Curriculum

Fellowship Curriculum

The professional and educational goals of the endocrinology fellowship at the University of New Mexico are based on:

 

  • Accreditation Council for Graduate Medical Education (ACGME) six competencies
  • American Board of Internal Medicine (ABIM) blueprint for Endocrinology, Diabetes and Metabolism
  • Association of Program Directors in Endocrinology (APDEM) curriculum
  • Competencies in thyroid ultrasound/fine needle aspiration, continuous subcutaneous insulin infusions (insulin pump management), continuous glucose monitoring and bone mineral density interpretations

Fellows achieve these goals through the following:

Patient Care

Clinical practice includes inpatient consultation and outpatient clinics. Clinical and hospital experience involves:

  • Gathering data
  • Interpretation of normal and abnormal findings
  • Laboratory interpretation
  • Nuclear Medicine imaging and therapies
  • Radiological imaging
  • Stimulation and suppression testing

Fellows gain competency through clinical experience, educational series and in-services in the following procedures:

  • Ultrasound guided fine needle aspiration of thyroid nodules
  • Insulin pump management and continuous glucose monitoring interpretation
  • Interpretation of bone mineral density (DEXA), adrenal imaging, and MRI sella/pituitary

Fellows obtain a detailed understanding of current costs of diagnosis and therapy of endocrinopathies.

Medical Knowledge

As part of their endocrinology program, fellows will:

  • Develop textbook familiarity with normal and abnormal pathophysiology in Endocrinology, Diabetes and Metabolism.
  • Participate in testing and imaging in Endocrinology, Diabetes and Metabolism
  • Gain hands-on experience with normal and abnormal clinical endocrinology.
  • Teach normal and abnormal pathophysiology to medical students and residents.
  • Receive education on basic research design and statistics and understand medical literature.

Scholarly Activities

Scholarly activities can include:

  • Participation in a clinical research or quality improvement project with mentor guidance.
  • Presenting a 10-15-minute research or case report or poster at a regional/national meeting.
  • Writing a case report or review article.
  • Writing a research manuscript.
  • Writing an abstract.

Required Texts

Fellows should use:

  • Greenspan Endocrinology or Williams Textbook of Endocrinology available at the UNM Health Sciences Library
  • Endotext
  • UpToDate
  • Clinical practice guidelines (available electronically) through the Endocrine Society, American Association of Clinical Endocrinologists, American Diabetes Association and American Thyroid Association

Clinical Objectives

Clinical goals of the fellowship are:

  • To become familiar with the most common clinical endocrinopathies, evaluation and management.
  • To become familiar with the endocrine clinical emergencies, evaluation and management.
  • To become familiar with the current medical literature and its interpretation related to clinical endocrinology.
  • To develop a collegiality with endocrine faculty, colleagues and staff relative to carrying out patient care responsibilities.
  • To develop interdisciplinary relationships with the disciplines interacting with endocrinologists on a routine basis.

Components of Familiarity

Fellows should have understanding of:

  • Pathophysiology
  • Natural history
  • Therapeutic interventions
  • Longitudinal clinical, laboratory and radiologic evaluation
  • Questions and issues that need to be resolved
  • Access to appropriate text and serial literature and understanding of interpretations of the literature