Divisions » Endocrinology & Metabolism » Endocrinology & Metabolism Fellowship

Endocrinology & Metabolism Fellowship

Group of Endocrinology fellows
The 2019-2020 Endocrinology, Metabolism, and Diabetes Fellows

Welcome to the George Washington University Endocrinology, Diabetes, and Metabolism Fellowship Training Program. Located in Washington, D.C., our program draws upon the diverse training of both the George Washington University and the Veteran’s Affairs Medical Center (VAMC). View the “Day in the Life of a Fellow” videos for a glimpse of what our fellows do at GW and the VA during their fellowship. Also visit the Structure tab to learn more about the program. Additionally, our fellows rotate at both Children’s National Hospital and the National Institutes of Health in the second year of fellowship. The breadth of cases seen in this fellowship leads our fellows to have broad exposure to endocrinological disorders, both common and rare. Upon graduation, our fellows are clinically astute and ready to enter academic, community, or private practice. 

Overview

Fellows at graduation. Photo Courtesy of Tania  Hossain PhotographyThe two-year training program enables trainees to develop the clinical competence and procedural skills necessary in order to practice endocrinology independently. In addition, fellowship provides an opportunity for trainees to develop their teaching skills, clinical and laboratory research skills, and personal educational skills that will prepare them for continuing professional growth after formal training has been completed.

The goals, content, and evaluation processes of the program are governed by the requirements of the American Board of Internal Medicine (ABIM) and the Accreditation Council for Graduate Medical Education (ACGME). Satisfactory completion of the training program fulfills the requirements for entrance to the certifying exam in Endocrinology, Diabetes and Metabolism administered by the ABIM.

Program Goals

The endocrinology fellowship program at George Washington University and the VA Medical Center aims for its trainees to develop:

  • An understanding of basic endocrine physiology. The trainee should understand normal endocrine molecular biology, biochemistry and physiology, and be able to apply those concepts to understand endocrine disease mechanisms.
  • A thorough knowledge of the approach to the evaluation and diagnosis of patients presenting with endocrine disorders and complaints.
  • An understanding of treatment and management strategies for endocrine disorders.
  • Technical skills to perform thyroid ultrasound and fine needle aspiration (FNA) biopsy, dynamic testing, insulin pump therapy, continuous glucose monitoring, DXA interpretation and other skills needed for endocrine practice.
  • The ability to interpret diagnostic studies, including hormonal testing and imaging studies.
  • Skill in the planning, performance and presentation of clinical, translational and laboratory research in endocrinology and metabolism.
  • Skills to design, initiate and perform Quality Improvement projects related to clinical endocrinology.
  • Skills in educating physicians, other health care professionals, patients, and lay persons about endocrine disease.

Clinical Training

The fellowship program is structured such that medical knowledge and skills pertaining to endocrine and metabolic diseases are acquired through supervised clinical experiences and formal education.

First Year endocrinology fellowsClinical competence is developed through a structured system of learning from patients with endocrine diseases and from formal and informal didactic sessions. The clinical education program is based upon several concepts:

  • Trainees are primarily in the program to learn.
  • Gradually progressive responsibility for patient care is an important part of learning.
  • Attending physicians are responsible for the quality of patient care and the teaching process.
  • Patient contacts must be numerous and varied.  They include inpatients and outpatients with as much variety as the institution can provide. 
  • Continuity of care is a valuable learning tool.
  • Teaching conducted by trainees is a valuable learning tool.

Our alumni graduates have gone on to successful careers in various positions throughout the United States and the world (see the Fellows tab to see where our fellows have gone next).

Thank you for your interest in our program. Please do not hesitate to contact us with any questions.

