SickKids

Endocrinology
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Education and learning

Fellowship Program in the Division of Pediatric Endocrinology – University of Toronto

The Division of Endocrinology is accredited by the Royal College of Physicians and Surgeons of Canada for the training of individuals interested in pursuing a career in Paediatric Endocrinology. 

All activities of the Division are located in The Hospital for Sick Children Training of fellows involves an initial clinical year, followed by two or more years of research training

Clinical Activities:

  1. Diabetes Service
    • Routine follow-up of about 1000 children and adolescents with Type 1 diabetes mellitus
    • 100-150 new referrals annually
    • Care of these children takes place in the context of a large multidisciplinary team: 6 full-time endocrinologists, 4 diabetes nurse educators, 2 dieticians, 1 social worker,
      There are 3 diabetes clinics each week (3,000-3,500 annual visits), and a weekly diabetes team meeting
    • In-hospital consultations are performed for diabetes-related problems such as emergency room consultation, cystic fibrosis-related diabetes, steroid-induced diabetes, surgery on children with diabetes
    • The diabetes team offers a 24 hour/day hot-line consultation service for those children and their families who are followed by our diabetes service.
  2. Endocrine Service
    • The Endocrine Division follows children with all types of endocrine disorders, the commonest of which are disorders of stature, puberty, and thyroid
    • There are 3 general endocrinology clinics per week (3,000-3,500 annual visits)
    • There are 4 specialized clinics that occur regularly, specializing in Calcium Bone disorders, Growth hormone therapy, Intersex disorders, and Young Women’s Reproductive Health (in conjunction with Gynaecology)
    • In-hospital consultations are performed for a wide variety of conditions

Research Endeavors: 

Primary research activities in the Division of Endocrinology are in the area of clinical investigation: 

  1. Diabetes clinical investigation:
    • Relationship between diabetes control and long-term complications
    • Evaluation of pathophysiology of diabetic nephropathy
    • Management of children with Type 2 diabetes
    • Clinical trials of insulin therapeutics
  2. Endocrine clinical investigation:
    • Follow-up of children with congenital hypothyroidism
    • Clinical utility of markers of growth hormone deficiency

Academic Activities:

Weekly activities in the Division include:

  • Journal club
  • Endocrinology rounds / case presentations City-wide endocrinology rounds
  • Fellows participate in a weekly ½ day course in endocrinology given by members of the Division of Adult and Paediatric Endocrinology

For more information, please contact:
Diane Wherrett
Endocrinology
The University of Toronto
Tel: 416 813 8159
email: diane.wherrett@sickkids.ca

For more information, please contact:

Kusiel Perlman
Endocrinology
The University of Toronto
Phone: 416-813-5991
email: kusiel.perlman@sickkids.ca