This rotation will take place in various outpatient clinics and/or Endocrinology inpatient consult services. Residents will interact with both fellows and attendings. Making use of these settings has afforded us the opportunity to expose house staff to diverse patient populations, pathologies, diagnostic and interventional modalities, and practice settings.
Residents will participate in attending rounds and small group lectures/discussions. The rotation will provide either an inpatient component or an ambulatory component. All aspects of rheumatology will be covered including but not limited to diabetes management, thyroid disease, calcium metabolism, adrenal disorders, pituitary disorders, and reproductive endocrinology. The rotation can be repeated for residents who want an enhanced endocrinology exposure.
Subspecialty Consults and Clinics Expectations
Goals and Objectives for Endocrinology Inpatient
Develop an understanding of the rheumatology disorders seen in hospitalized patients
PGY-1: Understand the basic principles of assessing and managing common presentations of rheumatology and endocrine in hospitalized patients.
PGY-2: Understand the principles of assessing and managing both common and complex presentations of rheumatology and endocrinology disorders in hospitalized patients
PGY-3: Develop advanced processes to recognize and treat complications of rheumatologic disorders and complications of endocrine disorders in hospitalized patients with multiple medical problems
Competency: Patient care, Medical knowledge
Developing diagnosis skills
PGY-1: Learn how to use the bedside clinical examination in patients with common rheumatology and endocrine disorders
PGY-2: Effectively use the bedside clinical examination and demonstrate subtle clinical findings in patients with rheumatology and endocrine disorders
PGY-3: Learn how to correlate bedside clinical findings with imaging and other data in patients with rheumatology and endocrine disorders
Competency: Patient care, Medical knowledge
Understand the differential diagnosis of common rheumatologic and endocrine disorders
PGY-1: Develop a basic differential diagnosis for common clinical scenarios in patients with suspected rheumatologic and endocrine disorders
PGY-2: Develop a differential diagnosis for common clinical scenarios in patients with rheumatologic and endocrine disorders
PGY-3: Recognize unusual presentations of common clinical situations in patients with rheumatologic and endocrine disorders
Competency: Medical knowledge
Learn pharmacological management of common rheumatologic and endocrine disorders
PGY-1: Learn the common medications utilized for the management of rheumatology and endocrine disorders
PGY-2: Learn the medications used in management of rheumatologic and endocrine diseases, understand how to manage complicated clinical problems, and develop specific therapeutic strategies in patients with rheumatologic and endocrine diseases
PGY-3: Learn how to develop personalized care plans for patients with rheumatologic and endocrine diseases and intersecting clinical problems
Competency: Medical knowledge
Effectively consult on inpatients, develop, and execute assessment and management plans.
PGY-1: Learn the steps required to be an effective rheumatology and endocrinology consultant.
PGY-2: Learn to be effective rheumatology and endocrinology consultants. Recognize how to prioritize patient problems. Develop management plans for inpatients with rheumatologic and endocrine diseases.
PGY-3: Understand interactions between patient rheumatology and endocrine disorders and other medical issues and develop advanced strategies to prioritize management
Competency: Patient care
Effectively executes day-to-day management of patients
PGY-1: Learn to manage patients with rheumatologic and endocrine diseases on a daily basis including a daily assessment and determining progress in clinical problems
PGY-2: Understand how to adjust patient treatment plans based on patient progress and determine the need for additional assistance such as subspecialty consultation
PGY-3: Recognize how to manage complex rheumatologic and endocrine diseases and manage both expected and unexpected complications.