Jill M. Paulson, MD, FACE, FACP
Fellowship Program Director
Endocrinology, Diabetes, and Metabolism
George Washington University
imfellowships@gwu.edu

Application Process

2020 Recruitment Information

Fellows in Kogod PlazaThank you for your interest in the Endocrinology, Diabetes, and Metabolism fellowship program at the George Washington University. We are looking forward to receiving your application and learning more about you. Recruitment this year will be done completely virtual following guidance from ERAS and the Association of Program Directors in Endocrinology, Diabetes, and Metabolism (APDEM). Interviews will be conducted via Zoom from mid-September to early October on select Mondays and weekend days. Interview sessions will be offered in the morning starting at 9 a.m. and afternoon starting at 2 p.m. Interview sessions will last approximately three hours and include a presentation from the program director and interviews with faculty and current fellows. Invitations to interview will be sent out in mid to late-August. If you have questions at any time during the application and recruitment process, please do not hesitate to reach out to Lisa Horvath, fellowship program coordinator, at imfellowships@gwu.edu or 202.677.6056.

Application Information

Applications are only accepted through the Electronic Residency Applications Service (ERAS).


The candidate must register for both ERAS and the National Residency Match Program (NRMP). A candidate who has not registered with the NRMP cannot be considered during the ranking process. It is very important to remember to register.


Requirements for GW Fellowships

Fellowship applicants must have completed three years in an ACGME-Accredited Internal Medicine Residency, and be board-certified or board-eligible.

Required Documents for Complete myERAS Application

  • myERAS application
  • Curriculum Vitae (CV)
  • Personal Statement
  • Three Letters of Recommendation (one from the program director)
  • USMLE / COMLEX Scores (must have passed Steps I-III prior to start of fellowship year)
  • Medical Student Performance Evaluation (MSPE)
  • ECFMG Status Report for International Medical Graduates (must have certification)
  • Licensing Information and Board-Eligibility/Certifications (if applicable)
  • Citizenship Status

International Medical Graduates

We can only consider applicants with J1 visas. Please see our GME Visa policy.

IMGs must have completed an ACGME-accredited residency program.

Graduates of International Medical Schools must also be certified by the Educational Commission for Foreign Medical Graduates (ECFMG).


If you have any questions, please contact Lisa Horvath lhorvath@mfa.gwu.edu.

Program Structure

Year One

The first year of the endocrine fellowship emphasizes the pathophysiology of endocrine disorders, structured overview of endocrine and metabolic diseases, and progressive improvement of clinical skills including history, physical examination, the diagnostic evaluation, and the therapy of these disorders. During this year, fellows are introduced to endocrine procedures including sonography of the neck, fine needle aspiration of thyroid lesions, stimulation and suppression testing, insulin pump therapy and using continuous glucose monitoring devices.

Fellows are expected to become familiar with the major endocrine literature, to become skilled in searching the published medical literature and to become proficient in analyzing articles in order to extract and summarize methods and results, and critique the major findings and conclusions.

During their first year, fellows are expected to choose a faculty mentor and initiate their research and quality improvement projects. One month of the first year is devoted to initiation of research as well an elective.

Year Two

The major clinical goal of the second year is to prepare fellows to be independent practitioners. To that end, senior fellows are given increasing responsibilities. They are expected to master the clinical skills that were introduced during their first year of fellowship. They are expected to progress in their teaching skills and improve their own lecture skills. They are expected to teach the junior fellows, as well as the residents and students who rotate through the endocrinology service.

Second-year fellows spend one month at Children’s National Hospital. The goal of the rotation is to see children and adolescents with endocrinologic and metabolic disorders, learning how to care for them and transition care into adulthood. Fellows take part in the outpatient clinics there as well as didactics. Additionally, one week is spent on the inpatient service.

Second-year fellows spend one month at the National Institutes of Health, National Institute of Diabetes, Digestive, and Kidney Disease (NIDDK) inpatient service. Goals of the rotation are to identify, work on and diagnose rarer endocrinological disease and treatment in a specialty research center. Fellows will be exposed to rare and non-rare endocrinological disorders and become familiar with the inpatient research protocols at the NIDDK. Fellows will participate in all didactics and presentations at NIDDK while on the rotation.

Rotation Schedule

The rotation schedule is based on 5 fellows.

