Endocrinologists are experts in hormones and metabolism and diagnose and treat disorders of the endocrine system, such as thyroid disease, reproductive issues, osteoporosis and bone disorders, adrenal fatigue, and pancreatic complications. These disorders can be complex to diagnose and can affect multiple systems, calling for expertise in metabolic disease, clinical biochemistry, renal medicine, neurology, cardiovascular disease, genetics, and chronic disease management. Endocrinologists examine and assess their patients, and order and interpret biochemical tests and medical imaging of endocrine organs. They have a good understanding of these laboratory methods, their use to inform diagnosis and their limitations. Endocrinologists provide specialist care, which can involve non-surgical therapies, such as hormone replacement therapy, or referral for surgical procedures in collaboration with specialist surgeons. Endocrinologists have undertaken advanced Training in Endocrinology, a 3-year RACP program which leads to Fellowship and Specialist registration with the Australian Medical Board (AHPRA). At this senior level, they consult directly with patients and other medical specialists, provide clinical leadership, coordinate care, and contribute to training and research in the field. Endocrinologists work in hospitals and private clinics, in both inpatient and outpatient settings.
Registrars (Endocrinology) are registered doctors who have completed their medical degree and pre-vocational training (internship and residency/PGY2-3). They have attained general registration with Ahpra and can now undertake specialist/or vocational training positions to broaden and refine their scope of practice and gain experience, skills and competency in their chosen area of medicine. Registrars are very important members of the integrated and multi-disciplinary health care team. They have increasing responsibility for patient care, oversee and support junior doctors and staff, participate in professional development activities and continue to receive important guidance, training, and support from senior staff. They work in a range of primary, secondary, tertiary, clinical, laboratory and acute care settings, in hospitals, private practices and community clinics. Registered doctors at this level can further their career as Hospital Doctors or Career Medical Officers, or pursue a medical specialty with further training and specialist registration. Registrars who work in Endocrinology are undertaking specialised advanced training in Endocrinology and its clinical practice. They work under Endocrinologists/specialist consultants and develop skills, clinical expertise, and valuable work experience in providing medical care, diagnosis and treatment for patients with Endocrine and related disorders.
Nurses (General and Specialty Medicine - Endocrinology) who work in this area provide specialised nursing care to patients with endocrine disorders and help to perform diagnostic tests related to these disorders. They provide education and support to patients, and other assistance with treatment. Roles can involve triaging, leading clinics, undertaking physical assessments of patients, coordination of patient care and collaboration with multidisciplinary teams.