SUN-823 Creation of Educational Resources to Improve Endocrine Fellow Outpatient Curriculum
Abstract Disclosure: N. Dapas: None. M. Al Mukaddam: None. H. Attallah: None. C.M. Burns: None. R. Jones: None. J. Kharlip: None. K.N. Kobaly: None. S. Cardillo: None. Background: Graduates of Internal Medicine residency have variable Endocrinology, Diabetes and Metabolism (EDM) outpatient exposure prior to entering EDM fellowship. Furthermore, curriculum organization and clinical teaching contribute to differing outpatient experiences during EDM fellowship. Diagnostic and management reasoning are important areas of medical education, yet they can be difficult to teach. Therefore, the goal of this project was to implement additional educational resources in an intervention designed to improve delivery of curricular content and fellow preparation for care delivery in the ambulatory setting. Methods: Seven EDM fellows and 12 EDM faculty at a major academic medical center were surveyed to prioritize endocrine topics for an educational intervention. Web-based content guides were designed utilizing literature review and expert faculty consultation. Curricula featured components of clinical reasoning and practical considerations for key endocrine-specific diagnoses. Fellows will receive a post survey after utilizing educational resources to determine effectiveness of the intervention. Results: Fellows identified by year: first year (n=4), second year (n=3). Faculty identified by clinical area of focus: diabetes (n=6), metabolic bone (n=4), neuroendocrine (n=4), reproductive (n=2), thyroid (n=5). Prior to the medical education initiative, 50% of first-year fellows were somewhat uncomfortable and 66% of second-year fellows were somewhat comfortable with endocrine-specific outpatient clinical assessment and management. All fellows agreed or strongly agreed that increased exposure to educational resources about osteoporosis would improve their initial outpatient diagnostic approach. However, of the providers who specialize in metabolic bone, 25% strongly disagreed, 25% agreed, and 50% strongly agreed. Additionally, 75% of first-year and 100% of second-year fellows requested more thyroid cancer education with 80% agreement among faculty who identified as caring for patients with thyroid conditions. Notably, in each clinical area of focus, at least one faculty member disagreed or strongly disagreed with the need for additional educational materials. Among fellows, only one disagreed with the need for additional education and in only one clinical area of focus. Based on the results of the survey, congenital adrenal hyperplasia, male hypogonadism, osteoporosis, thyroid cancer, and type 1 diabetes with insulin pump use were identified as core topics for additional education. Conclusion: The survey data highlights EDM fellow and faculty perceptions of areas for outpatient education improvement. This information allows for the creation of concise online guides to increase fellows' self-efficacy with endocrine-specific outpatient clinical assessment and management, which is anticipated to have program-wide benefits. Presentation: Sunday, July 13, 2025
Authors
- Carrie M Burns
- Kristen Kobaly (ORCID: https://orcid.org/0000-0003-4449-0016)
- Julia Kharlip
- Mona Al Mukaddam (ORCID: https://orcid.org/0000-0002-7138-596X)
- Serena Cardillo
- Robert B. Jones (ORCID: https://orcid.org/0000-0001-7260-0388)
- Natalie Dapas
- Hamdee Attallah
Institutions
- Hospital of the University of Pennsylvania (US)
- Veterans Health Administration (US)
- Philadelphia VA Medical Center (US)
- University of Pennsylvania (US)
Publication Details
- Journal
- Journal of the Endocrine Society
- Published
- 2025-10-01
- DOI
- https://doi.org/10.1210/jendso/bvaf149.1328
- Primary Topic
- Innovations in Medical Education
- Type
- article
- Field-Weighted Citation Impact
- 0.00