Welcome to the Joseph S. Bruno Pediatric Endocrinology
training program site
The Joseph S. Bruno Pediatric Endocrinology training program consists of a 3-year comprehensive experience that incorporates clinical care, research activities, and evidence-based learning. The program is ACGME accredited and accepts one fellow per year. The fellowship is generously supported through a trust fund established by the family of Joseph S. Bruno, after whom the position is named.
Fellows entering this program are board certified/board eligible pediatricians who have graduated from accredited programs.
Clinical management of outpatient and inpatient endocrine disorders is the emphasis of the first year of training. The second and third years are devoted to pursuing research opportunities in an area of basic or clinical research under the supervision of a faculty preceptor.
The first year of fellowship is predominantly clinical. The fellow attends 6-7 half-day clinics per week, divided equally between diabetes and endocrine clinics, working alongside medical students, clinic nurses, diabetes educators, nurse practitioners, and residents. In addition, one week a month the fellow assists with the in-patient service, providing guidance for the resident on service, performing all in-patient consults, and handling phone consultations from outside physicians. As the primary referral center for the entire state of Alabama and portions of Mississippi as well, fellows are exposed to a large and varied patient population. Approximately 2-3 nights a month the fellow takes after-hours diabetes calls, which include urgent or emergent calls from patients and/or families of patients with diabetes. Approximately 1 weekend a month, the fellow is on call for the diabetes/endocrine service. During this time, the fellow takes admission calls, phone consultations from outside physicians, and makes rounds on the in-patient service, weekly fellow endocrine clinic and monthly diabetes clinic.
In the first half of the first year, the fellow also spends one month in an adult diabetes/endocrine clinic, and one month in a reproductive endocrine clinic. During the second half of the first year, the fellow begins to visit various laboratories and meet with potential mentors so that, by the end of the first year, a research project and mentor have been established.
Second and Third Years
In the second year of fellowship, the fellow's clinical duties decrease. He/she attends 3 half-day clinics per week. In-patient duties remain the same. The fellow begins the process of writing grants and/or submitting paperwork to the IRB for approval of his/her research project. Fellows meet regularly (at least quarterly or as needed) with mentors to discuss progress with projects.
In the third year, the fellow continues his/her research. He/she attends 1-2 half-day clinics per week and begins to function more independently, with the option to create his/her own separate clinic. In-patient duties remain the same. The fellow continues to meet regularly with his/her mentor.
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