The first step is to determine the type of tumor and its size. Read about our historyand how we continue to serve the endocrine community. My goal is to provide my patients with the best care possible and I believe regular physical exams are essential in achieving this goal.. Ferri FF. Children keep getting this medicine until they reach the usual age of puberty. When answering, it can be helpful to describe a specific situation that involved an ethical dilemma and how you resolved it. Ask your child's primary care physician for a pediatric endocrinologist referral or recommendation. Hormones are chemicals controlled by your endocrine glands that help coordinate and control many of your bodys activities. July 16, 2023, 6:52 pm, by Example: When I have a difficult conversation with a patient who doesnt want to follow my recommendations, I always make sure that I approach it in an empathetic and understanding manner. This research is also opening future studies and analysis about the regulation of IGF-1 bioavailability. Do you have any experience diagnosing and treating mental health issues related to hormone imbalances? You can also use this opportunity to highlight any specific interpersonal or medical skills that help you excel at this role. Q1: What will the future of type 1 diabetes treatment look like? Mayo Clinic on Incontinence - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Book: Mayo Clinic Guide to Raising a Healthy Child. This question is an opportunity to show the interviewer that you understand what it means to be a compassionate and empathetic medical professional. Call (323) 660-2450 and ask for the Endocrinology doctor on call to be paged. can help. When should treatment begin, and how long will it last? They can also give tips specific to your child's age, diabetes equipment suite, and predicted pinch points. However, an endocrinologist could be called in to consult during an inpatient visit if there are concerns about an underlying hormone-related disorder. We can find genes that when mutated can cause tall stature and then try to manipulate those pathways. In some cases, radiation therapy or chemotherapy may also be used in combination with surgery. Sometimes you may need testosterone therapy, which is typically overseen by an endocrinologist. Q2: What height range is considered normal for a growing child? I believe my extensive experience and knowledge make me well-suited for this position. Elsevier; 2020. https://www.clinicalkey.com. Accessed Jan. 20, 2023. During this time, I gained valuable experience managing conditions such as diabetes, thyroid disease, growth disorders, and puberty-related issues. Interprets hormone tests, laboratory tests, and imaging exams. Ultrasound is a common diagnostic tool used by endocrinologists. 25 Endocrinologist Interview Questions and Answers - CLIMB Running blood tests to measure hormone levels. Creo AL, et al. [CDATA[ Pediatric endocrinology visits should be seen as more of a sync point in the ongoing efforts of diabetes management. Mayo Clinic has one of the largest and most experienced practices in the United States, with campuses in Arizona, Florida and Minnesota. Shikha 5.0/5.0. When your hormones are functioning correctly, you dont need to think about them. Make sure your child understands that the appointment likely will include an exam of the genitals and breasts. These population differences have evolved over thousands of years due to a combination of migration and selection. The interviewer wants to know if you have experience diagnosing and treating these conditions, as well as how you would handle a patient who has one of these conditions. Furthermore, its important to stay up-to-date on the latest research and treatments in order to provide the best care possible. Example: I have extensive experience working with children and teens who are dealing with hormone-related issues. What is a Pediatric Endocrinologist? You're likely to start by seeing your child's primary care provider. July 20, 2023, 1:38 am, by Patients see endocrinologists for reasons ranging from diabetes management to problems with their thyroid, certain types of cancer, adrenal disorders, and more. A test called a gonadotropin-releasing hormone (GnRH) stimulation test helps identify the type of precocious puberty. Many pediatric offices have these types of resources in-house, and the first few appointments will consist of a round-robin of specialists. First and foremost, I consider the safety of the treatment and its potential side effects. If this is not successful, I may consider other medications such as dopamine agonists or pegvisomant. You can view the full AMA discussion on Reddit. Finally, I am familiar with the various tests used to diagnose hormone imbalances and can interpret results accurately.. The bottom line is that in a well-nourished (and healthy) child, there is no magical food that is going to make them tall.. The endocrinologist will tell you how often your child should come in when treatment starts. Q7: Aside from using gene modifications to cure diseases, where or when should we draw the line in terms of enhancement? Endocrinologists often need to educate their patients about the condition theyre treating. 