Resident Endocrinology Rotation Organization
Cynthia A. Burns, MD
Organization of the Residency Endocrine Rotation
Residents will be oriented by the consult fellow on the first day of the rotation, and should arrive at the Endocrinology clinic, Joslin location, by 8:00am.
- Please let Lisa Sharpe know if you will not be able to make the orientation session to make alternative plans for another meeting time.
- Residents are responsible for insuring that they meet residency program attendance requirements regarding the number of days required to receive credit for the rotation.
- All clinics are held at the Joslin Center, except Dr. Ober's Tuesday morning clinic session that is held on the 7th floor Janeway Tower.
- The Joslin Center is located at the corner of Country Club Road and Jonestown Road, at 4610 Country Club Commons.
- Residents are expected to be in Endocrinology clinic Monday through Friday, unless seeing patients in their own Housestaff Continuity Clinic.
- If there is no clinic scheduled, then residents are to engage in self directed learning on Endocrinology topics. (See rotation objectives.)
- Residents see patients with one or more attendings, nurse practitioner, physician assistant per clinic session, allowing them to have numerous exposures to endocrine patients in a short time frame and augment your skills (thyroid palpation, adjusting insulin regimens, etc.) efficiently through one-on-one interactions with the providers.
- You will not see any of the Endocrinology Fellows' clinic patients.
- Clinics start at 8 AM. Arrive early and prepared.
1. Consider reviewing the day's clinic schedule prior to the beginning of clinic.
2. It is our goal to facilitate your attendance at Resident Morning Report and Noon Conference.
- When working with an APP< residents maynot generate a patient note under any circumstances.
- It is the resident's responsibility to ensure that the appropriate history and physical examination is obtained on each consult, and to follow the patient's progress during the hospitalization.
a. Daily progress notes should be written in SOAP note format--please do not carry forward the consultation H&P.
- The medical students will be assigned to follow consults along with the resident, but the resident maintains primary responsibility for communication with the primary team.
- Residents should not offer written or verbal recommendations to the primary team until the patient has been presented to the attending at consult rounds.
- The times for consult rounds will be set by the Endocrinology fellow and/or attending of the month, but are typically at 2 pm or later each afternoon.
- Residents are expected to be at Endocrinology consult rounds Monday through Friday, unless seeing patients in their own Housestaff Continuity Clinic or involved in mandatory IM Residency activities.
a. On Mondays, the fellow will meet with you at 1 pm prior to resident academic half day, and if necessary, will ask you to return after the academic half day is complete.
Residents will attend each of the following conferences:
- Endocrine conference: Wednesdays, 1:00-2:00 PM, endocrine conference room, E Floor, Nutrition Bldg
- Internal Medicine Grand Rounds: Thursdays, 8:00-9:00AM, Commons areas.
We recommend reading the MKSAP Endocrinology Book; Williams' Textbook of Endocrinology is available online through the Coy C. Carpenter Library for more detailed information regarding specific patient conditions; assorted case specific reading material will be distributed as appropriate during the rotation.
End of Rotation Exam
At the conclusion of the elective, there will be a short answer-style written test developed based on the Rotation Education Objectives in mind. Please schedule with Ms. Lisa Sharpe in advance.
You are required to spend one session with the "Senior Adults Learning About Diabetes" (SALAD) course. These sessions are typically held weekly. Contact the Diabetes Nurse Educator at 6-8234 to find out when the classes are being held this month. Typically the 2nd and 4th sessions of the series are the best educational experience for residents.
Resident Case Presentation.
Each resident team will prepare and present a unique Endocrine Case Conference. This will be a 30 minute case-based presentation of a patient that was seen on the consult service during their rotation. This presentation should include a review and presentation of the relevant literature and opportunity for questions/answers. The consult attending and the consult fellow will be available for mentoring. This will be presented to the consult team on the last week of the rotation.
Residents who do not meet the above requirements may not receive credit for the rotation with the residency program.
The faculty of the Section on Endocrinology and Metabolism is committed to provide a valuable educational experience during your rotation. Please let me know if you have any questions or concerns regarding this elective.
Cynthia A. Burns, MD
Weekly Clinic Schedule:
Schedule is subject to change-please confirm at beginning of rotation
*Dr. Shenouda is not scheduled to work with residents or medical students.