Training activity information
Details
Review the case notes and associated test results for males undergoing investigation for endocrine dysfunction. Identify additional testing required and the most appropriate treatment pathway, including:
- Hypogonadotropic hypogonadism
- Low testosterone
Type
Developmental training activity (DTA)
Evidence requirements
Evidence the activity has been undertaken by the trainee.
Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.
An action plan to implement learning and/or to address skills or knowledge gaps identified.
Reflective practice guidance
The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.
Before action
- How does the endocrine system regulate andrological function?
- What key endocrine parameters and clinical information will you focus on when reviewing case notes for hypogonadotropic hypogonadism and low testosterone?
- What are the different potential causes of these endocrine dysfunctions, and how might additional testing help differentiate them?
- How will this activity improve your understanding of the endocrine aspects of male reproductive health?
- What treatment options are available for hypogonadotropic hypogonadism and low testosterone, and how are these determined?
- Will you review the hypothalamic-pituitary-gonadal axis and the regulation of testosterone production?
- What specific endocrine tests are relevant to the investigation of these conditions?
- How do factors like age and co-morbidities influence the choice of treatment pathway?
In action
- How are you analysing the case notes and test results to identify potential endocrine issues? What specific endocrine parameters are you focusing on? How are you determining the need for further investigation?
- Are you able to link the clinical presentation with the endocrine findings? Are you successfully identifying appropriate treatment pathways for hypogonadotropic hypogonadism and low testosterone? What are you learning about these conditions?
- Are you considering different endocrine treatment options and their potential effects? Are you aware of any specific monitoring requirements for these treatments?
On action
- What were the key clinical features and initial hormone levels presented in the cases of hypogonadotropic hypogonadism and low testosterone?
How were these patients being managed prior to the fertility department? What additional endocrine investigations did you identify as necessary to clarify the diagnosis?
What were the key differences you noted in the presentation and initial results between these two conditions?
What factors did you consider when determining the most appropriate treatment pathway for each?
- What did you learn about the diagnostic criteria and endocrine profiles associated with hypogonadotropic hypogonadism and low testosterone?
What did you learn about the different testicular stimulation regimens and other treatment options for these conditions? How did you consider potential underlying causes of the endocrine dysfunction?
- How will this experience inform your approach to cases involving potential endocrine dysfunction in males?
What further learning is needed regarding the nuances of endocrine testing and treatment in andrology?
How can you improve your ability to differentiate between different types of hypogonadism and select the most appropriate management?
Beyond action
- Consider how your understanding of endocrine axes relevant to male reproductive function and the interpretation of endocrine tests has evolved.
- Compare your initial approach to identifying additional testing and treatment for hypogonadotropic hypogonadism and low testosterone with current endocrine management strategies.
- Has observing male endocrinology clinics changed your perspective on the long-term management of these conditions?
- How has this early exposure to endocrine dysfunction influenced your ability to recognise relevant clinical signs and interpret endocrine profiles in subsequent cases?
- Have you applied the knowledge of treatment options, such as different testicular stimulation regimens, gained through this DTA in your understanding of patient care?
- Consider how this experience contributes to your ability to identify appropriate treatment pathways and necessary multidisciplinary links.
- What further learning regarding the nuances of male endocrine dysfunction and its management has been highlighted by re-evaluating this DTA?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 |
Outcome
Select the appropriate pathway for patients referred to the andrology service, including treatment options based upon clinical presentation. |
| # 2 |
Outcome
Practice safely in accordance with the statutory and regulatory framework. |
| # 4 |
Outcome
Apply and adapt skills to communicate effectively with patients and the multidisciplinary team. |