Trainees learn skills related to history, examination, assessment, and plan for ambulatory patients with endocrine problems referred to a subspecialty endocrine clinic. Patient based mentored assessment of historical findings, examination and therapeutic plan is developed by the trainees in concert with a faculty attending. Pragmatic and theoretical issues are discussed, as are practical, cultural, confidentiality, ethical and socioeconomic issues, in this format. Patients seen in this venue include those with a wide range of endocrine problems excluding Diabetes Mellitus who are seen in the Diabetes Clinic. Some of the endocrine problems seen in this context are:
 
-Short stature including constitutional delay and intrauterine growth retardation

-Disorders of sexual differentiation, of gonadal function and of puberty

-Disorders of sex steroid secretion and metabolism

-Disorders of adrenal gland physiology, including steroid and catecholamine synthesis, secretion, and metabolism and neoplasia

-Disorders of fluid and electrolyte metabolism including hypertension

-Disorders of the anterior pituitary physiology including growth hormone deficiency and management of patients with treated pituitary disease, especially pituitary tumors and of patients with irradiation induced pituitary dysfunction

-Disorders of posterior pituitary hormone physiology including diabetes insipidus

-Disorders of hypothalamic regulation of hormonal secretion

-Diagnosis and management of thyroid disorders including nodules and cancer

-Disorders of calcium and skeletal metabolism including conditions related to the parathyroid and vitamin D metabolism