Year One
Veterans’ Affairs Medical Center (VAMC) 5 months
George Washington University School of Medicine and Health Sciences (GW) 5 months
Clinical/Research Elective 1 month
Vacation 4 weeks
Year Two
Veterans Affairs Medical Center (VAMC) 4 months
George Washington University School of Medicine and Health Sciences (GW) 3 months
Pediatric Endocrinology at Children’s National Hospital 1 month
Clinical Elective/Research Elective 2 months
Vacation 4 weeks
National Institutes of Health (NIH) 1 month

GW School of Medicine and Health Sciences

The Endocrine fellow assigned to the in-patient consultation service is responsible for managing the in-patient service. The fellow is expected to perform an initial evaluation on patients referred to the service or to supervise residents and students rotating on the endocrine service. All patients seen in consultation are presented to the attending physician supervising the in-patient service.

Clinics include: general endocrine clinics, endocrine high-risk pregnancy clinic, andrology clinic and FNA clinic. Each fellow typically attends three-to-four of these clinics during the week. Patients seen by the fellow are reviewed with the clinic attending physician including detailed discussion of the diagnostic and treatment plan.

After hours call is from 5 p.m. to 8 a.m. on weeknights, and from 5 p.m. Friday to 8 a.m. Monday, unless specified or pre-arranged (i.e. holidays). Fellows generally rotate call in one-week time blocks. Call may be taken from home. There is no overnight in-hospital call. The fellow on call covers both GW and VAMC—an attending physician from each clinical center is always available on back-up.

Fellow’s FNA and ultrasound clinic occurs once weekly.

The Veterans Affairs Medical Center

The in-patient service is divided into three teams: A, B, and C:

  • Consult team A (attending + fellow): Endocrine consults
  • Consult team B (attending + fellow):  Endocrine alerts
  • Consult team C (fellow):  Outpatient phone/fax coverage

The fellows rotate weekly on each team. Team A, together with an attending, evaluates endocrine consults. Team B, together with another attending, addresses blood glucose control problems based on the daily in-patient endocrine alert printout. Team C provides patient support via phone and fax.

There are half-day endocrine and diabetes clinics on Tuesdays and Fridays. The fellows on the VAMC rotation attend all of these clinics during the week. Patients seen by the fellow must be discussed with a supervising attending physician for the care plan, follow-up, and teaching.

Thyroid biopsies are performed with ultrasound guidance in the interventional radiology suite supervised by an attending endocrinologist. The fellow schedules this activity, ensures that an informed consent has been recorded in the EMR and that the equipment for the procedure is available. The fellow is responsible for writing a procedure note on the hospital chart that includes the indications for the biopsy, the procedure, and complications if any.

The VAMC has a telehealth program which allows patients to send clinical data from their home phone to the medical center. The Division of Endocrinology uses this capability for a number of diabetic patients who transmit their daily finger stick blood sugar logs through the system.

General Rotation Information

All fellows participate in continuity clinics weekly on Wednesday mornings at the VAMC and on Thursday afternoons at the GW Medical Faculty Associates Ambulatory Care Center (ACC). Fellows are expected to attend their continuity clinics each week throughout their entire fellowship (except when out of town) including during clinical elective and research rotations.

The fellows are the primary endocrinologists for their continuity clinic patients and are responsible for all aspects of their patients’ care including ordering tests, reviewing test results, communicating with patients and referring physicians, ordering and renewing medications, etc.

Clinical electives are chosen by each endocrine fellow with approval of the Program Director. Electives may include nuclear medicine, ophthalmology, surgical pathology, clinical pathology, bariatric surgery, or a combination of clinics. Most second year fellows choose to do a 2 week elective in reproductive endocrinology. Additionally, second year fellows also have the option of rotating through an advanced thyroid cancer clinic at Washington Hospital Center. 

Research time is devoted to research projects that the fellow is participating in and serves as a time where that can be the focus. The fellow still goes to their two continuity clinics. Research and quality improvement projects are chosen with the help of the fellow’s mentor and faculty members. 

Conferences

  Monday Tuesday Wednesday       Thursday Friday
8:00 Endocrinology Grand Rounds
GW
Endocrinology Conference
(when at VA)
    DXA Review
2300 M Street
(first Friday of the month)

 
11:00   Thyroid Conference
(Hosted by WHC, attend when at VA)
     
12:00      

Medicine Grand Rounds
GW
(Optional)

 
1:00     Didactic Lecture Series
VAMC
   
4:00 Journal Club
VAMC
(2nd and 4th Mondays)  
       

The year commences with twice weekly conferences throughout the summer that take place at Washington Hospital Center and Georgetown in conjunction with many endocrinology fellowship programs in the area. These conferences are an introduction to a broad range of endocrine topics and diseases and draw in faculty from the area. Additionally there are lectures in radiology and diagnostic testing.

