Residency Program
Curricula Area - Endocrinology
- Curricular Area: Endocrinology and Metabolism
- Location:
- Outpatient – Endocrinology Consultants of East Tennessee 1450 Dowell Springs Boulevard, Knoxville, TN 37909
- Inpatient – Selected patients only, UTMCK
- Faculty:
- William Law, Jr., MD, FACE/FACP (Chief, Section of Endocrinology)
- Casey J. Page, MD, FACE
- Thomas W. Doty, III , MD , FACE
- Daniel K. McCammon, MD, FACE
- Peter J. Campbell, MD, FACE/FACP
- John B. Williams, MD, PhD, FACE
- Schedule: Days:
- Monday through Thursday 8:15 AM until 5:00 PM
- Friday 8:15 AM until 12:00 PM
- Nights: None
(Due
to the off campus location, the resident is excused from Morning Report.
The resident is expected to attend Grand Rounds and Noon Conference.)
The resident will be expected to perform a competent history and physical examination focused on endocrine disorders by the end of the month. The resident will be scheduled to perform the initial consultation on 2 – 3 new patients per day that are referred to our office for subspecialty consultation. The resident will then formally present the findings to their assigned attending who will interview the patient and review critical aspects of the physical examination. The attending and resident will communicate their assessment and recommendations to the patient and initiate diagnostic testing and/or therapy as indicated. The resident will then dictate a formal consultation report, which is typically transcribed the same day and then reviewed by the attending, who may offer constructive suggestions regarding style and content of that record. Most of the remaining time on this rotation will be spent seeing established office patients. The resident may occasionally be asked to participate in the care of an interesting hospital patient.
Residents
may schedule their own DEXA scan with the technologist before
the end of the rotation and then discuss their printout
with the attending. This will be used as a template to review
the basic principles of bone density interpretation.
- Related Conferences/Venues: Endocrinology Noon Conference, 12:00 – 1:00 PM, second Friday of each month, Dept. of Medicine Conference Room
- Primary Goals: Residents completing this rotation should be able to evaluate and manage common endocrine disorders and refer appropriately. In addition, residents should be able to institute initial management of common endocrine emergencies, particularly diabetic ketoacidosis, hyperosmolar nonketotic states, severe electrolyte disturbance and addisonian crisis. Interested residents may choose to spend elective time on Endocrinology with approval by the Section Chief.
- Primary Objectives: The Resident will be able to recognize and initiate diagnostic testing and appropriate therapy for the majority of Endocrine disorders. They will learn when it is appropriate to manage the patient in a primary care setting and when to seek consultation with an Endocrinologist for further management.
Residents completing the Endocrinology rotation are expected to obtain competencies in the six areas listed below to the level expected of a new practitioner:
See Competency Table
a. Patient Care : Residents will participate actively with the attending in the delivery of compassionate, appropriate and effective patient care.
b. Medical knowledge: The main strengths of this rotation include the experience and expertise of its faculty and the referral consultative endocrine practice that they offer. Specialized services which the Resident will be exposed to include the following:
- The resident will learn about osteoporosis, bone mineral density testing and interpretation of testing.
- The resident will observe fine needle aspiration biopsy of thyroid nodules done with and without ultrasound guidance. The resident will also observe thyroid ultrasonography
- Residents will spend time with both certified diabetes nurse educators and a dietician to learn both the typical care of diabetes as well as the aggressive management options.
- Residents can spend time in our laboratory learning the nuances of various assays and the procedures for lab accreditation.
c. Practice-based learning and improvement – The design of the rotation allows residents to evaluate their own care, seek appraisal from the attending and examine supporting scientific evidence of their decision making.
d. Interpersonal and communication skills – Residents work directly each day with patients, their families, and our attendings. They will learn how to communicate their clinical findings and recommendations to patients and their families.
e. Professionalism – Residents are expected to treat every patient with respect and compassion. Residents will interact daily with a diverse patient population with a wide range of clinical problems. Residents must be sensitive to ethical principles and be able to carry out professional responsibilities in a timely and rational fashion. Written notes are expected to be legible and attendance is expected every day unless prior approval has been given for time away from the office.
f. Systems-based practice – Residents will learn to utilize specific healthcare resources in a professionally appropriate and cost-effective fashion to improve their overall practice of medicine.
8. Supplemental References, Suggested Readings :
Braunwald, E, Fauci, AS, Kasper, DL, Hauser, SL, Longo, DL, and Jameson, JL (Editors) Harrison’s Principles of Internal Medicine, 15 th Edition. 2001. New York : McGraw-Hill. RC46.H32 2001 ( Preston )
Endocrinology and Metabolism Disorders
Rose, BD (Ed); Primary Care Endocrinology, UpToDate, Wellesley , MA , 2004. Specific topic areas to be provided at a later date. Available in Preston Medical Library and the private endocrinology office.
9. Procedures: No specific procedures are required for Endocrinology; however, the resident should be familiar with bone mineral density testing, fine needle aspiration biopsy of thyroid nodules and thyroid ultrasonography.
10. Other resources: Residents are expected to read about Endocrinology disorders throughout the month. We particularly encourage you to focus your reading on patients you have personally seen that day, since we feel that you will retain such information much better. A large conference room with various specialty textbooks, journals and reviews are available to the resident. You are welcome to make copies of any articles from our reference library or Up-To-Date that you wish; however, please do not remove any of these publications from our office.
11.
Research Opportunities: Residents are encouraged to submit case
reports to peer-reviewed journals on interesting cases they may
encounter on our service. Interested residents should discuss their
interest with Dr. Law.
12. Method of resident evaluation: Each resident will meet at the beginning and end of the rotation with Dr. Law. The evaluation of the resident will be discussed and a written evaluation will be forwarded to the Department of Medicine using New Innovations.
13. Method of specialty evaluation: Residents are asked to provide feedback to the rotation director. They will complete an evaluation form using New Innovations at the end of the rotation.
14. Feedback: Dr. Law will meet personally with each resident at various points during the rotation.
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