Rotation Orientation
Handbook and Objectives
Download the Trainee Handbook for Core Medical Residents and other Subspecialty Residents
Teaching Rounds
Wednesday Morning Rounds
- 8:00 to 11:00 a.m. on the 5th floor St. Joseph‘s Diabetics Education Centre
- Formal lectures given by residents, staff and guest speakers
- Third hour focuses on basic sciences and CanMed roles
- Coffee provided
Friday Afternoon Rounds
- 12:15 to 2:00 p.m. on the 5th floor, B5-102
- Informal teaching moderated by Dr. Deric Morrison and the consult on call
- Interesting cases of the week are discussed to highlight basic endocrine concepts
- A landmark trial in endocrinology is also reviewed by a junior resident twice per month
- Food provided
Diabetes Education Centre
- Either one morning or afternoon residents are scheduled to attend a 3 hour class that is directed towards teaching newly diagnosed diabetics about basic concept around management of their disease
- Concepts covered include diet, exercise, weight loss, reading nutritional labels, treating low blood sugars and so forth
Types of Classes Offered
- DIABETES A this large group session is similar to our previous 'Survival Skills'.
- DIABETES B this session is conducted in smaller groups and the focus is mostly on diet and medications. These are usually the ones I have assigned to our housesatff. They occur on Mondays at 1300 hours and Fridays at 1300 hours.
- DIABETES C this session is also conducted in smaller groups and the focus is on low fat eating, and staying healthy with diabetes.
Outpatient Clinics
- See emailed schedule for details
- If you know that you are going to be post call or know that you can not make it to a clinic, you MUST notify the staff member ASAP
- Dictations - Each consultant has own preference so ask - Review and modify dictations on Message Centre on Powerchart but DON’T SIGN
Consults
- A Endocrine Fellow and at least one other junior resident cover consults city wide
- Can find Consult list on Powerchart
- Usually fellow and junior resident cover either UH or VH site. Please review all of the consults with the Endocrine Fellow first (in person if possible but by phone is okay) before reviewing with the faculty consultant.
- The Endocrine junior resident should be familiar with all of the patients you are following.
Call
- Check emailed call schedule
- Pager 13955 o To switch over – call 13955 => dial **166 => enter your pager number and then # => again enter you pager and then # =>page yourself to ensure pager is working o If you don’t have a pager ask another resident to borrow theirs
- If you are paged from the outside by a patient or physician, please instruct the caller to call back to switchboard, and page the (adult) Endocrinology Consultant – PAGER 14267
- Make sure they are not looking for Peds Endo
Weekday Call
- From 1700 to 0800
- Usually covered by residents on inpatient consult service
- Calls usually around patients being followed. Occasionally new consults
- Majority can be seen the next day
- You may have to come in for sicker patients (post op pituitary or pregnant patient in DKA)
- If in doubt call consultant and discuss
Weekend Call
- 8:00 a.m. to 8:00 p.m.
- Hand over given at Friday noon rounds
- Discuss plan and who needs to be seen
- Saturday covered by junior resident
- Some consultants round with residents, others prefer to be updated by phone
- Friday/Sunday covered by the fellow
New Consults
- See if between 8000 and 1700, or urgent => notify consultant
- Otherwise handover to resident next day