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Endocrinology Fellowship Program

The endocrinology fellowship program at the Saint Louis University School of Medicine provides comprehensive patient care services, education and research experience pertinent to endocrine disorders.

Our division provides inpatient and outpatient consultation services to a diverse patient population with a wide range of endocrine disorders at the SSM Health Saint Louis University Hospital and VA Saint Louis Health Care System.

The ambulatory care service is enhanced by an active thyroid ultrasound and biopsy clinic coordinated with onsite cytopathology, as well as a busy diabetes clinic with exposure to the latest technologies in diabetic care.

The inpatient consultation service responds to daily requests ranging from diabetes management to complex endocrine and metabolic disorders. The endocrine division coordinates care with tertiary referrals services including otolaryngology, neurosurgery and oncology among other specialties.

How to Apply

You may apply for one of our two Endocrinology fellowship positions through the Electronic Residency Application Service (ERAS). All of our positions are filled through the National Residency Match Program (NRMP).

Applicants must have passed the USMLE Steps 1, 2 and 3 and must expect to complete a three-year internal medicine residency in an ACGME accredited program. International medical graduates holding J1 visas are considered.

The program identifier on the AMA FREIDA Online web site is 143-28-21-080. 

Training and Didactic Teaching

The division offers two clinical fellowship training positions each academic year. In addition to daily teaching rounds and supervised outpatient clinics, the curriculum includes core lectures, grand rounds, formal case presentations, bone densitometry practicums, evidence-based medicine conferences, journal club, quality improvement project updates, and monthly joint adult/pediatric endocrinology conference. A one-month rotation in pediatric endocrinology and a one-month rotation in reproductive endocrinology/high-risk obstetrics are assigned during Year 1 and Year 2 respectively.

The endocrinology core curriculum is delivered as a comprehensive systems based lecture series given by faculty throughout the academic year. Endocrinology faculty and fellows participate in the general internal medicine training program at SSM Health Saint Louis University Hospital. The division contributes to medical education in the community through Internal Medicine Grand Rounds, invited symposium, diabetes and endocrinology symposia.

Research Rotation: Weekly Schedule 2019-2020
  Clinic Faculty
 
Monday morning General Endocrinology Clinic DOB faculty
Monday afternoon General Endocrinology Clinic DOB faculty
Tuesday morning Research

Sandeep Dhindsa, M.D.

Tuesday afternoon Research Sandeep Dhindsa, M.D.
Wednesday morning Endocrine Conference  
Wednesday afternoon

Fellows Continuity Clinic

Thyroid US/FNA

Stewart Albert, M.D.,
Alexis McKee, M.D.,
Alan Silverberg, M.D.
Thursday morning Research Sandeep Dhindsa, M.D.
Thursday afternoon Research Sandeep Dhindsa, M.D.
Friday morning General Endocrinology Clinic DOB faculty
Friday afternoon Thyroid US/FNA Alan Silverberg, M.D.

Fellows assigned to research will have a weekly meeting with the division director regarding updates on research and quality improvement projects. Fellows with active research projects may be granted additional research time outside of assigned clinics; this is at the discretion of the program director and division director.

SLU Consult Hospital Rotation: Weekly Schedule 2019-2020
  Clinic Faculty
 
Monday morning Hospital consults/DOB Clinic On-call attending
Monday afternoon Hospital consults/DOB Clinic On-call attending
Tuesday morning Hospital consults/DOB Clinic

On-call attending

Tuesday afternoon Hospital consults/DOB Clinic On-call attending
Wednesday morning Endocrine Conference  

Wednesday afternoon

Fellows Continuity Clinic
Thyroid US/FNA
Stewart Albert, M.D.,
Alexis McKee, M.D.,
Alan Silverberg, M.D.
Thursday morning

Hospital consults/DOB Clinic

*Thyroid US/FNA

On-call attending

Alan Silverberg, M.D.

Thursday afternoon

Hospital consults/DOB Clinic

*Thyroid US/FNA

On-call attending

Alan Silverberg, M.D.

Friday morning Hospital consults/DOB Clinic On-call attending
Friday afternoon Hospital consults/DOB Clinic
Thyroid US/FNA

On-call attending,

Alan Silverberg, M.D.

 

*First and Third Thursdays DOB

The fellow assigned to SLU hospital consults will be responsible for inpatient consults and inpatient rounds with the attending of the month.  When the fellow is not engaged with inpatient duties, he/she will attend clinic at the DOB.

