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Endocrinology - Hellerman |
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*Curriculum*Curriculum for outcomes-based Endocrinology: (updated Outline I. Nuts and Bolts (or Introduction) II. Measurable Goals & Objectives ("Outcomes") III. Teaching Methods ("How you will learn") IV. Outcome Assessment and Feedback I. Nuts and Bolts (or Introduction) A. Key Faculty and how to reach: Name Office Number Answering Serv. J.Hellerman x6202 914-366-5205 B. Weekly Schedule Outline: Mon Tue Wed Thu Fri am: Grand Rounds pm: Park Clinic C. Responsibilities of the resident and the Chain of Command: 1- Make certain that the Endocrine Office has your beeper and/or cell phone number and that you keep the office informed of how to reach you at all times. 2- Periodically check in with the office to see if there are any consultations. 3- If possible, you should see the patients before your preceptor, and write up the consultation on a formal consultation sheet, based on information you have obtained from the patient, family, old record, and primary physician. Then present the case to Dr. Hellerman, who will see the patient with you to review your findings and to discuss your assessment and recommendations. All cases must be discussed with Dr. Hellerman. 4- You should follow up on all patients daily, including any passed on to you from the previous rotation. Similarly, you should prepare a list of patients you have been following to pass on to the next resident who joins the Endocrine service. When needed, your assistance in transitioning patients into the community will be greatly appreciated by all (for example, calling patients after discharge to discuss their blood sugar results and adjustment of insulin). 5- You should continue to attend your Continuity Clinic during this rotation. Please let us know as soon as possible regarding any proposed absences (e.g., for an interview). D. Formative/Summative Feedback: Residents on this rotation must schedule a personal meeting midway through, for verbal formative assessment by Dr. Hellerman, and then again before the end of the rotation, for a written summative assessment. Residents must also provide anonymous evaluation and feedback of the rotation by clicking on the following link: www.freesurveysonline.com/fso/AskSurvey.fso?Survey=3667&CheckID=19 II. Measurable Goals and Objectives for Endocrinology A. Outcomes required to document competency The following paragraphs list the six major domains (medical knowledge, interpersonal and communication skills, patient care, professionalism, practice-based learning and improvement, and systems-based practice) for which residents must demonstrate knowledge, skills, attitudes, and habits that demonstrate competency at each level of training. Such competency progresses from "knowing" to "knowing how" to "can teach" the following: B. Demonstrate the following: Knowledge PGY-1 Management of DKA and hyperosmolar states Practice Guidelines for outpatient diabetes Cultural issues & Dietary management of diabetes Medicines to treat diabetes Interpretation of thyroid function tests Principles of treatment of hypothyroidism Differential diagnosis of hyperthyroidism Initial evaluation and treatment of Hypercalcemia PGY-2 Whom to screen for diabetes Evaluation of hypoglycemia Management of myxedema coma Options to treat hyperthyroidism Evaluation of hypercalcemia Evaluation and treatment of adrenal insufficiency PGY-3 Consulting for DM management on Surgery, Psychiatry, and Ob-GYN Consulting for hypothyroidism on Surgery, Psychiatry, and Ob-GYN Recognition and treatment of thyroid storm Consultation for hyperthyroidism on the Surgery, Psychiatry, and Ob-Gyn services Evaluation of amenorrhea, hirsutism, and PCOS Evaluation of Cushing’s Syndrome, Pseudo-Cushing’s and CAH Glucocorticoid remediable hyperaldosteronism Evaluation for endocrine causes of hypertension The incidentaloma of the pituitary or adrenal Evaluation of the thyroid nodule Principles of thyroid cancer management Interpersonal & Communication Skills PGY-1 Legible notes Open-ended, non-directive, empathetic, culturally sensitive interviews appropriate to this rotation Function as effective consultant who facilitates collaboration among members of the healthcare team PGY-2 Include communication with families, liaison with attending, consult effectively PGY-3 Communicates with healthcare providers outside of the hospital Patient Care PGY-1 Physical examination skills include careful palpation of the thyroid observation of signs of hyperlipidemia evaluation for changes of diabetes Informed consent regarding potential side effects of treatment, especially when propylthiouricil, methimazole, or radio- iodine are involved in therapy Clinical judgment is the synthetic skill you should demonstrate based upon all available evidence specific to a particular patient PGY-3 Clinical judgment should approach that of a new attending
Professionalism PGY-1 This includes accountability, altruism, excellence, and compassion. Ethical behavior should be demonstrated particularly as it applies to pharmaceuticals Practice-based learning improvement PGY-1 Use information technology to track patients, reduce errors, improve quality, teach others, maintain confidentiality, participate in clinical research. Utilize practice guidelines for DM Systems-based practice PGY-1 Transition care from one setting to another (e.g., from hospital to the clinic), advocate for patient, reduce risk, practice cost-effective care, appreciate different delivery systems and regulatory agencies. III. Teaching Methods and How You Will Learn Residents will acquire the above knowledge, skills, attitudes and habits by utilizing the following: Required videos: none Books: all endocrine chapters and MKSAP, all endocrine chapters articles: all at: www.teacherweb.com/ny/stbarnabas/endocrine conferences: GR and NT core endocrine experiences: Endocrine Clinic and/or Endocrine Elective vignettes : none IV. Outcome Assessment and Feedback Competency at each level of training in this discipline will be documented by the resident by means of the following: Knowledge: On-line quizzes: at http://coursesites.blackboard.com Chart-stimulated recall ABIM Global Rating Scale Communication: mini-CEX Standardized Resident Nursing, NF, CMR evals ABIM Global Rating Scale Portfolio – paper on empathy Patient Care: mini-CEX ABIM Global Rating Scale Professionalism: Portfolio - reflective practice - community service Nursing, NF, peer, CMR, & patient evaluations ABIM Global Rating Scale PBLI: Chart audit for qual.indicators Portfolio - reflective Error Reduction-Safety commitment to change - use of Information Technology (and Confidentiality) - Teaching activities ABIM Global Rating Scale SBP: Chart audit for discharge summary and transition of care Portfolio on Delivery Systems on Regulatory Agencies As noted above, residents on this rotation must schedule a personal meeting midway through, for verbal formative assessment by the faculty preceptor, and then again before the end of the rotation, for a written summative assessment. Residents must also provide anonymous evaluation and feedback of the rotation by clicking on the following link: www.freesurveysonline.com/fso/AskSurvey.fso?Survey=3667&CheckID=19 |
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