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Monday - 2016 Bronxdale (suite 302)(718-822-1515)- 1:00 PM - 5:00 PM
Wednesday - Private Practice (914-631-9300) 1:00 PM - 5:00 PM
Thursday - Endocrine Clinic 1:30 - 5:00 PM (none 1st Thursday)
(Thursday AM - Medical GR)
Friday - Private Practice (914-631-9300) 1:00 PM - 5:00 PM
Make certain that the Medical Education Office (960-6202/6201/6211) has your
beeper number so that you can be notified of consults. You should always try
to speak directly to the physician who called in the consultation to find out
specifically what issues they want addressed. The physician who called in
the consult, should have filled out a consultation request sheet. But even
if they have not, that is the form on which you should write up your history,
physical examination, lab data and assessment. When I see the patient, I
will sign your note and write my own notes in the Progress section of the
medical record. When you provide a Consultation, please keep the following
in mind:
1. Before even starting the history, you must make certain that you are not
interrupting the patient and that the patient is as comfortable as possible.
2. Your history taking must start off open-ended, and must be empathetic.
3. The Social History is extremely important.
4. You will also need to obtain very specific information regarding the
names of physicians who have previously taken care of this patient.
5. Previous records from our Hospital must be reviewed.
6. The physical examination should focus on the endocrine system. Patients
must be given a drink to examine the thyroid. Patients with the potential
for neuropathy should have an exam that evaluates that.
You can reach Dr. Hellerman at the Medical Education Office, x6202 or by
calling his answering service: 914-366-5205. Since messages are only picked
up every few days, you should ALWAYS ask to have him paged. Confirm that the
person who takes the message has your full name, your beeper number, and a
phone number at which to reach you.
Please see Syllabus and suggested reading and Web Links.
Residents who participate in the Endocrine Elective will have an opportunity
to provide comments, suggestions, and feedback regarding the rotation at the
end of the month. They will also have a chance to receive feedback then as
well.
Rotation Outline
I. Introduction: Outcomes and Competency
During the Endocrinology rotation, you will be exposed to common
metabolic and hormonally mediated conditions. A necessary
outcome of the experience is that you become competent in the
diagnosis and treatment of several of these hormonal conditions.
Your competency will be evaluated in the six domains of:
1. Medical knowledge
2. Interpersonal and communication skills
3. Patient care
4. Professionalism
5. Practice-based learning and improvement
6. Systems-based practice
You will have the opportunity to demonstrate your competency
in these domains of Endocrinology during direct observation
of your interaction with patients, your presentation of
material you have researched, and as part of standarized
tests at http://coursesites.blackboard.com and
http://www.hopkinsilc.org
II. Specific Endocrinology topics with which you should develop
competency
1. Diagnosis and treatment of Type 1 and Type 2 diabetes
2. Empathetic communication with patients who have diabetes
3. Cultural issues in diagnosis and treatment of diabetes
4. Gender and age issues in diagnosis and treatment of diabetes
5. Issues of professionalism in treating diabetes
6. Practice guidelines and quality improvement and
error reduction when caring for the patient with diabetes
7. Evaluation of hypoglycemia, hypocalcemia, hypoadrenalism
8. Diagnosis and treatment of hyperthyroidism and
hypothryoidism
9. Evaluation of thyroid nodules and treatment of
thyroid cancer
10. Evaluation of amenorrhea, hirsutism, and infertility
11. Evaluation of impotence
12. Evaluation and treatment of hypercalcemia
III. References
Read all sections of Harrison's Principles of Internal
Medicine which apply to Endocrinology, as well as the
Endocrine section of the current MKSAP. Additional
references and practice guidelines are available at
http://www.teacherweb.com/ny/stbarnabas/endocrine
IV. Faculty and Supervision
The Endocrine rotation is supervised by Dr. James Hellerman.
Please contact him at Room 717 (x6202) when you start the
rotation. Make certain you also have his answering service
number. Discuss all consultations with him.
IV. Schedule
Check with the office regularly and ensure the office can
readily contact you. If you have other obligations, such as
Continuity Clinic, interviews, etc, please make certain that
all staff are aware of these commitments.
Monday afternoon, you should attend Endocrine Private Practice
at 2016 Bronxdale Avenue, Suite 302 (718-822-1515) from
1:00 PM - 5:00 PM.
Thursday at 8:00 AM you should attend Medical Grand Rounds,
and Thursday afternoon from 1:30 PM to 5:00 PM you should
attend Endocrine Clinic on the 5th floor of the Clinic Building.
Most days, you should attend the scheduled Noon Time conferences.
V. Evaluation
Prior to the end of the rotation, you should sit down with
the preceptor to go over your evaluation of competency as well
as to provide your opinion as to the quality of the educational
experience and any suggestions you might have to improve the
rotation.
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