UCI/CHOC Pediatric Endocrinology Fellowship Program

The University of California, Irvine and the Children’s Hospital of Orange County are proud to announce that the new UCI/CHOC Pediatric Endocrinology Fellowship Program will be accepting applications through ERAS on July 15th, 2018 for a fellowship position to start July 1st, 2019.

Program Leadership

Himala Kashmiri, DO
Program Director

Mark Daniels, MD
Division Chief, Endocrinology and Diabetes at CHOC

Judy Sepulveda
Fellowship Coordinator

Program Overview

Our endocrine and diabetes program aims to prepare fellows for careers as leaders in clinical or academic medicine through an outstanding academic, professional, and collegial atmosphere.

We aim to provide the fellow with:

  • Structured one-on-one mentoring to help guide their chosen career path
  • Opportunities for conducting and presenting research (basic science, translational, clinical and educational) as well as quality improvement projects
  • A collaborative culture that protects the fellow to ensure wellness and minimize “burnout” while creating resilience
  • An experience to provide patient-centered, evidence-based, high quality and innovative care to patients and their families

The first-year fellow will have intensive clinical training focused on both outpatient and inpatient endocrine disorders, supervised by an attending physician from the division. Rotations will follow a 13-block template where the fellow will rotate every other week between the inpatient service and the outpatient clinics (total of 22 weeks of inpatient and 22 weeks of outpatient service). CHOC provides extensive exposure to both common and exotic pathologies, making an optimal learning environment for our fellow. The fellow will be expected to become proficient in the diagnosis and management of common endocrine disorders, as well as become familiar with the psychosocial and ethical aspects of care for these patients.

During the first year, the fellow will also have 4 weeks total of protected research time to explore possible research topics and select a research mentor. Two of these four weeks of research will be spent at UCI introducing the fellow to the Islet program and providing basic education and experience on lab methodologies.

The second and third years are largely devoted to clinical or basic research with a mentor chosen by the fellow. During research time, the fellow will continue participating in their Continuity Clinic (1/2 day per week) and will participate in specialty clinics (1/2 day per week). In the second year, the fellow will have 4 non-consecutive weeks of inpatient service; in the third year it will be 3 non-consecutive weeks. Overall, research time in the second and third years will be 38 weeks/year. Our inpatient service is robust and we typically have 10-15 patients through the consult and primary endocrine/diabetes service that we follow at any given time making for a highly educational inpatient experience.

The outpatient experience provides access to a high-volume pediatric center that treats children with a variety of endocrinopathies such as diabetes, disorders of growth, disorders of anterior pituitary gland, diabetes insipidus, thyroid disorders, disorders of calcium homeostasis, metabolic bone disease, adrenal gland disorders, endocrine neoplasia, and disorders of puberty. Throughout the three years of fellowship, the fellow will participate in the Endocrine Attending and Fellow Continuity clinics, as well rotate through various subspecialty clinics. These clinics include the Thyroid Cancer, Long-term Cancer Survivorship, Turner syndrome, Disorder of Sex Development, Congenital Adrenal Hyperplasia, Klinefelter syndrome, Transgender, Red Cell, Prader-Willi Syndrome clinic, and Type 2 Diabetes clinics.

Research

Training in research and completion of a project related to pediatric endocrinology is an ACGME requirement. In the first year, the fellow should concentrate on choosing a research project and mentor. Mentors are available at both UCI and CHOC, both in Pediatric Endocrinology and/or in collaboration with other subspecialists. In the second and third years, each fellow will have 38 weeks of scheduled research time per year. In line with ACGME requirements, each fellow will have a Scholarly Oversight Committee (SOC) that will help guide fellows and monitor progress on research projects.

As part of their training in research, the fellow will be expected to gain experience in study design, conducting hypothesis-driven research, laboratory methodology, statistical analysis, IRB preparation, and if applicable, grant preparation. Training in these topics will be included in the Fellow Core Curriculum.