Veterans Administration Medical Center Rotation: Weekly Schedule 2019-2020
  Clinic Faculty
 
Monday morning VA Endocrinology Clinic Charles Harris, M.D.
Monday afternoon VA Endocrinology Clinic Julia Dunn, M.D.
Tuesday morning Fellows Continuity Clinic  Alexis McKee, M.D.,
Alan Silverberg, M.D.
Tuesday afternoon VA Prep Time  
Wednesday morning Endocrinology Conference  
Wednesday afternoon

Fellows Continuity Clinic

Thyroid US/FNA Clinic

Stewart Albert, M.D.,
Alexis McKee, M.D.,
Alan Silverberg, M.D.
Thursday morning VA Diabetes Clinic Humaira Naseer, M.D.
Thursday afternoon VA Diabetes Clinic Humaira Naseer, M.D.
Friday morning Thyroid US/FNA Alan Silverberg, M.D.
Friday afternoon DOB Endocrinology Clinic
Thyroid US/FNA
Stewart Albert, M.D.,
Alan Silverberg, M.D.

*VA “prep time” reserved for VA patient follow-up or reading. Fellow does not need to be at the VA Medical Center or logged-in to the VA computer system, but should not engage in non-VA clinical activity.

Endocrinology Core Curriculum 2019

  • Practicum: Thyroid Ultrasound Practicum: Alan Silverberg, M.D.
  • David Dempsher, M.D.: Puberty and pubertal disorders
  • Kathryn Jackson, M.D.: Growth disorders
  • Stewart  Albert, M.D.: Adrenal insufficiency; adrenal hyperfunction; posterior pituitary; lipid metabolism; diabetic foot and ophthalmology practicum
  • Raymond Bourey, M.D.: Medical management of obesity and hypoglycemia
  • Sandeep Dhindsa, M.D.: Male hypogonadism; transgender medicine; and disorders of sexual development
  • Alan Silverberg, M.D.: Calcium and Vitamin D metabolism (two sessions); DXA interpretation ; and osteoporosis
  • Eliot Katz, M.D.: Thyroid function testing, hyperthyroidism and hypothyroidism
  • Alexis McKee, M.D.: Diabetes mellitus; introduction to insulins, pharmacologic management of type 2 diabetes mellitus
  • Alan Silverberg, M.D.: Thyroid nodules/cancer, part 1; thyroid nodules/cancer, part 2; anterior pituitary


Learn About the City of St. Louis
 

Explore Resident Benefits 

Research

Research within the division of endocrinology, diabetes and metabolism focuses on human clinical and translational studies. Endocrine fellows have exposure to all aspects of research, including protocol development, patient recruitment and follow-up during trial, laboratory methodology and data analysis.

Our faculty have expertise in the following areas:

  • Hypogonadism in obese men
  • Mechanisms underlying hypertension in obesity
  • Metabolic consequences of sleep apnea
  • Pharmacologic management of type 2 diabetes  mellitus
  • Diabetes technology
  • Thyroid disorders and thyroid cancer

The division is currently recruiting subjects for the following studies:

  • Hypogonadotropic hypogonadism in obese young males
  • Metformin and gastrointestinal intolerance
  • TRAVERSE study is evaluating MACE with 5 year treatment of androgel. Recruitment is limited to men with established CVD
  • Role of testosterone in NASH

Facilities include a clinical research center and a fully equipped research laboratory, and a research staff composed of a nurse coordinator, laboratory technician and laboratory supervisor.

The research center has three patient exam rooms, one room with a bed for prolonged infusions, a phlebotomy station and offices. The laboratory has 700 square feet of space supplied with vacuum, gas, sink/drain, MilliQ water purification system and several work stations.

Recent Faculty Publications
  • Ghanim H*, Dhindsa S*, Abuaysheh S, Batra M, Kuhadiya N, Makdissi A, Chaudhuri A, Dandona P. Diminished Androgen and Estrogen Receptors and Aromatase Levels in Hypogonadal Diabetic Men: Reversal with Testosterone. Eur J Endocrinol. 2018 Mar;178(3):277-283. *both authors contributed equally

  • Dandona P, Ghanim H, Abuaysheh S, Green K, Dhindsa S, Makdissi A, Batra M, Kuhadiya ND, Chaudhuri A. Exenatide Increases IL-1RA Concentration and Induces Nrf-2-Keap-1 Regulated Anti-oxidant Enzymes: Relevance to β Cell Function. J Clin Endocrinol Metab. 2018 Mar 1;103(3):1180-1187.

  • Dhindsa S, Ghanim H, Dandona P. Letter to Editor: Long-Term Testosterone Administration on Insulin Sensitivity in Older Men with Low or Low-Normal Testosterone Levels. J Clin Endocrinol Metab. 2018 May 1;103(5):2069-2070.

  • Dhindsa S, Irwig MS, Wyne K. Gonadopenia and Aging in Men. Endocr Pract. 2018 Apr;24(4):375-385.

  • Dhindsa S, Ghanim H, Batra M, Dandona P. Hypogonadotropic Hypogonadism in Men with Diabesity. Diabetes Care. 2018 Jul;41(7):1516-1525.

