Curriculum

Clinical Training:

Our training program offers comprehensive training in all areas of clinical endocrinology in order for Fellows to acquire the knowledge, skills, and experience required to become expert Endocrinology consultants as well as physician-scientists.  The clinical training includes extensive experience in the diagnosis, evaluation, and management of endocrine and metabolic problems taught by our master clinicians including Former Presidents of the Endocrine Society, the American Association of Clinical Endocrinologists (AACE), the American College of Endocrinology (ACE), and the American Thyroid Association (ATA).

 

The practice of Clinical Endocrinology is very focused on outpatient medicine.  Therefore, we have designed a program that provides ample mentored experience in the outpatient management of a variety of endocrine subspecialty areas.

Throughout both years of training, fellows manage their own patients in two specialized continuity clinics: 

  • Endocrine Clinic: Trainees manage a variety of endocrine issues including Adrenal tumors, Bone diseases, Cushing’s, PCOS, Pituitary, Thyroid and Parathyroid disorders.  As part of the Endocrine Clinic, fellows are also trained in performing thyroid and parathyroid ultrasound as well as thyroid fine needle aspirations by master clinicians certified in Endocrine Certification in Neck Ultrasound (ECNU).
  • Diabetes Clinics: Trainees manage patients with Diabetes Mellitus in conjunction with a team of experts that includes Diabetes Nurse Practitioners and Nutritionists.  Fellows will manage patients with Type 1 Diabetes, complex Type 2 Diabetes, Gestational Diabetes, and Post-Transplant Diabetes.  Fellows will gain extensive experience in the management of insulin regimens, continuous glucose monitoring systems, and insulin pumps.

During the First-Year Ambulatory Rotation, fellows participate in specialized office and clinic practices mentored by Master Clinicians including:

  • Adrenal/Pituitary Disorders                    Dr. Alice C. Levine
  • Bone and Mineral Disorders                  Dr. Barrie Weinstein
  • Pediatric Endocrine Disorders               Drs. Robert Rapaport and Christopher Romero
  • Polycystic Ovarian Syndrome                Dr. Andrea Dunaif
  • Transgender Medicine                            Dr. Joshua Safer

During the Second-Year Ambulatory Rotation, fellows participate in specialized office and clinic practices mentored by Master Clinicians including:

  • High-Risk Obstetrics Clinic                     Drs. Carol Levy and Sherley Abraham
  • Neuroendocrine/Pituitary                        Drs. Kalmon Post and Alice C. Levine
  • Reproductive Endocrinology                   Dr. Tanmoy Mukherjee
  • Obesity/Metabolic Disorders                   Dr. Reshmi Srinath and Dr. Daniel Donovan
  • Thyroid Center                                        Drs. Maria Brito and Michael Via

The Fellowship Program emphasizes inpatient Endocrinology experience during the first year.

Endocrinology Consults: Trainees spend 2 total months of their first year on the Endocrinology Consult Service at Mount Sinai Hospital.  Faculty members rotate weekly as the Endocrinology Attending on service, allowing for frequent interactions between fellows and different members of the Division.  Trainees will see a wide spectrum of interesting and complex Endocrinology pathologies while rotating on the inpatient consult service including adrenal disorders, pituitary disease, and thyroid disease. Our inpatient consult service also works very closely with the Neurosurgery department.

Diabetes Consults:  Trainees spend 2 total months of their first year on the inpatient Diabetes Consult Service. Consults are shared with the inpatient Nurse Practitioner Diabetes team based on geographic distribution of patients. During this rotation, fellows are under the direct supervision of faculty with expertise in diabetes. During this rotation, trainees gain extensive experience in the management of both acute and chronic complications of type 1 and type 2 diabetes. Trainees are often responsible for the management of diabetes in surgical patients, especially on the post-transplant wards, and for the management of steroid-induced hyperglycemia. Overall, trainees will become comfortable with insulin administration and titration in hospitalized patients, management of diabetes in pregnancy on the labor and delivery floors, intravenous insulin in critically ill patients, and inpatient insulin pump management.

Mount Sinai Beth Israel: Trainees spend 2 months of their first year on the inpatient consult service at Mount Sinai Beth Israel. As the main community hospital in southern Manhattan, endocrine fellows consult on a largely diverse patient population, and work closely with medical resident housestaff. Outpatient fellow clinics are held at the newly renovated Mount Sinai Downtown-Union Square Facility. Four ultrasound machines are in regular use for thyroid and parathyroid imaging, fine needle aspiration biopsy, and for percutaneous ethanol ablative techniques of thyroid nodules and lymph nodes with recurrent metastatic thyroid cancer.