Competency: Patient care
Interdisciplinary care and discharge planning
PGY-1: Learn how to communicate effectively with the interdisciplinary care team and anticipate patient needs for discharge and effective follow-up
PGY-2: Recognize the unique needs of patients with rheumatologic and endocrine disorders and help integrate patient needs with available resources
PGY-3: Learn how to manage advanced situations such as complex transitions of care and advocate for patients when resources are limited
Competency: Patient care, System-based practice
Rational ordering of lab tests and imaging studies
PGY-1: Learn the indications for basic laboratory investigations and imaging in patients with rheumatologic and endocrine diseases
PGY-2: Learn how to interpret laboratory findings and imaging seen in patients with rheumatologic and endocrine diseases
PGY-3: Gain advanced knowledge of high value principles in the ordering of laboratory studies and imaging for evaluation of rheumatologic and endocrine disorders
Competency: Practice-based learning and improvement, Medical knowledge
Familiarity with the electronic health record and optimization of its use
PGY-1: Develop a basic understanding of The EHR and its core components and how it can be used to care for patients with rheumatologic and endocrine disorders
PGY-2: Understand how to effectively use the electronic health record in the care of patients with rheumatologic and endocrine disorders
PGY-3: Develop an understanding of advanced medical informatics in the care of patients with rheumatologic and endocrine diseases by utilizing additional resources in the EHR
Competency: Systems-based practice
Communication and teamwork
PGY-1: Recognize the core members of the patient care team involved in care of patients with infectious diseases, to include nurses, patient technicians, pharmacists, case managers, social workers, and hospital administration personnel
PGY-2: Develop effective and timely communication strategies with the interdisciplinary care team for patients with rheumatologic and endocrine diseases
PGY-3: Use advanced communication methods to engage and coordinate care with the interdisciplinary care team for patients with rheumatologic and endocrine diseases
Competency: Professionalism, Interpersonal and communication skills
Goals and Objectives for Endocrinology Outpatient
Assess acute and chronic rheumatologic and endocrine diseases in the outpatient setting
PGY-1: Learn the initial assessment of acute and chronic rheumatologic and endocrine diseases in the outpatient setting
PGY-2: Learn to assess acute and chronic rheumatologic and endocrine disorders and develop an advanced understanding of these disorders in the outpatient setting
PGY-3: Understand the intersections between acute and chronic rheumatologic and endocrine diseases and subtle variations in presentation
Competency: patient care, medical knowledge
Understand the principles of chronic rheumatologic and endocrine disease management
PGY-1: Learn the principles of management for rheumatology and endocrine disorders, including the development of problem lists and preventive care principles
PGY-2: Understand the principles of chronic management of rheumatology and endocrine disorders, including problem lists and preventive care, and factors that create competing priorities with chronic rheumatologic and endocrine diseases.
PGY-3: Develop and utilize advanced care processes including consultation and interdisciplinary management of chronic rheumatologic and endocrine diseases
Competency: Patient care
Learn pharmacological management of common rheumatologic and endocrine diseases
PGY-1: Learn the common medications utilized for the management of rheumatology and endocrine disorders.
PGY-2: Understand the medications used for rheumatologic and endocrine diseases and how to manage complicated health problems and develop specific therapeutic strategies
PGY-3: Learn how to develop personalized care plans for rheumatology and endocrinology patients with intersecting clinical problems
Competency: medical knowledge
Understand the differential diagnosis of common clinical rheumatologic and endocrinology disease scenarios
PGY-1: Develop a basic differential diagnosis for common rheumatology and endocrine clinical
PGY-2: Develop an expanded differential diagnosis for common rheumatologic and endocrine disease clinical scenarios
PGY-3: Recognize unusual presentations of common rheumatologic and endocrine disease clinical situations
Competency: medical knowledge
Develop and utilize patient dashboards to engage in population management
PGY-1: Learn how to interpret patient dashboards in the HER for outpatient with rheumatologic or endocrine disorders
PGY-2: Identify noncompliance or patients who are outliers in the patient dashboards
PGY-3: Develop advanced care plans with the interdisciplinary care team to manage patients with endocrine or rheumatology disorders not meeting parameters in the patient dashboards
Competency: Systems-based practice, Practice based learning and improvement
Understand the unique outpatient needs of rheumatology and endocrine patients
PGY-1: Recognize the unique outpatient needs of infectious disease patients
PGY-2: Recognize and understand the outpatient needs and community resources available to rheumatology and endocrinology patients
PGY-3: Learn how to work with an interdisciplinary care team to optimize the availability and utilization of community resources available to rheumatology and endocrinology patients
Competency: Patient care, systems-based practice
Parkland Endocrinology Consults
Parkland Endocrine Consults
Location: New Parkland Hospital (NPH). 8th floor. 600 side. Far rounding room.
Hours: Start at 8 AM. Monday through Friday. 0 to 1 residents will be assigned to this week at any given time
Service Description
Team Composition: Attending staff, fellow, resident, and medical student
Functions as a consultant service for inpatient services and the Emergency Department. The resident participates in the evaluation and management of inpatients requiring endocrinology consultation at Parkland Memorial Hospital. Residents will directly engage in clinical activities such as prescribing appropriate laboratory testing and medication management.
Conference: West Campus Building, 8th Floor Conference Room (currently virtual); Friday, 1:00 - 4:00pm
CUH Endocrinology Consults
CUH Endocrine Consults
Location: no set rounding room, contact the fellow on call (via paging system)
Hours: Start at 8 AM. Monday through Friday.
Clinics
Clinics
Please see the +1 Clinic week for an updated list of clinic. Please refer to your QGenda for which clinic you will be assigned to during this rotation.
Conferences
Conferences
Endocrine Conference: normally located in West Campus Building (2001 Inwood Road), 8th Floor Conference Room 8.808 or 9.808
Friday, 1:00 - 4:00pm (will include both an Endocrine talk + didactic session)
Didactics maybe be virtual occurring on Microsoft Teams
Schedule:
1-2 PM is endocrine grand rounds
2-3 PM is fellows case conference or journal club
3-4 PM is core curriculum or pituitary, adrenal or thyroid multidisciplinary conference