Endocrinology and Diabetes Mellitus with General (internal) Medicine (GIM) CESR Portfolio Guide

• Aware of, and adheres to, the GMC professional requirements
• Aware of public health issues including population health, social determinants of health and global health perspectives
• Demonstrates effective clinical leadership
• Demonstrates promotion of an open and transparent culture
• Keeps up to date through learning and teaching
• Demonstrates engagement in career planning
• Demonstrates capabilities in dealing with complexity and uncertainty
• Aware of the role and processes for commissioning
• Aware of the need to use resources wisely

• Aware of national legislation and legal responsibilities, including safeguarding vulnerable groups
• Behaves in accordance with ethical and legal requirements
• Demonstrates ability to offer apology or explanation when appropriate
• Demonstrate ability to lead the clinical team in ensuring that ethical and legal factors are considered openly and consistently

• Communicates clearly with patients and carers in a variety of settings
• Communicates effectively with clinical and other professional colleagues
• Identifies and manages barriers to communication
• Demonstrates effective consultation skills including effective verbal and non-verbal interpersonal skills
• Shares decision making by informing the patient, prioritising the patient’s goals and wishes, and respecting the patient’s beliefs, concerns and expectations
• Shares decision making with children and young people
• Applies management and team working skills appropriately, including influencing, negotiating, re-assessing priorities and effectively managing complex, dynamic situations

• Makes patient safety a priority in clinical practice
• Raises and escalates concerns where there is an issue with patient safety or quality of care
• Demonstrates commitment to learning from patient safety investigations and complaints
• Shares good practice appropriately
• Contributes to and delivers quality improvement
• Understands basic Human Factors principles and practice at individual, team, organisational and system levels
• Understands the importance of non-technical skills and crisis resource management
• Recognises and works within limit of personal competence
• Avoids organising unnecessary investigations or prescribing poorly evidenced treatments

• Manages clinical information / data appropriately
• Understands principles of research and academic writing
• Demonstrates ability to carry out critical appraisal of the literature
• Understands the role of evidence in clinical practice and demonstrates shared decision making with patients
• Understands public health epidemiology and global health patterns
• Demonstrates appropriate knowledge of research methods, including qualitative and quantitative approaches in scientific enquiry
• Demonstrates appropriate knowledge of research principles and concepts and the translation of research into practice
• Follows guidelines on ethical conduct in research and consent for research
• Recognises potential of applied informatics, genomics, stratified risk and personalised medicine and seeks advice for patient benefit when appropriate

• Delivers effective teaching and training to medical students, junior doctors and other healthcare professionals
• Delivers effective feedback with action plan
• Able to supervise less experienced trainees in their clinical assessment and management of patients
• Able to supervise less experienced trainees in carrying out appropriate practical procedures
• Able to act as a clinical supervisor to doctors in earlier stages of training

• Demonstrates professional behaviour with regard to patients, carers, colleagues and others
• Delivers patient centred care including shared decision making
• Takes a relevant patient history including patient symptoms, concerns, priorities and preferences
• Performs accurate clinical examinations
• Shows appropriate clinical reasoning by analysing physical and psychological findings
• Formulates an appropriate differential diagnosis
• Formulates an appropriate diagnostic and management plan, taking into account patient preferences, and the urgency required
• Explains clinical reasoning behind diagnostic and clinical management decisions to patients/carers/guardians and other colleagues
• Appropriately selects, manages and interprets investigations
• Recognises need to liaise with specialty services and refers where appropriate

• Able to manage patients who have been referred acutely to a specialised medical service as opposed to the acute unselected take
• Demonstrates professional behaviour with regard to patients, carers, colleagues and others
• Delivers patient centred care including shared decision making
• Takes a relevant patient history including patient symptoms, concerns, priorities and preferences
• Performs accurate clinical examinations
• Shows appropriate clinical reasoning by analysing physical and psychological findings
• Formulates an appropriate differential diagnosis
• Formulates an appropriate diagnostic and management plan, taking into account patient preferences, and the urgency required
• Explains clinical reasoning behind diagnostic and clinical management decisions to patients/carers/guardians and other colleagues
• Appropriately selects, manages and interprets investigations
• Demonstrates appropriate continuing management of acute medical illness in a medical specialty setting
• Refers patients appropriately to other specialties as required

• Demonstrates professional behaviour with regard to patients, carers, colleagues and others
• Delivers patient centred care including shared decision making
• Demonstrates effective consultation skills
• Formulates an appropriate diagnostic and management plan, taking into account patient preferences, and the urgency required
• Explains clinical reasoning behind diagnostic and clinical management decisions to patients/carers/guardians and other colleagues
• Demonstrates appropriate continuing management of acute medical illness inpatients admitted to hospital on an acute unselected take or selected take
• Recognises need to liaise with specialty services and refers where appropriate
• Appropriately manages comorbidities in medial inpatients
• Demonstrates awareness of the quality of patient experience

• Demonstrates professional behaviour with regard to patients, carers, colleagues and others
• Delivers patient centred care including shared decision making
• Demonstrates effective consultation skills
• Formulates an appropriate diagnostic and management plan, taking into account patient preferences
• Explains clinical reasoning behind diagnostic and clinical management decisions to patients/carers/guardians and other colleagues
• Appropriately manages comorbidities in outpatient clinic, ambulatory or community setting
• Demonstrates awareness of the quality of patient experience

• Demonstrates effective consultation skills (including when in challenging circumstances)
• Demonstrates management of medical problems in inpatients under the care of other specialties
• Demonstrates appropriate and timely liaison with other medical specialty services when required

