104年會論文摘要集

Page 107

Abstract SE-1-1

Endocrinology and Metabolism Subspecialty Training in Taiwan Tien-Shang Huang Division of Endocrinology and Metabolism, Department of Internal Medicine, National Taiwan University Hospital

Endocrinology and Metabolism board began to be certified as a subspecialty of Internal Medicine since 1988 in Taiwan. After Board certified in Internal medicine, it requires two years training in Endocrinology and Metabolism division of an accredited teaching hospital to be qualified for certification in this subspecialty. The certification process includes a paper test and an oral examination. There is no definite curriculum, but it usually includes the following trainings. 1. Administrative training: Manage the Endocrinology and Metabolism ward, such as admission and dischange of patients; corresponding to NHIB (National Health Insurance Bureau), Endocrine Society、Diabetic Association and TJCHA (Taiwan Joint cornmission on Hospital Accreditation), etc; arrange Clerk、Intern、PGY training course; arrange ward round; attend the department meeting. 2. Teaching training: In charge of Morning meeting, Clerk、Intern、PGY and Resident teaching include correct medical record, feedback, bedside teaching; Endocrine conference; Metabolism conference; medical Grand Round; minisymposium, etc. 3. Clinical skill training: Diabetic complication screening, ultrasound examination of thyroid and neck, Fine needle aspiration of thyroid, lymph node and tumor, Cytology examination of aspirate and stump smear. 4. Clinical training: Familiar with Endocrine and Metabolism diseases’ diagnosis, differential diagnosis, endocrine tests, various guidelines and aware the individualized therapy, Consultation training, In ward and out patient clinic training. Complete the required protofolio. 5. Research training: Every fellow has to participate one attending’s research project and presents (oral or poster) in National or international meeting. Every fellow has to publish at least one paper before the end of training.

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