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Residency

As a resident of General Internal Medicine you will participate in the management of and consult for inpatients and outpatients with endocrinology-related problems and diabetes mellitus. These cases serve as the base for rounds-based teaching. Residents will also be exposed to other endocrinology topics during departmental conferences.

Educational Purpose

Residents will participate in the management of inpatients and outpatients with endocrinology-related problems and diabetes mellitus. They will also serve as consultants for inpatients and outpatients with endocrinology-related problems and diabetes mellitus. These cases will serve as the base for rounds based teaching. In addition, residents will be exposed to other topics in Endocrinology during departmental conferences.

In specific, we expect residents to:

  • Become familiar with common presentations of diseases like diabetes mellitus, and hypo-hyperthyroidism.
  • Learn how to interview patients with common endocrine disorders.
  • Learn management of common endocrine emergencies such as diabetic ketoacidosis, adrenal crisis, and thyrotoxicosis.
  • Learn pharmacologic principles of therapeutics in endocrinology.

ACGME Competencies

Patient care: Continuous evaluation of care provided. Supervising faculty oversees this aspect of resident training.

Medical Knowledge: Evaluation by faculty during case presentations in clinics/bedside, and regularly scheduled divisional case conferences.

Practiced Based Learning and Improvement
(use scientific methods and evidence to improve patient care)

Residents are encouraged to do literature search, and provide updated information.

Interpersonal and Communication Skills. Measured through observations by faculty. Observations by nursing staff.

Professionalism: See expectations.

Systems Based Practice: (an understanding of the contexts and systems in which health care is provided)

Practice cost effective/quality medicine
Hospital committee assignment
Case Management Reviews
Participation in Universal Issues Curriculum

Teaching Methods

Conferences:

Grand Rounds 8am Tuesdays
Clinical Conference/Case Presentation 8am every Thursday, MMC D-443 and Endocrine Journal Club
Required Departmental Conferences
Endocrine Club 5:30pm, last Wednesday of month MMC D-443

Rounds:

Daily with attending physician on service. Residents present cases seen by them. There is ample time for case discussion, differential diagnosis, and work up plans are enunciated

Clinic:

Please arrive at clinic 15 minutes prior to scheduled start time. Clinic is located at 751 N. Rutledge, Room 0300.

Monday:
Maternal-Fetal/Endocrine 9:00 AM – 12:00 PM
Endocrinology/Growth Disorders/Diabetes 1:00 PM – 5:00 PM

Tuesday:
Endocrinology/Diabetes 9:00 AM – 12:00 PM
Endocrinology/Diabetes 1:00 PM – 5:00 PM

Wednesday:
Endocrine Fellows’ (Check with Clinic nurse for need to attend.) 8:00 AM – 12:00 PM
Combined Endocrinology / ENT 4th Wednesday of month
Endocrinology 1:00 PM - 5:00 PM

Friday:
Endocrinology 8:00 AM – 1:00 PM

Resident continuity Clinic as assigned.

Mix of Diseases, Patient Characteristics & Types of Clinical Encounters

Common Conditions:

  • Diabetes Mellitus Hyperthyroidism Foot ulcers
  • Insulin dependent Goiter Hypothyroidism
  • Non-Insulin dependent Thyroid nodules Hyperprolacticemia
  • Complications of diabetes Adrenal disease Pituitary tumors
  • Retinopathy Amenorrhea/Anovulation Endocrine hypertension
  • Nephropathy

Setting:

Inpatient/outpatient. Patients seen by referral only.

Services

Management of inpatients and outpatients with endocrinology-related problems and diabetes mellitus.
Consultation for inpatients and outpatients with endocrinology-related problems and diabetes mellitus.

Procedures

Thyroid FNAB
Bone densitometry – observe

Professional Expectations

Neat appearance.
No casual dress permitted in clinics.
No heavy perfumes.
We expect highest demonstration of professionalism.
Residents demonstrating any cultural/gender insensitivities shall be barred from clinical services.

Reading List

Harrison’s Principles of Internal Medicine
Williams’ Textbook of Endocrinology
Jaffe & Yen Reproductive Endocrinology
Brooke Clinical Pediatric Endocrinology
Bolande’s Molecular Endocrinology
Journal of Clinical Endocrinology and Metabolism/Endocrinology/Endocrine Reviews
Diabetes
Diabetes Care
Clinical Endocrinology
Nature/Science

Pathologic Material

Reviewed on a case by case basis with attending physician and pathologist where appropriate to patient care.

Method of Evaluation

Faculty and resident meet at end of rotation to review resident’s performance, and to review quality of all aspects of the rotation.
Faculty completes resident evaluation form.
Resident completes faculty and rotation evaluation forms.

Level of Supervision by Faculty

Residents with little experience in the skills needed will observe and practice physical exam skills under direct supervision of attending physicians, while those with more experience will work with patients in concert with attending physicians.

Contact Information

Contact secretary in Endocrinology Division, one week prior to the start of the rotation, at 545-0166.

Faculty:

Michael Jakoby, MD
Carmel Fratianni, MD