Across London, paediatric trainees and trainers are focusing on endocrinology. Here are some ideas to think about.
Paediatric endocrinology involves caring for children and families affected by hormone disorders. This can cause problems with growth, puberty, and sexual development; or manifest as diabetes, thyroid disease, or adrenal disease.
Endocrinology is a broad field and requires expertise in managing acute presentations such as diabetic ketoacidosis, chronic diseases such as diabetes, and investigating complex presentations such as growth failure. Many paediatric endocrinologists are also actively involved in research.
Trainees should be able to:
- assess and initiate management of patients with these acute presentations:
- diabetic ketoacidosis
- ambiguous genitalia
- neonatal thyrotoxicosis
- understand investigation and management strategies for children with these outpatient presentations:
- abnormal rates of growth
- delayed and early puberty
- goitre and thyroid disorders
- polyuria and polydipsia
The full RCPCH curriculum has more detail on the specific competencies required at levels one, two, and three. It can be found at: https://www.rcpch.ac.uk/system/files/protected/page/August%202016%20General%20Paediatrics%20Curriculum%20-%20KC_0.pdf
Courses and Resources
- RSM Day: Endocrinology, Wednesday 6th December 2017
- British Society for Paediatric Endocrinology and Diabetes (BSPED): the website has several useful resources and endorsed guidelines. The society also runs an annual training day for interested trainees. https://www.bsped.org.uk/resources/resources_endo.aspx
- Association of Children’s Diabetes Clinicians (ACDC): endorsed guidelines for paediatric diabetes http://www.a-c-d-c.org/endorsed-guidelines/
- Diabetes UK are a charity specialising in Type 1 and 2 Diabetes in Children and Adults. They have a range of patient resources and run a diabetes helpline for patients. https://www.diabetes.org.uk/
- European Society for Paediatric Endocrinologists – offer a number of grants and awards for interested trainees, including a travel grant allowing travel to an international meeting https://www.eurospe.org/grants-awards/