20 questions with answers in PEDIATRIC ENDOCRINOLOGY - ResearchGate Ask Pediatric Endocrinologists and other U.S. doctors across 147 specialties any anonymous health question and get brief, educational text answers within hours for FREE! Afterward, I discuss my findings with the patient and answer any questions they may have about their condition or treatment options. My knowledge and expertise make me an ideal candidate for this position.. By doing this, I can develop a personalized treatment plan that takes into account their lifestyle, medical history, and any other factors that may be relevant. The first question you have is likely, "Where do I start?" From a genetics point of view, the question can be reframed: When do we call a genetic variant a mutation versus a rare variant in the population? Ask an Endocrinologist for consultation/discussion about Diabetes, Thyroid, Pubertal disorder, Growth problem, Hirsutism, Hypogonadism, Osteoporosis, Menopause and Andropause, Short stature and Growth related problems, Congenital adrenal hyperplasia, Pituitary disorders, Adrenal & . It is essential to take into account any existing conditions, allergies, or other health concerns that could be affected by the medication being prescribed. Your doctor will likely refer you when there are concerns about:, Difficulty Managing Diabetes with Standard Treatments, Individuals with diabetes typically see a primary care doctor regularly and may take medication to help keep their blood sugar levels stable. The patients blood sugar levels were within normal range when they came into the office, but after checking their records, I noticed that they hadnt been taking their insulin regularly. Endocrinologists often treat children and teens with hormone-related issues. Q4: What are the differences with consistent and inconsistent growth disorders? I am confident that I can bring a high level of expertise and dedication to your team.. One of the first items on your to-do list will be to make an appointment with a pediatric endocrinologist. During this first visit, the office will likely give you an overview of the resources available. Example: I believe my experience and qualifications make me stand out from other endocrinologists. I believe this is essential for successful outcomes and positive patient experiences.. Your child's health care team also generally includes a certified diabetes care and education specialist, a registered dietitian, and a social worker. Your child's long-term diabetes care will likely be handled by a pediatric endocrinologist. For instance, if youre pregnant or looking to start a family and have a thyroid disorder, you may need to see an endocrinologist. Ask an Endocrinologist Online 24/7 - DoctorSpring A pediatric endocrinologist is a healthcare provider who specializes in children's endocrinology, a field of medicine that studies conditions related to your child's hormones. What would you do if you prescribed a patient with diabetes medication and they stopped taking it? Once this initial assessment is complete, I then order laboratory tests such as blood work or imaging studies to confirm my diagnosis. What Is a Pediatric Endocrinologist? You not only have to know what new medicines are available, but you must also ask about the potential side effects. There are a number of tests endocrinologists utilize, and it benefits you to know what they are to better understand your condition. Use your answer to highlight some of the most important qualities for endocrinologists, such as patience, empathy and compassion. Does My Blood Work Show Any Concerning Signs? Provide an example of a patient you have treated with thyroid cancer. An average of four years in medical school, A two to three-year residency in internal medicine or pediatrics, A two- to three-year fellowship in endocrinology, diabetes, and metabolism, An exam to become board certified in internal medicine through the American Board of Internal Medicine, An additional Endocrinology, Diabetes, & Metabolism exam and certification from the American Board of Internal Medicine. This is a fascinating question and it will become more of an issue over time, says Dr. Dauber. I think we need to start with the most devastating diseases and try to cure those first.. Make a list of questions to ask your health care provider. In theory doesnt that make us all cousins? Similarly, the thyroid gland produces hormones that control metabolism, growth, and development, so keeping it balanced is also critical. N Otolaryngology (E.N.T) Dr. Seikhoo Bishnui Psychiatry Dr. Ashok Kumar Geriatrics Dr. J. Mariano Anto Bruno Mascarenhas Neurosurgery As an endocrinologist, you may have to explain complex medical information to patients and their families. Could one arm or leg experience accelerated or stunted growth? There are also somatic mutations (mutations which are just present in some cells in the body) that can lead to segmental areas of overgrowth leading to asymmetry.. Weve selected highlights from several questions Dr. Dauber received. He predicts technology will pave the way for advancements with continuous glucose monitoring and encourage a real-time interaction between patients and providers: I anticipate that within a few years, everyone will have access to continuous glucose monitoring technology and that these will be seamlessly connected to insulin pumps or artificial pancreas technologies, types Dr. Dauber in response to the first AMA question. A pediatric endocrinologist can diagnose and treat endocrine conditions in children and adolescents. One result of that could be having sex at an early age. They will assess your skin, hair, mouth, and teeth, as some hormone-related disorders can impact these