Guest speakers and Endocrine Division members review contemporary clinical, translational, and basic research topics. Each endocrine fellow typically presents two conferences per year.

The journal club is held jointly with the Washington Hospital Center endocrine fellows and faculty every 2nd and 4th Monday. For each journal club, two articles from the current medical literature are presented by fellows or residents and critically reviewed.

Fellows meet with endocrine faculty to interpret and review DXA bone density studies once a month.

When at the VA, endocrine fellows and faculty are invited to attend the Washington Hospital Center/Georgetown Hospital weekly Endocrine Grand Rounds and Thyroid Conferences. GW endocrinology fellows often present at Thyroid Conference.

Our fellows also have several events throughout the year that complement their learning. This includes:

  • An ultrasound course at Walter Reed in the beginning of the academic year with other training programs in the area.
  • Continuous Glucose Monitor (CGM) day at GWU
  • Insulin Pump Day at GW
  • Advanced Insulin Pump Day at GW
  • Patient Communication Skills Session in the Simulation Center at GWU

Research and Scholarly Projects

Endocrine fellow with poster

Each fellow is expected to participate in a substantive scholarly project during fellowship training. Projects may include:

  • Research: A research project may involve any one of several types of investigations, including single case reports, review or meta-analysis, clinical research, or basic/translational research.
  • Clinical Quality Improvement: Clinical project (inpatient or outpatient to measure specific quality indicators or institute a new clinical protocol with specific endpoint measures
  • Special Projects: May include educational programs for medical students or residents, public health projects, health policy, etc.

Project Development

Within the first three months of fellowship, each endocrine fellow should meet with faculty members and discuss potential projects. A specific project should be decided at the midway point of the first academic year, and a detailed project proposal including a timeline for completion should be prepared and reviewed with the program director. Fellows who successfully complete a meritorious project will be encouraged to present the results at an appropriate venue (i.e., the Endocrine Society Annual Meeting).

Mentor

Each fellow should chose an Endocrine Division faculty member (GW or VAMC) as mentor for her/his project. 

Research Elective

Fellows will each have one month of research/clinical elective time during year one of training and two months of research elective time during year two of training.

Recent fellows' presented or published case reports and review articles:

Endocrine fellows with poster

  • Adrenal carcinoma presenting as hirsutism
  • Diabetes insipidus in malaria
  • Hibernoma and pheochromocytoma
  • Lithium in the management of Graves’ disease
  • Anorexia nervosa and persistent pituitary dysfunction
  • Thyrotoxic periodic paralysis
  • Case series on Cowden Syndrome

Recent fellow’s presented or published research studies:

  • Micro RNA markers in diabetic nephropathy
  • Diffusion tensor imaging: Radiological findings in middle aged US veterans with type 2 diabetes mellitus.
  • Pre-operative parathyroid venous sampling in patients with non-localizing primary hyperparathyroidism.
  • Fitness impact on renal function in type 2 diabetes
  • Mortality risk association between exercise capacity and obstructive sleep apnea in men with type 2 diabetes mellitus and/or hypertension
  • Sequencing of the androgen receptor gene in a transgender individual with partial androgen insensitivity
  • Utility of continuous glucose monitoring during exercise in patients with type 2 diabetes
  • Effect of continuous glucose monitor on food choice, activity, and lifestyle in type 1 diabetes
  • Denosumab and change in glomerular filtration rate
  • Accelerated bone loss in amputees at the VA Medical Center 

Fellows and Alumni

Current Fellows | 2019-2021

Surosh Nazeer, MD
Medicine Residency: University of Maryland, Prince George’s County Medical Center

Maryam Movassaghian, MD
Medicine Residency: Greater Baltimore Medical Center
Fellowship: Geriatrics at University of Maryland


Current Fellows | 2020-2022

Nejat Naser, MD
Medicine Residency: George Washington University
Post-residency position: Hospitalist at Kaiser Permanente

