Endocrinology, Diabetes and Metabolism

Endocrinology Fellowship Program

The Fellowship Training Program in the Division of Endocrinology, Diabetes and Metabolism at the Tufts Medical Center, the major teaching hospital affiliate of Tufts University School of Medicine, provides support and funding for two Fellows each year.

This program is designed to fulfill the needs of those hoping to engage in clinical practice, become clinician-educators, or pursue careers in clinical and/or basic endocrine research. It will equip trainees with the knowledge, skills, attitude and experience required in this field.

The program offers both clinical and research training tracks. The clinical track is a 2-year program during which the entire first year is devoted to clinical activities and the second year to both clinical and research activities. The research track is a 3-year program in which the main portions of the second and third years are devoted to research.

Generally, one fellow is selected each year to be a part of the Gerald J. and Dorothy R. Friedman Fellowship Program, which provides support for the fellow throughout their training. Fellows are chosen for this program based on their dedication to clinical practice, education and research in diabetes and metabolic disease.

View general information about training programs at Tufts Medical Center.

Our faculty is dedicated to ensuring that the Friedman Fellows can walk away from this training experience with the knowledge, skills, attitude and experience to enter the field of endocrinology and metabolism. In this Fellowship program, trainees will learn how to:

1. Patient Care

  • Provide appropriate and effective care related to endocrine disease in a compassionate fashion
  • Gather accurate, essential information from all sources; including medical interviews, physical examinations, medical records and diagnostic/therapeutic procedures
  • Make informed recommendations about preventive, diagnostic and therapeutic options, and interventions that are based on clinical judgment, scientific evidence and patient preference
  • Develop, negotiate and implement effective patient management plans and integration of patient care
  • Perform competently the diagnostic and therapeutic procedures considered essential to the practice of endocrinology

2. Medical Knowledge

  • Demonstrate knowledge of established and evolving biomedical, clinical and social sciences as it relates to endocrine disease, and the application of their knowledge to patient care and the education of others
  • Apply an open-minded, analytical approach to acquiring new knowledge
  • Access and critically evaluate current medical information and scientific evidence
  • Develop knowledge of the basic and clinical sciences that underlie the field of endocrinology
  • Accumulate a critical mass of fundamental information and practical approaches for the diagnosis and management of endocrine disorders
  • Acquire the clinical skills that are necessary for a consultant in the field
  • Acquire the procedural and technical skills that are necessary for a consultant in the field
  • Apply this knowledge to clinical problem solving, clinical decision-making and critical thinking

3. Practice-Based Learning and Improvement

  • Use scientific evidence and methods to investigate, evaluate and improve patient care practices
  • Evaluate their own patient care by identifying areas for improvement and implement strategies to enhance knowledge, skills, attitudes and processes of care
  • Develop and maintain a willingness to learn from errors and use errors to improve the system or processes of care
  • Use information technology or other available methodologies to access and manage information, support patient care decisions and enhance both patient and physician education

4. Interpersonal and Communication Skills

  • Demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families and other members of health care teams
  • Demonstrate effective information exchange and ethically sound professional relationships with patients and their families
  • Provide effective and professional consultation to other physicians and health care professionals
  • Use effective listening, nonverbal, questioning and narrative skills to communicate
  • Maintain comprehensive, timely and legible medical records
  • Develop the speaking skills and confidence required to present clinical or scientific information to audiences of patients and health care professionals

5. Professionalism

  • Demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession and society
  • Demonstrate respect, compassion, integrity, and altruism in relationships with patients, families and colleagues
  • Demonstrate sensitivity and responsiveness to the gender, age, culture, religion, sexual preference, socioeconomic status, beliefs, behaviors and disabilities of patients and professional colleagues
  • Show commitment in carrying out professional responsibilities
  • Show adherence to ethical principles
  • Demonstrate confidentiality
  • Demonstrate avoidance of conflict of interest

6. Systems-Based Practice

  • Demonstrate both an understanding of the context and systems in which health care is provided, and the ability to apply this knowledge to improve and optimize health care
  • Understand, access and utilize the resources, providers and systems necessary to provide optimal care
  • Apply evidence-based, cost-conscious strategies to prevention, diagnosis and disease management
  • Collaborate with other members of the health care team to assist patients in dealing effectively with complex systems and to improve systematic processes of care

7. Research

  • Actively participate in a research project
  • Acquire skills in design and performance of hypothesis-driven endocrine research
  • Show adherence to ethical principles of confidentiality, conflict of interest and informed consent