Endocrinology

Rotation Director:

Name: Kara Connelly

Email: connellk@ohsu.edu (preferred method of communication)

Office: CDRC 1248

Phone: 503-494-0868

Pager: 14157

Overview:

Residents will spend time with inpatient primary endocrine patients, inpatient consults, and outpatient endocrine patients. The outpatient experience will include both diabetes care and the variety of primary endocrine disease processes seen in endocrine clinic.

Rotation goals and objectives:

    • Residents will experience a combination of inpatient and outpatient management of endocrinology disorders

    • Residents will be able to identify signs and symptoms of new onset diabetes and will have an understanding of the principles of treatment and disease monitoring over time

    • Residents will be able to correctly interpret a growth chart and be able to provide a differential for disorders of growth and sexual development. Residents will understand the initial work-up for these issues and when to refer to endocrinology

Prior to the start of the rotation:

Residents should receive sign-out from the preceding resident. This should include sign-out on consult patients and where the team was planning on meeting the next morning (see below)

First day of the rotation:

    • Residents should meet with the endocrine team as discussed with the previous resident. If there is no previously arranged plan, residents can meet the team as listed below:

      • Monday through Thursday in the coast workroom at 8am

      • Fridays in the coast workroom at 7:45am

    • The morning of the first day, the resident should page Kara Connelly (if not available, discuss with the fellow/attending on service) to review general schedule and ensure resident has a copy of the clinic calendar showing what clinic and what attending the resident will be working with on specific days

Resident Expectations:

    • Attend all subspecialty activities of service listed on accompanying schedule

    • Attend diabetes and endocrine clinics according to schedule and plan to work with assigned attending for half-day clinic session. Discuss with attending at start of clinic session which patient(s) will be educational for you to see. If consults arise on inpatient service, discuss timing of performing consult with clinic attending and fellow/attending on service. Write notes on clinic patients seen.

    • Carry out requested consultations on inpatient services; perform initial history and physical examination, present to staff on AM or afternoon rounds and write consult notes.

    • Be prepared to present for Friday 8am case conference when asked.

    • Attend individual teaching sessions with endocrinology staff.

    • Complete Pediatric Endocrine Problem Set (on box) and discuss with Kara Connelly. It is your responsibility to schedule a time to review these. Password=Hanna

    • Carry out “diabetes for a day” activities (finger poke blood sugar tests, carbohydrate counting, saline injections) for 24 hours.

    • You may be contacted to videotape the first 2-3 minutes of a diabetes clinic visit. The purpose of this exercise is to help residents and students improve their communication skills. You will watch the video with the assigned endocrine faculty member to analyze communication skills.

General Schedule:

*Note: this is subject to change and residents should have an individualized schedule by the start of their rotation

*Schnitzer Diabetes Center-physicians' Pavilion 1st floor ** 7th Floor specialty clinic Doernbecher

Optional experiences: Please discuss with Kara Connelly at the beginning of the rotation if these are of particular interest.

1. Metabolic clinic (Tuesday)

2. Healthy lifestyles clinic (2nd , 4th Wednesday of the month)

3. Neuro-oncology /endocrine multidisciplinary clinic (second Wednesday afternoon of the month with Dr Madison).

If you are going to be absent for all or part of a day:

    • Please email attending on service, chief on call, and Michael Grubbs if you are unable to make it to work.

    • Any resident missing more than 2 days (or 4 half days) may be required to make up the difference at a future date at the discretion of the rotation director, chiefs, and program leadership.

Resident Resources, Helpful Tips, and Further Readings:

Pediatric Endocrinology Reading List 2018.pdf all of which are available in the BOX Folder

ABP content outline:

A. Clinical presentation

    1. Ambiguous genitalia

    2. Short stature

    3. Tall stature

    4. Abnormal onset/progression of puberty (eg, delayed puberty, premature puberty)

B. Disorders

    1. Adrenal disorders

    2. Thyroid disorders

    3. Pituitary disorders

    4. Parathyroid disorders

    5. Diabetes insipidus

    6. Type 1 diabetes

    7. Type 2 diabetes

    8. Turner syndrome

    9. Klinefelter syndrome

    10. Polycystic ovary syndrome

    11. Other glucose metabolism disorders

Pediatric Endocrinology Reading List 2018

Peds Endo Problem Set 2020