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Primary Care Diabetes Fellowship Programs: Developing National Standards

This one-year Diabetes and Obesity Medicine fellowship is designed for board eligible or board certified Family physicians (preferred) or Internal Medicine physicians who have a passion for caring for patients with Diabetes and Obesity and who wish to gain extensive knowledge and experience managing very complex patients with these conditions.

There is an epidemic of Diabetes in the United States and there are not enough Endocrinologists to care for complicated patients with diabetes. Currently there are six diabetes fellowships in the country, and we are working collaboratively with the American Diabetes Association to gain ABMS recognition. Obesity is another chronic disease that has become increasingly challenging to manage.

As a Diabetes and Obesity Medicine Fellow you will have the opportunity to work closely with a team of other professionals including pediatric endocrinologists, certified diabetes educators, nurses, pharmacists, dietitians, psychologists, podiatrists, maternal-fetal specialists, and ophthalmologists. You will have the opportunity to study and practice with members of this extended team and will gain the experience to become an expert diabetologist.

By the end of the fellowship you will have gained the skills to have a successful career providing care for patients interested in medical management of obesity and for complex diabetic patients (including insulin pump and CGM management).

Topics that you will learn include:

  • Medical complications of diabetes
  • Management of the diabetic foot ulcer
  • Management of diabetic retinopathy
  • Lifestyle management options for the patient with diabetes
  • Medication options for the management of diabetes
  • Starting and adjusting insulin regimens
  • Insulin pump management
  • Managing continuous glucose monitoring systems
  • Prescribing principles in the hospital
  • Interdisciplinary weight management
  • Oral and injectable medications for obesity management
  • Leading group visits

During your fellowship you will see patients in a diabetes clinic with a diabetologist. You will become a Certified Diabetes Educator (CDE), will manage insulin pumps and become certified in pump management, and will see diabetic patients in the hospital as a consultant for an inpatient team. You will participate in a multidisciplinary weight loss clinic, and will attend a national diabetes meeting. You will work collaboratively in a supportive environment with a diverse faculty and will have an opportunity to immediately apply what you have learned by teaching medical students, family medicine residents and continuing medical education classes. Research opportunities are available.

Application Process

Applications are due no later than March 31, 2023. Please send a letter of interest and three letters of recommendation to Dr. Lenny Salzberg, Diabetes and Obesity Medicine Fellowship Director. Letters can be sent electronically to or by mail to Lenny Salzberg, M.D., Southern Regional AHEC, 1601 Owen Drive, Fayetteville, NC 28304. Candidates will be notified of the offer for an on-site interview no later than April 15, 2023.

Please contact Dr. Salzberg at with questions. Southern Regional AHEC does not sponsor visas.