Curriculum

• Pediatric Endocrinology Rotation

  Educational Objectives:

  1.  To become familiar with the common endocrine disorders seen in children and adolescents, with special attention to the following.

  a. Disorders of growth (retardation and acceleration of growth)

  b. Disorders of maturation (precocious puberty and delayed puberty)

  c. Congenital and acquired disorders of adrenal glands

  d. Congenital and acquired goiter and hypothyroidism

  e. Type 1 and Type 2 diabetes in children

  f. Gonadal dysgenesis

  Teaching Methods:
  1. The trainees will evaluate patients seen in the pediatric endocrine clinic, develop their own assessment and plans for their care. These will be discussed by the pediatric endocrine attending physician and final plans will be implemented with the approval of the attending physician.

  2. The trainee will also evaluate inpatients where a pediatric endocrine consult is requested, evaluate and discuss these with the Peds/Endo attending as in number 1 above. 

  Practice Setting:
  Pediatric Endocrinology Clinic in the Sparrow Professional Building and in-patient at Sparrow Hospital.

  Allied Health Personnel in the Clinic:
  Pediatric nurses and certified diabetes educators

  Reading List:
  A reading list will be provided by the attendings in the pediatric endocrinology clinic.

  Evaluation:
  Evaluation will be performed by direct observation by the supervising attending physicians in all six ACGME core competencies

  a. Patient Care
  b. Medical Knowledge
  c. Practice Based Learning and Improvement
  d. Interpersonal and communication Skills
  e. Professionalism
  f. System Based Practice

  A 360° evaluation from other members of the pediatric clinic and pediatric endocrine service may also be included.

   

• Radiology Rotation

  Objectives:
  1.  To learn the indications, perform and interpret thyroid ultrasound (u/s) examination.
  2.  To learn to perform u/s guided fine needle aspiration of thyroid nodule.
  3.  To learn the indications, observe the performance, and learn to interpret thyroid uptake and scan.
  4.  To learn the indications, observe the determination, and learn to interpret bone mineral density.
  5.  To review and learn to interpret CT scans and MRI of specific endocrine organs.
  6.  To learn the indications and become familiar with PET scans.
  7.  To learn the indications and observe patients being treated for hyperthyroidism and thyroid cancer with I¹³¹ , to be eventually able to get a license to treat patients with I¹³¹ for hyperthyroidism and thyroid cancer.

  Teaching Methods:
  The trainees will spend time directly under the supervision of the Radiology Faculty to achieve the above objectives during their four-week Radiology Rotation.

  Disease Mix and Patient Characteristics:
  The Radiology Department of MSU is a full service Radiology Department and sees patients with different diseases, but for this rotation for Endocrine trainees, the emphasis will be on patients referred with endocrine disorders and the procedures mentioned above. Trainees will be encouraged to follow the Radiology procedures ordered by them on their own patients.

  Resources:
  MSU Radiology Department is well equipped to perform the above procedures. Members of the MSU Radiology Department also have privileges at Sparrow hospital, where some procedures (such as I¹²³ uptake and scans are performed, not done at MSU). The residents will be able to learn those in the hospital setting. In addition, the MRI facility at Sparrow is jointly owned by Sparrow
  Hospital and MSU. The residents may, therefore, learn some of the educational objectives at both sites. The residents will be able to observe patients being treated with I¹³¹ under the supervision of endocrinology attending and observe patients in the hospital being treated for thyroid cancer.

  Practice Setting:
  1.  Outpatient Radiology facility at MSU Clinical Center.
  2.  Inpatient Radiology facility at Sparrow Hospital.

  Allied Health Personnel:
  Radiology and ultrasound technicians at MSU Clinical Center and also at Sparrow Hospital.

  Reading List and Educational Resources:
  Will be provided by Radiology Faculty.

  Evaluation:
  Will be performed by the supervising faculty and they may also include a 360o evaluation from other members of the clinic through which the fellow has rotated.
  
  In addition, by the end of the rotation, trainees will demonstrate their ability to interpret unknown thyroid scans, ultrasounds, and bone mineral density and relevant MRI and CT scans.

• Reproductive Endocrinology Rotation

  Educational Objectives:
  1. To learn the basic physiology of normal menstrual cycles, and to learn to
  evaluate patients with amenorrhea.
  2. To learn to assess the male and female factors involved in the evaluation
  of a couple for infertility.
  3. To become familiar with techniques involved in the treatment of infertility
  such as artificial insemination, in vitro fertilization, etc.

  Teaching Methods:
  The trainees will evaluate patients (couples) referred for evaluation of infertility
  under the supervision of Ob Gyn faculty.

  Practice Setting:
  Sparrow Professional Building and Sparrow Hospital.

  Allied Health Personnel in the clinic:
  Ob Gyn Nurse Practitioners

  Reading List:
  Updated reading lists will be provided by the reproductive endocrinology faculty.

  Evaluation:
  Will be performed by the supervising faculty and they may also include a 360o
  evaluation from other members of the clinic through which the fellow has rotated.