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Current Diabetes Reports

, 17:108 | Cite as

The Time Is Now: Diabetes Fellowships in the United States

  • Archana R. Sadhu
  • Amber M. Healy
  • Shivajirao P. Patil
  • Doyle M. Cummings
  • Jay H. Shubrook
  • Robert J. Tanenberg
Health Care Delivery Systems and Implementation in Diabetes (ME McDonnell and AR Sadhu, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Health Care Delivery Systems and Implementation in Diabetes

Abstract

Purpose of Review

Diabetes is a complex and costly chronic disease that is growing at an alarming rate. In the USA, we have a shortage of physicians who are experts in the care of patients with diabetes, traditionally endocrinologists. Therefore, the majority of patients with diabetes are managed by primary care physicians. With the rapid evolution in new diabetes medications and technologies, primary care physicians would benefit from additional focused and intensive training to manage the many aspects of this disease. Diabetes fellowships designed specifically for primary care physicians is one solution to rapidly expand a well-trained workforce in the management of patients with diabetes.

Recent Findings

There are currently two successful diabetes fellowship programs that meet this need for creating more expert diabetes clinicians and researchers outside of traditional endocrinology fellowships. We review the structure of these programs including funding and curriculum as well as the outcomes of the graduates.

Summary

The growth of the diabetes epidemic has outpaced current resources for readily accessible expert diabetes clinical care. Diabetes fellowships aimed for primary care physicians are a successful strategy to train diabetes-focused physicians. Expansion of these programs should be encouraged and support to grow the cadre of clinicians with expertise in diabetes care and improve patient access and outcomes.

Keywords

Diabetes Primary care Diabetologists Fellowship Training programs 

Notes

Acknowledgments

We would also like to acknowledge Frank L. Schwartz, M.D., for founding the diabetes fellowship program at OUHCOM and his continued involvement in the program.

Compliance with Ethical Standards

Conflict of Interest

Robert J. Tanenberg, Shivajirao Patil, Doyle M. Cummings, and Archana R. Sadhu declare that they have no conflict of interest.

Amber M. Healy reports that Ohio University Heritage College of Osteopathic Medicine pays part of her salary.

Jay H. Shubrook reports that he has received fees from the American Diabetes Association for being a speaker (Diabetes is Primary), from Novo Nordisk and Lilly for being a consultant, and from Medicine Matters Diabetes of Springer Nature for being on the International AD Board.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Archana R. Sadhu
    • 1
    • 2
    • 3
  • Amber M. Healy
    • 4
    • 5
  • Shivajirao P. Patil
    • 6
  • Doyle M. Cummings
    • 7
  • Jay H. Shubrook
    • 8
  • Robert J. Tanenberg
    • 9
    • 10
    • 11
  1. 1.Weill Cornell Medical CollegeNew YorkUSA
  2. 2.Texas A&M Health Science CenterBryanUSA
  3. 3.System Diabetes ProgramHouston MethodistHoustonUSA
  4. 4.Ohio University Heritage College of Osteopathic MedicineAthensUSA
  5. 5.OhioHealth Physicians Group Heritage College Diabetes and EndocrinologyAthensUSA
  6. 6.Department of Family Medicine, Brody School of MedicineEast Carolina UniversityGreenvilleUSA
  7. 7.Office of Clinical Trials Research, Brody School of MedicineEast Carolina UniversityGreenvilleUSA
  8. 8.Primary Care DepartmentTouro University California College of Osteopathic MedicineVallejoUSA
  9. 9.Brody School of MedicineEast Carolina UniversityGreenvilleUSA
  10. 10.Diabetes and Obesity Institute East Carolina UniversityGreenvilleUSA
  11. 11.Vidant Medical Center Inpatient Diabetes ProgramGreenvilleUSA

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