Mayo Clinic Division of Endocrinology: Depth and Breadth of Endocrine Expertise

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Mayo Clinic was founded 150 years ago by William Worrall Mayo. And his two sons, Charlie and Will. In Rochester, Minnesota. It was the first group integrated practice in the United States.

Mayo Clinic has grown to include three campuses. One in Rochester, Minnesota. Jacksonville, Florida. And Phoenix. And Scottsdale, Arizona.

In total we have about 4,000 physicians. And 50,000 employees. The main mission of our endocrine division is to provide every patient with the best care through integrated practice, education, and research.

Our endocrine division in Rochester has 46 members on staff. Two are career scientists. 44 are clinicians. And we all work side by side. Making up one of the largest clinical endocrine divisions in the world.

The division of endocrinology at the Mayo Clinic is unique. Mainly because of our commitment to the Mayo mission. Which is, the needs of the patient comes first.

Patients with primary aldosteronism visit with an endocrinologist on their first day to discuss their condition. And also to plan the next steps in their evaluation.

This usually includes an adrenal vein sampling procedure, that can often be scheduled for the next day. So that the endocrinologist and the patient can meet to discuss those results.

And if the results demonstrate unilateral adrenal disease, the patient is referred to an endocrine surgeon. So that the endocrinologist and surgeon can meet face-to-face to discuss the patient's case. And after the consultation, the team gets together again to review the operative plan.

We have a thyroid nodule clinic here that we established a few years ago to provide efficient and expert care for patients with known or suspected thyroid nodules.

A few years ago we established a one day thyroid nodule clinic. We see patients in the morning. We can obtain blood tests and do a biopsy. All within an hour or an hour and a half.

We get a result within two hours and we share that result with the patient if they have a need for surgery. We can commonly arrange for the meeting to visit with the surgeon later that day.

Bariatric surgery has been offered at the Mayo Clinic for over 40 years. And it's always been a multidisciplinary practice. Including not only general surgery and endocrinology, but many other sub-specialties that are important in the care of the patient. Bariatric surgery is a tool for patients with obesity to improve their health. But it is associated with very real short-term or long-term risk. So patient selection, preparation, and long-term support, is key for their long-term success.

The division of endocrinology has quite a diverse research portfolio. So the research focuses on endocrine diseases, but it also focuses on the interaction of those diseases with other diseases.

The research funding in our division comes from a mixed portfolio. Predominantly it is federal funding from NIH RO1 type of grants, or equivalent. There is some Department of Defense funding. And there is also a considerable amount that comes from industry.

Training program here is a three year training program. The first of which is a clinical year where all areas of endocrinology are studied.

During the first year follows towards a research mentor and research project. Which is the focus of their second year of training. And in the third year, they may focus either clinically, or in further research, depending upon their career goals.

Endocrine training at Mayo is really quite unique. And I think the best thing about it is the diversity of the faculty that are here. And the accessibility to them. Which we really appreciate as trainees. I've loved being a fellow here. I've learned an immense amount. And I've learned from the best teachers.

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There's a huge amount of expertise and support around us, both within the division, but across our campus in all departments to help us provide the best care for every patient every day.

Depth and breadth of expertise, our research enterprise and offering multi-specialty care to patients with complex endocrine disorders.

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