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Clinical Training
In order to achieve a multidisciplinary experience and achieve surgical technical excellence, the proposed schedule for your training will be:
| Rotation |
Length |
| Surgery |
6 months |
| Endocrinology |
3 months |
Radiology
- ultrasonography
- computed tomography (CT)
- nuclear medicine |
1.5 months |
| Pathology & Cytology |
1 month |
An operative log will be maintained to document and record trainee operative experiences. This will be reviewed regularly and any deficiencies promptly rectified.
Rotation Descriptions
Surgery
You will evaluate patients with endocrine disorders, consider indications and contraindications, and make appropriate surgical recommendations that are understood by the patient.
During this rotation, you will develop and demonstrate operative expertise and proficiency in initial and reoperative endocrine problems, including preoperative considerations, perioperative management, surgical controversies, follow-up, and prognosis.
You will participate in educational activities, guiding and mentoring residents during their surgical rotations and be responsible for two Chief Resident presentations.
During this rotation, you will also develop at least one idea, protocol, manuscript, and presentation for a national meeting and work in the simulation, animal and cadaver laboratories to develop or refine surgical techniques/skills—especially minimally invasive.
Endocrinology
You will gain valuable perspective during this rotation, as you enhance your ability to recognize and logically evaluate endocrine problems specifically related to an endocrine surgeon.
You will also spend two weeks in our Endocrine Teaching Clinic and several weeks one-on-one with key clinically experienced faculty specialists in PGA, bone, thyroid and pancreas.
One week will be spent in the ACE Endocrine University, held at Mayo Clinic in Rochester offering special emphasis on thyroid US, bone density, insulin pumps, etc.
Radiology
Through this rotation, you will greatly enhance your ability to appropriately select the imaging technique and interpret results, while recognizing opportunities and limitations of the technology.
During this rotation, you will complete the American College of Surgeons Basic Ultrasonography course on CD prior to working with the radiologists.
You will also learn techniques in ultrasound, CT (interpretation, biopsies, RFA) and nuclear medicine, including Sestamibi, PET scan, MIBG and RAI treatments.
Pathology
You will refine your skills in endocrine pathology and cytology, including the limitations of distinguishing benign from malignant. You will use technology such as immunostains, RET proto-oncogene, DNA ploidy, RT-PCR, gene profiling and the implications for proteonomics.
This experience will include extramural consultations, didactic lectures, one-on-one teaching of histopathology and rotations through our cytology and frozen section lab.
Research Training
Clinical research will be included and expected during the training program. You will have opportunities to design and implement clinical protocols, and supervision and mentoring will be available from surgeons and the other related disciplines.
Scholarly activity such as presentations at national meetings, lectures, and publications is expected.
Didactic Training
You will participate in regular didactic programs as an integral part of this fellowship. Such opportunities include:
- Chief Resident Conferences and presentations
- Mortality and Morbidity (M&M) Conferences
- Consulting-day Morning Conference
- Noon endocrinology conferences
- Monthly endocrine surgery teleconferences held with Mayo’s clinics in Arizona and Florida
- Journal Club
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