Target Audience:

• MBBS graduates
• General practitioners
• Endocrinology and internal medicine residents
• Nurses and allied healthcare professionals

Duration:

• Basic Level: 3 months
• Advanced Level: 6 months

Mode of Delivery:

• Hybrid (online and in-person)
• Lectures, workshops, clinical rotations, and case discussions

Course Objectives:

1. Build foundational and advanced knowledge in endocrinology and diabetes management.
2. Enhance skills for diagnosing and treating common and complex endocrine disorders.
3. Promote public health strategies for diabetes prevention and management in resource-limited settings.
4. Foster research and innovation in diabetes care tailored to Bangladesh’s population.

Course Modules:

Module 1: Fundamentals of Endocrinology (Month 1)

• Introduction to the endocrine system
• Hormonal regulation and feedback mechanisms
• Overview of common endocrine disorders in Bangladesh

Module 2: Basics of Diabetes (Month 2)

• Pathophysiology of diabetes mellitus (Type 1, Type 2, and gestational diabetes)
• Epidemiology of diabetes in Bangladesh
• Risk factors and preventive strategies

Module 3: Diagnostic Tools and Techniques (Month 3)

• Laboratory assessments:
  • Blood glucose monitoring (fasting, random, HbA1c)
  • Insulin levels and C-peptide tests
  • Thyroid function tests, cortisol levels, and others
• Imaging techniques in endocrine disorders (e.g., ultrasound, CT, MRI)

Module 4: Management of Diabetes (Months 4-5)

• Lifestyle Interventions:
  • Diet, exercise, and weight management
  • Cultural considerations in Bangladesh
• Pharmacological Approaches:
  • Oral hypoglycemic agents (OHAs)
  • Insulin therapy (types, administration, monitoring)
• Complications Management:
  • Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS)
  • Chronic complications: neuropathy, nephropathy, retinopathy, cardiovascular diseases

Module 5: Advanced Endocrinology (Months 6-7)

• Thyroid Disorders:
  • Hypothyroidism and hyperthyroidism
  • Thyroid nodules and cancers
• Adrenal Disorders:
  • Cushing’s syndrome and Addison’s disease
  • Adrenal insufficiency
• Reproductive Endocrinology:
  • Polycystic Ovary Syndrome (PCOS)
  • Hypogonadism and infertility
• Pituitary Disorders:
  • Acromegaly, prolactinoma, and growth hormone deficiency

Module 6: Gestational Diabetes and Hormonal Disorders in Pregnancy (Month 8)

• Screening and diagnosis of gestational diabetes
• Hormonal changes in pregnancy
• Management of diabetes in pregnancy
• Long-term follow-up for mother and child

Module 7: Pediatric Endocrinology (Month 9)

• Type 1 diabetes in children
• Growth disorders and short stature
• Congenital adrenal hyperplasia (CAH)
• Pubertal disorders

Module 8: Public Health and Diabetes Prevention (Month 10)

• Community-based diabetes screening programs
• Strategies for reducing the burden of diabetes and endocrine disorders
• Awareness campaigns for lifestyle modification

Module 9: Research, Innovation, and Future Trends (Month 11)

• Advances in diabetes technology: CGM (Continuous Glucose Monitoring), insulin pumps
• Role of artificial intelligence in diabetes management
• Designing and implementing research projects in endocrinology

Practical Components:

1. Clinical Rotations:
   • Work in diabetes and endocrinology clinics and inpatient wards
   • Manage patients under supervision in real-world settings
2. Workshops:
   • Insulin administration and glucose monitoring techniques
   • Foot care and management of diabetic wounds
   • Nutrition counseling tailored to Bangladeshi diets
3. Case Discussions:
   • Complex endocrine cases with multidisciplinary team approaches
   • Patient presentations and feedback sessions
4. Community Engagement:
   • Participate in diabetes camps for rural populations
   • Collaboration with NGOs for endocrine health awareness

Assessment and Certification:

• Basic Level:
  • Written exams (MCQs and short-answer questions)
  • OSCE (Objective Structured Clinical Examination)
• Advanced Level:
  • Written and oral exams
  • Submission of a research project or clinical audit
  • Final case presentation