General Adult Endocrinology Clinic

 Trainees learn skills related to history, examination, assessment and plan, for ambulatory patients with endocrine disorders referred to a subspecialty endocrine clinic. Patients seen in this venue include a wide range of endocrine problems excluding Diabetes Mellitus and Pituitary disease which are seen elsewhere. Some of the endocrine problems seen in this context are:

Thyroid disorders including:

1. Hyperthyroidism and hypothyroidism
2. Nodular thyroid diseases
3. Thyroid cancer
4. Goiter
5. All varieties of thyroiditis, including silent, autoimmune and chronic thyroiditis

Disorders of calcium and skeletal metabolism including:

1. Hyperparathyroidism and other causes of hypercalcemia
2. Hypoparathyroidism and other causes of hypocalcemia
3. Metabolic bone diseases
4. Evaluation and treatment of kidney stones

Disorders of the Adrenal Glands

Disorders of blood pressure

Endocrine aspects of aging, including menopause

Nutritional disorders and obesity

Male and female reproductive endocrinology

Routine management of patient with treated pituitary disease

Teaching Methodology – Patient based mentored assessment of historical findings, examination, and therapeutic plan. Each patient is seen by a faculty attending. Pragmatic and theoretical issues are discussed as practical, ethical, socio-economic issues are discussed in this format.

Method of Evaluation – All subspecialty residents are evaluated at least biannually. In addition endocrinology and internal medicine residents evaluate full time and volunteer faculty and the clinic as an educational experience biannually.