Format of the Examination in Endocrinology and Metabolism

The examination consists of a written-only component that includes one three-hour paper containing 25-35 short answer questions (SAQs), with one to four subparts for each question. This examination assesses the candidate’s competence to function as a consultant endocrinologist across the CanMEDS domains of Medical Expert, Communicator, Collaborator, Leader, Health Advocate, Scholar and Professional. The examination will test the candidate’s clinical competence in prevention, evaluation, diagnosis and treatment of endocrine pathology.

The subjects covered in this examination will include, but are not limited to, medical knowledge, medical management, diagnostic problem solving, test and procedure interpretation and hormone action related to diabetes, thyroid, adrenal, pituitary and gonadal physiology and pathophysiology. Other topics that may be tested are obesity, lipid metabolism, glucose metabolism, fluid and electrolytes, bone metabolism, hormone action during pregnancy, sexual differentiation, growth and puberty. Questions may also include interpretation of statistics and knowledge of pivotal endocrinology studies. Some of the questions will include diagrams or other images.

The examination focuses on the CanMEDS Medical Expert Roles and may include both basic and clinical science principles of clinical relevance as stated in the objectives of training. There are separate examinations for candidates in the adult and the pediatric training programs. Part of the examination will be specifically relevant to the respective primary residency training.

Questions may cover all competencies as described in the Objectives of Training in the Subspecialty of Endocrinology and Metabolism.

Study materials include, but are not limited to, basic endocrinology textbooks, such as Williams Textbook of Endocrinology, Werner & Ingbar’s The Thyroid, Joslin’s Diabetes Mellitus, and Sperling’s Pediatric Endocrinology, as well as recent literature and statements from organizations such as the Canadian Diabetes Association, the Endocrine Society, and the American Thyroid Association.


Revised August 2016