ENDOCRINOLOGY CURRICULUM
To ensure that at the end of the
residency training, each resident has had exposure to a wide variety of
endocrine disorders through direct patient encounters and/or through didactic
sessions.
Objectives:
Become familiar with the most
common clinical endocrinology diseases, clinical emergencies in endocrinology
& investigation issues current in clinical endocrinology.
Components of
Familiarity:
Understand the pathophysiology, natural
history & therapeutic interventions for common & uncommon endocrinology
diseases.
Understanding of longitudinal clinical and laboratory evaluation &
understanding questions and issues that needs to be resolved.
Having access to appropriate text and serial literature
Specific Common
Clinical Endocrinology Diseases:
Diabetes mellitus
Obesity
Thyroid disorders
Parathyroid disorders
Pituitary disorders of all trophic hormones
Hypothalamic disorders
Gonadal disorders
Impotence
Infertility
Genetic diseases
Metabolic bone disease
Lipoprotein disorders
Adrenal disorders
Disorders of Calcium Metabolism
Paraneoplastic Endocrine
Syndromes
PCOS
Endocrine Emergencies:
Diabetic ketoacidosis
Hyponatremia
Hypernatremia
Hyperosmolar coma
Adrenal crisis
Thyroid storm
Hypoglycemia
1.
Clinical and
communication skills - history including sexual and reproductive history.
Examination of the endocrine system including recognition of the features of
Cushing's syndrome, acromegaly, hypogonadism and hypopituitarism,
hyper/hypothyroidism.
2.
Interpretation of
basic endocrine function tests: thyroid function tests; bone profile; pituitary
function tests; adrenal function tests; sex steroids.
Recognition of the importance of timing of the investigations (diurnal changes,
phase of the
menstrual cycle).
Critical evaluation of data.
3.
Interpretation of
imaging investigations:
Pituitary
DEXA scan interpretation
4.
X rays showing
osteopaenia,
Abdominal CT
Endocrinology Rotation Expectations:
1. All patients assessed by the resident on
the inpatient and outpatient services will be seen and discussed by the
attending physician.
2. The treatment plan should be outlined by
the resident and discussed with and approved by the attending physician.
3. Case discussions will include review of
pertinent history and physical findings, appropriate laboratory investigations,
health risk assessments and interactions between various disease states.
4. Didactic lectures will be presented on a
regular basis covering common and uncommon clinical endocrine problems.
5. The resident is expected to read
independently, reviewing basic physiology from medical and endocrinology texts
and specific articles from journals, some of these being suggested by the attending.
Reference Books:
1. Williams Textbook of Endocrinology.
2.
3. MKSAP, endocrine booklet, current
edition
Articles and guidelines to read are
suggested by the rotation coordinator Dr. Alzohaili based on current evidence.
In addition, Dr. Alzohaili has developed easily understandable tables for
various endocrine topics such as thyroid disorders, laboratory evaluation of
thyroid disorders, amenorrhea, hirsutism, etc.
Rotation Schedule:
Residents can do the rotation
with Dr. Alzohaili for the whole month, or the resident can do the rotation
with Dr. Edelson and his group for 2 weeks, and Dr.
Alzohaili for 2 weeks.
Residents generally do the
rotation with Dr. Alzohaili only, if there is only one resident that month. If
there are 2 residents, then the rotation is split between Drs. Alzohaili and Edelson, so there is only one resident in each location at
any given time.
Endocrine with Dr.
Alzohaili:
Monday: Consults, discussion
and rounds and office hours.
Tuesday: Consults, discussion
and rounds and office hours.
Wednesday: Endocrine grand
rounds, University health centre endocrine clinic.
Thursday: Board review and
office hours.
Friday: Consults, discussion
and rounds and office hours.
Residents are also required
to do their Primary Care Continuity Clinic one half day per week, according to
schedule.
Endocrine with Dr. Edelson and associates:
Monday: Office hours with Dr.
Edelson
Tuesday: Office hours with
Dr. Edelson
Wednesday: Office hours with
Dr. Schmeltz
Thursday: Board Review and
office hours with Dr. Kaplan
Friday: Office hours with Dr.
Edelson
Residents are also required
to do their Primary Care Continuity Clinic per schedule.