Introduction to Endocrinology Block

Endocrinology

“The study of ductless glands”

Endocrine block

• Each week has a theme

• 4 CBL’s, lectures, case studies, labs, TBL and integration sessions

• Other activities in endo block• SIM• Pathology/ Histology /Radiology• Professionalism• PSD

Endocrine block

• Endo block includes cardiovascular risk reduction and diabetes risk and prevention section

• We are always looking for ways to improve our block

• We will incorporate your feedback !

“Hormones and Diabetes”

The endocrine system regulates:

• growth and development

• reproduction

• energy production, utilization and storage

• maintains homeostasis

Hormones

• molecules that are synthesized and secreted by specialized cells• produced in glands, ectopic tissue or

exogenous• may be stored in large amounts in gland

• may act in • same cell autocrine• nearby cell paracrine• distant cell endocrine

Hormones and Receptors

Disorders of the Endocrine System

• not enough hormone/resistance to activity • too much hormone/excess hormone action• structural change in gland with or without

change in level of hormone

• may be congenital, hereditary or acquired• may have one or more hormone/gland

involved• will have short and long term effects

Investigations

• History and physical examination

• Biochemical assessment including “dynamic testing”

• Imaging

• Response to therapy

Treating endocrine disorders

• not enough hormone• replace hormone or target tissue product

• too much hormone• remove or destroy source• block production• block action

• space occupying lesion• observe, remove or destroy it

• monitor and treat short and long term consequences

Week 6 – lipids/fat and metabolism

Week 7- Diabetes/Hypoglycemia

Week 8 - Thyroid and Bone

Week 9 – HPA/puberty/growth

Week 9 – Disorders of growth and development

Calculation of overall mark* – Unit 2

Final (54.5 %)Midterm (15%)

Oral/ENT (14%)

Gastro (57%)

Oral/ENT (6%)

Gastro (23%)

Endo (31%)

Repro(39%)

Gastro

Endo

Repro

Oral/ENT 1 week

4 weeks4 weeks4 weeks

Contribution to overall mark is proportional to weeks/topic

SIM (7%) WRITTEN (69.5%)LAB (15%) OBESITY (8.5%)

Endo (29%)

*Subject to change

Unit II midterm practical exam Discipline                            Number of Station

·         Anatomy                                   4 ·         Histology                                  4 ·         Radiology                                 3 ·         Pathology                                 3

·         ENT                                              2 ·         Embryology                             1 ·         Surgery (GI)                             1 ·         Rest                                             2

 •          Practical exam includes mostly sessions covered

on Wednesday BUT it can have questions from the rest of the week. For example an X-ray shown in CBL may end

up on the radiology section.•          Bell ringer, 1 point per station, 1 or 2 Questions

•          2 min. per station•          Total: 20 Stations

•          4 rotating groups, 38 or 40 students per group__________________________________

Endocrine exam

• The objectives will help and are covered in class/ cbl/slm/ unit directed activities

• Midterm will have MCQ’s

• Final exam will have MCQ and CDM

• each week represented in proportion (more or less)

• Balance of basic and clinical science

Concerns or questions??