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Department of Internal Medicine
Division of Endocrinology






Dr. Fiona Cook


The Division of Endocrinology at ECU has an accredited two year clinical training program for those seeking subspecialty training within Endocrinology, Diabetes, and Metabolism.

Brody School of Medicine provides a wide range of accredited programs for 340 residents and fellows in clinical practice and for doctoral students in the basic medical sciences. Vidant Medical Center, the teaching hospital for the medical school, is a tertiary referral center and provides acute, intermediate, rehabilitation, and outpatient health services to more than 1.3 million people in 29 counties. In an average year more than 33,000 inpatients and more than 266,000 outpatients are treated at the medical center’s facilities. This provides for a broad patient mix with excellent exposure to all types of endocrine disease. In particular, eastern North Carolina has a very high prevalence of diabetes. Our institution is particularly well known for expertise in bariatric surgery and cardiovascular disease and endocrinologists are highly involved in the care of these patients. We work in close interdisciplinary fashion with nuclear medicine, endocrine surgeons, and radiation and medical oncologists in the care of large numbers of thyroid cancer patients. Our institution has complete state of the art support in radiology, surgery, and pathology.

The affiliated health care practice, ECU Physicians, is the largest medical practice in eastern North Carolina with more than 650 primary and specialty care physicians. The general endocrinology clinic is located in the Brody Outpatient Center and provides endocrine care on a consultative and continuity basis. Thyroid ultrasounds and fine needle aspirations are done at this site. A registered dietician and certified diabetes educator are available to see patients at this site. Podiatrists see diabetic foot problems at this site on a weekly basis. A GE Lunar bone densitometer is located at this site and patients are referred here for bone densitometry and clinical consultation for prevention and treatment of osteoporosis.

Vidant Medical Center is committed to education and strong support of residents and fellows through a robust GME administrative structure. The faculty of the Brody School of Medicine are dedicated and committed to being exemplary mentors and role models, in addition to outstanding clinicians and investigators. The Internal Medicine department and the Endocrinology division are solidly committed to maintaining an educational environment conducive to acquiring those competencies necessary to be an outstanding independent attending or consulting physician.

Fiona J. Cook,MD, FACE
Director of Endocrine Fellowship
Division of Endocrinology