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Learning Objectives

Endocrinology Rotation Educational Objectives 


The educational goals of the Endocrine Elective are for house
officers to develop the ability to independently evaluate, treat
and monitor common endocrine disorders (diabetes, thyroid
dysfunction, lipid abnormalities, metabolic bone disease, and
calcium disorders) and to be familiar enough with the less common
endocrinopathies (adrenal disease, pituitary disease and gonadal
dysfunction) to recognize the abnormality and initiate evaluation
prior to sub-specialty consultation.

Educational Objectives

  1. Diabetes mellitus.  Differences between Type 1 and
    Type 2 diabetes. Natural course of diabetes and its complications.
    Appropriate monitoring methodologies to include home glucose
    monitoring, glycated proteins and urine protein excretion.  Dietary
    management and pharmacological therapy to include intensive insulin
    programs, non-insulin injectables, oral hypoglycemic medications,. Patient
    recommendations for "sick days" and treatment of hypoglycemia.
    Management of commonly associated disorders (hyperlipidemia and
    hypertension) and their interaction with diabetes management
    Appropriate and timely referrals to ophthalmology, podiatry,
    dietary and the diabetes education program.
  1. Thyroid disease. Diagnostic evaluation and
    management of the functional thyroid disorders (hypothyroidism and
    hyperthyroidism). Treatment options for hypothyroidism and  hyperthyroidism.
    Evaluation of anatomic thyroid abnormalities (simple goiter, multinodular
    goiter and solitary thyroid nodule) to include use of nuclear
    medicine procedures, ultrasound studies and fine needle aspiration.
    Evaluation of thyroid function tests in the intensive care
  1. Lipid disorders. NCEP guidelines. Secondary
    hyperlipidemia, dietary and pharmalcologic management of
  1. Metabolic bone diseases. Diagnostic evaluation and
    treatment options of osteoporosis and osteopenia. Risk factors for osteoporosis.
    The use of bone densitometry. Osteomalacia, Paget's disease.
  1. Calcium disorders.  Diagnosis and management of
    hypercalcemia and hypocalcemia.  Management of
    hyperparathyroidism (medical vs. surgical). Management of critical
    hypocalcemia and hypercalcemia. Diagnosis and management of vitamin
    D deficiency.
  1. Adrenal disease.  Diagnosis and management of
    Cushing's syndromes, adrenal failure and pheochromocytoma.
    Diagnosis and management of adrenal emergencies (adrenal or
    pheochromocytoma crisis). Evaluations of the incidental adrenal
  1. Pituitary disease. Diagnostic evaluation of
    pituitary tumors to include the incidental pituitary mass. The role
    of surgery, radiation therapy and medical management. Diagnosis and
    management of pituitary apoplexy. Empty sella syndrome. Diagnosis
    and evaluation of posterior pituitary dysfunction such as central DI and SIADH

  2. Gonadal Dysfunction. Diagnostic evaluation of
    gynecomastia, hirsutism, amenorrhea and impotence. Androgen and
    estrogen replacement therapy.

Quick Reference

Endocrinology & Metabolism

Office 336-713-7251

Wake Forest Baptist Medical Center 
Medical Center Blvd.
Winston- Salem, NC  27157
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Last Updated: 06-22-2016
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