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Pediatric Endocrine Clinic   at
Alberta Children's Hospital
Specialty: Pediatric Endocrinology
Connect Care Department: CGY ACH PED ENDOCRINE CL
Estimated time to routine appointment: Within 3 months
Alberta Health Services - Calgary Zone
SERVICE DESCRIPTION
This outpatient clinic provides services to children with endocrine disorders and their families.This service provides:
  • diagnosis, assessment, and management for children with endocrine disorders (children with diabetes are seen in the Diabetes Clinic)
  • education to patients and their families about their condition and how to prevent complications
  • patient and family access to a dietitian, social worker, and psychologist for endocrine-related issues
  • a pediatric endocrinologist who travels to Medicine Hat 3 to 4 times a year to see referral patients
Some of the health issues this program sees include: children with short or tall stature, delayed or precocious (early) puberty, adrenal insuffiency, thyroid conditions, and high cholesterol.
This outpatient clinic provides services to children with endocrine disorders and their families.This service provides:
  • diagnosis, assessment, and management for children with endocrine disorders (children with diabetes are seen in the Diabetes Clinic)
  • education to patients and their families about their condition and how to prevent complications
  • patient and family access to a dietitian, social worker, and psychologist for endocrine-related issues
  • a pediatric endocrinologist who travels to Medicine Hat 3 to 4 times a year to see referral patients
Some of the health issues this program sees include: children with short or tall stature, delayed or precocious (early) puberty, adrenal insuffiency, thyroid conditions, and high cholesterol.
ELIGIBILITY REQUIREMENTS
Children ages 0 to 17 years.
Children ages 0 to 17 years.
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care. 
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Complete the referral form and fax it to the service using the contact information in this profile
Complete the referral form and fax it to the service using the contact information in this profile
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Pediatric Endocrinology, type CGY ACH PED ENDOCRINE CL in the “To Department” section and complete order.
Send an Internal Referral using the Ambulatory Referral Order to Pediatric Endocrinology, type CGY ACH PED ENDOCRINE CL in the “To Department” section and complete order.
ADDITIONAL SERVICE DETAILS
New patients should receive the Community Outpatient Clinics Welcome Letter.
Clinic directions:
Please proceed to the Pediatric Clinics reception desk on the 7th floor.
New patients should receive the Community Outpatient Clinics Welcome Letter.
Clinic directions:
Please proceed to the Pediatric Clinics reception desk on the 7th floor.
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Appointment outcome to referral source within 30 days.
 
PHONE
403-955-7003
FAX
403-476-7757
REFERRAL FORM
CLICK + TO VIEW REFERRAL GUIDELINES
+-
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
+-
Bone density finding
Indicate frequency, location/events of any fracture. Hand/ foot fractures not typically part of osteoporosis algorithms.
 
Current
No additional investigations suggested unless concern regarding possible vertebral compression fracture. If so, AP and lateral cervical thoracic and lumbar spine X-ray indicated.
 
Current
Bone health/low trauma fracture;
Clinic may arrange specialized lab work if required.
Bone densitometry not required.
Risk factors for impaired bone health - chronic disease, suboptimal nutrition, syndrome associated with weak bones, inflammatory state, corticosteroid exposure, reduced weight bearing activity, immobilization, known endocrine disease
+-
Delayed puberty
Growth chart - at least current height/weight.
 
Current
X-ray of left wrist and hand for Bone Age assessment.
 
Current
Consider the following bloodwork;*CBC, *ferritin, *TIBC, *albumin, *CRP, *liver enzymes, *celiac screen (chronic GI disease e.g. malabsorption)*Creatinine, *extended 'lytes, *calcium, magnesium,and phosphate (renal disease)*FT4, TSH, prolactin, *8 am cortisol, IGF-1, LH and FSH,total testosterone or estradiol (endocrine screening)*Karyoptype (indicated if concomitant short stature to rule out Turner syndrome)
 
Current
Delayed puberty:
  • no breast development >13y or no menarche >15y
  • no testicular development >14y
+-
Hypopituitarism
Growth chart - at least current height/weight.
 
Current
If suspected pituitary dysfunction complete 8am fasting blood work for;*plasma cortisol,*electrolytes, *osmolality, *IGF-1, *TSH, *FT4, *prolactin and glucose. Depending on age, *LH, *FSH, *total testosterone or estradiol, *urine osmolality
 
Current
Suspected pituitary dysfunction
If high index of suspicion - page on call Endocrinologist at ACH to discuss.
+-
Precocious puberty
Growth chart - at least current height/weight.
 
Current
X-ray of left wrist and hand for Bone Age assessment.
 
Current
If central precocious puberty suspected (breast development <8y or testicular enlargement <9y) defer bloodwork.
 
Current
If exaggerated/premature adrenarche suspected (pubic and/or axillary hair, body odor, greasy skin but NO breast or testicular enlargement) do 8am fasting blood work;*Androgens: testosterone, DHEAS, androstenedione and 17-hydroxy-progesterone*Glucose and insulin
 
Current
+-
Short stature
Growth Chart (at least current height/weight ideally two points on the growth chart 6 months apart)
 
Current
X-ray of left wrist and hand for Bone Age assessment.
 
Current
Consider the following blood work:*CBC, extended electrolytes, Creatinine, CRP, liver enzymes*TSH*FT4,Celiac screen*karyotype to rule out Turner syndrome in girls
 
Current
Do not order random Growth Hormone levels as they are not helpful.
If bone age is >14-15, no treatment will be helpful.
+-
Thyroid dysfunction
Growth Chart(including most recent height and weight and all historical data)
 
Within 1 month
TSH and Free T4
 
Within 1 month
Hypothyroidism/Hyperthyroidism
Do not order Free T3, thyroglobulin or anti-thyroglobulin antibodies as these are not needed.

Testing for antithyroid peroxidase antibodies or TSH receptor antibodies will be organized by endocrine if needed.

Routine thyroid ultrasounds are not indicated unless palpable thyroid nodules.

PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
Missed appointments are minimized by requiring a re-referral after two missed appointments. (Alberta Children's Hospital Outpatient Principles in Practice, 6.8)
Missed appointments are minimized by requiring a re-referral after two missed appointments. (Alberta Children's Hospital Outpatient Principles in Practice, 6.8)
 
HOURS OF OPERATION
Monday: 8:00 am - 4:15 pm
Tuesday: 8:00 am - 4:15 pm
Wednesday: 8:00 am - 4:15 pm
Thursday: 8:00 am - 4:15 pm
Friday: 8:00 am - 4:15 pm
   
 
ADDRESS
Level 3, GI/Metabolic/Endocrine Clinics
28 Oki Drive NW
Calgary Alberta
T3B 6A8
PATIENT APPOINTMENT INSTRUCTIONS
 
DIRECTIONS
Located on the corner of 24 Avenue NW and West Campus Drive NW 
Clinic specific directions:
Please proceed to the 3rd floor GI Reception Desk.
Located on the corner of 24 Avenue NW and West Campus Drive NW 
Clinic specific directions:
Please proceed to the 3rd floor GI Reception Desk.
 
PHONE
403-955-7003
 
PARKING INSTRUCTIONS
Paid parking is available on site.
Paid parking is available on site.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
 
 
WHEELCHAIR ACCESSIBILITY
Yes

This facility is wheelchair accessible and has an elevator on site


The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
    • It was deleted if it is an ARD healthcare service@location.
Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

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