Mount Sinai Morningside: Trainees spend 2 months of their first year on the inpatient consult service at Mount Sinai Morningside. Located in Morningside Heights, fellows consult on medical and surgical patients. Diabetes consults are divided with an endocrine nurse practitioner service.  The Mount Sinai Morningside program in clinical obesity management and cardiometabolic risk modification provides clinical excellence in this area. The multidisciplinary team includes a nutritionist, exercise physiologist, and several endocrinologists on faculty. Close ties to psychiatry and to metabolic surgery, which is also performed at Mount Sinai Morningside, allow for ease of consultation. This highly specialized program incorporates the use of a metabolic chamber—one of only 2 in the country—that allows for high-precision measurements of energy expenditure both at rest and during aerobic exercise. Information garnered in this fashion is used to make personalized lifestyle modification

Mount Sinai West: Trainees spend 2 months of their first year on the inpatient consult service at Mount Sinai West. This center functions mainly as a surgical hospital in Midtown Manhattan. Among the wide range of procedures regularly performed, surgical treatment of thyroid cancer, head and neck cancer, and neurosurgical procedures often require endocrine consultation. Clinical experience at Mount Sinai West yields unique understanding of the management of endocrine disease in the perioperative and postoperative period, as well as endocrine disease that develops as a direct surgical complication including hypocalcemia after head and neck surgery, and diabetes insipidus and/or the syndrome of inappropriate antidiuretic hormone release after neurosurgery that involves craniotomy.

Bronx VA Medical Center: Endocrine Fellows spend 2 total months of the first year at the Bronx VA Medical Center. Fellows will also spend 3 months at the VA in their second year. The Bronx VA Medical Center is comprised of a modern, well-equipped tertiary care facility and a nursing home on an attractive campus.  It provides tertiary services to a veteran population from the Bronx, Westchester and Rockland Counties, Northern New Jersey, and the New York City metropolitan area. The Bronx VA is a major teaching affiliate of the Mount Sinai Hospital and the Mount Sinai School of Medicine. This rotation complements the fellowship training experience at the Mount Sinai Hospital through providing exposure to different healthcare delivery systems and diverse patient populations. First year fellows will rotate through both Endocrine and Diabetes clinics at the VA and will be responsible for inpatient consults. Second year fellows rotate only through the outpatient Endocrine and Diabetes clinics. Fellows will also have the opportunity to perform thyroid ultrasounds and fine needle aspirations with the assistance of an on-site pathologist to confirm biopsy specimens. 

First-Year Fellow Schedule:

ENDOCRINE CONSULTS AT MOUNT SINAI

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T

W

Th

F

8-9AM: Morning Rounds

 

9AM-12PM: Diabetes Clinic

 

8AM-4PM: Endocrine Consults

 

8AM-4PM: Endocrine Consults

8-9AM: Scholarly Morning Rounds

9AM-12PM: Endocrine Clinic

1AM-4PM: Endocrine Consults

8:30-9:30AM: Endocrine Grand Rounds

 

8AM-12PM: Endocrine Consults

 

12-1PM: Noon Conference

 

 

8-9AM: Morning Rounds

 

8AM-4PM: Endocrine Consults

 

DIABETES CONSULTS AT MOUNT SINAI

M

T

W

Th

F

8-9AM: Morning Rounds

 

9AM-12PM: Diabetes Clinic

 

12PM-4PM: Diabetes Consults

 

8AM-4PM: Diabetes Consults

8-9AM: Scholarly Morning Rounds

9AM-12PM: Endocrine Clinic

8AM-4PM: Diabetes consults

8:30-9:30AM: Endocrine Grand Rounds

 

8AM-12PM: Diabetes Consults

 

12-1PM: Noon conference

 

1-4PM: Endocrine clinic

8-9AM: Morning Rounds

 

8AM-4PM: Diabetes Consults

 

MOUNT SINAI BETH ISRAEL 

M

T

W

Th

F

8-12PM: Inpatient Consults 

 

 

1-4PM: MSBI Endocrine Consults

 

8AM-9AM Bone Club

9AM-4PM: Inpatient Consults

3PM PD Conference 

8AM-4PM: Endocrine Consults

8:30-9:30AM: Sinai Endocrine Grand Rounds

 

8AM-4PM: Inpatient Consults

 

12-1PM: Noon Conference

 

 

8AM-9AM: Thyroid Journal Club 

 

9AM-4PM Inpatient Consults

12-1PM MSBI W M Endocrine Grand Rounds

1PM-4PM MSBI Endocrine Clinic 

 

MOUNT SINAI MORNINGSIDE 

M

T

W

Th

F

8AM-12PM: Endocrine Clinic 

 

1-4PM: MSBI Inpatient Consults

 

8AM-9AM: Bone Club

9AM-4PM: Inpatient Consults

3PM PD Conference 

8AM-12PM: Endocrine Club

1PM-4PM: Endocrine Consults

 

