Internal Medicine · Fellowship Career

Endocrinology, Diabetes & Metabolism

Hormonal and metabolic disease management with complex physiology and longitudinal ambulatory care.

Fellowship Length

2 years

After a qualifying residency

Prior Residency

Internal Medicine

3 years residency

Typical Post-MD Training

5 years

Residency + fellowship; alternative pathways may overlap

Attending Compensation

$309,782

Average Total Compensation

Training Pathway

Medical School → Residency → Fellowship

Medical School · 4 yearsInternal Medicine · 3 yearsEndocrinology, Diabetes & Metabolism · 2 years

Clinical Work and Procedures

  • Insulin and diabetes technology management
  • Thyroid nodule evaluation
  • Pituitary and adrenal workup
  • Bone health management

Attending Compensation

$309,782

Average Total Compensation

Schedules and Practice Settings

Predominantly scheduled clinics; inpatient diabetes consultations and endocrine emergencies vary by institution.

How to Prepare

During Medical School

Observe diabetes technology visits and a pituitary or thyroid clinic to assess the balance of counseling and diagnostic physiology.

Research or Quality Improvement

Evaluate inpatient insulin safety, continuous glucose monitoring access or osteoporosis treatment follow-up.

During Residency

During IM residency, gain diabetes consultation experience, an endocrinology mentor and a specific evidence-based project.

A Question to Ask Fellows

Are you drawn to repeated longitudinal counseling and challenging hormone diagnostics more than procedures?

Sources & Data Notes

Reviewed . Fellowship durations and entry routes summarize commonly accredited training pathways. Specific institutions can have different eligibility, early-entry and combined tracks; check program and board requirements for your cycle.

Fellowship Match selection is separate from the medical school residency Match. No residency competitiveness index, MD versus DO residency outcome, or fellowship acceptance percentage is assigned to these pages. National attending compensation uses a source-matched specialty estimate when available; Doximity and Medscape report total compensation, Marit uses smaller opt-in physician samples, and Salary.com models base salary from employer and third-party data. These measures are not interchangeable. Fellowship stipends depend on PGY level and institution.

For Endocrinology, Diabetes & Metabolism: Doximity 2026, Average Total Compensation for the reported “Endocrinology” population. This is a national estimate, not a location-specific offer.

Schedules, example procedures, preparation tips and clinical roles are educational descriptions; responsibilities depend on training, practice setting and privileges. This is educational career guidance rather than individualized employment or training advice.