RESOURCES (B4) 1
"There must be sufficient resources including teaching faculty, the number and variety of
2012 patients, physical and technical resources, as well as the supporting facilities and services necessary to provide the opportunity for all residents in the program to achieve the educational objectives and receive full training as defined by the Royal College specialty training requirements."
Program Adult Endocrinology and Metabolism
University
Date of Review (month/year)
Sites Participating in this Program:
Where the resources to provide "full training" are not available at the sponsoring university, several different types of interuniversity affiliations may be negotiated. It should be noted that the exchange of residents between two fully accredited programs does not require an interuniversity affiliation.
Coordination of Adult and Pediatric Subspecialty Programs a) Is this university accredited for:
Adult Endocrinology and Metabolism
Pediatric Endocrinology and Metabolism b) If the university is accredited for both programs, describe the extent to which the two programs are integrated in the following areas:
1) Program administration
2) Academic program
3) Clinical program
4) Technical and/or laboratory skills

RESOURCES (B4)
1.
Teaching Faculty
2
List by teaching site the members of the teaching faculty who have a major role in this program, including members from other departments. In indicating a subspecialty, use as a criterion whether he or she is considered by colleagues as a subspecialist and functions academically and professionally as one.
Teaching Site Name University Rank Specialty
Qualifications
Subspecialty
(If any)
2012
Nature of Interaction with Resident
(e.g. clinical, teaching, research)
What percentage of faculty listed above have been practising in the subspecialty:
< 15 years %
> 25 years %

RESOURCES (B4)
2. Overview of Endocrinology and Metabolism Facilities
3
In-patient
Facilities a. Adult Endocrinology/Metabolism b. Adolescent Endocrinology/Metabolism c. Pediatric Endocrinology/Metabolism e. Endocrine Investigation Unit
Outpatient
Facilities
Laboratory
Facilities
Other Services a. Endocrine-Metabolic Test Unit b. Diabetes Day Care/Education
Facilities c. Adult Endocrine Clinic d. Adolescent Endocrine Clinic e. Pediatric Endocrine Clinic
ADULT
PEDIATRIC
ADULT
PEDIATRIC f. Reproductive Endocrine/Gynecology Clinic g. Ophthalmology Clinic h. Other Special Clinics ** a. Clinical Endocrine Laboratory b. Karyotyping a. Diagnostic Imaging b. Surgical/Neurosurgical c. Therapeutic Nutrition d. Genetic Counselling
* Answer "yes" or "no"
Nuclear Medicine
Ultrasonography
CT Scanning
NMR d. Endocrinology/Reproduction
Institutions *
2012

RESOURCES (B4)
** e.g., lipid, stone, bone, diabetes, neuroendocrine, etc.
4 2012

RESOURCES (B4) 5
3. General Adult Endocrinology and Metabolism
IN-PATIENTS
Hospital
Number of
Endocrine
Teaching
Staff
Number of
Endocrine
Teaching
Beds
Number of Clinical
Teaching Services
Endo/Met
Gen.
Med. *
2012
General Endo
Admis.
Per
Year
Consults
Per Year
Diabetes
Admis.
Per
Year
Consults
Per Year
TOTAL
* Where endocrine patients are admitted
OUTPATIENTS
Hospital
General Endo
New Referrals
Per Year
Return Visits
Per Year
Diabetes
New Referrals
Per Year
Return Visits
Per Year
TOTAL a) Explain any variations in the standard pattern of Clinical Teaching Services. In particular, if there are not designated beds, clarify whether there are adult patients controlled by the service under the direction of the endocrine/metabolic head of the teaching unit or faculty member on service. To what extent do residents in the pediatric stream of the Endocrinology and Metabolism program participate? b) Describe the arrangements for residents to gain primary experience in handling adult consultations. To what extent do residents in the pediatric stream of the Endocrinology and Metabolism program participate? c) Describe the facilities and arrangements for resident experience in adult ambulatory care, including details of both supervision and teaching. Clarify whether this is in a clinic setting or private office. For both describe resident contribution (i.e., does he/she see patient first, write consultation letter, follow-up arrangements for resident to see patient again and review results of testing?) and supervision by attending staff. To what extent do residents in the pediatric stream of the Endocrinology and
Metabolism program participate? d) What facilities exist for adult intensive care and emergency care, and what would be the role, if any, for residents in Endocrinology and Metabolism? Are endocrine residents contacted for consultation in adult endocrine emergencies (e.g., DKA, etc.) e) Describe any other special facilities or opportunities for clinical or technical experience in Adult

RESOURCES (B4) 6 2012
Endocrinology and Metabolism available to residents or fellows. Where this involves patients on other specialty services, quantitate as much as possible. For example, outline any interaction with
Neurosurgery, or Obstetrics and Gynecology, including numbers of staff and patient population. There may be other specialty areas in your institution where there is interdisciplinary communication. Include details.
4. Clinical Laboratory Facilities
List the clinical laboratory facilities that provide training for residents and fellows in the program, and provide the names and qualifications of the persons responsible for the supervision of residents.
Include any special laboratory facilities, such as research institutes not affiliated with hospitals.
Indicate the departments of Nuclear Medicine and Pathology that provide instruction in the interpretation of endocrine-metabolic material and outline the manner in which residents will obtain this information.
5. Information Resources a) Do residents have free 24/7 access to on-line libraries, journals and other educational resources? Yes
No Partially If “No” or “Partially”, please explain. b) Do residents have adequate space to carry out their daily work? Yes No c) Are technical resources required for patient care duties located in the work setting? Yes No d) Do facilities allow resident skills to be observed and do they allow for confidential discussions?
Yes No
6. Summary of Adequacy of Resources
Comment on the adequacy of the resources in the overall clinical program, with particular reference to the relationship between such resources and the number of residents dependent upon them. Include consideration of the following questions:
Are there significant areas where the workload of the teachers (clinical care, research, undergraduate teaching, etc.) is such as to affect adversely the continuous supervision and instruction of residents in Adult Endocrinology and Metabolism?
Are the numbers and variety of patients available for teaching in each of the areas of Adult
Endocrinology and Metabolism sufficient to provide for the training of residents rotating from other residency programs and services, without adverse effects upon the training of residents in Adult Endocrinology and Metabolism?
Are the diagnostic and basic science facilities available to the program sufficient to provide adequate teaching and experience for residents in Endocrinology and Metabolism in addition to other residents sharing the same facilities?

RESOURCES (B4) 7
Is there a satisfactory working relationship with Nuclear Medicine, Radiology, Neuroradiology,
Obstetrics and Gynecology, Neurosurgery and Ophthalmology? Is there a direct involvement in areas such as thyroid biopsy, immunoassays, cytogenetics, etc.
For residents in the Internal Medicine stream of the Endocrinology and Metabolism program, how much exposure is there to pediatric endocrinology in terms of clinics per week attended or months spent in rotation.
Editorial revisions - February 2012
2012