Endocrinology, Diabetes and Metabolism

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The Division of Endocrinology, Diabetes and Metabolism at the University of Miami Miller School of Medicine / Jackson Memorial Medical Center / Miami Veterans Affairs Medical Center offers a fellowship training program in endocrinology, diabetes and metabolism.  The J. Maxwell McKenzie Fellowship Training Program in Endocrinology, Diabetes and Metabolism is a two-year fellowship that offers a variety of clinical and research activities in flexible training programs designed to launch successful careers in a variety of career paths.  Trainees, particularly those who are interested in pursuing an academic career, are encouraged to explore with their mentors how to extend their appointments to a third year to allow for completion of a substantial research project and transition into a junior faculty appointment.

Clinical Training
Clinical training involves inpatient consultations and outpatient clinics at Jackson Memorial Hospital (JMH), the Miami Veterans Affairs Medical Center (VAMC), The Diabetes Research Institute (DRI) and the University of Miami Hospital and Clinics (UMHC) including the Sylvester Comprehensive Cancer Center. Clinical teaching is provided through a variety of clinical activities and several weekly conferences. 

The University of Miami medical complex is one of the nation's largest medical centers, providing care to a large number of indigent and tertiary referral patients. Time is set aside in the fellowship for elective rotations in various subspecialty clinics at affiliated hospitals. In addition to the diabetes and general endocrinology clinics, rotations include the thyroid disease and thyroid cancer clinic, reproductive endocrinology and fertility clinic, neuroendocrine and adrenal rotation, bone mineral metabolism and osteoporosis (including DEXA training), pediatric endocrinology, “private practice”, lipid disorders clinic and a block of diabetes-related subspecialty clinics including  high-risk pregnancy clinic (obstetrics), diabetic foot clinic, the diabetes devices program and nephropathy clinics and retinopathy clinic (Bascom Palmer Eye Institute).

Research Training
The program provides a variety of basic science and clinical research opportunities.  Faculty are currently involved in clinical and basic research in a wide spectrum of endocrine and metabolic diseases, with special emphases in endocrine autoimmunity, thyroid hormone metabolism and signaling, mineral metabolism and bone-cell biology, osteoporosis, carbohydrate and lipid metabolism, diabetes prevention, epidemiology and genetics of diabetes lipid disorders, and islet cell transplantation.  Fellows participate in clinical or basic science research projects under the supervision of members of the faculty.

Particular areas of strength in the research training program include those offered at the DRI, one of the world’s leaders in investigations of islet-cell biology and transplantation. Mentors to the fellows include faculty members who are prominent leaders and nationally recognized researchers in prevention of type I and type II diabetes, thyroid hormone action, osteoporosis, treatment of lipid disorders. Researchers in the division of endocrinology have particular historical significance and recognition and include the late J. Maxwell McKenzie, who is credited with elucidating the pathogenesis of Grave’s disease as well as current faculty member and 1977 Nobel Prize laureate Dr. Andrew Schally.

ACGME Accredited: Yes
Residents or Fellows per year:  3
Duration:   2
Postgraduate Training Required:  Yes
U.S. Citizenship Required:  US Citizen, Permanent Residents/Green Card Holders and J1-Visa

Teaching Hospitals
• Jackson Memorial Hospital (JMH)
• Miami Veterans Affairs (VAMC)
• University of Miami Hospital (UMH)
• University of Miami Hospital and Clinics (UMHC)

Residents/Fellows who have graduated our program in the last 10 years obtained faculty positions at:
University of Miami, Miller School of Medicine
Rush University Medical Center
University of Texas Rio Grande Valley (adjunct faculty)

Requirements
• MD Degree
• Internal medicine residency completed (ACGME-accredited)
• Pre-employment screen by JMH
• Eligible for licensure in FL Board exam
• Eligible to sit for ABIM Internal Medicine

Application Deadline
• Applications are due by October 1st of every recruitment season
• Applicants must apply through ERAS application System.
• Interviews will take place in the months of August, September and October during recruitment season

First Year Fellows
5-6 months on consult services (Endocrinology and diabetes consult services)
4 half day outpatient clinics per week (2 diabetes, 2 endocrine – JMH, VAMC)
Research: identification of mentor, project, and preliminary work (e.g. IRB)
4 weeks’ vacation (2 weeks July-December and 2 weeks January-June)

Second Year Fellows
Subspecialty rotations:  Diabetes, Thyroid and pediatric endocrine, Neuroendocrine/Adrenal & Reproductive endocrine, metabolic bone disorders
One weekly continuity clinic (JMH)
Structured research time
Private practice rotation
1-2 months of Consult Service (Diabetes and endocrine services)
Participation in 1-2 national (or international) meetings
4 weeks’ vacation (2 weeks July-December and 2 weeks January-June).

Board Exam Requirements
Board Exam Requirements are set by the American Board of Internal Medicine; for the complete list of requirements, please click on the following link: http://www.abim.org/certification/policies/imss/endo.aspx

Educational Experience
The fellowship program prides itself in its commitment to education. The program provides a sophisticated curriculum designed to deliver state-of-the art clinical training to fellows. Endocrinology fellows also are active teachers themselves, teaching endocrinology to medical students and residents, not only on rounds, but also in the classroom.

Clinical education is provided by faculty in clinics and on inpatient consult rounds. The fellowship program also has numerous educational conferences for fellows including a weekly core-curriculum didactic lecture given by a faculty member, an endocrine fellows’ journal club, research conference and grand rounds. Fellows also participate in board review and in an annual “how-to” conference series, similar to an “endocrine fellow boot camp”, occurring at the beginning of each academic year.

Research
Fellows are required to participate in scholarly activities during their fellowship including research and quality improvement projects. In the first year of fellowship trainees are provided with guidance in obtaining a research mentor and are required to identify their mentor and to define their research project. A substantial portion of the second year of our fellowship training program is dedicated to research training. Fellows are encouraged to present their work at national or international conferences and their work has resulted in several publications in recent years.


Clinics and Calls

  • Clinics
    Monday:  Diabetes Clinic JMH (only first year fellows)
    Tuesday:  Endocrine Clinic Miami VA (only first year fellows)
    Wednesday:  Lipid Clinic DRI (one assigned fellow per week)
    Thursday: Endocrine Clinic JMH (first and second year fellows)
    Friday:   Diabetes Clinic Miami VA (first year fellows) and FNA Clinic (both years)
  • Calls
    Each consult fellow takes home call via pager Monday through Friday
    One fellow covers the campus both the Endocrine and Diabetes service every other weekend starting Friday at 4pm during their consult service rotation.

Atil Y. Kargi, MD

Atil Y. Kargi, MD
Associate Professor of Medicine, Division of Endocrinology, Diabetes and Metabolism
Program Director, Endocrinology, Diabetes and Metabolism Training Program

Violet S. Lagari-Libhaber, DO

Violet S. Lagari-Libhaber, DO
Assistant Professor of Medicine, Division of Endocrinology, Diabetes and Metabolism
Associate Program Director, Endocrinology, Diabetes and Metabolism Training Program

Cary Menendez
Program Coordinator, Endocrinology, Diabetes and Metabolism Training Program
Phone: 305-585-5215, ext. 2
Fax: 305-585-8137

Prospective Residents

Physicians Services / Housestaff Office
Jackson Memorial Hospital
East Tower Room 1004
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-355-1122
Fax: 305-355-1123

Graduate Medical Education Office
Jackson Memorial Hospital
Institute 118B
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-585-4310
Fax: 305-585-4309

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