Clinical Training

The Division of Endocrinology and Metabolism and the Division of Diabetes combine to provide the broad clinical exposure required to fulfill the requirements for subspecialty certification.  For physicians interested in careers in clinical endocrinology, the two-year program consists of inpatient rotations and outpatient preceptorships in all fields of adult endocrinology. Training occurs at the University Health System (UHS) and the Audie L Murphy Veteran’s Administration Hospital (ALMVAH).  Outpatient preceptorships in pediatric endocrinology and reproductive endocrinology are also provided. A minimum of twelve months of clinical training is required.  Subspecialty residents also carry out a clinical research project at the Frederic C. Barter Clinical Research Unit or the Texas Diabetes Institute in the remaining months.

Regular divisional activities include weekly clinical case conferences and grand rounds; monthly endocrine-nuclear medicine conferences; monthly tumor board, cytopathology conference and pituitary-neuroradiology-neurosurgery conferences.  In addition, there are research seminars, clinical tutorials, and journal clubs.   During the inpatient consult service, subspecialty residents participate in bedside teaching of medical students and internal medicine housestaff assigned to endocrine electives. The subspecialty resident attends two continuity clinics: The weekly Endocrine Clinic at the Texas Diabetes Institute (TDI), which is part of UHS, and the weekly Endocrine Clinic at ALMVAH. The endocrinology clinic averages 30 patients per clinic with diverse endocrinology complaints-predominantly thyroid, pituitary and adrenal disease.

The patient care program puts emphasis on the comprehensive management of diabetes including the complications seen in ophthalmology, nephrology, neurology and podiatry. The subspecialty residents also attend a general diabetes clinic, insulin pump clinic and obesity clinic. At the end of two years of training, fellows are well prepared to take the Subspecialty Board examination in Endocrinology, Diabetes and Metabolism.

Research Training

Current ongoing research projects by faculty of the Division of Diabetes include: 1) Mechanisms of insulin resistance in type 2 diabetes, 2) The relationship between hypertension, dyslipidemia, body fat, hyperinsulinemia and insulin resistance, 3) Mechanisms of free fatty acid-induced insulin resistance, 4) New pharmacologic therapies in type 2 diabetes, 5) Effect of exercise on insulin signaling and glucose metabolism, 6) Effect of intensified insulin therapy on glucose metabolism and macrovascular complications in type 2 diabetes and 7) Mechanisms of macrovascular complications and their treatment in type 2 diabetes.

Other research opportunities include osteoporosis in men, osteoporosis in young women, and genetics of pheochromocytoma.

About San Antonio

  • Located on the edge of Texas’ beautiful Hill Country region, San Antonio is the seventh most populated city in the United States. Famous for its Spanish missions, the Alamo, the River Walk, the Tower of the Americas, the Alamo Bowl, SeaWorld and Six Flags Fiesta Texas theme parks, and home to the NBA champions, the Spurs.
  • San Antonio is visited by approximately 26 million tourists per year. It was named in the top 15 “coolest” cities by Forbes magazine in 2014 and named again one of the Top 15 places to live in America by U.S. News and World Report in 2018.
  • The city always has something going on, from concerts and festivals, to annual events such as Luminaria and Fiesta, an 11-day party with a purpose – fundraising for many local organizations and charities. The city enjoys a low cost of living, with a composite cost of living index of 92.3, below the national average.
  • Learn more about San Antonio

How to Apply

  • We participate in the National Residency Matching Program (NRMP).
  • Applications for the fellowship training program must be submitted through the Electronic Residency Application Service (ERAS) offered by the American Association of Medical Colleges (AAMC). We DO NOT accept applications outside of ERAS.
  • Applicants must be U.S. citizens, permanent residents of the U.S., or J-1 visa holders for fellowship positions at UT Health San Antonio. Unfortunately, at this time, we do not accept applications from H-1B visa holders.

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