For all fellows, the first year of fellowship is structured as follows:                                                                                                             

• Three University of Iowa Hospitals & Clinics continuity of care (COC) clinics per week throughout the year (except when on UI Hospitals & Clinics or VA consult service). Endocrine COC clinics encompass endocrine and diabetes.
• One VA general endocrinology clinic per week when not on any consult service. Two clinics per week when on VA consult service, and none when on UI Hospitals & Clinics consult service. These clinics are run on a COC model and encompass a mix of general endocrine disorders and diabetes.
• Approximately 4 months on UI Hospitals & Clinics consult service (covers both UI Hospitals & Clinics and VA inpatient and urgent outpatient consults).
• Approximately 3 months of VA consult service (covers inpatient and urgent outpatient consults).
• Sub-specialty clinics intended to complement training provided through the endocrine consult service and the fellow COC clinics. The majority of these experiences will likely take place in year 1. Fellows may complete some of these requirements in year 2.
   

  Rotation	Requirement
  High-risk OB	Under close mentorship, each fellow follows 6 pregnant patients: 2 with type I DM 2 with type 2 DM 2 with gestational diabetes
  Lipid clinic	4 half-day clinics
  Male infertility clinic	2 half-day clinics
  Pediatric endocrinology	6 half-day clinics
  Renal stone	2 half-day clinics
  Reproductive endocrinology	3 half-day clinics
  NETC	5 half-day clinics
  Bone	5 half-day clinics
  Radiology US (thyroid US and FNA)	6 half-day clinics
  Obesity Clinic	6 half-day clinics
  Thyroid FNA clinic	Every other Monday (fellows rotate)
  LGBT clinic	4 half-day clinics

All fellows are also required to work on QI training, general scholarship, and to participate in the division’s didactics.

In addition, during year one, research fellows will identify a research project and mentor, obtain any required research certifications (such as human subject training), and familiarize themselves with their chosen research area, including learning any necessary basic procedures and techniques.