ME508M.23

Endocrinology and Metabolism

Sites: BWH
Director(s): Erik Alexander, Ole-Petter Hamnvik
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time for one month. Not offered July, August.
Location: BWH - Brigham and Women's Hospital (23)
Open to Exclerks: US/Canadian
Description: This training provides an intensive exposure to clinical endocrinology and metabolism, including diabetes, hypertension, neuroendocrine and thyroid diseases; as well as other disorders such as, calcium and bone metabolism, thyroid and adrenal glands, pituitary dysfunction, hypertensive disorders, and other disorders of fuel homeostasis. Residents and students will perform endocrine consultations and participate in the diagnostic and therapeutic management of a broad variety of patients with these disorders, including work-up, background reading and presentation/discussion of cases at rounds. Teaching rounds will be held four to five times weekly and will focus on new and follow-up consultations. Students will also attend clinics in one or more of these same areas on a weekly basis. Interhospital Endocrine Grand Rounds and clinical/teaching conferences will be held weekly, in conjunction with the Children´┐Żs Hospital. Evidence-based medicine is the expected standard for the student's learning related to the cases evaluated and discussed in teaching rounds and clinics. Students are expected to perform literature searches to identify original articles, review articles and meta-analyses related to their case load, read relevant sections of endocrinology textbooks and utilize electronic resources, such as Up-to-Date, as appropriate. Basic science, as it is relevant to the team's consultations and to clinic patients, is an integral component of the student's reading, principally in textbooks, and is also presented as part of teaching rounds and/or in clinics by attendings and fellows.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Evidence-based medicine, based on readings from original articles, review articles, meta-analyses, textbooks of endocrinology, and electronic resources (e.g., Up-to-Date) are the expected standard for the students' work-ups and their presentations of their cases in teaching rounds and clinics. Basic science, as it is relevant to patients seen in consultations and in clinics, is presented as part of teaching rounds and/or in clinics by attendings and fellows. Both evidence-based medicine and related basic science are emphasized in the weekly teaching conference attended by the entire Endocrine Division, in which two cases are discussed in detail by the first year clinical fellows.
Grade Criteria:
Honors with Distinction: A student who performs at an exceptionally high level in terms of oral and written presentations and knowledge of the literature. About 10% of students fall into this category, and their performance approaches that of a medical graduate, such as an intern or resident. Punctuality and professional behavior toward staff, fellows, and other medical personal as well as patients and their families is expected of all students. Honors: A student who shows clearly above average performance in terms of oral and written presentations and knowledge of the literature. Such students display initiative and growth in their acquisition of new knowledge and mastery of new endocrine/metabolic conditions with each patient they work-up but perform at a level below that of students with Honors with Distinction. 50-60% of students generally fall in this category. It is the grade achieved by the majority of HMS students. Satisfactory: Students who display below average to average, but satisfactory performance in terms of oral and written presentations and knowledge of the literature based on historical observations of the students taking this course. These students, while satisfactorily working up and presenting their patients, show less growth and initiative than those getting honor grades. 20-30% of students fall in this category. Unsatisfactory: Students who display a lack of interest and/or professional behavior and/or exhibit a lack of competence in their work-ups and presentations. Generally less than 10% of students fall in this category.