By Year First Year The first year of Fellowship is dedicated to clinical training. Montefiore Medical Center and Albert Einstein College of Medicine provide primary care to more than 1.5 million individuals who live in the Bronx and lower Westchester. Our institutions serve as the major academic referral centers for the New York Metropolitan area, northern New Jersey, southern New York State and Connecticut. Fellows are exposed to a wide extent of endocrine conditions, from ‘ bread and butter ’ pathology to rare, complex cases (e.g. metastatic pheochromocytoma, hypothalamic/pituitary sarcoidosis, insulinoma, acromegaly etc.). Under close supervision, they learn to manage these conditions with increasing independence and confidence. In addition, fellows are trained to perform a number of endocrine procedures, including thyroid ultrasound and fine needle aspiration, management of insulin pump therapy, interpretation of continuous glucose monitoring, and reading of DXA scans. Training Sites West Campus: Montefiore Medical Center, Moses division North Central Bronx Hospital East Campus: Jack D. Weiler Hospital Jacobi Medical Center Wakefield Campus Schedule Four fellows rotate through 3 blocks of inpatient and one block of ambulatory service during their first year of fellowship. Block schedule in the first year Block: Moses/NCB Wakefield Weiler/Jacobi Ambulatory July-Aug-Sep Fellow A Fellow B Fellow C Fellow D Oct-Nov-Dec Fellow D Fellow A Fellow B Fellow C Jan-Feb-March Fellow C Fellow D Fellow A Fellow B Apr-May-June Fellow B Fellow C Fellow D Fellow A Faculty All teaching venues, whether inpatient or outpatient, are supervised by attending physicians. 36 Full time clinical and research faculty Multidisciplinary diabetes care team which includes physicians in addition to: NPs cover inpatient diabetes consults during the week 4 outpatient NP/CDEs with extensive pump and CGM experience 2 registered dietitian/CDEs PhD clinical psychologist Second Year Most of the fellows ’ time in the second year (~80%) is dedicated to research training. Fellows continue to attend one weekly endocrine continuity clinic and one monthly diabetes continuity clinic. They also participate in a monthly type 1 diabetes pediatrics to adult transition clinic and will spend a 3 month block attending once a week Maternal-Fetal clinic in order to gain experience in co-managing pregnant patients with various endocrine conditions with high risk OB. Research Opportunities Researchers from Albert Einstein College of Medicine secured $178 million from National Institutes of Health in 2019, the highest in the institution ’ s history. NIH research funding granted to researchers in the Division of Endocrinology, Diabetes and Metabolism in 2019 was $14.7 million. The Division has ongoing clinical, basic science, translational, and behavioral research in a range of endocrine science areas. In addition to longstanding strength in diabetes and aging research, there are emerging opportunities in thyroid, metabolic bone disease, and neuroendocrine research. NIH funded research centers include: Einstein Sinai Diabetes Research Center NIH-funded since 1976 Basic, translational and clinical research in diabetes, obesity & metabolism More than 120 faculty laboratories NY Regional Center for Diabetes Translation Research Bio-psychosocial and behavioral research, with focus on social determinants of health Institute for Aging Research and Nathan Shock Center of Excellence in the Basic Biology of Aging Basic, translational and clinical research Global Diabetes Institute Strategic partnerships in India and Uganda focused on research about “lean diabetes” and improving diabetes education Timeline for Research Training Fellows start getting familiar with research mentors and projects in first year, working with Dr. Sofiya Milman, Associate Program Director for Research. Depending on their prior experience and future career interest, fellows can choose to initiate their own research project or join a number of ongoing projects with experienced mentors who teach and guide them every step of the way. Didactic seminars about research methodology, scientific writing, quality improvement studies and other subjects will be offered. By the end of their second year, fellows have universally gained valuable experience and most have contributed to the field by presenting their findings at regional or national conferences and/or in a manuscript.