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ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
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April 11-13, 2019
Internal Medicine Meeting 2019
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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
(hormones) that are used within the body.
Endocrinology is the diagnosis and care of disorders of the
glandular or 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.
Endocrinologists are expected to perform dexamethasone
suppression tests, adrenocorticotropin (ACTH) stimulation tests,
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
Endocrinology fellowship training requires two years of
accredited training beyond a 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
For the 2011-2012 academic year, there are 129 ACGME-accredited
training programs in Endocrinology, Diabetes and Metabolism with
579 active positions.
The American Board of Internal
Medicine offers certification in Endocrinology, Diabetes, and
April 2012 Issue of IMpact
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