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William H. Carmalt Professor of Surgery Yale University School of Medicine New Haven, CT President, American Association of Endocrine Surgeons (2001) As a specialty Endocrine Surgery encompasses the treatment of diseases of the thyroid, parathyroid, adrenal, and endocrine pancreas, as well as related conditions affecting other hormone-producing tissues within the practice purview of the general surgeon, such as carcinoid tumors of the gastrointestinal tract. Typically Endocrine Surgeons function in a true multidisciplinary environment, working closely with Endocrinologists, Radiologists, and Pathologists. The opportunity to participate in all aspects of patient care is one of the most appealing and intellectually stimulating aspects of this specialty. Residency Requirements Currently surgeons come to the specialty of Endocrine Surgery from a General Surgery residency. There is no Board Certification for Endocrine Surgery, nor presently even a requirement for a fellowship leading to a Certificate of Special Competence. Members of the Endocrine Surgical community have resisted development of clinical fellowship training because of the relatively small volume of endocrine cases in most US general surgery residencies. Fellowships in the US (usually research) and abroad (research and clinical), with variable degrees of funding do exist. The International Association of Endocrine Surgeons (IAES) is currently updating the list of Endocrine Surgical Fellowships offered internationally. This information should be available on the website.Endocrine Surgical Societies American Association of Endocrine Surgeons (AAES)Membership in the AAES, the premier organization of this specialty, requires certification by the American Board of Surgery or its equivalent in Canada, Central or South America. Eligibility to sit for the qualifying and certifying exams of the American Board in the US require completion of an accredited general surgery program. Eligibility for Membership also requires that a surgeon devote a "significant portion" of his/her practice or research to endocrine surgical problems. Qualified surgeons from abroad are admitted as Corresponding Members. Distinguished members in allied fields such as pathologists and radiologists may receive Honorary Membership. The AAES meets yearly and is also responsible for coordinating the Postgraduate course on Endocrine Surgery at the American College of Surgeons Clinical Conference in October. The AAES encourages the submission by residents of abstracts for the annual meeting. Prizes are awarded for the best clinical and basic research presentations by residents. Proceedings of the meeting are published in the journal, Surgery. More information about this organization, including the program of its most recent meeting can be obtained from its website. IAESThe IAES was founded "to provide a forum for exchanging information and developing new knowledge in the field of endocrine surgery, whether by clinical experience or laboratory investigation." "Membership in the association shall be awarded to surgeons in good professional standing and with a major interest and an active practice in endocrine surgery after appropriate application and evaluation by the Membership Committee. Contribution to the scientific literature pertinent to endocrine surgery will be an important factor in determining membership."The IAES meets every two years in association with the International Surgical Society meeting. In 2003 it will be held in Bangkok, Thailand in late August. Proceedings are published in the World Journal of Surgery. The IAES will be the main site for a listing of Endocrine Surgical Fellowships offered internationally. This information should be available on the website. American Association Clinical Endocrinologists This organization was founded in 1991 "to maintain a society of qualified medical, pediatric, reproductive and surgical endocrinologists who coordinate their efforts to further the practice of endocrinology." Eligibility requirements include licensure to practice in an endocrine-related specialty and active involvement in practice, teaching, or research in the field. Associate membership is available to physicians in postgraduate training programs related to endocrine diseases. The organization is active in the development of multidisciplinary practice guidelines, awards grants and prizes for research and clinical activities, and provides access to current research and clinical information to both patients and professionals. Its very useful website is: www.aace.com.The Endocrine Society Founded in 1916, this is the oldest and largest organization worldwide devoted to the field of endocrinology. There are 9500 members in 80 countries. The Society publishes 4 peer-reviewed journals and hosts an annual meeting dedicated to the dissemination of the latest information on clinical and research advances in endocrine disease. Categories of membership include an Associate level open to qualified residents and medical students. See the website for more details.American Society of Bone and Mineral Metabolism (ASBMR) Membership in this organization comprises physicians, scientists, and clinical investigators in fields related to bone and mineral metabolism. Proceedings of the annual meeting are published in the Society's official journal, the Journal of Bone and Mineral Research. The Society sponsors a number of awards and also offers a job placement service. For more information, see the website.The American Thyroid Association (ATA) The ATA was founded in 1923 and includes about 1000 physicians and scientists in the US and abroad who specialize in the investigation and treatment of thyroid diseases. An annual meeting brings together thyroidologists from around the world to discuss clinical and basic science aspects of thyroid disease.Members of the AAES are eager to serve as mentors to any students or residents interested in pursuing further training in Endocrine Surgery. Consult our website to find an AAES member near you! websites Mentioned AboveAmerican Society of Bone and Mineral Metabolism (www.asbmr.org) The Endocrine Society (www.endo-society.org).American Association Clinical Endocrinologists (www.aace.com) International Association of Endocrine Surgeons (www.iaes-endocrine-surgeons.com)American Association of Endocrine Surgeons (www.endocrinesurgeons.org)
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