Postgraduate Program Curriculum and Workload

Our program provides 2 years of training in endocrinology and metabolism to a resident who has completed 3 years of general medicine training. On successful completion, the physician shall have the necessary skills to function effectively as a consultant in Endocrinology and Metabolism through integration of all of the CanMEDS Roles to provide optimal, ethical and patient-centered care. This program introduces the trainee to the discipline of Endocrinology and Metabolism. The first year of training is primarily clinical (minimum of 12 months).  Training in clinical and/or laboratory research (up to a maximum of 12 months) is provided throughout the fellowship program and may be the primary focus of the second year depending on the career goals of the trainee. The overall goal of the program is to produce a competent specialist in Endocrinology and Metabolism who:

  1. has clinical competence in the broad field of endocrinology and metabolism, with a sound background in the appropriate basic sciences and laboratory procedures. He/she shall be able to function effectively:
    • to provide effective patient-centered care for the management of endocrine/metabolic disordersin hospitalized and ambulatory patients.
    • serve as a consultant to general practitioners as well as other specialists on endocrine/metabolic disorders.
    • arrange for, supervise and interpret complex diagnostic procedures being developed in the specialty (eg. various stimulation and suppression tests)
  2. has the ability to develop and carry out simple research projects, clinical or basic, in the broad field of endocrinology and metabolism.
  3. has interest and ability to teach endocrinology and metabolism to undergraduates, postgraduates and colleagues.

Clinics are the central part of the clinical experience during the two year fellowship. Residents will be assigned to 4 to 5 half-day clinics per week in their first year and 3 to 4 half-day clinics per week in their second year. This total includes longitudinal clinic and the rotation clinics. The frequency of clinics attended in the second year will be based on personal educational/career goals and needs and will be determined along with the Program Director.

A number of clinical and educational activities have been designed to develop the necessary skills to maintain a consultative practice in Endocrinology and Metabolism. These include, but are not limited to:

  • Clinics in Diabetes, General Endocrinology, Thyroid Cancer, Obesity, Reproductive Endocrinology, Bone Metabolism, Special Pregnancy Unit, Women’s Health
  • Resident’s Longitudinal Clinic in which Residents are assigned to a staff supervisor and a clinic that will be attended for the entire training program. Residents will follow patients and act as the junior attending in the clinic
  • In-Patient Endocrinology Consult Service at the General and Civic Campuses of The Ottawa Hospital.  Fellows perform as junior staff while on these rotations.
  • Rounds – (Endocrinology Grand Rounds, Case Discussion Rounds, Ethics Rounds, Thyroid Cancer Rounds)
  • Journal Club
  • Academic ½ day
  • Pediatric Endocrinology Rotation
  • Community Endocrinology Rotation
  • Basic Science Laboratory Methods Rotation
  • Electives

Rounds and Academic ½ Day

Endocrinology and Metabolism Grand Rounds: Held every Tuesday at noon. These are city-wide rounds often with guest speakers. Division members and Fellows also present at these rounds.

Case Discussion Rounds: Informal case rounds are held every Thursday at noon.  These rounds provide an excellent environment where interesting cases seen during the week are discussed by trainees and staff physicians.

Academic ½ Day: Every Thursday afternoon is protected for residents to attend their Academic ½ Day. A rich and interactive 2 year curriculum is provided, with sessions led by an attending endocrinologist, covering all aspects of clinical endocrinology, basic sciences, and core CanMeds competencies.

Journal Club: An Endocrinology Journal Club is held on Thursdays on a monthly basis for the Division.  A journal club specific to endocrinology trainees is held once monthly after Academic ½ Day sessions, where landmark papers are reviewed.

Other: The opportunity exists to attend many other learning sessions offered through the University, Ottawa Hospital Research Institute, and the Canadian Society of Endocrinology and Metabolism.

Program Workload

As in most Endocrinology programs, the clinical workload is greatest in clinic and while on the endocrinology consult service at either of the two inpatient campuses.  In clinic, trainees may expect to see approximately 2 new patients and 6 to 8 follow-up patients.

The consultation service varies in workload, but averages between 8 to 15 consults per week.  Residents respond to calls from the consultation service from 8 am to 5 pm.

Call

All call is home-call.  Residents rarely have to come in during a night shift. With weekend call, residents are expected to round on patients on the weekend, and do consultations as requested by admitting services.  All consults are reviewed by the attending staff.   Endocrinology residents may cover both campuses when on call at night or on the weekend.

Sample Schedule

Training Sites

The Ottawa Hospital – Riverside Campus. This is the primary site for the Program where the majority of clinics occur.

The Ottawa Hospital – Civic Campus: In-Patient Endocrinology Service

The Ottawa Hospital – General Campus: In-Patient Endocrinology Service

Children’s Hospital of Eastern Ontario: Pediatric Rotation