Conferences and Teaching

  • Journal Club (monthly)
  • Fellow Case Conference (weekly): Fellows bring challenging cases from their clinic to discuss with attending and other fellows. This is an opportunity to get management advice on their toughest patients as well as learn from other fellows’ cases and the perspectives of other attending physicians.
  • Weekly division-wide conference, allowing an informal opportunity for any provider to present a challenging clinical case (inpatient, outpatient, or consults) to the group to get everyone’s input.
  • Fellow Endocrine Board Review Conference (every 4-6 weeks)
  • Opportunities also exist for senior fellows to present at lectures for other divisions, as well as outside hospitals as part of community outreach.
  • Fellows are also expected to teach residents and medical students on the wards and in the outpatient clinics, as well as through Grand Rounds, Morning Report and noon conferences.

Clinical Faculty

Himala Kashmiri, DO – Program Director. Assistant Clinical Professor of Pediatrics, UC Irvine School of Medicine. Publications and research interests include growth, thyroid cancer, and disorders of sex development.

Mark Daniels, MD – Division Chief. Associate Clinical Professor of Pediatric, UC Irvine School of Medicine. Publications and research interests include diabetes, transgender and endocrinopathies in long-term cancers.

Amrit Bhangoo, MD – Assistant Clinical Professor of Pediatrics, UC Irvine School of Medicine. Publications and research interests include growth disorders, disorders of sex differentiation, insulin resistance

Timothy Flannery, MD – Assistant Clinical Professor of Pediatrics, UC Irvine School of Medicine. Publications and research interests include growth disorders, pituitary and calcium disorders.

Nikta Forghani, MD — Assistant Clinical Professor of Pediatrics, UC Irvine School of Medicine. Publications and research interests include Turner syndrome, transgender, and ovarian failure.

Sejal Kadakia, MD – Assistant Clinical Professor of Pediatrics, UC Irvine School of Medicine. Publications and research interests include Prader-Willi syndrome, thyroid cancer, type 1 diabetes.

Christina Reh, MD – Assistant Clinical Professor of Pediatrics, UC Irvine School of Medicine. Publications and research interests include cystic fibrosis related diabetes, transgender, and Turner syndrome.

Lien Trinh, MD – Assistant Clinical Professor of Pediatrics, UC Irvine School of Medicine. Publications and research interests include congenital adrenal hyperplasia, long term cancer survivorship, and Prader-Willi syndrome.

In addition, our team includes 3 licensed nurse practitioners, 9 diabetes educators, 3 dieticians, a psychologist, and a social worker. We are an ADA accredited program and offer patients and their families a highly educational diabetes and pump program with a variety of classes available.

Our Hospitals

University of California, Irvine

UCI provides extensive, high quality education and clinical training, with 560 full-time faculty members and more than 1300 volunteer faculty members from 26 clinical departments. UCI sponsors a multitude of innovative and highly productive research programs. In addition to its adult programs, UCI serves as the sponsor for residencies in Pediatrics, Child Neurology, Combined Pediatrics/Anesthesia, and Medical Genetics, as well as fellowships in Neonatal/Perinatal Medicine, Pediatric Pulmonology, Pediatric Urology, Child and Adolescent Psychiatry.

Children’s Hospital of Orange County

CHOC is an academic, community-based hospital that serves as the main site for training in the fellowship. It has 334 beds, including a 30-bed PICU, 12-bed Cardiac ICU, 72-bed NICU and separate Oncology and Neuroscience units. In 2016-2017, there were 12,891 hospital discharges with 89,791 ED visits and 4,252 transports to CHOC. CHOC’s ED is a Level II pediatric trauma center. CHOC also operates primary care and specialty clinics throughout the county. The hospital serves about 2 million patients over 4 counties.

The training and education of medical students, residents and fellows has been a longstanding focus of CHOC. Each year, CHOC trains about 290 residents and fellows from 38 different training programs, along with 190 medical students.

How to Apply

Applications are accepted through the Electronic Resident Application System (ERAS) and we participate in the National Residency Match Program (NRMP).

To Contact Us

Judy Sepulveda
Program Coordinator
UCI.CHOC.PedsEndo@choc.org
714-509-8866

Long Live Childhood

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