Educational Objectives For Residents

Knowledge to be Gained

  • Understanding the pathophysiology, clinical manifestations, diagnosis and management of endocrine and metabolic problems, including diabetes mellitus, with emphasis on those commonly seen by a specialist in the ambulatory setting.
  • Familiarity with the clinical manifestations and principles of treatment of major endocrine emergencies, including decompensated diabetes mellitus, severe hypoglycemia, Addisonian crisis, pituitary apoplexy, thyroid storm, and myxedema coma.
  • Familiarity with the indications for, principles, complications, and interpretation of specialized tests, including thyroid function tests, dynamic testing of pituitary-adrenal function, immunoassays of various hormones, MRI of the pituitary, nuclear imaging of the thyroid, fine-needle aspiration of the thyroid, and bone mineral density studies.
  • Knowing when to consult or refer a patient to an endocrinologist.

Skills to be Acquired

  • Ability to take a good medical history and perform a careful and accurate physical examination.
  • Ability to write concise, accurate and informative histories, physical examinations and progress notes.
  • Ability to formulate comprehensive and accurate problem lists, differential diagnoses and plans of management.
  • Ability to write concise, accurate, informative and helpful consultation notes, clearly outlining the recommendations and explaining their rationale.
  • Ability to search efficiently and evaluate the medical literature, including print and electronic media, in order to find pertinent and accurate information about a patient or condition.

Desirable Behavior

  • Interacting with patients and families in a professionally appropriate manner.
  • Learning by participation in ward rounds, teaching conferences and other educational activities.
  • Willingness and ability to teach medical students.
  • Commitment to professional scholarship, including systematic and critical perusal of relevant print and electronic literature, with emphases on integration of basic science with clinical medicine, and evaluation of information in light of the principles of evidence-based medicine.
  • Willingness and ability to help the requesting physician in a consultative or co-management capacity, according to the needs of the situation.
  • Habitual consideration of the cost-effectiveness of diagnostic and treatment strategies.
  • Appreciation of the social context of illness.

Teaching Methods

  • Consultation rounds with faculty specialists in endocrinology
  • Attendance at endocrinology conferences, journal clubs, Multidisciplinary tumor boards.
  • Attendance at general medical conferences: CPC, Grand Rounds, Core Curriculum Lecture.
  • One-on-one supervision by faculty at UT Diabetes & Endocrinology Clinics.
  • Weekly Board review course with faculty
  • Self -directed study and reading

Patients

  • Patients with diabetes, endocrine and metabolic diseases, age 18 and over, seen as consultant or care in the ambulatory setting at UT Physicians or the Smith Clinic for Harris County Health District.
  • Consultations for inpatients on medical and other services at Memorial Hermann Hospital and LBJ County Hospital.
  • Inpatient and ambulatory patients at MD Anderson Cancer Center
  • Primarily ambulatory experience.

Educational Materials

  • Reprints from medical literature, obtained by residents, students, attending and consultants.
  • Endocrinology section of MKSAP.
  • Endocrine Society ESAP, Fellows Training Series
  • Institutional access to Up to Date
  • Remote Institutional access to all library materials

Evaluation Methods

  • Observation by teaching attending physician.
  • At the end of rotation, conference with teaching attending physician; completion of ACGME Milestone evaluation by teaching attending, program director, ancillary staff, peers.
  • Residents completes written evaluation of rotation and attending physician
  • Observed physical exam history taking
  • Supervision of procedures, and interpretation of studies.