBMC rotation exposes fellows to the types of endocrine disorders occurring primarily in private patients from the community as well as to the principals of medical care from the perspective of the practicing community endocrinologist.
Mercy Medical Center
The Mercy Medical Center is a 299 bed teaching community hospital located in Baltimore City which has over 18,000 inpatient admissions.
Fellows rotate with Dr. William A Valente whose practice specializes in thyroid diseases. Fellows participate in bedside ultrasounds, fine needle aspiration, and management of complex thyroid diseases.