ME508M.3b

Elective in Clinical Neuroendocrinology

Sites: MGH MEEI
Director(s): Lisa Nachtigall, Alberto Puig
Offered: Full time every month. Except August and December.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: US/Canadian
Description: The purpose of this elective is to teach medical students a multidisciplinary approach to the diagnosis and management of pituitary disorders. Additional goals of the course are: to expose students to a broad range of clinical subspecialties involved in the care of patients with pituitary disorders, including neuroendocrine, neurosurgery, radiation oncology, neuro-oncology and neuro-ophthalmology; to offer observation of experienced faculty in neuroendocrine consultation in the outpatient clinic and in the hospital;and to provide an opportunity to follow a patient through process of transsphpenoidal surgery including preoperative evaluation,surgery and postoperative care. Curriculum: Students will be provided with the Clinical Neuroendocrine Syllabus including individual clinical reviews on hypopituitarism, Cushing's, hyperprolactinemia and non functioning tumors, as well as on surgical and radiation therapy of pituitary tumors. Suggested references will be encouraged based on student's individual interests. This material will be re-enforced by case base learning in the clinic and hospital and through a variety of neuroendocrine lectures. Students will be expected to attend 2 weekly conferences including: 1)Weekly Neuroendocrine Clinical Case Conference, which is is one hour in length and is attended by neuroendocrine faculty and fellows, radiation, oncology, neuro-oncology and neurosurgery and includes in depth multi-disciplinary discussion of complex and challenging neuroendocrine disorders and 2) Neuroendocrine Journal Club which is 1 hour conference focusing on recent neuroendocrine literature which typically includes analysis of recent basic and clinical neuroendocrine published literature. Students will be encouraged to observe a transsphenoidal surgery, neuroendocrine consultation in and outpatient, neuroendocrine dynamic testing and stereotactic radio surgery and will be offered corresponding educational material and the opportunity to interact with faculty in discussion of cases. This course is recommended for medical students with interest in endocrinology, neuroendocrinology, neurosurgery, neurology, neuro-oncology or neuro-ophthalmology.
Incorporation of Basic Science Content and Evidence-Based Medicine:
A syllabus adapted from the Pituitary section of a 2011 Harvard CME Post graduate course on Clinical Endocrinolgy which includes a thorough and current reference list will be provided. An in depth analysis of literature in the field will be actively reviewed in journal club, which is attended by both by clincial staff and basic scietnists. Students are expected to incorporate basic science into at least one formal presentation during the course of the month.
Grade Criteria:
Honors with Distinction:
Reserved for an outstanding performance on the elective, well beyond expectations regarding commitment, professionalism, clinical concepts and knowledge base.
Honors:
For students who meet the course requirements and demonstrate excellence in regarding commitment, professionalism, clinical concepts and knowledge base.
Satisfactory:
For students who meet the course requirements
Unsatisfactory:
For students who fail to meet the course requirements