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Objectives of the Program:
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The University of Michigan Division of Endocrine Surgery was the first of its kind in the country. Established by Norman W. Thompson in 1979, a founding member of both the American Association of Endocrine Surgeons and the International Association of Endocrine Surgeons, the Division is one of the largest and busiest in the country and has a rich history. Many past and present leaders in endocrine surgery have come through our doors to train here or visit. Numerous breakthroughs in the fields of endocrine surgery, endocrinology, endocrine radiology and nuclear medicine have occurred within our walls.
The University of Michigan Norman W. Thompson Fellowship in Comprehensive Endocrine Surgery provides specialized training in all aspects of endocrine surgery over a 1-year clinical and integrated research program at one of the country’s top academic medical centers, Michigan Medicine. The fellowship is designed to facilitate the transition of the fellow in an independent endocrine surgeon who can confidently manage the full spectrum of endocrine surgical disease.
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Highlights of the Fellowship:
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The Norman W. Thompson Fellowship in Endocrine Surgery is designed to allow the Fellow to develop a strong foundation in the clinical care of patients with basic and complex endocrine surgical disorders. The goal of the fellowship is to facilitate the graded transition of the trainee to an independent endocrine surgeon who is confident in the management of patients with the full spectrum of endocrine surgical disorders.
The Thompson fellow begins the year learning management and technical principles paired 1-on-1 on a weekly basis with the other endocrine surgical faculty on a rotating basis in both the clinic and operating room. A graded progression of and transition to increased independent responsibility occurs during the year. When appropriate, based on progress made during the year, the Fellow will eventually maintain their own clinic and operative schedule, including operating with general surgery trainees. Fellows develop skills in numerous operative techniques, including modified radical neck dissection, minimally invasive thyroid and parathyroid techniques, and retroperitoneoscopic adrenalectomy among others. The year also includes exposure to outpatient clinical care, endocrine pathology, radiology and nuclear medicine, and intraoperative parathyroid hormone monitoring. Extensive skills with cervical ultrasound and laryngoscopy are developed.
The Division of Endocrine Surgery performs ~1000 endocrine operative cases annually. This includes 400-500 thyroid, central neck and lateral neck operations, 350-400 parathyroidectomies, 10-15 endocrine pancreas operations, and 40-70 adrenal operations each year, providing ample clinical training. Complex re-operative cases are routinely performed. The opportunity for the Fellow to maintain some routine general surgery skills is also provided. No trauma or acute care surgery call is required.
The University of Michigan Endocrine Oncology program is world renowned for its adrenal cancer program and sees one of the highest volumes of adrenal cancer patients in the world. Extensive contact with endocrinologists, endocrine pathologists, radiologists, oncologists, and nuclear medicine specialists is ensured.
Fellows are considered members of the faculty and are funded for 1 year as a Clinical Instructor in the Department of Surgery, enjoy numerous opportunities to advance their clinical skills participate in clinical and/or basic science research, and are afforded all of the rights and responsibilities as a faculty member. An administrative assistant, OR scheduler, inpatient physician assistants and outpatient clinical nurses are provided as support. A CME fund is provided for the Fellow.
Other Curricular Activities:
Fellows participate in weekly Endocrine service teaching conferences as well as monthly Division, General Surgery Section and Departmental meetings. Fellows participate in medical student and resident educational lectures, review sessions, practical hands-on skills labs, and Endocrinology Fellow conferences. The weekly Multidisciplinary Endocrine Oncology tumor board offers a unique opportunity to discuss complex cases and is a model for other centers around the country. Experience in practice building, leadership development, and the business of medicine is also provided.
Research and Academic Opportunities:
Opportunities to contribute to the field of endocrine surgery through clinical research are provided and encouraged. A robust clinical database system with thousands of patients provides ample material for clinical research projects. Opportunities for basic science research are considered on an individual basis and are wide ranging given the top tier research setting at University of Michigan.
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Previous Fellows:
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Barbra Miller 2005-2006
The Ohio State University
Eunice Cho 2006-2007
Kent, Washington
Brian Saunders 2007-2008
Penn State Hershey Medical Center
James Broome 2008-2009
St. Thomas, Nashville
David Hughes 2009-2010
University of Michigan
Amanda Laird 2010-2011
Rutgers University
Amy Fox 2011-2012
St. Paul, Minnesota
Paul Park 2012-2013
Raleigh, North Carolina
Meredith Sorensen 2013-2014
Dartmouth-Hitchcock Medical Center
Travis Cotton 2014-2015
Brown University, Rhode Island Hospital
Alex Cardenas 2015-2016
Reno, NV
Roy Lirov 2016-2017
Austin, TX
Jason Glenn 2017-2018
Saint Cloud, MN
Samuel Long, III 2018-2019
Austin, TX
Jon Nelson 2019-2020
University of Arizona, Phoenix, AZ
Anna Fashandi 2020-2021
Current Norman W. Thompson Fellow
Hunter Underwood 2021-2022
Incoming Norman W. Thompson Fellow
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