Fellows completing clinical rotations are expected to acquire medical knowledge and clinical skills necessary to manage patients and families affected by diabetes and endocrine diseases. Inpatient and outpatient clinic experience constitutes a major component of training throughout all three years. First-year fellows complete nine months of inpatient responsibilities (on call months), and second and third-year fellows complete four to two months respectively of inpatient responsibilities. Patient care services include comprehensive pediatric diabetes and endocrine care to patients and their families who are newly referred, as well as to patients and families who are followed longitudinally. Fellows' clinical duties are supervised and evaluated by appropriate clinical faculty and staff. Opportunities for evaluation by patients are also provided. The University of Oklahoma has a great support staff to take care of diabetes patients. The diabetes pager is taken primarily by support staff. The fellows are on first call for diabetes emergencies only 12 weeks during their first year and 6 weeks for their second and third years. They get to pick the weeks they take so it is concurrent with when they are on call so that they are compliant with their duty hours.
Fellow Continuity Clinic
Fellows at each level participate in their own continuity clinic once a week. The purpose of Fellow Continuity Clinic is to allow fellows to experience the ongoing care of children with chronic endocrine conditions.
The SUCCEED Clinic teaches fellows the skills involved in the evaluation and management of children with disorders of sex development (DSD). This multidisciplinary team of pediatric and adult sub-specialists provides care and education for patients and families affected by Turner Syndrome, congenital adrenal hyperplasia, and children having a Y chromosome and disordered sex development.
Turner Syndrome Clinic
Held every other month, Turner Syndrome Clinic provides comprehensive care and support for patients with Turner Syndrome and their families. This clinic encourages fellow participation and provides fellows the opportunity to work in a multidisciplinary environment and coordinate patient care with other subspecialties (cardiology, audiology, nephrology, urology, psychology, and others as needed) including the primary care provider.
Metabolic Bone Disease Clinic provides diagnostic work up and comprehensive care for children with metabolic bone diseases such as rickets, osteoporosis, hypercalcemia, hypocalcemia, hypoparathyroidism, multiple/frequent fractures, vitamin D deficiency, and chronic diseases that impact bone heath (cystic fibrosis, cancer, etc.) Fellows spend six months to one year during their second year in the clinic.
American Indian Clinics
Attendance at American Indian clinics allow fellows to participate first-hand in the unique cultural, social, and ethnic-specific components associated with the care of American Indian children with chronic endocrine conditions. The environment is closely monitored by the attending, and cultural-specific aspects are emphasized. These clinics take place two to three times per month at three sites across the state:
- Choctaw Nation (Talihina, OK)
- Chickasaw Nation (Ada, OK)
- Absentee Shawnee Tribe (Little Ax, OK)
This community hospital satellite clinic exposes fellows to the distinctive aspects of a clinic similar to that encountered in a "private practice" setting. This clinic consists primarily of fully-insured, often affluent patients.