The MedStar Health—Union Memorial Hospital Fellowship Program in Endocrinology
Our Diabetes and Endocrine Center is one of the busiest medical facilities in Baltimore.
We have seven faculty members dedicated to patient care, teaching, and clinical research. Our focus is on training endocrine fellows who plan to practice clinical endocrinology.
Why train here
The award-winning, experienced, and knowledgeable specialists at the Diabetes and Endocrine Center at MedStar Union Memorial Hospital are among the leaders in their field.
They provide fellows with a comprehensive approach to studying how to diagnose and treat people with diabetes, obesity, and metabolic and other endocrine disorders. Our program has the resources needed to train fellows in areas that can be affected by diabetes, such as eyes, feet, and the cardiovascular system, as well as in other endocrine conditions, such as thyroid disease and osteoporosis.
Three of our faculty members are certified to perform radioactive iodine treatment, so our fellows obtain experience in interpreting thyroid uptake and scans and are able to participate in radioactive iodine treatment for hyperthyroidism and thyroid cancer.
Three of our faculty members are certified to read DEXA scans and read all DEXA scans for MedStar Union Memorial. Our fellows also gain experience reading DEXA scans.
Our center also has a nurse practitioner, a certified diabetes educator, and a nutritionist. Our fellows learn interpretation of continuous glucose monitoring and have patients in their clinics who are on insulin pumps and sensors.
Clinical and academic excellence
The Department of Medicine at MedStar Union Memorial offers a two-year ACGME*-accredited clinical training program leading to certification in Endocrinology, Diabetes, and Metabolism. The goal of the program is to produce well-rounded clinical endocrinologists.
Didactic conferences include:
- Endocrine journal club (once per week)
- Core curriculum conference (once or twice per week)
- Case conference (once per week)
- Research or basic science conference (once per month)
- Radiology conference (twice per year)
- Pathology conference (twice per year)
The fellows are expected to participate in all conferences and present at many conferences (e.g., journal club and case conference).
*Accreditation Council for Graduate Medical Education
Our fellows rotate on the endocrine consult service in our hospital and are exposed to common endocrine conditions such as diabetic ketoacidosis, hyperosmolar coma, hypothyroidism, hyperthyroidism, hypercalcemia, hypoglycemia, and adrenal insufficiency.
Our fellows have a continuity clinic every Monday morning where they see and treat a broad variety of endocrine conditions.
In addition, our fellows have a dedicated thyroid continuity clinic where they gain experience performing thyroid ultrasounds and thyroid nodule fine needle aspiration biopsies with direct one-on-one supervision.
The fellows’ schedule follows the Department of Medicine blocks for better continuity with the attending schedule. Each year comprises 13 blocks divided into two 2-week sections (e.g., block 1A and 1B).
The fellows have a weekly, half-day general endocrine continuity clinic as well as a thyroid continuity clinic when doing inpatient consultations.
To enrich their clinical experience, fellows are required to do endocrine rotations at local major referral centers. These rotations expose our fellows to the more rare endocrine conditions that might not be seen as frequently in a community hospital.
The following rotations are required:
|Inpatient Endocrine Consult Service||MUMH||13 blocks||Schroeder|
|Reproductive Endocrinology||MUMH||1 block||Schroeder|
|Continuity Clinic||DM Center||26 blocks||Schroeder|
|Thyroid Clinic||DM Center||13 blocks||Schroeder/Sack|
|Diabetes Clinic||Adult Medicine clinic||13 blocks||Cheikh|
|Endocrine Clinic||Adult Medicine clinic||13 blocks||Cheikh|
We are proud to present selected publications from our faculty and former and current endocrine fellows.
Damcott, C.M., Sack P., & Shuldiner A.R. (2003). The genetics of obesity. Endocrinology & Metabolism Clinics of North America,. 32(4):761-86.
Leboulleux, S., Schroeder, P.R., Schlumberger, M., & P.W. Ladenson. (2007). The role of PET in follow-up of patients treated for differentiated epithelial thyroid cancers. Nat Clin Pract Endocrinol Metab. 3(2):112-21.
Rampersaud, E., Mitchell, B.D., Pollin, T.I., Fu, M., Shen, H., O’Connell, J.R., Ducharme, J.L. Hines, S., Sack, P., Naglieri, R., Shuldiner, A.R., & Snitker, S. (2008). Physical Activity and the Association of Common FTO Gene Variants With Body Mass Index and Obesity. Arch Intern Med, 168(16):1791-1797.
