FELLOWSHIP IN PAEDIATRIC ENDOCRINOLOGY

Dr. Joyce Hong Soo Synn

3 years for local candidates (including 1 year overseas)

Hospital Pakar Kanak-kanak Universiti Kebangsaan Malaysia

Recognised postgraduate training in paediatrics with interest in endocrinology (MRCPCH/ Masters equivalent)

To train paediatric endocrinologists with detailed knowledge, competence and experience in paediatic endocrinology.

By the end of the program, the candidate should be able to:

1. To produce paediatric endocrinologist with detailed knowledge in paediatric endocrinology.
2. To produce paediatric endocrinologist with competence and experience in performing procedures pertaining to paediatric endocrinology.

General

• General principles of molecular biology
• Neuroendocrinology of the anterior and posterior pituitary hormones and their actions
• Transport, biochemical actions and control of hormones secretion
• Embryology and physiology of the endocrine glands
• Adrenal steroidogenesis
• Embryology of the genital tract and molecular basis for sexual development
• Physiology of growth and development
• Principles of growth assessment. Use of growth charts
• Glucose homeostasis
• Calcium homeostasis
  
  Diabetes mellitus
  
  

• Epidemiology and aetiological classification of diabetes mellitus
• Presentation and management of diabetes in infancy, childhood & adolescents
• Obesity, Insulin resistance and type 2 diabetes mellitus
• Management of DKA, hyperglycaemia, hypoglycemia
• Cerebral oedema precaution & management
• Pharmacokinetics of insulins and their appropriate use
• Intensified insulin therapy and continuous subcutaneous insulin infusion (CSII)
• Medical nutrition therapy and carbohydrate counting
• Management of diabetes mellitus in special occasions
• Complications and co-morbidities of diabetes
• Diabetes associated with other diseases
  
  Endocrinology
  
  

• Recognise, initiate diagnostic tests and management of hypothalamic-pituitary disorders including hypopituitarism, hGH deficiency, central hypothyroidism, diabetes insipidus, hypogonadiam.

• Adrenal hyper and hypo states including congenital adrenal hyperplasia, Cushing’s, pheochromocytoma, adrenal insufficiency.

• Normal sex development, Ambiguous genitalia, disorders of sex development.
• Aberrant growth and puberty.
• Thyroid disorders in children. Neonatal hypothyroid screening.
• Recognition and management of endocrine emergencies.
• Peri-operative management in endocrine surgery.
• Obesity, its pathophysiology, co-morbidities, complications and management
• Autoimmune poly-endocrine syndrome.
• Endocrine hypertension.
  
  Metabolic Diseases
  
  

• Diagnosis and management of hypoglycaemia
• Polyuria/polydipsia. Differential diagnoses and Investigations
• Lipid biochemistry, lipid disorders, genetic diagnosis and clinical management
• Metabolic bone disease and calcium disorders. Evaluation and management of hypo and hypercalcaemia in neonates and children.
• Assessment of bone health
  
  Skills
  
  

• Assessment of endocrine function of hypothalamic-pituitary, H-P-A, H-P-G, H-P-T axes. Ability to plan, administer and interpret endocrine investigations.

• Assessment of parathyroid function and calcium homeostasis.
• Use of growth charts, interpretation of growth pattern and final height prediction.
• Development of a team-approach to diabetes cares and weight management.
• Counseling patients and family to cope with diabetes.
• Performing and interpreting hormonal assay, bone densitometry
  
  Laboratory
  
  

• Principles of radioimmunoassay and newer technologies
• Principles of hormonal analysis by chromatography and mass spectroscopy.
• Assessment of assay performance and quality control
• Importance of proper sample collection, transportation and storage on assay result
• Interpretation of laboratory results
• Limitations and pitfalls of endocrine tests

Certificate of completion of training certified by Course Director and Dean, Faculty of Medicine UKM will be given to all successful candidates.

1. Applicants are required to submit a current CV with two named referees.
2. Applicants are also required to submit a good standing letter from the employer/institution, for the program application.
3. Applications must be submitted at least six months from the intended start date.
4. Overseas candidates (non-Malaysian) are required to apply for a Temporary Practising Certificate by the Malaysian Medical Council at their own cost.