Developed each year by a group of expert faculty, the In-Training Exam is a self-assessment tool consisting of 90 questions designed to gauge a fellow's current level of knowledge. The premier in-training exam for endocrinology, results can be used as a benchmark used to guide specific remediation for fellows and indicate where additional learning is needed. The exam questions are written at the expected level of proficiency expected from endocrinology fellows, and cover all topical areas according to the ABIM blueprint for Endocrinology, Diabetes, and Metabolism. The exam is available for proctoring each year from mid-January to mid-February.

• Provide endocrine fellows an opportunity for self-assessment throughout training;
• Identify areas where endocrine fellows require additional training;
• Provide program directors the opportunity to evaluate their programs annually.

After the exam reports have been released, premium subscribers have access to a re-takeable version of the exam. Fellows can work through that year's exam again and again, and receive answer rationale directly after to help them learn how to think like an endocrinologist. Paired with the other post-exam resources (like the exclusive ITE slide deck!), this is an amazing resource for remediation.

Endocrine Procedures is designed to provide endocrine fellows with the knowledge needed to identify the indications for bone density screening, to accurately interpret and report bone density scans, and to incorporate bone densitometry into clinical practice through review of common clinical scenarios.

Endocrine Procedures is a case-based module is designed to introduce learners to evaluating thyroid nodules. During this course, learners will review how to risk stratify thyroid nodules based on their sonographic features and determine when further evaluation, such as biopsy and molecular testing, is indicated. A sample thyroid ultrasound report template and introductory video on how to conduct a fine needle aspiration is also included.

This Endocrine Procedures module is designed to improve fellows’ competence in using CGM and diabetes technology to manage diabetes. This tool was developed to provide fellows the opportunity to learn more about using and interpreting CGM reports, and offer the chance to demonstrate competence in the interpretation of CGMs. During this course you will review the requirements for CGM, videos explaining how to use diabetes technology and interpret CGM, and then several activities and case-based questions to put your knowledge into practice.

Rare Bone Diseases explores how to assess for and manage several rare bone diseases seen in endocrinology, including:

• Paget Disease
• Osteogenesis Imperfecta
• McCune-Albright Syndrome
• Hypophosphatemia
• Hypophosphatasia
• Albright Hereditary Osteodystrophy

Each rare bone disease has a short video presentation from Dr. Sky Graybill, MD, that includes in-video questions and a short quiz after to test your knowledge and understanding of these diseases. Following these presentations and quiz, learners gain access to some additional resources to facilitate continued learning.

The Management of Patients with Obesity Fellows Training Series module features a series of lectures from world-renowned speakers on various aspects of obesity. The learner is asked to watch clips of each lecture and then complete the questions, which are based on the videos and other learning points in the APDEM curriculum.

Managing patients with type 1 diabetes (T1D) and the associated complications using patient-centered care and evolving therapies requires continual education for endocrine fellows, especially during a time of increasing endocrinologist workforce needs and rapidly evolving technology. This activity consists of 6 topic-specific videos relating to T1D care and management. Each module consists of a recorded presentation(s) followed by clinical case vignettes with answer rationales and references.

MRI Interpretation of Pituitary Sellar Lesions seeks to introduce learners to the use of imaging to help develop a differential diagnosis of pituitary pathology. The course begins with a short pre-test to gauge your current knowledge level and understanding of pituitary imaging. You will then watch a short video on the basics of reading a pituitary MRI, followed by a longer video reviewing various imaging pathologies and answering case questions. After this video, you will complete a post-test to see how much your knowledge has grown. You will then have access to a suggested reading list if you are interested in learning more.

Interpreting Imaging Phenotypes of Adrenal Disease focuses on adrenal nodules and masses. It starts with a presentation by Dr. William F. Young, Jr, MD, MSC explaining the fundamentals of adrenal imaging and confirmatory testing, with knowledge checks throughout to engage learners. After the presentation, learners will work through case-based questions exploring the diagnosis and management of adrenal nodules and masses intended to expand learner’s competence in a variety of clinical scenarios. Once the content has been completed, learners can download a summary table of adrenal imaging phenotypes and resources for continued learning.

Transgender and Gender Affirming Care encompasses a basic overview of individuals experiencing gender dysphoria. It begins with an understanding of the spectrum of gender identities and gives an overview of prevalence, barriers to care, unique health needs, WPATH standards of care, and creating a safe, welcoming clinical space. Specific case discussions will focus on the endocrine management of adult transgender and gender diverse individuals, including the safety, efficacy, and monitoring of both feminizing and virilizing hormone therapy.