Streeten E.A., McBride D., Puffenberger E., Hoffman M.E., Pollin T.I., Donnelly P., Sack P., & Morton H. (2008). Osteoporosis-pseudoglioma syndrome: description of 9 new cases and beneficial response to Bisphosphonates. Bone, 43(3):584-90.
Shen H., Herzog W., Drolet M., Pakyz R., Newcomer S., Sack P., Karon H., Ryan K.A., Zhao Y., Shi X., Mitchell B.D., & Shuldiner A.R. (2009). Aspirin Resistance in healthy drug-naive men versus women (from the Heredity and Phenotype Intervention Heart Study). American Journal of Cardiology,. 104(4):606-12.
Leboulleux, S., Schroeder, P.R., Busaidy, N.L., Auperin, A., Corone, C., Jacene, H.A., Ewertz, M.E., Bournaud, C., Wahl, R.L., Sherman, S.I., Ladenson, P.W., and Schlumberger, M. (2009). Assessment of the Incremental Value of Recombinant TSH Stimulation before 2-[18F]-Fluoro-2-Deoxy-D-Glucose Positron Emission Tomography/Computed Tomography Imaging to Localize Residual Differentiated Thyroid Cancer. J. Clin. Endocrinol. Metab, 94(4): 1310-16.
Schroeder, P.R., Ladenson, P.W. (2009). TOXIC NODULAR GOITER: Toxic Adenoma and Toxic Multinodular Goiter in Wondisford, F.E. and S. Radovick. Clinical Management of Thyroid Disease, 1st Edition. Philadelphia, Saunders (An Imprint of Elsevier).
Shomali, M. (2011). Add-on therapies to metformin for type 2 diabetes. Expert Opin Pharmacother, 12(1):47-62.
Shomali, M.E., Herr D.L., Hill P.C., Pehlivanova M., Sharretts J.M., Magee M.F. (2011) Conversion from intravenous insulin to subcutaneous insulin after cardiovascular surgery: transition to target study. Diabetes Technol Ther, 13(2):121-6.
Shomali, M. (2011). Hypoglycemia in the hospital. J Community Hosp Intern Med Perspect, 18;1(2).
Quianzon, C.L., Shomali M.E. (2011). Lixisenatide—Once-daily Glucagon-like Peptide-1 Receptor Agonist in The Management of Type 2 Diabetes. U.S. Endocrinology, 7(2):102–7.
Forouhar, E., Sack, P. (2012). Non-traditional therapies for diabetes: Fact or Fiction? Journal of Community Hospital Internal Medicine Perspectives. 2(2).
Shomali, M., Cheikh, M. (2012) Incidence of extreme hyperglycemia and hypoglycemia in hospitalized patients during the month of July in teaching hospitals. J Community Hosp Intern Med Perspect, 16;2(2).
Shomali, M. (2012). Diabetes treatment in 2025: can scientific advances keep pace with prevalence? Ther Adv Endocrinol Metab, 3(5):163-73.
Iyengar, K. (2013). Chapter entitled Polyuria and Polydipsia in Israel, J.L. and A.R. Tunkel. Medicine: A Competency-Based Companion. Philadelphia, Saunders (An Imprint of Elsevier).
Sack P. (2013). Chapter entitled Fragility Fracture. In J.L. Israel and A Tunkel. Medicine, A Competency-Based Companion, (pp. 553-566). Saunders Elsevier.
Schroeder, P.R. (2013). Chapter 49 Weight Loss in Israel, J.L. and A.R. Tunkel. Medicine: A Competency-Based Companion. Philadelphia, Saunders (An Imprint of Elsevier).
Shomali M.E., (2013). ed. Section IX Endocrine Diseases, in Tunkel A, Israel J. Eds. Medicine: A Competency-Based Companion, 1st Edition, Whiley Elsevier.
Shomali M. (2014). Optimizing the Care of Patients With Type 2 Diabetes Using Incretin-Based Therapy: Focus on GLP-1 Receptor Agonists. Clinical, 32:32-43.
Sudharsan B., Peeples M., Shomali M. (2015). Hypoglycemia prediction using machine learning models for patients with type 2 diabetes. J Diabetes Sci Technol, 9(1):86-90.
Quianzon, C., and P.R. Schroeder. (2015). Initial Management of Thyroid Nodules Among Primary Care Providers and Internal Medicine Residents. Journal of Community Hospital Internal Medicine, 5(2):4.
Former and current fellows’ presentations and posters
Iyengar, K. (2009). Bone Disease in Diabetes. MUMH Diabetes Update XXXII.
