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PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Students must have completed all M3 Core Clerkships.

PURPOSE: The goal of this elective is for students to develop cognitive skills and competency to evaluate patients with an endocrine disease.

COMPETENCIES: The objectives of this elective are to enable the student:
•  To become familiar with the clinical features and treatment of type 1 and type 2 diabetes, dyslipidemia, as well as thyroid disease;
•  To learn the proper approach to patients with osteoporosis and other metabolic bone diseases including hyperparathyroidism and multiple endocrine neoplasms;
•  To become familiar with adrenal and pituitary problems, including Cushing’s syndrome, hyperaldosteronism, pheochromocytoma, and pituitary tumor;
•  To learn an approach to common reproductive endocrinology problems such as amenorrhea and polycystic ovarian syndrome;
•  To learn the indications for and the interpretation of commonly used endocrine tests, including thyroid function tests;
•  To understand the role of the endocrinologist and make appropriate referrals.

INSTRUCTIONAL FEATURES: Students will see outpatients with a broad spectrum of endocrine problems. Commonly encountered patients are those with Graves’ disease, toxic multinodular goiter, thyroid nodules, thyroiditis, hypothyroidism, thyroid cancer, primary hyperparathyroidism, type 1 and type 2 diabetes (often with degenerative complications), obesity, hirsutism, secondary amenorrhea, and osteoporosis. Students will also act as endocrine consultants to inpatients, in which capacity they are likely to see:
•  pregnant patients with diabetes or hyperthyroidism;
•  patients with coronary disease and hyperlipidemia, diabetes mellitus, hypercalcemia, hyperthyroidism, or hypothyroidism;
•  less commonly, patients with SIADH or diabetes insipidus, Cushing’s syndrome, adrenal insufficiency, or hypoglycemia.
Typically, the student will see and present 3 or 4 outpatients per session and will listen to others presenting as well; on the inpatient service, the student will follow 2 or 3 patients but listen to other presentations as well. Each student will receive an extensive packet of articles on the major endocrinologic disease entities.

SUGGESTED TEXT: 1) Greenspan's Basic & Clinical Endocrinology: Eighth Edition (Lange Medical Books) 2) Washington Manual Endocrine Subspecialty Consult, 2nd Edition.
   
ASSESSMENT: Students are evaluated by their teaching attending, who observes their performance in the outpatient setting, at the bedside, and in rounds. Attendings use the College of Medicine Clerkship Evaluation form which evaluates the students in terms of medical knowledge, clinical skills, professional behavior, and humanistic qualities. Attendings will discuss their evaluation with the student at the end of the rotation.

ADMINISTRATIVE INFORMATION:

Program Number: ELEC 613
Location: ACMC
Coordinator: Ruth Mrochen ruth.mrochen@advocatehealth.com
Telephone: 708-684-5405

Duration:  4 Weeks
Night Call: No
Weekends: No
Students Accepted: Min. 1 Max 1
Housestaff Used as Faculty: Yes
Lectures/Conferences/Faculty Contact: 23
Laboratory/Independent Study: 0
Outpatient: 8
Inpatient: 9
Total Hours /Week: 40

Reporting Instructions:

Report to Ruth Mrochen, Internal Medicine Student Coordintator, Suite 131NO, North Office Building, at 8:00 AM. Parking is in Employee Lot #4, entrance by Keeler. Required forms must be in two weeks prior to start of rotation. Parking transponders and pagers will be issued in 131NO.

Immunization & Compliance forms can be found here.

KEY WORDS: Diabetes mellitus, thyroid disorders, hyperlipidemia, metabolic disorders, adrenal disease. Note: Clinical electives at Advocate hospitals (ACMC, AIMMC, ALGH) are only available to students from LCME and AOA accredited institutions.