Education/Quality Improvement
centers and rehabilitation facilities should develop processes to
ensure care coordination from the inpatient to outpatient setting.
https://doi.org/10.1016/j.eprac.2021.04.868
Abstract #1000069
COVID-19: Differential Functioning of an
Indian Multispecialty Centre and the Distinctive
Outcomes of Endocrino-morbid Patients in the
Pandemic Era
Author Block: Sharikant Sharma - SMS Medical college and
hospital jaipur INDIA; Mukul Singhal senior registrar - co-author,
Internal medicine, SMS Medical college; Abhishek Bhargava senior
registrar - co-author, Internal medicine, SMS Medical college;
Prakash Keswani senior Professor - co-author, Internal medicine,
SMS Medical college; Sunita D. Hemani Associate Professor - co-
author, Gynecology and obst., SMS Medical college
Objective: The Covid-19 pandemic proved provocative to the
already grieving Indian healthcare infrastructure confronting the
ever-growing metabolic epidemic, thereby accentuating the
morbidity and mortality statistics in overtly obese, diabetics and
hormonally compromised. Imminent for the existing centres, they
evolved to consummate the task.
Aim: How does the distinctive functioning and triage-protocol of
systemically variable co-morbid patients affects within an Indian
multispecialty hospital during the covid-19 pandemic era? To
determine prevalence of SARS-CoV-2 infection influence the
outcomes?
Methods: The projected study is an observational retrospective
mono-centric analysis, derived from the medical case records
and interviews of patients/relatives investigating the clinical
outcomes of endocrine patients. The employed protocol segre-
gated those archiving variable clinico-pathologic expositions
and endocrinal comorbidities triaging into 3 separate wards.
These involved the endocrine patients without respiratory illness
(A), with respiratory difficulty (B) and with confirmed covid
infection (C). A separate corona outdoor managed the influx of
suspected patients with other ailments as per symptomatic
severity. Individuals with co-ailments viz. diabetes, hypertension
was ascertained clinically and marshalled from non-comorbid
cases in view of critical care obligation. Each super-speciality
worked separately providing noteworthy attention towards
realms embracing renal, pituitary or immune-compromised
patients.
Results: Out of 2790 patients admitted, 890 endocrinal patients,
through dedicated outdoor or emergency were reallocated
emphasizing 144(Ward A), 411(B) and 335(C) separately. Ward (B)
cases highlight-able with hormonal affliction, once recovered (293)
or found covid positive (118) on repeat testing were transferred to
ward A & C respectively. 95% cases (136) with predominant
dysfunction (A) and 77% ward (B) cases (316) were discharged with
mandatory ‘supplemental’ steroids. Hospital stay was the
maximum in ward C cases averaging 6.3 days owing covid status,
with < 4% mortality. 104 suspects (B) and 143 cases (C), majorly
diabetics were proficiently shifted to critical-care units, as condi-
tion downgraded.
Discussion/Conclusion: This protocol portrayed effective specialty-
centred furcation and salient role played by endocrinologists that
aided us to achieve positive results.
https://doi.org/10.1016/j.eprac.2021.04.869
S190
Endocrine Practice 27 (2021) S189eS195
Abstract #1000316
Social Determinants of Health Training in US
Endocrinology Fellowship Program Curricula: A
Comprehensive Review of Program Websites
Author Block: Divya Shah Medical Student - Primary author,
University of Maryland; Elizabeth M. Lamos, MD - Co-author,
University of Maryland; Rana Malek, MD - Co-author, University of
Maryland
Objective: In 2019, the Accreditation Council for Graduate Medical
Education revised the common program requirements of residencies
and fellowships to incorporate an understanding of “the social de-
terminants of health (SDH) of the populations they serve and
incorporate them in the design and implementation of the program
curriculum, with the ultimate goal of addressing these needs and
health disparities.” Trainees must recognize that understanding SDH
is central in explaining health disparities that exist in the commu-
nities they serve and diseases they treat. However, SDH curriculum is
informal. Here we seek to evaluate how programs distinguish their
SDH curriculum to endocrinology fellowship applicant.
Methods: We performed a comprehensive review of 147 United States
endocrinology fellowship program websites. We identified how SDH
training was incorporated into their curricula. The consistency in
relaying the SDH training information within the website was assessed.
Results: Twenty percent (29/147) of programs include SDH training
as part of their curricula. Of the 29 programs, 31% included SDH as
part of the ‘Training and Education’ or ‘Curriculum’ page of their
website, 21% mentioned it under the ‘Diversity’ page and 17% under
the ‘Mission/Aims'. Also, 14% of programs advertised SDH training
within their ‘Program Overview/Introduction’ and 7% under
‘Research.’ Four percent of programs addressed SDH under both
‘Mission’ and ‘Research’, 3.5% under both ‘Program Overview’ and
‘Research’ categories and 3.5% only under ‘Program Requirements.’
Of the 29 programs that included SDH training, 28% were in both the
Midwest and South, 21% in the Northeast, 17% in the Southwest, and
7% in the Northwest. Of the programs, 52% were public institutions.
Discussion/Conclusion: A comprehensive review of endocrinology
fellowship program websites identified a significant gap in SDH
curricula reporting. Also, there were inconsistencies in the pre-
sentation of this information and the regional distribution of these
programs. This either signifies that programs have not incorporated
SDH into their curricula or do not adequately describe their SDH
training on their websites. This study emphasizes the importance of
showcasing required formal curricular activities on websites. A
standardized placement of SDH curricula on fellowship websites
and training will empower future generations of endocrinologists
to demonstrate awareness of SDH and respond effectively to miti-
gate the impact socioeconomic disparities on the development and
management of chronic conditions.
https://doi.org/10.1016/j.eprac.2021.04.870
Abstract #1000346
Virtual Education in its Prime: New England
Endocrine Fellows Collaborative Learning Series
during the COVID-19 Pandemic
Author Block: Danica M. Vodopivec, MD - Primary author and
presenter, Department of Medicine, Section of Endocrinology,