Careers in diabetes and endocrinology
Jeevan Mettayil and colleagues consider the demands and rewards
Diabetes and endocrinology is one of the most challenging and rewarding of all medical specialties. In addition to the management of diabetes mellitus, it concerns disease management in relation to other key endocrine glands—pituitary, thyroid, adrenal, and gonad—as well as most aspects of metabolic disease. Endocrinologists also have a central role in coordinating the multidisciplinary teams involved in dealing with structural lesions of endocrine organs, including known or suspected cancers. Most endocrinologists also train in internal medicine. Given the ubiquity of endocrine systems modulating body tissues and organs, this makes a consultant endocrinologist a “true general physician,” as well as a dedicated specialist.
Endocrine disease is common and expensive to the National Health Service and society. Diabetes is archetypal given an estimated 2.35 million people with diabetes in the United Kingdom. Diabetes care accounts for 5% of NHS resources, a figure that is set to increase. The opportunity to diagnose