8:30-9:30AM: Sinai Endocrine Grand Rounds 

 

8AM-4PM: Inpatient Consults

 

12-1PM: Noon Conference

 

 

8AM-9AM: Thyroid Journal Club 

 

9AM-4PM: Inpatient Consults 

12-1PM MSBI W M Endocrine Grand Rounds

 

MOUNT SINAI WEST 

M

T

W

Th

F

8AM-12PM: Endocrine Clinic 

 

1-4PM: MSBI Inpatient Consults

8AM-9AM: Bone Club

9AM-4PM: Inpatient Consults

3PM PD Conference 

8AM-4PM Endocrine Consults

 

8:30-9:30AM: Sinai Endocrine Grand Rounds

 

8AM-4PM: Inpatient Consults

 

12-1PM: Noon Conference

1PM-4PM: Endocrine Clinic

 

 

8-9AM: Thyroid Journal Club M

 

9AM-4PM: Inpatient Consults

12-1PM MSBI W M Endocrine Grand Rounds

 

BRONX VA


M

T

W

Th

F

9AM-12 PM: VA Diabetes Clinic

 

1-4PM: VA Diabetes Clinic

 

9AM-4PM: VA Inpatient Consults

9AM-4PM: VA Inpatient Consults

8:30AM-12PM: VA Endocrine Clinic

 

12PM-1PM: VA Journal Club

 

8:30-4PM: VA Inpatient Consults

8:30-9:30AM: Sinai Endocrine Grand Rounds

 

8AM-12PM: Sinai Diabetes Consults

12-1PM: Noon Conference

 

1-4PM: Sinai Endocrine Clinic

9AM-12PM: VA Diabetes Clinic

 

9AM-4PM: VA Inpatient Consults



AMBULATORY FELLOW

M

T

W

Th

F

8-9AM: Morning Rounds

 

8AM-12PM: Diabetes Consults

 

1PM-3PM: Pediatric Endocrinology

9AM-12PM: Transgender Medicine

 

1PM-5PM: PCOS Clinic

8-9AM: Scholarly Morning Rounds

 

9AM-12PM: Bone Clinic

8:30-9:30AM: Endocrine Grand Rounds

 

8AM-12PM: Diabetes Consults

 

12-1PM: Noon Conference

 

1-4PM: Endocrine Clinic

8-9AM: Morning Rounds

 

1-4PM: Diabetes Clinic

 

There are multiple didactic and interdisciplinary conferences that are an integral part of our fellowship program.

  • SUMMER SEMINAR SERIES (JULY THROUGH SEPTEMBER)
  • THURSDAY NOON FELLOWS CONFERENCE
  • FELLOWS JOURNAL CLUB
  • WEEKLY BOARD REVIEW
  • CHIEF DIVISION ROUNDS WITH DR. ANDREA DUNAIF
  • ENDOCRINE DIABETES GRAND ROUNDS
  • DIABETES, OBESITY AND METABOLISM INSTITUTE (DOMI) CONFERENCE
  • BONES & BREAKFAST WITH DR. DONALD BERGMAN
  • MONTHLY MULTIDISCIPLINARY CONFERENCES IN THE AREAS OF:
    • ADRENAL
    • PITUITARY
    • THYROID

 

Summer Seminar Series 2020:

Topics

Attending

TYPE 1 Diabetes and Insulin Therapy

Carol. Levy

Non-Insulin Diabetes Therapy (including GLP-1, DPP-4 Inhibitors, Amylin)

Ronald Tamler

Inpatient Diabetes Management (including DKA, HHS)

Maria Skamagas

Outpatient DM management (Logistics, Goals, Co-morbidities)

David. Lam

Non-Insulin Diabetes Therapy I

Grenye O’Malley

Diabetes Management-Case Based Approach

Peter Goulden

Hypoglycemia

Rahul Agarwal

Hypothyroidism (including Pregnancy and Thyroid)

Maria Brito

Thyroid US guided FNA (logistics & practical

Robert Yanagisawa

Thyroid Nodules

Richard. Haber

Hyperthyroidism (including Thyroid storm management)

Terry F. Davies

Pituitary Tumors & Hypofunction

Khadeen Cheesman

Osteoporosis (Diagnosis and Management

Barrie Weinstein

Lipid Disorders

Donald Smith

Diabetes and Pregnancy

Sherley Abraham

Cushing’s Syndrome

Adrenal Hypofunction

Alice C. Levine

Male Hypogonadism (Including testosterone replacement).

Non-Insulin Diabetes Therapy I

Ronald Tamler

HRT and Contraception

Menstrual Disorders

Andrea Dunaif

Obesity, Weight Management and Bariatric Surgery

Reshmi Srinath

On call Emergencies

Nirali Shah

Calcium disorders and Vitamin D

M. Via