Specialist Advisory Committee (SAC) in Endocrinology
Definition Of Specialty
Endocrinology is the science of circulating and locally acting hormones, the glandular system which produces them and their roles in health and disease. The specialty of clinical endocrinology encompasses the diagnosis and management of disorders of the endocrine system. Paediatric endocrinologists provide treatment, diagnostic and laboratory analysis and conduct basic and applied research in a wide range of humoral and metabolic conditions of infants, children and adolescents.
Advanced Trainees: Paediatric Endocrinology
Application for Advanced Training in Paediatric Endocrinology
Trainees are reminded to check the RACP PREP Advanced Training requirements (see RACP Website http://www.racp.edu.au/page/specialty/endocrinology#Training%20requirements)
All training in paediatric endocrinology requires prospective approval ie – retrospective approval is not granted.
Trainees are reminded that they must have an FRACP supervisor for all terms including non core terms such as paediatric and adolescent psychiatry
The following clarification regarding Core and Non Core Training has been provided to supplement the RACP AT requirements on the RACP Website
Core Training requirements
1. Of the 3 years of advanced training, at least 2 years full time (or the equivalent part time) shall be spent in core clinical training, where the candidate is responsible for inpatient and outpatient care of paediatric endocrine patients. In order to fulfil this requirement in the majority of units it will be necessary to continue a clinical endocrine component such as attending outpatient clinics throughout advanced training. This requirement applies to all candidates regardless of their future career intention.
2. A core year should include the equivalent of 12 months of full time training with at least 50% of the trainee’s time devoted to the care of paediatric endocrine patients. This should consist of a minimum of 4 sessions of 3 hours duration per week, which need to include outpatient clinics, clinical meetings (eg X-ray meetings, case discussions), ward rounds and on call responsibilities. A core year may be accrued pro-rata over more than one year provided that at least two sessions per week are devoted to direct patient care during the period of core training.
3. The trainee must be exposed to the use of laboratory techniques in paediatric endocrinology, with particular emphasis being placed on recognition of the limitations and pitfalls of interpretation of laboratory results. Formal rotations through such laboratories should be included where possible. Candidates should be provided with the background which will enable them to utilise current diagnostic procedures of paediatric endocrinology including radiology and nuclear medicine.
4. Experience with first on call responsibilities is mandatory, including after hours on call responsibilities where possible.
5. Some outpatient experience in an adult endocrine unit (e.g. a weekly clinic for 6 months) is desirable but not essential.
Non Core Training Requirements
Up to 12 months of non core training may be permitted in non-endocrine training posts, provided this training can be shown to be relevant, or add value, to a trainee’s endocrine program.
Non core training may include up to 6 months of Metabolic Medicine, Child and Adolescent Psychiatry or Adolescent Medicine.
Community or Developmental Paediatrics does not meet the non core training requirements for paediatric endocrinology.
General Paediatric rotations including remote and regional training positions would not in general be approved as non core training.
Trainees are advised to undertake endocrine-related educational activities such as attendance at meetings and Journal Clubs during their year of non core training.
Non core training may be spent in basic or clinical research. Trainees are encouraged to enrol in a MD or PhD of which 12 months of full time research can be accredited. Please note that, as with other training, a year of research must be approved prospectively by the Endocrinology Specialist Advisory Committee (SAC).
Advance Training Supervisors
All endocrinologists intending to supervise trainees are reminded to attend a PREP Advanced Training Supervisors Workshop. These workshops are run by the RACP on an annual basis in each state.
The Endocrine Society of Australia (ESA)
The Australian Diabetes Society (ADS)
For further information, please contact:
PO Box 180
Morisset, NSW 2264
Tel: 61 2 4973 6573
Fax: 61 2 4973 6609
Website: http://apeg.org.au/ link to be confirmed
Endocrine Society of Australia
145 Macquarie Street
Sydney NSW 2000
Tel: 61 2 9256 5405
Fax: 61 2 9251 8174
Australian Diabetes Society