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Selectives - Medicine

Endocrinology and Metabolism Selective

Selective Number: (Oasis S28b) 1656

Rotation Supervisor: Dr. Ayotunde Dokun

Available: All Rotations- Class of 2013; All Rotations - Class of 2014

Duration: 2 weeks

Report to: Student needs to email Selective Supervisor the Friday before rotation begins

Time to Report: per email sent by Selective Supervisor prior to starting rotation

Place to Report: per email sent by Selective Supervisor prior to starting rotation

Typical Day: 8:00 am - 5:00 pm

Number of students per rotation: 1

Course Description:

  • The student will be a member of the Endocrine consult team for the two-week block. On the consult service, the student will work-up and present patients with a variety of acute and chronic endocrine disorders. The student is expected to assess their patient(s) on the endocrine consult service on a daily basis. They will provide daily updates to the endocrine consult team and will make management recommendations to the patient's primary team.
  • The student will attend the following weekly conferences: Department of Medicine Grand Rounds, Endocrinology Case Conference, Endocrinology Grand Rounds and the Endocrinology Clinical Lecture Series. They will also attend the following monthly conferences: Diabetes Conference, Multidisciplinary Thyroid Cancer Conference and Pituitary Conference.

Educational Purpose: Goals and Objectives:

  1. Perform a physical exam directed toward the endocrine system, including examination of:
    1. Visual fields
    2. Thyroid: goiter, nodules, thrills and bruits
    3. Skin: e.g. hyper- and hypopigmentation, skin tags, skin thickness, striae, hirsutism, acne, alopecia
    4. Neurologic: reflexes, pain/temperature/position sensation, monofilament testing.
  2. Provide a differential diagnosis and outline appropriate evaluation and management for the following electrolyte disorders:
    1. Hyper-and hypoglycemia
    2. Hyperglycemic hyperosmolar non-ketotic coma
    3. Diabetic ketoacidosis
    4. Hyper- and hyponatremia
    5. Hyper- and hypocalcemia
    6. Hyper- and hypokalemia
  3. Interpret findings on the following radiologic studies:
    1. Pituitary MRI
    2. Thyroid ultrasound
    3. Thyroid scan and uptake
    4. DEXA scan
  4. Provide a differential diagnosis and outline appropriate evaluation and management for the following endocrine disorders:
    1. Hyper- and hypothyroidism
    2. Solitary and mulitple thyroid nodules
    3. Adrenal nodule
    4. Adrenal insufficiency
    5. Osteoporosis
    6. Obesity
  5. Outline appropriate evaluation and management for the following endocrine disorders:
    1. Diabetes mellitus Type 1
    2. Diabetes mellitus Type 2
    3. Diabetic retinopathy
    4. Diabetic neuropathy
    5. Diabetic nephropathy
    6. Dyslipidemias
  6. Recognize and provide appropriate management for the following endocrine emergencies:
    1. Thyroid storm
    2. Myxedema coma
    3. Adrenal crisis
    4. Diabetic ketoacidosis
    5. Hyperglycemic hyperosmolar non-ketotic coma
  7. Recognize and provide appropriate managemet for the following causes of endocrine hypertension:
    1. Pheochromocytoma
    2. Hyperaldosteronism
    3. Cushing's syndrome
  8. Recognize and provide appropriate management for the following pituitary disorders:
    1. Acromegaly
    2. Cushing's disease
    3. Prollactinoma
    4. Hypopituitarism
    5. Nonfunctioning pituitary adenoma
    6. Diabetes insipidus

Evaluation is based on the student’s demonstrated ability to:

  • Work-up and present cases, providing an accurate assessment, differential diagnosis, plan for evaluation and appropriate management.
  • Interact with patients and colleagues in a humanistic and professional manner.
  • Increase his/her knowledge base both by reading and by participation on daily rounds and in didactic conferences and informal discussions.