We know that a 3 year research intensive fellowship does not meet the professional training needs of all fellows. Some trainees see their future in a clinical educator role at an academic medical center or a teaching hospital. The endocrine fellowship program at UCD provides outstanding training for individuals with this goal as well. Individuals who are seeking a 2 year training program have the option of a second year that can be tailored to their own educational goals. Some fellows divide their second year between 50-70% research and 59-25% clinical training being supported by a 1 year VA research training position with no requirement for a 3rd year of fellowship. This allows fellows to gain more experience with a research project that they are interested in without committing to a full 3 years of training. Other fellows are supported by the Department of medicine engaging in formal training in educational methods and educational research. We work with fellows during their first year of training to determine what the best training pathway for the second year will be for them. Second year fellows can spend time on the inpatient glucose management team at the University of Colorado Hospital, spend time at Barbara Davis Center for Type 1 Diabetes, spend more time in gestational diabetes clinic, thyroid cancer clinic, pituitary clinic, and Wellness Center to name just a few of the available options. Fellows can take advantage of formal training opportunities in medical education provided by the Academy of Medical Educators.