Fellowship Training Program in Endocrinology--NICHD

NIH研究所间内分泌学奖学金计划提供了一个全面的培训经验，涉及许多NIH内分泌学临床分支机构，以及乔治敦大学医院，华盛顿医院中心和沃尔特里德陆军医疗中心。NIH的基础和临床内分泌研究设施是世界上最广泛和最受重视的。因此，该奖学金是理想的医生谁寻求在研究和临床内分泌学的广泛教育。 临床培训主要在第一年进行。剩下的两年主要是在NIH几个内分泌学分支之一的高级研究员的指导下进行实验室或临床研究。在此研究期间，通过每周连续性门诊，咨询服务和参加临床会议，继续积极的临床经验。 国家糖尿病、消化和肾脏疾病研究所（糖尿病分支、代谢疾病分支、临床内分泌学分支和胰岛自身免疫分支）;国家儿童健康和人类发育研究所（发育内分泌学分支、生殖生物学和医学分支）;以及国家牙科和颅面研究所参与了这一方案。 研究员负责五到十个病人，在任何时候都在国家卫生研究院的住院服务。实习生在内分泌学院的监督下全面负责病人护理的各个方面。研究员每天查房，与主治医生讨论患者，并参与与患者护理和临床研究相关的管理决策。 虽然所有的病人都是在同行评议的研究方案下入院的，但诊断和病人护理的许多其他方面完全由内分泌研究员决定。此外，内分泌服务的研究员还担任临床中心其他部分的顾问，在那里为病人提供有关内分泌问题的咨询。因此，研究员获得经验，与一些常见的问题，内分泌疾病，可能会发生在任何一般的医疗病房。 临床研究活动包括内分泌和代谢疾病的所有领域的计划。强调研究设计、结果测量、统计分析以及伦理和监管问题。

The NIH Inter-Institute Endocrinology Fellowship Program provides a comprehensive training experience that involves many of the NIH clinical branches working in endocrinology, as well as the Georgetown University Hospital, Washington Hospital Center and Walter Reed Army Medical Center. The basic and clinical endocrine research facilities at the NIH are among the most extensive and highly regarded in the world. Thus the fellowship is ideal for physicians who seek a broad education in both research and clinical endocrinology. Clinical training occurs largely in the first year. The remaining two years are spent primarily in laboratory or clinical research under the direction of a senior investigator in one of the several endocrinology branches of the NIH. During this research period, active clinical experience continues through a weekly continuity outpatient clinic, consult service and participation in clinical conferences. The National Institute of Diabetes and Digestive and Kidney Diseases (Diabetes Branch, Metabolic Diseases Branch, Clinical Endocrinology Branch and the Islet Autoimmunity Branch); The National Institute of Child Health and Human Development (Developmental Endocrinology Branch, Reproductive Biology and Medicine Branch); and The National Institute of Dental and Craniofacial Research participate in this program. Fellows are responsible for five to ten patients, at any one time on the inpatient service of the NIH. The trainee has total responsibility for all aspects of the patient's care, under the supervision of the endocrine faculty. Fellows make daily rounds, discuss patients with the attending physicians, and participate in management decisions related to both patient care and clinical investigation. Although all patients are admitted under peer-reviewed research protocols, there are many other aspects of diagnosis and patient care that fall completely under the discretion of the endocrine fellows. In addition, fellows on the endocrine service serve as consultants to the rest of the Clinical Center, where patients are unselected with regard to endocrine problems. Thus, the fellows gain experience with a number of common problems of endocrine disease that may occur in any general medical ward. Clinical research activities include programs in all the areas of endocrine and metabolic diseases. Study design, outcome measures statistical analysis and ethical and regulatory issues are stressed.