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  • 1. A. GOALS AND OBJECTIVES FOR ENDOCRINOLOGY CLINICAL ROTATIONS Goal 1. Patient Care Provide family centered patient care that is developmentally and age appropriate, compassionate, and effective for the treatment of health problems and the promotion of health By the end of these rotations, the fellow will be able to: Year One (PG-4) Objectives a. Gather essential and accurate information b. Make informed diagnostic and therapeutic decisions for a variety of endocrine diseases including but not limited to: o Growth diseases o Thyroid disorders o Diabetes and other carbohydrate metabolism disorders o Adrenal disorders o Polycystic Ovary Syndrome o Puberty disorders o Anterior and posterior pituitary abnormalities o Parathyroid and Vitamin D disorders o Disorders of sex differentiation c. Develop and carry out patient care plans, using of evidence-based decision-making, prioritization, and taking into account the needs, beliefs and resources of patient and family d. Prescribe and perform competently all medical procedures considered essential for the scope of general pediatric endocrinology e. Counsel patients and families in a supportive manner so they can understand their illness or injury and its treatment, share in decision-making, make informed consent and participate actively in the care plan. f. Provide effective preventive health care and anticipatory guidance to patients/families g. Demonstrate competence in the above measured by total global assessment patient satisfaction assessment, 360 evaluations Years Two and Three (PG-5, 6) Objectives a. Maintain the Year One objectives listed above b. Provide increasingly expert and state of the art care for a variety of endocrine diseases including but not limited to: o Growth diseases o Thyroid disorders o Diabetes and other carbohydrate metabolism disorders o Adrenal disorders o Polycystic Ovary Syndrome o Puberty disorders o Anterior and posterior pituitary abnormalities o Parathyroid and Vitamin D disorders o Disorders of sex differentiation c. Progressively assume the role of primary subspecialist for patients with endocrine disorders and diabetes by: o Acting as the principal subspecialist for the patient being recognized as such by the patient’s family. o Leading inpatient rounds with attending present o Assuming primary responsibility for laboratory and other test follow-up, interpretation, and communication to patients, families, and referring physicians. Demonstrate competence in the above measured by total global assessment patient satisfaction assessment, 360 evaluations Goal 2. Medical Knowledge Understand the scope of established and evolving biomedical, clinical, epidemiological and social-behavioral knowledge needed by an endocrinologist; demonstrate the ability to acquire, critically interpret and apply this knowledge in patient care By the end of these rotations, the fellow will be able to: Year One (PG-4) Objectives a. Demonstrate an investigatory and analytic approach to clinical problem solving and knowledge acquisition b. Demonstrate a working knowledge and be able to discuss the common clinical problems: o Growth diseases
  • 2. o Thyroid disorders o Diabetes and other carbohydrate metabolism disorders o Adrenal disorders o Polycystic Ovary Syndrome o Puberty disorders o Anterior and posterior pituitary abnormalities o Parathyroid and Vitamin D disorders o Disorders of sex differentiation c. Demonstrate ability to present both new and established patients in organized fashion with early level subspecialty- level assessment and plan d. Prepare and present case-based topic literature reviews to Endocrine/Diabetes Division members e. Demonstrate early development of evaluation approach and treatment philosophy based on sound understanding of endocrine physiology and evidence-based therapeutic strategies. . Years Two and Three (PG-5, 6) Objectives a. Maintain the Year One objective a) listed above b. Demonstrate an investigatory and analytic approach to clinical problem solving and knowledge acquisition c. Demonstrate an increasingly expert knowledge and sophisticated diagnostic and therapeutic approach to disorders including but not limited to: o Growth diseases o Thyroid disorders o Diabetes and other carbohydrate metabolism disorders o Adrenal disorders o Polycystic Ovary Syndrome o Puberty disorders o Anterior and posterior pituitary abnormalities o Parathyroid and Vitamin D disorders o Disorders of sex differentiation d. Show progressive expertise and independence in: o Evaluation of new and established patients o Presentation of assessment, plan, and anticipatory guidance content o Presenting evidence-based prognostic and risk/benefit analysis of therapeutic options and natural history of endocrine disorders e. Demonstrate competence as measured by: total global assessment patient satisfaction assessment 360 evaluation assessment form Goal 3. Communication Skills Demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, patients’ families, and professional associates By the end of these rotations, the fellow will be able to: Year One (PG-4) Objectives a. Provide appropriate written follow up and telephone contact with referring physicians. b. Engage the patient/family in decision-making c. Develop an effective style of conveying information to patients/families during visits Year Two (PG-5) Objectives a. Maintain Year One objectives a) and b) listed above b. Assume responsibility for conveying the majority of information to patients/families during Year Three (PG-6) Objectives a. Maintain Year One objectives a) and b) listed above b. Convey all information to patients/families during Endocrine and Diabetes clinic visits or hospital stays ______________________________________________________________________ Satisfactory performance in each year of training measured by total global assessment patient satisfaction assessment
  • 3. multisource assessment form Goal 4. Professionalism Demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population. By the end of these rotations, the fellow will be able to: Year One (PG-4) Objectives a. Demonstrate respect, compassion, and integrity b. Interact with patients, staff, colleagues, and other health professionals in a respectful manner to include appropriate dress, verbal and non-verbal behavior Year Two (PG-5) Objectives a. Maintain Year One objectives a) and b) listed above b. Demonstrate a responsiveness to the needs of patients and society that supercedes self-interest c. Describe the implications of professionalism lapses Year Three (PG-6) Objectives a. Maintain Year One objectives a) and b) listed above b. Demonstrate accountability to patients, society, and the profession c. Demonstrate a commitment to excellence through on-going professional development d. Describe the dimensions of professionalism beyond the period of fellowship training ______________________________________________________________________ as measured by patient/family survey total global assessment 360 degree evaluation Goal 5. Systems-Based Practice Demonstrate an awareness of and a responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value By the end of this rotation, the fellow will be able to: Year One (PG-4) Objectives a. Partner with healthcare managers and health care providers to assess, coordinate, and improve health care. b. Identify and work with endocrine nurses, diabetes nurse educators, nutritionist, social worker and pharmacists to effectively use their expertise to optimize a patient’s care. Year Two (PG-5) Objectives a. Maintain Year One objectives a) and b) listed above b. Identify community system resources available for use in delivering effective patient care Year Three (PG-6) Objectives a. Maintain Year One objectives a) and b) listed above b. Demonstrate the effective coordination of care between other healthcare providers and the patient ______________________________________________________________________ as measured by total global assessment 360 evaluation from clinic staff Goal 6. Practice-based Learning and Improvement Investigate and evaluate patient care practices, appraise and assimilate scientific evidence, and improve patient care practices By the end of these rotations, the fellow will be able to:
  • 4. Year One (PG-4) Objectives a. Locate and use appropriate search engines to effectively search the literature b. Critically appraise the available literature on a specific issue/condition/treatment plan relevant to a patient’s care c. Distill relevant information to enhance patient care and self-education Year Two (PG-5) Objectives a. Maintain Year One objectives a) and b) listed above b. Use evidence based medicine Year Three (PG-6) Objectives a. Maintain Year Two objectives a) and b) listed above b. Demonstrate a commitment to life-long learning beyond the period of fellowship ______________________________________________________________________ as measured by multisource evaluation total global assessment assessment of journal club presentation