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.