areas. Diabetes Diabetes Mellitus without mention of complication, . What is the difference between short stature and a height problem? I have also used it to monitor the growth of these lesions over time. Dr. Dauber explains that acromegaly, a condition often referred to as gigantism, is caused by a growth hormone-producing tumor. Looking for more information about caring for a child with t1d? Girls who had inherited the mutated genes from their father (an imprint gene) started to develop breasts before age 6. Your answer should include a step-by-step process for diagnosing a patient with a hormone imbalance, including what tests you use and why. Lastly, I believe in open and honest communication between doctors and patients. Dr. Dauber references two case studies about growth and puberty: The growth case study refers to the PAPPA2 gene, which was particularly meaningful for Dr. Dauber since he got to know the family and was able to provide answers to a previously undiagnosed medical mystery about short stature. As parents of gender-diverse children, we are concerned by the exchange between Stephen Hammes, president of the Endocrine Society (Letters, July 5), and the international experts who criticize . I also like to discuss these findings with colleagues to gain a broader perspective on how they may affect patient outcomes.. Where do we draw the line between fixing, preventing disease and enhancing physical function? In addition, I make sure to ask questions throughout the conversation to ensure my patients are understanding what I am saying. 2020; doi:10.1136/bmj.l6597. Doing a physical exam. The medical field is always developing new treatments to improve upon current medications and practices. Your health problem can't wait. I also review any existing research on the efficacy of the treatment, as well as its cost-effectiveness. I have been keeping up to date on the newest advancements and developments in this field for many years now. //=a.length+e.length&&(a+=e)}b.i&&(e="&rd="+encodeURIComponent(JSON.stringify(B())),131072>=a.length+e.length&&(a+=e),c=!0);C=a;if(c){d=b.h;b=b.j;var f;if(window.XMLHttpRequest)f=new XMLHttpRequest;else if(window.ActiveXObject)try{f=new ActiveXObject("Msxml2.XMLHTTP")}catch(r){try{f=new ActiveXObject("Microsoft.XMLHTTP")}catch(D){}}f&&(f.open("POST",d+(-1==d.indexOf("?")?"? I have extensive experience diagnosing and treating patients with hormone imbalances. Finally, I am open to discussing alternative options if the patient has any reservations about the recommended course of action.. What experience do you have working with children or teens with hormone-related issues? I also worked closely with patients to understand their individual needs and develop personalized treatment plans that addressed their unique health concerns. Which endocrine glands do you feel are the most important to keep balanced? This decision required me to balance my duty to provide effective medical care while also respecting the autonomy of the patient. This question is a great way to test your knowledge of the different treatment options for patients with specific conditions. What challenges have you faced in endocrinology and how did you overcome them? Pediatric Endocrinology | Endocrine Society Example: When treating a patient with acromegaly, I focus on three main areas: medical management, surgery, and radiation therapy. Endocrinologists specialize in the glands that produce and release hormones into the bloodstream. This question is a behavioral one that tests your ability to make decisions and solve problems. Finally, I take great pride in providing compassionate care and developing strong relationships with my patients. There are several ways to go about locating an endocrinologist after your child receives that initial type 1 diabetes (t1d) diagnosis. This case highlights my experience in diagnosing and treating thyroid cancer. If a patient has a tumor on their pituitary gland, what are the treatment options? After discussing the situation with them, I determined that the best course of action would be to refer them to a nutritionist and exercise specialist for additional support in managing their diabetes. I also have experience educating patients about the importance of maintaining healthy hormone levels and taking steps to prevent future problems. Learn what skills and qualities interviewers are looking for from an endocrinologist, what questions you can expect, and how you should go about answering them. Secondly, I think its important to provide educational resources to help patients better understand their condition and treatment options. What is a Pediatric Endocrinologist? - Pediatric Endocrine Society Consider a nonfood reward to motivate an open mind. A great example is the NPR2 gene, which when mutated can cause short or tall stature. Endocrinologists are medical doctors who specialize in diagnosing and treating disorders of the endocrine system. Henry Johnson One of the biggest challenges was understanding and managing complex endocrine disorders such as diabetes and thyroid disease. Is this condition likely to go away or will it be long term? This pathway is being targeted for therapeutics related to achondroplasia.. This question allows you to demonstrate your knowledge of the field and how it applies to your work. Some people will continue to see the endocrinologist to help them manage chronic hormone-related conditions. 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