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  DIVISION OF ENDOCRINOLOGY
 
  RESIDENT ROTATION
 
  COURSE OBJECTIVES (in order of importance)
To become familiar with the following:
  1. Pathogenesis and natural history, orderly investigation, differential diagnosis and management of thyroid disease, diabetes mellitus, adrenal disorders, hypothalamic-pituitary disorders,male and female reproductive abnormalities, parathyroid disorders, calcium and bone disorders.
  2. Medical interviewing and physical examinations skills
  3. Med. judgment, analysis of med. data & synthesis of med. info.
  4. Interpretation of endocrine tests: Thyroid function tests, glucose tolerance tests, hormonal measurements, stimulation and suppression tests
  5. Appropriate format for writing consultations
  6. Basic science foundations of pathophysiologic mechanisms underlying diseases of the thyroid, adrenal, pituitary, pancreas, gonads, parathyroid, and other metabolic disorders, including nutritional disorders
  7. Diagnosis & management of complex in-patient problems such as diabetic ketoacidosis, thyrotoxicosis, thyroid nodules, goiter, hypo-thyroidism obesity, Cushing's disease. Addison's disease, thyroid storm and myxedema coma, adrenal crisis.
  8. Oral presentation of clinical cases
  9. Informatics: web-based search, databases, interpretation of literature
  10. Outcome of health care, e.g. patient compliance & satisfaction: process and outcome measures
   
  Resident's Experiences

COMMON PROBLEMS/DISEASES
  1. Diabetes mellitus
  2. Reproductive problems
  3. Hypothyroidism & hyperthyroidism
  4. Thyroid nodule & cancer
  5. Hypocalcemia & hypercalcemia
  6. Hypoglycemia
  7. Obesity, Cushing's syndrome
  8. Pituitary tumors
  9. Osteoporosis
  10. Multiple Endocrine Neoplasia
INPATIENT: 20%
OUTPATIENT: 80%
CONSULTATION: 80%
PRIMARY CARE: 20%
 CLOSE CONTACT WITH:

X FULL TIME FACULTY
X CLINICAL FACULTY
X FELLOWS
X RESIDENTS INTERNS
X OTHER Diabetes Nurse Educators
APPROXIMATELY # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 30-45
TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 200-250