In-Depth Goals and Objectives

Overall Goal

Candid Photo of Fellows discussing a case

To train candidates for careers in academic pediatric endocrinology. Specifically, our program is designed to develop the skills necessary to provide state-of-the-art patient care, and to develop skills in research that will allow the subspecialty resident to contribute to the progress of the field of Pediatric Endocrinology

Patient Care

Goal:
Fellows are expected to provide patient care that is compassionate, appropriate, and effective for the evaluation and treatment of endocrine and pediatric related health problems and the overall promotion of health. Fellows will demonstrate proficiency in all areas of patient care in pediatric endocrinology that is appropriate, effective for evaluation and treatment, and for the promotion of health, including the ability to:

Objectives:

  1. Demonstrate the knowledge, skills, and ability to gather and integrate essential and accurate medical information about their patients and to attain proficiency in history taking and physical examinations as it relates to the endocrine system.
  2. Identify pertinent medical problems, establish differential diagnosis, and make informed decisions and therapeutic interventions according to patient information and preferences, up-to-date scientific evidence, clinical judgment, consideration of risks and benefits, and in accordance with protocol guidelines.
  3. Develop and implement patient evaluation and/or treatment plans in accordance with protocol guidelines.
  4. Provide information and education to referring physician, patients and their families in a timely manner.
  5. Provide effective and efficient standardized transitions of care

Medical Knowledge

Goal:
Fellows will develop an in depth knowledge about up-to-date endocrine, biomedical, clinical, and pediatric scientific information and consistently apply this knowledge to patient care. This knowledge will pertain to pediatric endocrine disorders that include but are not limited to:

  • Short stature
  • Failure to thrive
  • Obesity
  • Nutritional rickets
  • Puberty-normal variations
  • Congenital hypothyroidism
  • Acquired hypothyroidism
  • Precocious puberty
  • Cryptorchidism
  • Turner syndrome
  • Klinefelter syndrome
  • Diabetes mellitus in children
  • Education of the family of a newly diagnosed patient
  • Outpatient management
  • Diabetic ketoacidosis
  • Complications of diabetes
  • Adrenal insufficiency
  • Congenital adrenal hyperplasia
  • Hypoglycemia
  • Cushing syndrome
  • Growth hormone deficiency and therapy for non-GH deficiency states
  • Thyroid nodules, carcinoma
  • Disorders of the adrenal medulla
  • Adrenal and gonadal tumors
  • Endocrine hypertension
  • Ambiguous genitalia
  • Epidemiology, etiology, and prevention of
  • Autoimmune endocrinopathies
  • Disorders of calcium, phosphate, and Vitamin D (other than nutritional rickets)
  • Parathyroid deficiency states
  • Hyperparathyroidism
  • Metabolic bone disease
  • Neonatal calcium and phosphate disorders
  • Disorders of water balance
  • Diabetes insipidus (central, nephrogenic)
  • SIADH
  • Hyperlipidemia

Objectives:

  1. Demonstrate the ability to utilize investigatory and analytic thinking skills in their approach to patient care.
  2. Access and critically evaluate current medical literature at conferences and in consultation notes.
  3. Develop clinically applicable knowledge of basic and clinical sciences that underlie the practice of pediatric endocrinology.
  4. Develop knowledge and expertise in the use of the laboratory as an instrument of diagnosis as well as the interpretation of endocrine tests, including source(s) of error.
  5. Develop independence in laboratory and clinical investigation skills.
  6. Develop a hypothesis and develop a research plan to prove or disapprove a hypothesis Refine their research plan design and implement
  7. Identify sources of grant support of their research project
  8. Effectively gather preliminary data according to the protocol in preparation to apply for support
  9. Submit a grant application in support of their research project (MK, ICS)
  10. Apply basic concepts in research methods and experimental design
  11. Accurately analyze results
  12. Apply bioethical principles involved in clinical and basic science research
  13. Demonstrate a meaningful research accomplishment as required for Sub-Board eligibility

Interpersonal and Communication Skills

Goal:
Fellows are expected to develop and enhance interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of the health care team.

Objectives:
Create and sustain a therapeutically sound relationship with patients and families and demonstrate the ability to use effective listening, nonverbal, questioning, and narrative skills in communication.

  1. Provide effective and professional consultation to other health care professionals.
  2. Written communication about the patient (history and physical, assessment, diagnosis, plan of evaluation &/or treatment, progress notes, and discharge summary) is performed thoroughly and accurately, in accordance with medical records department policies, as well as maintain patient confidentiality.
  3. Consistently demonstrate effective communication skills when interacting with patients and families.
  4. Demonstrate the ability to communicate effectively with other members of the health care team and the referring physician.
  5. Demonstrate the ability to communicate effectively with professional groups and health-related agencies or health professional.
  6. Present information on reviewed literature clearly to other professionals
  7. Submit a grant application in support of their research project
  8. Provide written descriptions of research results by writing at least two abstracts and two manuscripts relating to their research plan
  9. Present research finding to peers
  10. Present research at a national meeting

Professionalism

Goal:
Fellows are expected to develop and strengthen professional skills, adhere to ethical principles, and demonstrate sensitivity to a diverse patient population.

Objectives:

  1. Demonstrate respect, compassion, integrity, and responsiveness to needs of the patient and family.
  2. Demonstrate a commitment to ethical principles pertaining to patient care and participation in research protocols, informed consent, and confidentiality of patient information.
  3. Demonstrate sensitivity and responsiveness to gender, culture, age, religion, sexual preference, socioeconomic status, and disabilities of patients, families, and professional colleagues.
  4. Demonstrate professional behavior, responsibility, and accountability towards patient care and colleagues.
  5. Consistently demonstrate caring and respectful behaviors when interacting with patients and families.
  6. Role model appropriate behavior.
  7. Effectively function in a leadership role with patient care teams

Systems-Based Practice

Goal:
Fellows are expected to develop an awareness of and responsiveness to the larger context and system of health care and demonstrate the ability to effectively call on system resources to provide care that is of optimal value.

Objectives:

  1. Recognize how their patient care and professional practices affect other health care professionals and the health care system.
  2. Demonstrate medical practices that are cost-effective without compromising quality of care.
  3. Advocate for quality patient care.
  4. Demonstrate the ability to utilize information technology to support patient care decisions and patient education.
  5. Critically appraise information to provide risk-benefit analysis.
  6. Proficiently practice in various systems and settings.
  7. Proficiently coordinate patient care within the system in which they work.
  8. Effectively participate in interdisciplinary and interprofessional teams to improve quality of care and patient safety.
  9. Appropriately identify system or medical errors

Practice-Based Learning and Improvement

Goal:
Fellows are expected to develop the ability to investigate and evaluate their patient care practices, and appraise and assimilate scientific evidence to improve their patient care practices.

Objectives:

  1. Apply knowledge of study designs and statistical methods to the appraisal of clinical studies and other information on diagnostic and therapeutic effectiveness.
  2. Assess and manage information and support patient care decisions through the use of information technology.
  3. Analyze practice experiences and perform practice-based improvement activities using a systematic methodology.
  4. Facilitate the learning experiences of patients, families, residents, students, and other health care professionals.
  5. Appropriately identify strengths and areas for improvement in their own knowledge and expertise.
  6. Self-assess limitation in research skills and knowledge and implement plans for self-improvement in these areas.
  7. Accurately apply quality improvement methodology and change implementation for improvement