PROGRAMS and SERVICES
Further information and application material may be obtained from Janet Krasnican, Assistant to the Director of the Pediatric Endocrinology Program, and/or Dr. Constantine Stratakis at:
Ms. Fetima Worthington
Maya Lodish, MD
National Institutes of Health
National Institute of Child Health and
The fellowship in Pediatric Endocrinology is a three-year ACGME-accredited program providing comprehensive training in clinical patient management and guidance in the development of research skills. The fellowship is administratively supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and based at the National Institutes of Health (NIH) Clinical Center, in Bethesda, Maryland (NIH-CC).
The NICHD program is located in one of the largest and most sophisticated research institutions in the United States. The NIH Clinical Center maintains clinical research protocols investigating the treatment of adrenal and pituitary tumors, congenital adrenal hyperplasia, precocious puberty, idiopathic juvenile osteoporosis, Cushing's syndrome, obesity, and other protocol type cases.
The fellow gains critical skills in the construction and execution of clinical research projects while learning about some of the more rare pediatric endocrine disorders.
Participating institutions include the Johns Hopkins University (JHU) Department of Pediatrics, Division of Pediatric Endocrinology; The Children's National Medical Center (CNMC) Division of Pediatric Endocrinology; and Georgetown University (GU) Department of Pediatrics. GU, JHU, and CNMC serve as primary care facilities, and the NIH-CC houses a large tertiary care referral and research center. These facilities make available to our fellows pediatric endocrine, diabetes, oncology, metabolic, bone disorders and other pediatric subspecialty clinics and consult services, and general pediatric inpatient and intensive care units. The program maintains an affiliation with the GU Pediatric Residency Training Program, and provides a one-month elective on Pediatric Endocrinology and Clinical/Medical Genetics at the NIH for GU pediatric residents.
The fellowship is designed to provide clinical and research exposure that allows for the development of academic Pediatric Endocrinologists with experience in both clinical and/or bench research. The first year of the fellowship is dedicated to the acquisition of necessary clinical skills from all aspects of the principles and practice of Pediatric Endocrinology. It is during that year that the fellows rotate through the NIH-CC and the participating hospitals. The second and third years are focused research years allowing for training in laboratory or clinical research. During these two years, fellows also receive appropriate courses on statistics, biotechnology and laboratory methods, grant and scientific paper writing, and the development and execution of clinical trials.
Pediatric Endocrine fellows maintain a weekly continuity clinic with a variety of patients at the NIH-CC and have the option of attending continuity clinics at the participating institutions beyond their first clinical year.
The NICHD fellowship program in Pediatric Endocrinology is among the largest and most prestigious in the world. More information is available at the pediatric endocrinology WIKI site.
The Pediatric Endocrinology Fellowship at NIH consists of one year of clinical training, and two years of combined clinical training and research training.
Clinical Training Rotations
A typical training schedule for first-year fellows includes the following rotations:
Johns Hopkins University Hospital
David Cooke, MD
Douglas Sobel, MD
NIH Clinical Research Center (CRC)
Constantine Stratakis MD, DSc (director)
Children's National Medical Center
Paul Kaplowitz MD, PhD and Priya Vaidyanathan, MD
During the second and third years, mandatory clinical responsibilities are limited to a half-day continuity clinic per week and providing inpatient pediatric endocrine consultation on an on-call basis.
Regularly scheduled didactic courses, seminars, and case conferences enhance clinical experience. These include the following weekly events:
- Inter-Institute Endocrine Grand Rounds
- Pediatric Endocrine Case Conference
- Pediatric Endocrine post-clinic conference
- Lecture series covering both clinical and research topics
- Journal Club (once a month)
- Board review (weekly)
- Fellows are encouraged to attend at least one national/international professional meeting/year during the three fellowship years.
Fellows learn how to develop a research protocol, conduct a study, evaluate the results, and create a presentation or a manuscript suitable for publication. Work in a laboratory setting performing state-of-the-art basic science research is closely supervised by internationally known mentors. During the first year, a research mentor is chosen and the project for each fellow and progress on it are monitored by a committee, as recommended by the American Board of Pediatrics [disclaimer]. With the mentor's help, a topic of special interest is defined and a research protocol is developed. The second and third years of the fellowship are dedicated to the successful completion of the selected project(s) with minimal clinical duty requirements. See also the following site for more information on research training at the NIH: NIH Office of Intramural Training and Education.
There is no in-house call. During the first year, pediatric endocrine fellows are on call from home, supported by one of the endocrine attendings. During the second and third years, fellows take call from home when they participate in the pediatric endocrine consult service. Third-year fellows attend one month in the wards of the NIH-CRC and they are on-call from home for the ward for these 4 weeks.
Third-year fellows are required to take a supervisory role and cover the pediatric endocrine inpatient service at the NIH-CRC for one month. During these 4 weeks, the senior fellow supervises first-year fellows, residents, and students and is responsible for teaching rounds and conferences.
Evaluation and Quality Assurance
The fellow meets with the program director, the mentor, and the supervising committee on a regular basis to assess personal goals and objectives, and to review evaluations from the staff. All fellows and other staff participate in regular staff meetings, and quality assurance is monitored both at the program and at the hospital level by regular (weekly and other) meetings.
- Constantine A. Stratakis, MD, DSc
- Maya Lodish, MD
- Program Director, Pediatric Endocrine Fellowship Program, NICHD
- Jeffrey Baron, MD
- Deborah Merke, MD
- Chief of Pediatric Services Clinical Center, NIH
- Congenital adrenal hyperplasia (CAH) and related disorders
- Kristina Rother, MD
- NIDDK, NIH
- Pediatric diabetes mellitus, islet cell transplantation, lipodystrophy and related disorders
- Jack Yanovski, MD, PhD
- Margaret F. Keil, MS, PNP, PhD
- Director, Pediatric Endocrine Clinical Services, Pediatric Endocrinology Training Program
- Treatment, diagnostics, and nursing and quality-of-care issues for pediatric endocrine patients with CAH, other adrenal and pituitary diseases
- Rachel Gafni, MD
- Pediatric bone disorders
- Rebecca Brown, MD
- Type II diabetes
- Angela Delaney, MD
- Assistant Clinical Investigator, Unit on Genetics of Puberty and Reproduction, PDEGEN, NICHD (website: http://annualreport.nichd.nih.gov/ugpr.html)
Our program participates in the NRMP match. Upon successful completion of the three-year training program, fellows are eligible to sit for the examination of the American Board of Pediatrics. Qualified candidates must have completed PGY-3 level training prior to initiation of the fellowship, and should be eligible for board certification by the American Board of Pediatrics. There are two positions available per year, and applications should be received at least one year in advance. Fellows stay a minimum of three years; selected fellows can stay additional years as senior medical staff fellows, or through other mechanisms. For further information applicants should contact:
Constantine Stratakis, MD, DSc, Scientific Director, NICHD
Maya Lodish, MD, Director, Pediatric Endocrinology Training Program, NICHD
Interviews are scheduled January through March. For more information, call the pediatric endocrine program coordinator, at 301-451-1466.
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