• rss
  • facebook
  • twitter
  • linkedin

Subspecialty Careers: Endocrinology, Diabetes, and Metabolism

The Discipline

From the Greek endon, "in, inner, or within" and krinein, "to separate or put apart." A term contrived to describe those glands that "put apart" and secrete substances that are used within the body.

Endocrinology is the diagnosis and care of disorders of the endocrine system. The principle endocrine problems include goiter, thyroid nodules, thyroid dysfunction, diabetes mellitus, hyper- and hypocalcemia, adrenal cortex dysfunction, endocrine hypertension, gonadal disorders, disorders of sodium and water balance, manifestations of pituitary disorders, disorders of bone metabolism, and hyperlipidemia. While not strictly an endocrine disorder, obesity is considered part of the spectrum of endocrinology because it often enters into the differential diagnosis of endocrine disease and is a major element in the management of type 2 diabetes. Prevention focuses on the complications of obesity, diabetes, hyperlipidemias, thyroid disease, and the iatrogenic effects of glucocorticoids.

Procedures

Endocrinologists are expected to perform dexamethasone suppression tests, adrenocorticotropin (ACTH) stimulation tests, home blood glucose monitoring and fine needle thyroid biopsies. Additionally, endocrinologists commonly order and interpret bone densitometry tests, fasting and postprandial glucose determinations, glycohemoglobin concentrations, imaging studies of the sella turcica, serum gonadotropin concentrations, lipid profiles, and thyroid function studies.

Training

Endocrinology fellowship training requires two years of accredited training beyond general internal medicine residency. Of the two years, a minimum of 12 months must include clinical training in the diagnosis and management of a broad spectrum of endocrine diseases.

Training Positions

For the 2010-2011 academic year, there are 127 ACGME-accredited training programs in Endocrinology, Diabetes and Metabolism with 554 active positions. Sixty-six percent of the trainees are female and 52% are U.S. medical graduates.

Certification

The American Board of Internal Medicine offers certification in Endocrinology, Diabetes, and Metabolism.

Major Professional Societies

Major Publications

Imagine the Possibilities: Careers in Internal Medicine

This career-counseling brochure [PDF] contains information about careers in internal medicine and is designed for medical and pre-medical students.

Benefits of ACP Membership for Students: ACP's free Medical Student Membership includes benefits designed especially to meet students' needs.

Find a Residency

Search ACP's Internal Medicine Residency Database for information on all internal medicine residency programs in the U.S. and Canada. (ACP Members only)

More search options

Have questions about the new ABIM MOC Program?

Have questions about the new ABIM MOC Program?

ACP explains the ABIM requirements and offers many free solutions to earn MOC points.

One Click to Confidence - Free to members

One Click to Confidence - Free to members ACP Smart Medicine is a new, online clinical decision support tool specifically for internal medicine. Get rapid point-of-care access to evidence-based clinical recommendations and guidelines. Plus, users can easily earn CME credit. Learn more