• Applies management and team working skills appropriately, including influencing, negotiating, continuously re-assessing priorities and effectively managing complex, dynamic situations
• Identifies appropriate discharge plan
• Ensures continuity and coordination of patient care through the appropriate transfer of information demonstrating safe and effective handover
• Effectively estimates length of stay
• Delivers patient centred care including shared decision making
• Recognises the importance of prompt and accurate information sharing with primary care team following hospital discharge

• Demonstrates prompt assessment of the acutely deteriorating patient, including those who are shocked or unconscious
• Demonstrates the professional requirements and knowledge of legal processes associated with consent for resuscitation
• Participates effectively in decision making with regard to resuscitation decisions, including decisions not to attempt CPR, and involves patients and their families
• Demonstrates competence in carrying out resuscitation

• Identifies patients with limited reversibility of their medical condition and determines palliative and end of life care needs
• Identifies the dying patient and develops an individualised care plan, including anticipatory prescribing at end of life
• Demonstrates effective consultation skills in challenging circumstances
• Demonstrates safe and effective use of syringe pumps in the palliative care population
• Able to manage non complex symptom control including pain
• Facilitates referrals to specialist palliative care across all settings
• Demonstrates compassionate professional behaviour and clinical judgement

• Demonstrates ability to diagnose diabetes of various types and provides expertise where there is diagnostic uncertainty
• Shows understanding of systems to provide diabetes care within the community, secondary care settings and the interplay between them
• Able to demonstrate experience of working within MDTs to provide diabetes care with evidence of leadership
• Demonstrates ability to screen for, diagnose, prevent and manage diabetes related complications
• Is actively involved in structured education for people with diabetes, demonstrating an ethos of patient centred care and shared decision making
• Shows ability to work at a population level to prevent diabetes
• Demonstrates competence with technologies to monitor glucose, deliver insulin and manage diabetes at individual and population levels

• Demonstrates ability to work with teams and systems to optimise women’s health before pregnancy with diabetes and endocrine disorders
• Demonstrates understanding of physiological changes that occur during pregnancy
• Demonstrates ability to diagnose and manage endocrine disorders during pregnancy and manage pre-existing endocrine conditions
• Demonstrates ability to diagnose and manage diabetes during pregnancy
• Shows understanding of safety considerations when investigating women during pregnancy and prescribing drugs
• Demonstrates ability to optimise maternal treatments to achieve best foetal outcomes
• Demonstrates experience in the use of technologies to safely and effectively manage women during pregnancy and the perinatal period

• Demonstrates ability to work with teams and systems to optimise women’s health before pregnancy with diabetes and endocrine disorders
• Demonstrates understanding of physiological changes that occur during pregnancy
• Demonstrates ability to diagnose and manage endocrine disorders during pregnancy and manage pre-existing endocrine conditions
• Demonstrates ability to diagnose and manage diabetes during pregnancy
• Shows understanding of safety considerations when investigating women during pregnancy and prescribing drugs
• Demonstrates ability to optimise maternal treatments to achieve best foetal outcomes
• Demonstrates experience in the use of technologies to safely and effectively manage women during pregnancy and the perinatal period

• Demonstrates knowledge of physical, psychological, social, sexual educational/vocational development of AYA both in health and in the context of co existent diabetes and endocrine conditions
• Shows understanding of how to deliver developmentally appropriate healthcare across outpatient and inpatient settings and aspects of care that improve transition to adult services
• Demonstrates knowledge and understanding of rights and legislation of AYA, including confidentiality and employment rights
• Shows ability to discuss heritability of diabetes and endocrine disorders with patients and families
• Shows ability to recognise safeguarding concerns and respond effectively involving statutory agencies as required
• Demonstrates ability to identify and respond to evidence of risk & resilience including mental health, exploratory behaviours, weight, gender identity, sexuality, relationships, sexual health, contraception, and embed generic health education and health promotion during consultations
• Able to show evidence of recognition of the impact of diabetes & endocrine conditions on family/ carers
• Demonstrates knowledge of the aspects that enhance care during transition and transfer between paediatric and adult services

• Shows evidence of expertise of diagnosis and management of endocrine disorders in the outpatient and ambulatory setting
• Demonstrates ability to select, supervise and interpret most appropriate static and dynamic laboratory investigations to investigate and monitor endocrine disease
• Shows understanding of selecting and interpreting imaging investigations to investigate and monitor endocrine disease
• Demonstrates experience of developing guidelines and policies for the management of endocrine disease, with demonstration of the understanding of quality management
• Shows evidence of working within MDTs for the management of endocrine disease, with evidence of leadership

• Demonstrates experience and competence in the management of endocrine disorders in the perioperative period. This includes surgery on endocrine glands and surgery elsewhere in a person with pre-existing endocrine disease
• Demonstrates experience and competence in the safe management of diabetes in the perioperative period to ensure the best outcomes
• Demonstrates understanding of the perioperative management of a person undergoing surgery for obesity
• Able to show experience and competence in working within MDTs to manage endocrine disease and diabetes in the perioperative period, with evidence of leadership
• Shows evidence of understanding of quality management, with experience in developing guidelines and policies

• Shows evidence of experience and competence in the diagnosis and management of endocrine disease in emergencies and during acute illness and inpatient admissions
• Demonstrates evidence of collaboration with multiprofessional and multidisciplinary teams to manage endocrine emergencies
• Shows evidence of collaboration with primary care in managing and preventing endocrine emergencies, with safe discharge planning
• Competently able to manage diabetic emergencies and diabetes during acute illness in the community and inpatient admissions
• Demonstrates leadership in developing and quality assuring systems to prevent and manage diabetic and endocrine emergencies

Currency Window

Evidence of your recent practice will be given more weight to reflect current capabilities and we suggest that approximately 50% of your evidence for a curriculum outcome is drawn from within the last five years of clinical practice (WTE).

Evidence Volume

around 100 electronically uploaded documents