The Division of Endocrinology is responsible for the care of all adult patients with endocrine disorders (including diabetes) in the medical school complex, which consists of the 700 bed University Hospital and the 150-bed Iowa City VA Health Care System. The hospitals are located on the Health Sciences campus in Iowa City and derive their patient population from the states of Iowa, western Illinois, southern Wisconsin and northern Missouri. The University Medical Center is also responsible for the care of all indigent patients in the State of Iowa and thus is the tertiary care center for a large geographic area encompassing over three million people. The clinical case material is varied, complex and covers the full range of endocrine disorders.
Clinical activities of the Division include daily consultation rounds, morning and afternoon clinics, and a weekly VA endocrine clinic. Scheduled endocrinology conferences include: (1) clinical conference on Wednesdays, at which interesting patients or problems are presented and discussed in a multi-disciplinary format, (2) grand rounds style conference on Fridays, (3) endocrine surgical pathology case conference monthly, (4) twice a month research seminar of the Diabetes Research Center, (5) journal club monthly, (6) clinical endocrinology didactic lectures monthly on 6 months per year.
Every patient seen is a teaching case. A patient is evaluated first by either a student, house officer, or endocrine fellow, then each patient is presented to a member of the senior staff for evaluation and discussion. Advanced training fellows (third year or beyond) may be asked to serve as attending physicians on the consultation service.
The clinical program is closely integrated with other related departments and divisions. There are formal rotations for our fellows on the endocrinology services of the Department of Pediatrics and Division of Reproductive Endocrinology. We have established excellent working arrangements with endocrine surgeons, neurosurgeons, Clinical Pathology, Nuclear Medicine, and Surgical and Cytologic Pathology. Faculty from these departments participate in the weekly clinical conferences.