Adult Endocrinology and Metabolism — Core of Discipline

C4 Interpreting investigations

Key Features:
- This EPA focuses on the interpretation of investigations such as dynamic testing (e.g., cosyntropin, DDAVP stimulation, petrosal sinus sampling, water deprivation test, supervised fast, oral glucose load, aldo/renin level, adrenal vein sampling, growth hormone stimulation, GnRH), and genetics, pathology, and imaging investigations.
- This includes identifying possible confounders and recognizing the limits of the diagnostic technique and its interpretation.

Assessment Plan:
Direct or indirect observation by supervisor
Use Form 1. Form collects information on:
- Type of report: dynamic testing; genetics; imaging; other pathology; thyroid cytology
- Specific test (write in):
Collect 5 observations of achievement
- At least 2 dynamic testing
- At least 1 imaging
- At least 1 pathology
- At least 1 thyroid FNA-B cytology

Form

F1: Observation

Milestones

• ME 2.2. Assess the quality and validity of the study, and any impact on the diagnostic interpretation

• ME 1.3. Apply knowledge of the principles, strengths, and limitations of diagnostic investigations

• ME 2.2. Interpret the results of the investigation(s) in the context of the clinical presentation

• ME 2.2. Summarize findings of clinical relevance and, as appropriate, provide suggestions for further testing or management

• COL 1.3. Engage in respectful shared decision-making with physicians and other colleagues in the health care professions

Context Variables

• Type of report (single-choice)
  • dynamic testing
  • genetics
  • imaging
  • other pathology
  • thyroid cytology
• Specific test (free-text)

Requirements

• Collect 5 observations of achievement (minimum 5)
• At least 2 dynamic testing (minimum 2)
  • Only counts when Type of report is dynamic testing
• At least 1 imaging (minimum 1)
  • Only counts when Type of report is imaging
• At least 1 pathology (minimum 1)
  • Only counts when Type of report is other pathology
• At least 1 thyroid FNA-B cytology (minimum 1)
  • Only counts when Type of report is thyroid cytology