Saluja S. (2010). Dupuytren’s Contracture. MUMH Diabetes Update XXXIII.
Quianzon, C., and Schroeder, P.R. (2011). Pheochromocytoma Diagnosis 1.5 Years Following an Acute Coronary Event. American Association of Clinical Endocrinologists 20th Annual Meeting.
Quianzon, C. and Sack, P. (2011). Graves’ Disease Following Primary Hypothyroidism After 40 Years. American Association of Clinical Endocrinologists 20th Annual Meeting.
Quianzon, C. (2012). Erectile Dysfunction and Diabetes. MUMH Diabetes Update XXXV.
Quianzon, C., and Schroeder, P.R. (2012). A Survey on Initial Management of Thyroid Nodules Among Primary Care Providers and Internal Medicine Residents. American Association of Clinical Endocrinologists 21st Annual Meeting.
Cheikh, M. D (2014). Diabetes and Cancer. MUMH Diabetes Update XXXVII.
Cheikh, M., Petras, E., Shomali, M., Kulkarni, R., Cheikh, I., Sack, P., Schroeder, P., and J. Blumenthal. (2014). A Glucose Visualization Tool for Inpatient Diabetic Management. American Association of Clinical Endocrinologists 23rd Annual Meeting.
Cheikh, M., R. Kulkarni, E. Forouhar, and I. Cheikh. (2014). An unusual case of virilization. American Association of Clinical Endocrinologists 23rd Annual Meeting.
Kulkarni, R., Hans, S. and P. Schroeder. (2015). Male Osteoporosis and Screening Rates. 97th Annual Endocrine Society Meeting.
Gambito , M. R. (2015) A Bread and Butter Case of Hypoglycemia? Maryland Endocrine and Metabolism Society Meeting.
Kulkarni , R. (2015). Gut Microbiota and Metabolic Effects. MUMH Diabetes Update XXXVIII.
Cheikh, M., Henin, M., Cohen, I., Schroeder, P. and P. Sack. (2015). Does the Weight-based Calculation for Thyroid Hormone Need to be Revised? American Association of Clinical Endocrinologists 24th Annual Meeting.
Gambito, M.R., P.M Rozario, K. Feghali, and P. Sack. (2015(. Hypoglycemia: A Complication of Post-Bariatric Surgery. American Association of Clinical Endocrinologists 24th Annual Meeting.
Gambito, M.R., and I. Cheikh. (2015). Stare. American Association of Clinical Endocrinologists 24th Annual Meeting
Gambito, M.R., S. Gandhi and P. Sack. (2015(. Hypoglycemia After Pancreatic Transplant. American Association of Clinical Endocrinologists 24th Annual Meeting.
Santos Leal, A. (2016). Feminizing Adrenal Tumor. Maryland Endocrine and Metabolism Society Meeting.
Kulkarni and P. Schroeder. (2016). A Double Whammy on Pancreatic Beta Cells. 98th Annual Endocrine Society meeting.
Gambito, M.R. (2016). Skin Mansifestations of Diabetes. MUMH Diabetes Update XXXIX.
Santos Leal, A. (2016). Challenging Thyroid Cases. Medstar Harbor Hospital First Annual Thyroid Update.
Santos Leal, A. and P. R. Schroeder. (2016). Unintended Consequences: Endocrine Complications of Program Cell Death-1 Receptor Inhibitors. American Association of Clinical Endocrinologists 25th Annual Meeting, Endocrine Practice: May 2016, Supplement 2, pp. 247-308.
Former fellows’ awards won at national endocrine meetings
Clinical Research Fellowship and Mentor Award in Women’s Health-travel grant award $1000. Gambito, M. R. , L. El Hage, J. Byun, R. Daniel, & Schroeder P.R. (2016). Screening for Diabetes Mellitus in Patients with a History of Gestational Diabetes Mellitus: A Comparison of Practice Patterns and Adherence to the Recommended Guidelines in Community Teaching Hospitals. 98th Annual Endocrine Society meeting.
Outstanding Abstract Award-travel grant award $500. R. Kulkarni. Gambito, M. R., & Schroeder P. (2016). Uterine Sarcoma and Low Glucose: IGF-2-Producing Tumor Causing Hypoglycemia. 98th Annual Endocrine Society meeting.
Presidental Poster Award. Gambito, M.R. and I. Cheikh. (2016). Sugars and Shakes: Hyperglycemia and Hemichorea-Hemiballism. 98th Annual Endocrine Society meeting.
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