Endocrine Abstracts

Introduction: The incidence of both type 1 diabetes and eating disorders in young people is increasing. The combination of these disorders requires a multidisciplinary approach to managementMethods: Background information of these disorders will be provided with a structured approach to recognition and assessmentDiscussion/Conclusion: Having an inquisitive mind to the possibility of eating disorders in patients with Type 1 diabetes...

Although polycystic ovary syndrome (PCOS) is arguably the commonest endocrine condition, affecting 7% of women, medical students and junior doctors often find it difficult to grasp its pathophysiology. This workshop describes a paradigm to teach about PCOS and uses this framework to describe lifestyle, hormonal and metabolic strategies for the regulation of periods and optimisation of fertility.Declaration of interest: There is no conflict of interest th...

Introduction: Hypothyroidism is a rare cause of early puberty in childhood. It reduces the growth rate by decreasing the amplitude of GH pulses. We report the case of a child who developed precocious puberty and reduced speed consequent to hypothyroidism growth. The treatment of thyroid disease with levothyroxine led to regression of pubertal development and resumption of growth.Methods: A.J.S., female, 1 year and 5 months of age at first consultation. S...

Introduction: Simulation via Instant Messaging – Birmingham Advance (SIMBA) is a simulation-based training model shown to have increased clinicians’ confidence in managing cases in diabetes and endocrinology, as well as sustained clinical knowledge.1 Traditional simulation models have typically focussed on a specific group of healthcare professionals. We evaluated if there is a difference in performance between different training groups during SIMBA.<p...

SIMBA (Simulation via Instant Messaging- Birmingham Advance) is a novel pedagogical simulation-based learning model which improves clinicians’ confidence in managing conditions in endocrinology and diabetes. More than 25 SIMBA sessions have been conducted between May 2020 and August 2022. Each session included 4 to 6 real-life anonymised case scenarios followed by an interactive discussion. SIMBA effectively adopts Kolb’s theory to provide the best possible experienc...

Background: Disorders of sexual development (DSD) are estimated to occur in every 1 in 4500 births. This project builds upon previous work by the authors to explore the knowledge and management of paediatric junior doctors in a single deanery. The majority of junior doctors stated that they would seek the advice and explanation of paediatric consultant. We therefore attempted to qualify the knowledge and management strategies of the region-wide consultant body with regards to ...

Michael Besser, St Bartholomew's and Royal London School of Medicine and Dentistry, London, UK AbstractProfessor Michael Besser qualified in medicine in 1960 at the Medical School of St Bartholomew's Hospital, and then undertook a number of junior medical posts there and at the Royal Postgraduate Medical School and the Royal Brompton Hospital. He started his academic work initially as junior lecturer in therapeutics i...

Adrian Clark, Barts & the London, QMUL, London, United Kingdom. AbstractAdrian Clark graduated in Medicine from St Bartholomew’s Hospital Medical College in 1976. After several junior medical training posts at Barts, Nottingham, Hammersmith and Guys, he spent two years at the NCI in Bethesda working on the cloning of the EGF receptor with Ira Pastan, then later moved to work for three years with Kevin Catt, al...

Introduction: Diabetic ketoacidosis (DKA) remains a life threatening complication in type 1 diabetes. Appropiate initial management is crucial in the evolution of this complex condition, and mistakes in the treatment are not uncommon.Medical simulation technology is a powerful tool for training physicians but papers dealing with DKA simulators are scarce.We introduce a new simulator designed in our institution aimed to junior docto...

A number of challenges are faced by those wishing to pursue a career as an academic clinician. Perhaps the most obvious hurdle for those at a junior stage of research career, is achieving sufficient academic success to attract ongoing research funding, whilst achieving the clinical standards required for the completion of training and in due course, revalidation. The introduction of the integrated academic clinical training program has helped address this balance, improving op...