Hira Shakeel, MBBS
Medicine Residency: Greater Baltimore Medical Center


Alumni Fellows

2020

Farah AlSarraf, MD
Medicine Residency: University of Utah
Post-fellowship position: TBD

Harleen Dehal, MD
Medicine Residency: Sinai Hospital, Baltimore
Post-fellowship position: Endocrinologist at Eastern Maine Medical Center

Preethi Padmanaban, MD
Medicine Residency: St. Elizabeth’s Hospital
Fellowship: Geriatrics at George Washington University
Post-fellowship position: Endocrinologist at Hamilton Medical Center (Dalton, GA)


2019

Munaza Akunjee, MD
Medicine Residency: Providence Hospital
Post-fellowship position: Endocrinologist at Washington Hospital Center

Sasan Fazeli, MD
Medicine Residency: Providence Hospital
Post-fellowship position: Endocrine Oncology Fellowship at MD Anderson


2018

Sana Akbar, MD
Medicine Residency: University of Tennessee
Post-fellowship position: TBD

Amani Alameer, MD
Medicine Residency: George Washington University
Post-fellowship position: Endocrinologist at Medstar, St. Mary’s

Enas AlZaghal, MD
Medicine Residency: University of Arizona
Post-fellowship position: Endocrinologist at University of Nebraska affiliate


2017

Preethi Kadambi, MD
Medicine Residency: Howard University
Current position: Endocrinologist at University of Maryland, Baltimore Washington Medical Center

Sheliza Lalani, MD
Medicine Residency: George Washington University
Current position: Endocrinologist at Bayly Medical Clinic, Toronto, Ontario, Canada


2016

Naima AlFaraj, MD
Current Position: Internal Medicine and Endocrinology Consultant, Al Zahra General Hospital, Qatif, Saudi Arabia

Kriti Gupta, MD
Current Position: Endocrinologist, Endocrine and Thyroid Specialists/Monocacy Health Partners, Frederick, MD

Resmi Premji, MD
Current Position: Endocrinologist, Montage Medical Group, Marina, CA


2015

Jamil Addas, MD
Current Position: Consultant Endocrinologist, Dr. Soliman Fakeeh Hospital, Jeddah, Saudi Arabia

Ishita Prakash, MD
Current Position: Endocrinologist, Pierremont Endocrine Center, Shreveport, Louisiana

Nira Roopnarinesingh, MD
Current Position: Attending Physician, Bayhealth Endocrinology, Milford and Dover, Delaware


2014

Shruti Gandhi, MD 
Current Position: Endocrinologist, Veteran’s Affairs Medical Center
Assistant Professor of Medicine, George Washington University School of Medicine, Washington, DC

Catherine Luz Tello, MD 
Current Position: Endocrinologist, Maryland Endocrine, Columbia, Maryland


2013

Hawaa Al Mansouri, MD
Current Position: Deputy Director, Imperial College of London Diabetes Center, Abu Dhabi, United Arab Emirates

Tanu Chandra, MD
Current Position: Endocrinologist, University of Maryland Center for Diabetes and Endocrinology at Upper Chesapeake Medical Center, Bel Air, Maryland

David Ni, MD
Current Position: Endocrinologist, Maryland Endocrine, Columbia, Maryland


2012

Manchin Chang, MD
Current Position(s): Endocrinologist, Diabetes and Endocrinology Associates | Clinical Assistant Professor of Medicine, Brown University Alpert School of Medicine, Providence, Rhode Island

Adline Ghazi, MD
Current Position: Endocrinologist, Diabetes and Endocrine Center,
Medstar Union Memorial Hospital, Baltimore, Maryland


2011

Khalid Alswat, MD
Current Position(s): Dean of Graduate Studies and Assistant Professor of Medicine,
Taif University School of Medicine | Consultant Physician of Internal Medicine, Mansour Military Hospital, Taif, Saudi Arabia

Jeffrey Mindel, MD
Current Position: Endocrinologist, Bay West Endocrinology Associates, Baltimore, Maryland

Jonathan Welden, MD 
Current Position: Endocrinologist, The Baton Rouge Clinic AMC, Baton Rouge, Louisiana