Sites: MGH
Director(s): Alberto Puig, Markella Zanni
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: US/Canadian
Description: Students will be active in all functions of the integrated endocrine program of the medical service, attending clinics and conferences, and evaluating new consultations under the supervision of clinical fellows and staff members. Students will take a comprehensive history, perform a physicial examination and review all laboratory tests. They will learn key history and physical examination features important in the diagnosis of endocrine disorders. They will learn how to order appropriate endocrine tests and learn how in interpret these tests in the context of diagnostic and therapeutic paradigms. In-patient consultation rounds will be held four mornings per week, and patients will be seen in the out-patient setting in clinics devoted to general endocrinology as well as in the areas of thyroid, diabetes and metabolism, neuroendocrinology, reproductive endocrinology, and mineral ion/bone disorders. Calcium Rounds, Thyroid/Neuroendocrine/Diabetes conference, Endocrine Grand Rounds, and Reproductive Endocrine Conference are held weekly.
Incorporation of Basic Science Content and Evidence-Based Medicine:
The format for approximately half of the weekly Endocrine Grand Round series are presentations of the basic research projects of invited speakers. Speakers are asked to include a discussion of future clinical relevance. In addition, consultation rounds as well as subspecialty clinics incorporate both formal and informal reviews of primary research data and evidence based articles. Discussion of these articles in the context of specific patient consultation will enable both basic science advances and evidence based medicine to be incorporated. Students are strongly encouraged to include a literature search of primary sources in their presentations at morning rounds.
Grade Criteria:
Honors with Distinction: Student must demonstrate superlative clinical knowledge and superlative skills in interacting with patients and staff. Honors: Student's clinical knowledge/skills are excellent and demonstrate a readiness for residency. Satisfactory: Student's clinical knowledge/skills are good. Unsatisfactory: Student's clinical knowledge and ability to function in this advanced role require additional attention.