  • Sandhu SS, Dhindsa S, Kuhadiya N, Dandona P: Visual Vignette. A Case of Propylthiouracil (PTU) induced Antineutrophil Cytoplasmic antibody (ANCA) positive Cutaneous Vasculitis in a Hispanic Woman. Endocrine Practice. 2018. 2018 Nov;24(11):1019

  • Dhindsa S, Chemitiganti R, Ghanim H, Santiago E, Haider A, Chaar N, Mok M, McKee A, Dandona P. Intranasal Insulin administration does not affect LH concentrations in men with diabetes. Int J Endocrinol. 2018 Oct 31;2018: 6170154

  • Ghanim H, Dhindsa S, Batra M, Green K, Abuaysheh S, Kuhadiya ND, Makdissi A, Chaudhuri A, Dandona P. Effect of testosterone on FGF2, MRF4 and myostatin in hypogonadotropic hypogonadism: relevance to muscle growth. J Clin Endocrinol Metab. Jun 1;104(6):2094-2102.

  • Al-Khazaali A, Situala S, Dhindsa S. Letter to the Editor: Association Between Cortical Bone Microstructure and Statin Use in Older Women. J Clin Endocrinol Metab. 2019 Aug 1;104(8):3367.

  • Ghanim H, Dhindsa S, Green K, Abuaysheh S, Batra M, Makdissi A, Chaudhuri A, Dandona P. Increase in Osteocalcin Following Testosterone Therapy in Men With Type 2 Diabetes and Subnormal Free Testosterone. J Endocr Soc. 2019 Jul 1;3(8):1617-1630.

  • Albert, S.G. and S. Reddy, CLINICAL EVALUATION OF COST EFFICACY OF DRUGS FOR TREATMENT OF OSTEOPOROSIS: A META-ANALYSIS. Endocr Pract, 2017. 23(7): p. 841-856.

  • Gupta, D., et al., A unified Hyperglycemia and Diabetic ketoacidosis (DKA) insulin infusion protocol based on an Excel algorithm and implemented via Electronic Medical Record (EMR) in Intensive Care Units. Diabetes Metab Syndr, 2017. 11(4): p. 265-271.

  • Gupta, D., et al., Insulin infusion responses in diabetic ketoacidosis alone and with a mixed hypochloremic alkalosis. Diabetes Metab Syndr, 2019. 13(1): p. 216-221.

  • Zhang, R., D. Gupta, and S.G. Albert, Pheochromocytoma as a reversible cause of cardiomyopathy: Analysis and review of the literature. Int J Cardiol, 2017. 249: p. 319-323.

  • Farr, S.A., et al., Metformin Improves Learning and Memory in the SAMP8 Mouse Model of Alzheimer's Disease. J Alzheimers Dis, 2019. 68(4): p. 1699-1710.

  • McKee, A., et al., SARCOPENIA: AN ENDOCRINE DISORDER? Endocr Pract, 2017. 23(9): p. 1140-1149.

  • Dhindsa S, Chemitiganti R, Ghanim H, Santiago E, Haider A, Chaar N, Mok M, McKee A, Dandona P. Intranasal Insulin administration does not affect LH concentrations in men with diabetes. Int J Endocrinol. 2018 Oct 31;2018: 6170154

  • Farr SA, Roesler E, Niehoff ML, Roby DA, McKee A, Morley JE. Metformin Improves Learning and Memory in the SAMP8 Mouse Model of Alzheimer's Disease. J Alzheimers Dis. 2019;68(4):1699-1710.

  • Morley, J.E., A. Sanford, and R. Bourey, Sleep Apnea: A Geriatric Syndrome. J Am Med Dir Assoc, 2017. 18(11): p. 899-904.

Visiting Residents

Rotators are expected to attend scheduled conferences and be present in both an outpatient clinic and inpatient hospital setting on a daily basis. Rotators are responsible for their parking and meal fees. This is not a salaried rotation. 

Sponsoring institutions must contact our program coordinator via email 60 days before the requested rotation is required. (If the requested rotation is not available, a mutually agreed upon request will be considered.) In addition:

  • Rotators must hold a current Missouri license (no exceptions).
  • All rotations requested must be at a four-week interval, no exceptions.
  • Upon approval by our program director, our program coordinator will send the required documents to the sponsoring institution's coordinator via email for completion.
  • Upon completion, sponsoring institution will return three original completed signed documents and required attachments to the address listed on the form.

Any resident rotating will be required to complete the following, unless they are a SLU employee:

  • Epic training (Usually one full day on-site and an online module.)
  • Obtain a SLU ID

You will not be able to complete a rotation at Saint Louis University until all requirements are met and approval has been authorized. 

*The division does not currently sponsor observerships.