The Pediatric Endocrinology Fellowship Program of the National Capital Consortium (NCC) is a three-year, Accreditation Council for Graduate Medical Education (ACGME)-accredited program designed to train active duty pediatricians for competency and subspecialty board eligibility in pediatric endocrinology. The program, which began training fellows in 1985, exists in affiliation with the combined NCC pediatric residency program at Walter Reed National Military Medical Center (WRNNMC), Bethesda, MD. The fellowship, which comes under the umbrella of the NCC, is based within the Departments of Pediatrics at WRNMMC and Uniformed Services University of the Health Sciences (USU).
Active duty in one of the Uniformed Services of the United States (Army, Navy, Air Force, or Public Health Service) is required. Information on incurred obligations, pay, and allowances may be obtained from the Office of Graduate Medical Education. Applicants must apply through, and be sponsored by, the Graduate Medical Education office of their respective branch of service for postdoctoral training. Requests for training should list the Pediatric Endocrinology Fellowship of the NCC at USUHS as their site of choice. Application deadlines are usually in September, and are determined by the individual services. Where feasible, applicants are encouraged to visit the USUHS and WRNMMC facilities, and arrange personal interviews with faculty members. If a visit is not practical, applicants should contact the Program Director and submit an updated Curriculum Vitae and letter of intent.
Clinical training in the fellowship program is conducted at: 1) WRNMMC, which includes an outpatient clinic, the pediatric inpatient service, pediatric intensive care unit, mother-baby unit, and neonatal intensive care unit, and 2) Outreach clinics at Fort Belvoir Community Hospital, Fort Belvoir (VA); Naval Health Clinic Annapolis, Annapolis (MD); Malcolm Grow Medical Center, Joint Base Andrews (MD); and Womack Army Medical Center, Fort Bragg (NC). In addition to these busy general pediatric endocrinology clinics, fellows also participate in several multi-disciplinary clinics, including a Diabetes Clinic, Long-term Cancer Survivor's Clinic, Cystic Fibrosis Clinic, and Healthy Habits (obesity) Clinic. Rotations at affiliated institutions include one month at the National Institute of Child Health and Development, NIH (Bethesda, MD), and one month at the Children's National Medical Center (CNMC, Washington, DC). A one month rotation in Internal Medicine Endocrinology at WRNMMC is also part of the clinical curriculum. The NIH rotation offers a unique experience at a clinical research center with exposure to rare endocrine disorders. The CNMC rotation offers experience at a large civilian children's hospital in both the outpatient and inpatient settings. The fellowship program benefits from the clinical and academic synergy of four other Pediatric Subspecialty Fellowships that are part of the NCC, as well as a full representation of faculty from Pediatric and Pediatric surgical subspecialties.
Military Unique Training
The program is designed to graduate competent, caring pediatric endocrinologists who pursue careers as physician-educators and/or academicians. Graduates are prepared to become future leaders in the military pediatric and medical community.
The program provides training in unique military aspects of caring for dependent children with chronic disease, to include navigating military systems of care and unique concerns for the child with a deployed active duty family member. The military pediatric endocrinologist responds to consults from a wide range of geographic areas, including overseas. The program provides training in responding to these consults, within the context of the inherent capabilities of the outlying facilities.
The program also provides a platform for military-specific research. Current military-specific research includes an epidemiology project on the incidence of newly diagnosed diabetes in active duty military members and their families, the effect of sponsor rank on type 1 diabetes control in children, and childhood obesity in military families. The fellowship is organized to include both clinical and research time during each of the three years of fellowship. To allow adequate time for completion of a required research project, increased research time is allotted during the second and third years, but with continued clinical responsibility to allow for continuity of patient care.
Fellows participate in regular academic conferences within the pediatric endocrinology department and in conjunction with the NCC adult endocrine and NIH pediatric endocrine fellowship programs. Fellows are provided ample opportunity to teach the NCC pediatric residents as lecturers in the department morning report lecture series, and are encouraged to participate as mentors for the USUHS medical students.
An intensive research experience is required of all fellows by the American Board of Pediatrics. The program offers training, research ideas, help in choosing a project, encouragement, and mentoring to assure completion, presentation, and publication of a successful project. There are opportunities to participate in both clinical and basic science research. Research is being performed currently on obesity, diabetes epidemiology, and the molecular basis of thyroid cancer invasion and metastasis. The basic science laboratory of the Department of Pediatrics at USUHS consists of 2000 square feet of space equipped for cell culture and molecular biology, to include RNA and DNA extraction, Northern, Western, and Southern blotting, and polymerase chain reaction analysis. Gene synthesizers, automated nucleic acid sequencers, and protein sequencing also are available. The USUHS Department of Pediatrics also has a corps of faculty mentors skilled in clinical research in the areas of observational, outcomes/comparative effectiveness, and health services research.
Qualifications and Application
Candidates must be board certified or board eligible in Pediatrics and be active duty members of one of the Uniformed Services (Army, Navy, Air Force, Public Health Service). Applicants must apply through and be sponsored for postdoctoral training by the Graduate Medical Education office of their respective branch of service. Requests for training should list the Pediatric Endocrinology Program of the NCC as their site of choice. Application deadlines are usually in September and are determined by the individual services. Where feasible applicants are encouraged to visit and arrange personal interviews with faculty members. If a visit is not practical, applicants should contact the program director and submit a curriculum vitae to the section office.
The combined NCC pediatric subspecialty fellowships are founded among a rich scientific research community. This facilitates flexibility in choosing a high-impact fellowship research project and providing the experienced mentoring required for success. Funding and education opportunities exist through the WRNMMC Department of Research Programs and the USUHS Office of Research and these departments provide services and support through the entire research process.
Additional information for the specialty can be found on the Council of Pediatric Subspecialties website
Program Director: Karen S. Vogt, LTC, MC, USA
Chief, Pediatric Endocrinology: Jill E. Emerick, CDR, MC, USN
Additional Program Faculty
Kirk E. Jensen, Lt. Col, MC, USAF
Anthony Recupero, MAJ, MC, USA
Rita Svec, M.D., COL (ret)
Vasyl Vasko, M.D., Ph.D, USUHS, Department of Pediatrics (Research Faculty)
Aneeta Patel, M.S. USUHS, Department of Pediatrics (Research Faculty)
Additional information, application instructions and program requirements are available through:
Program Coordinator: Franklin Abram
Karen S. Vogt, M.D.
LTC, MC, USA
Program Director, Pediatric Endocrinology, NCC
Walter Reed National Military Medical Center Bethesda
4954 North Palmer Rd
Bethesda, MD 20889
FAX: (301) 295-6173