Director, Endocrine Division, Henry M. Kronenberg, M.D.
Director, Endocrine Clinical Training, Beverly M.K. Biller, M.D.
Program Coordinator, Karen Minyard

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Introduction
The fellowship program in Endocrinology at the Massachusetts General Hospital is designed to prepare physicians for careers in academic medicine and endocrinology. Building on an initial year of intensive clinical training in endocrinology, subsequent years provide in-depth training and experience in a mentor-based, basic/and or clinical research environment. The program is staffed by the collaborating faculties of the Diabetes Unit, Endocrine Unit, Laboratory of Molecular Endocrinology, Lipid Metabolism Unit, Neuroendocrine Unit, Reproductive Endocrine Unit and Thyroid Unit.

There are three fellowship positions available each year funded through residency positions in the Department of Medicine at the Massachusetts General Hospital. Although some participants have elected to complete the program in two years, government funds are available for at least three years of training; most participants have made this longer commitment.

The long tradition of excellence in endocrine patient care, teaching and research at the Massachusetts General Hospital, plus the considerable present strengths in investigative endocrinology at this institution, afford a unique opportunity and environment for training and participation in exciting advances in basic and clinical research, as well as patient care in endocrinology and diabetes.

For further information contact Karen Minyard:
Telephone: 617-724-7777
E-mail: kminyard@partners.org

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Clinical Experience
The first year is entirely devoted to a clinical experience. Fellows participate in extensive consultative activities on the general ward and private services of the hospital. All ward and private endocrine consultations are seen by the Endocrine Fellows and are reviewed with the appropriate Fellow by staff physicians . Visit rounds, designed as working and teaching exercises with the Attending Physician, are held four mornings each week to review consultations; the fifth morning being taken by endocrine-related conferences.

Extensive out-patient experience is provided as well. Each fellow attends seven out-patient practice settings (Thyroid, Diabetes, General Endocrine on a weekly basis; Reproductive Endocrine and Neuroendocrine on a biweekly basis; and Bone Metabolism and Lipid on a monthly basis). Pediatric Endocrine experience is available as an elective. Patients are seen with staff supervision in each of these practices.

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Conferences
The first-year Fellows attend and participate in formal teaching exercises. During July, a series of clinically-oriented lectures are provided as a part of Fellowship orientation about the actual practice of endocrinology. During August, a series of research seminars are provided to familiarize Fellows with the choice of research areas and activities available for the next research year. Weekly didactic conferences include Endocrine Grand Rounds, Calcium Rounds, Diabetes/Thyroid/Neuroendocrine Conference, and Reproductive Endocrine Conference. During the course of the year, Fellows make presentations at these conferences, giving them experience in organizing and leading a conference. In addition, the Fellows are responsible for the clinical teaching of medical students on the endocrine elective.

It is important to note that the program is designed to provide its graduates with excellent long-term career opportunities. Most of the program graduates have pursued academic careers; many have joined the staff of the MGH, where there are numerous long-term opportunities available, or other university teaching hospitals.

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Research Experience
The research years provide intensive experience in basic and/or clinical investigation. The research faculty of the various endocrine units work together in close collaboration. The research training program draws on the expertise of the Endocrine Training Faculty as well as that of our postgraduate trainees. Each second-year Fellow works specifically on one or more projects selected from one of the collaborating units.

The formal research training includes: 1) formal lecture courses in basic science sponsored by the Committee on Research at the Massachusetts General Hospital, in which many of the Training Faculty in Endocrinology and Metabolism, as well as outside speakers, participate; 2) weekly formal research conferences, involving members of the Training Faculty and guest speakers, as well as 3) frequent, informal research conferences held each week, involving members of the cooperating Units and the trainees. The informal portion consists of intensive mentor-based instruction and guidance in individual research projects chosen by the trainees and supervised by individual faculty members. These projects are designed to lead to independence in research and serve as a transition to investigator-initiated programs.

The primary training facilities for this program encompass approximately 20,000 sq. ft. of laboratory space available to the six cooperating Units engaged in endocrinologic and metabolic research. The laboratories are located in the Bartlett, Bulfinch, Jackson and Wellman buildings and the MGH Research building in Charlestown. Numerous research grants provided by federal and private agencies are available for the support of research training. Excellent facilities for clinical research in Endocrinology and Metabolism are available in a 10-bed Metabolic Research Ward supported as a General Clinical Research Center (GCRC) under the direction of one of the Endocrine Training Faculty. The extensive impatient and outpatient facilities of the Mass. General Hospital (a 1000-bed hospital) and the Mass. Eye and Ear Infirmary (174 beds) provide an important and large source of patients for clinical investigation. Close association with faculties of other affiliated teaching hospitals and basic science departments of Harvard Medical School provides additional resources, as needed.

Contacts

For research training, please contact directly the research staff of the desired group.

For further information contact Karen Minyard:
Telephone: 617-724-7777 or email
E-mail: kminyard@partners.org

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How to Apply
We recommend that applications be completed by December 31, 2003.

Personal interviews are required.

Completed applications should include

• Fellowship application form
  
• A brief statement of professional interests
  
• List of publications (if any)
  
• Three letters of references
  
  

Eligibility Requirements

All our fellows must have had at least one year of internship and one year of medical residency after graduation from medical school.

Please note that our funding is restricted to citizens (or permanent residents) of the United States. Non-citizen applicants would have to find their own source of funding.

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