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University of Connecticut Health Center: The UCHC fellowship site is directed by the Program Director, Pamela Taxel MD since September ’05. First and second-year trainees spend approximately 4-months each year at the UCHC block rotation. The time spent at UCHC is spent primarily in out-patient clinical duties as well as in-patient consultations and research. The clinical experience is very broad and is centered on a busy outpatient service. Fellows gain valuable experience in the areas of metabolic bone disease (See link, NEMSI), endocrine tumors (See link, Neag Comprehensive Cancer Center), diabetes mellitus, thyroid disease and general endocrinology. While trainees are at UCHC, they are allotted time for research endeavors. Tuesday AMs (with the exception of Reproductive Endocrine clinic) and one month of the second year rotation is dedicated to research. The research component consists either of basic science, translational research or clinical research. There are research opportunities in bone disease, thyroid cancer or other endocrine tumors. Fellows are urged to familiarize themselves with the work of the various researchers in the division prior to starting their rotation; this should be done through direct contact with the faculty members.

St. Francis Hospital and Medical Center: SFH is an over 600 bed acute care hospital in Hartford. Manuel Javier, MD has assumed the site directorship as of March, 2007. Trainees spend approximately 3-months per year on this block rotation. The fellowship rotation at SFH includes a rich mixture of busy inpatient and outpatient experiences as well as the active participation in a tertiary care multi-disciplinary regional hospital-based Diabetes Care Center. The experiences derived by the fellow are centered in the areas of outpatient and inpatient diabetology (including insulin pump service), thyroid diseases, parathyroid diseases, and general endocrinology. The educational experience includes both outpatient and inpatient clinical involvement, as well as a curriculum of didactic lectures, journal reviews, case conferences, monthly presentations at Inter City Endocrine Rounds, attending diabetes patient education classes, and opportunities for the fellow to teach residents and medical students rotating in the endocrine section, as well as give patient education talks. While at SFH, fellows spend 2 half-days per month at the Burgdorf clinic (a free clinic for underserved) and ½ day per week in the Endocrinology clinic.

Hartford Hospital: HH is an 850 bed acute care facility located in downtown Hartford. Markus Wettstein MD is the site director. The fellowship rotation is centered primarily around a busy inpatient consultation service where varied acute endocrine syndromes are encountered as well as ICU management of stress hyperglycemia and insulin drip protocols in post-operative cardiac, transplant and general surgery patients are encountered. The weekly HH outpatient clinic focuses on diabetes mellitus, thyroid disease and general endocrinology: ½ days are also spent in the out-pt offices of Drs. Oberstein, Wettstein and Labinson. Fellows also participate in weekly Pediatric Endocrinology clinic and monthly Transition clinic, a weekly Nuclear Medicine and recently begun Pathology conference.

The Hospital of Central Connecticut: THOCC is a 350 bed acute care community hospital in New Britain, CT. The sire director is William Petit, MD. The main emphasis of this rotation is on outpatient clinics, which runs for 8 half-day sessions a week. These include specialty clinics for osteoporosis and diabetes mellitus, although the entire spectrum of general endocrinological disorders is seen in the THOCC clinics. The Joslin Diabetes Center is a referral center for complex diabetes case management and residents may work with the endocrine attending as well as RN CDE’s, RDs and exercise physiologists. They learn to manage complex multi-daily dose insulin regimens and insulin pump therapy. Didactic case-based teaching and is attended by clinical faculty. Fellows present pre-selected cases for open discussion.

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