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Understanding MOC Requirements
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April 11-13, 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 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.
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.
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
For the 2013-2014 academic year, there are 134 Accreditation
Council for Graduate Medical Education(ACGME)-accredited training
programs in Endocrinology, Diabetes and Metabolism with 607 active
The American Board of Internal
Medicine offers certification in Endocrinology, Diabetes, and
February 2014 Issue of IMpact
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