Course Leader:     Jack Monchik, MD

Course Location:     Rhode Island Hospital

When Offered:     All year except December

Maximum Students per Rotation:     1

Duration of Rotation:     2-12 weeks

Type of Rotation:     Consultation Service

Cognitive Content:     Pathophysiology and basic scientific principles of endocrine surgical problems and their diagnostic workup, with specific emphasis on thyroid and parathyroid disease. Assigned reading will also include adrenal and endocrine pancreatic problems.

Prerequisites:     Medicine or Surgery Clerkship

Criteria for Passing:     Attendance at surgeries, completion of reading list, satisfactory work-up of endocrine surgical patient, and demonstration of satisfactory in-hospital follow up.

Criteria for Honors:     Overall performance.

Competencies:    Ability III: intermediate/advanced level, Ability IV: intermediate/advanced level, Ability V: intermediate/advanced level, Ability IX: intermediate/advanced level

Number of Hrs/Wk of Classroom/Discussion:        1-2

Number of Nights Oncall per Week:     None

Planned Independent Projects for Students:     Depending on length of time student will spend they may participate in clinical research project.

Description:     This course will provide an in-depth exposure to the work-up and surgical treatment of endocrine disease. Specific emphasis will be placed on thyroid and parathyroid disease, however, additional clinical exposure to adrenal and endocrine pancreatic disorders may occur on a smaller scale. Clinical teaching will revolve around both formal and informal discussions pertaining to the pathophysiology of these disorders, as well as basic scientific principles behind various diagnostic tests and assays used in the workup and evaluation of these patients. Students will assist in endocrine surgical procedures in the operating room 3 days per week, and will evaluate and work-up patients in an office setting 2 days per week. In addition, students will follow post-surgical patients in the hospital for the duration of their hospital course. Students will be evaluated based on their overall performance during discussion sessions, as well as on their performance in a clinical and surgical setting. They may also be required to make short presentations at formal teaching rounds with the in-house surgical team on various topics in endocrine surgery. When applicable, students will also have the opportunity to participate in a clincial research project if desired.