CuRe Endocrinology and Metabolism. Carmen Hurd UGME Course Leader May 14, 2013
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1 CuRe Endocrinology and Metabolism Carmen Hurd UGME Course Leader May 4, 203
2 Committee Course Leader: Carmen Hurd Educational Coordinator: Suzanne Doyle Content expert: Pam Katz Diabetes education: Lori Berard Pediatrics: Brandy Wicklow/Liz Sellars Anatomy: Maria Vrontakis Physiology:? Pathology: Michael Curtis Generalism:? Residents/Students: Janice Ho (PGY 4) Longitudinal course leaders
3 Current Endocrine Course Strengths Super awesome area of medicine! Bone and calcium curriculum Fits nicely with reproduction course Good pediatric representation, sessions with allied health professionals, patients/families Challenges Some sessions outdated Tutorial cases need work Repetition/overlap Too much anatomy/pathology, not enough physiology and clinical material Lipids!!! How to teach? Who to teach? Where to teach (cardiology vs. endo) Missing key topics: PCOS, obesity
4 Endocrine: Essential skills, longitudinal and theme courses CP4 Skills Longitudinal/Theme Diabetes - Insulin Adjustment - Basic dietary/exercise advice - Indigenous Health - Community Health - Interprofessional education - Clinical Skills -?Pediatrics (effects of chronic illness, transition issues) Obesity - Interview for behavioral change - Psychology - Clinical Skills - Community Health Lipids - Interpret lipid profiles - Risk stratification Hirsutism/Growth - Tanner staging - Pediatrics Foot Ulcers - Diabetes foot exam - Clinical Skills - Community Health (Biostats) Thyroid Mass - Examine thyroid - Diagnostic Imaging Thyroid disorders - Interpret TFTs Adrenal/Pituitary - Diagnostic Imaging Osteoporosis - Calculate fracture risk - Geriatrics (falls?), Community Health
5 Endocrinology: Global UGME Objectives/CanMeds competencies Medical expert Yes Communication Motivational interviewing/lifestyle counseling, cultural safety Collaborator Session with diabetes educators Advocate Determinants of health, health promotion and disease prevention Scholar Can be incorporated depending on session format Professional -? Manager -? (longitudinal course involvement)
6 Endocrine M Shared with reproduction, 4 weeks (minus 2 for evaluation, minus for stat day) Strong focus on physiology Basic anatomy should incorporate radiology Proposed topic for clinical reasoning: Amenorrhea
7 M Endocrine: Proposed topics CP4 Topic Hours Intro Intro lecture/hormones 2 Diabetes Anatomy/Histology of Pancreas Physiology of Glucose Metabolism Obesity Epidemiology/Adipose endocrinology 2 Pituitary Gross anatomy, microanatomy, basic function 2 Thyroid Adrenal Hirsutism/Growth Lipids Anatomy/hormone synthesis/drugs Hormone action, feedback Pregnancy/newborn Anatomy, basic histology Hormone action and feedback Steroid pharmacology Growth and Puberty Sexual development and differentiation Epidemiology of lipids Pathways and Mechanisms of drugs Calcium Physiology of calcium metabolism Osteoporosis Menses Histology of Bone and Parathyroid Bone Physiology Menstrual cycle Prolactin 5 2 2
8 Endocrine M2: Proposed topics Introduction ( hrs) Pituitary (4 hrs): Review, masses and hypofunctioning, diabetes incipidus, hyperfunctioning Thyroid (6 hrs): Review/drugs, hyperthyroidism, pregnancy and the newborn, hypothyroidism, thyroid nodules, thyroid function test interpretation Adrenal (4 hrs): Cushings/adrenal insufficiency, incidentaloma/hyperaldosteronism, pheochromocytoma Hirsutism/Growth (2 hrs): Ambiguous genitalia, short /tall stature Calcium (2 hrs): Clinical disorders of calcium metabolism Osteoporosis (2 hrs): Review/drugs, metabolic bone disease Menses (3 hrs): Prolactinemia, PCOS, male hypogonadism
9 Endocrine M2: Proposed topics Diabetes (3 hours): Review of physiology/diagnosis/epidemiology () Microvascular and macrovascular complications (2) Diabetes in pregnancy (including newborn) () Oral agents (2), Insulin (2), Insulin adjustments (2) Comprehensive management of the diabetes patient (2) Diabetes emergencies: DKA () Clinical skills: Diabetes education, foot ulcer Obesity (2 hours) Epidemiology and health effects. Pediatric obesity? Diabetes prevention trials, weight loss management Clinical skills: Motivational interviewing Lipids (3 hours) Cardiovascular risk stratification and targets ( hour) Review of pathways and drug therapy (2 hours)
10 Endocrine Course: Discussion
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