Nutrition and Metabolism Fellowship

Program Overview


Objective:

The overall objective is for fellows to have clinical experiences that allow for the in-depth observation and management of patients with metabolic conditions that contribute to cardiovascular disease and other complications. The fellow will have clinical and non-clinical experiences that will expose the fellow to those areas of expertise that significantly affect the care of patients with metabolic disorders. Scholarship in the field of cardiometabolic health is required.

Training Sites:
  • University Health Truman Medical Center is an urban, academic safety net hospital in Kansas City, MO, and the primary teaching hospital of the UMKC Health Sciences Schools of Medicine, Nursing, Dentistry, and Pharmacy. Approximately 60% of the fellow’s time will be at this site.
  • University Health Lakewood is a suburban, academic hospital in Lee’s Summit, MO, which houses the Community and Family Medicine Department and its residency program. The internal medicine subspecialties provide on-site consultation services in endocrinology, cardiology, gastroenterology, oncology, and other specialties. Approximately 40% of the fellow’s time will be at this site.
Curriculum:

The fellow spends approximately 60% of their time at University Health Truman Medical Center (UH TMC) and 40% of their time at University Health Lakewood (UH LW). The clinical rotations include longitudinal experiences in preventive cardiology and endocrinology/metabolism with adjunct clinical experiences in sleep medicine, weight management, women’s health, renal medicine, and nutrition. Fellows work with faculty in internal medicine, family medicine, and pharmacology. Protected time is provided to develop and pursue a research project. One elective is included in the curriculum, so that the fellow may tailor the clinical experience, if desired.

Monthly and Weekly Schedule:

  • Lakewood Endocrine and Cardiology Consults (3 months)
  • UH TMC Endocrine Consults and Procedures (3 months)
  • UH TMC Cardiology Consults and Procedures (1 months)
  • UH TMC Research/Specialty Clinics-Sleep, Cardiac Rehab (2 months)
  • UH TMC Weight Management/Specialty Clinics-Women’s Health, Renal, PharmD (2 months)
  • UH TMC Elective Clinics (1 month)
  • UH Lakewood Inpatient Cardiology Clinics one week/month longitudinally
  • UH Lakewood Endocrine Clinic, one clinic per week longitudinally
  • UH Lakewood Cardiology Clinic, one clinic per week longitudinally
  • UH HSD Heart Failure Clinic, one clinic per week longitudinally

Graduate Course: The Curriculum includes one graduate course for research training (Biostatistics I Course-MEDB 5501-Fall Semester). This course is in the Department of Biomedical and Health Informatics and counts toward either a certificate or master’s degree in clinical research should any fellow wish to pursue additional training/degrees.

Research:

The research experience includes formal training in biostatistics. Interested fellows may take additional coursework toward a Certificate in Clinical Research or a Master of Science in Bioinformatics. Training in research methodology is provided online through the NIH Course Introduction to the Principles and Practice of Clinical Research (IPPCR): https://ocr.od.nih.gov/courses/ippcr_info.html.

A Statistical Consult Service is available through the University of Missouri-Kansas City School of Medicine to assist fellows with study design and analysis. Study coordinators are available to assist fellows with IRB applications and research compliance. Research opportunities are available with faculty in endocrinology and cardiology, as well as in related basic and clinic fields with faculty in other departments across an array of fields with cardiometabolic impact. The fellow is expected to present the results of their scholarly activity to the faculty in a conference in June at the close of the academic year.

Quality Improvement & Patient Safety:

There is a didactic curriculum in quality improvement and patient safety. The fellow is expected to complete the Institute for Healthcare Improvement Open School Basic Certificate in Quality and Safety: www.ihi.org/education/IHIOpenSchool/. The fellow may participate in ongoing quality improvement and patient safety activities as time an interests allow.