Endocrinology and Diabetes
Endocrinology involves managing patients with disorders of the endocrine system. An endocrinologist commonly deals with conditions such as diabetes mellitus, adrenal disorders, thyroid disorders and pituitary disorders.
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Entry Route into Endocrinology and Diabetes
Applicants must have completed the two-year Foundation Programme to be eligible to apply for core training. There is a choice of two pathways for core training:
Trainees must complete four to six placements in various medical specialties and take part in on-call work.
Job Progression as an Endocrinologist
Higher speciality training lasts takes at least four years, and trainees should have MRCP accreditation before applying for higher speciality training at ST3. Trainees can obtain a dual Certificate of Completion of Training in Acute Internal Medicine or General Internal Medicine, but this will add a year to the length of training.
Trainees can apply for consultant positions six months before obtaining their CCT, and there are opportunities to work in management as a clinical lead, or a clinical or medical director. There are also formal opportunities to become involved in the education and training of junior doctors by working as
- a director of medical education overseeing postgraduate medical training,
- a training programme director responsible for the education of trainee doctors in the local region, or
- an associate dean responsible for managing the training programme.
Academic Endocrinology Roles
Trainees can continue the ST clinical training programme after ST4 level, whilst those interested in an academic career can apply for an academic clinical fellowship.
Competition for Endocrinology Posts
In 2017, the competition ratio at ST3 was 1.9 in the first round, with 149 applications for 77 NTN posts, with 42% of applicants applying for Endocrinology only. In the second round, the competition ratio was 2.4, with 66 applications for 25 NTN posts and 3 LAT posts.
In December 2017, there were
- 688 consultants,
- 11 associate specialists,
- 22 speciality doctors,
- 2 staff grades,
- 409 speciality registrars,
- 175 core trainees,
- 49 F2 trainees, and
- 146 F1 trainees.
Salaries in Endocrinology
The starting salary for junior doctors in England ranges from £26,614 to £46,208, and from £37,923 to £87,521 for speciality doctors. Consultants can expect to earn between £76,761 and £103,490. There are additional supplements for on-call work, antisocial hours, and other commitments and situations. For additional information, please check our page on pay scales.
A Day in the Life of an Endocrinologist
Consultants work in both diabetes and endocrinology, however, some specialise in one or the other. In either case, most of the work is outpatient-based. Duties for specialists include reviewing ward referrals, managing patients with general medical problems on the wards, and attending multidisciplinary team meetings. Many consultants also work in Acute or General Internal Medicine and they will be involved in regular on-call work. Patients with complex endocrine diseases, such as endocrine tumours, are generally managed by specialists working in large referral centres.