The Division of Endocrinology and Metabolism is based at CHEO. It has grown from three faculty members in 1995 to our current complement of nine CHEO based endocrinologists and 4 community endocrinologists who work in partnership with our team.

The clinical programs are supported by several allied health professionals including nurses, dietitians, social workers, clinical psychologists and an exercise specialist.  

Our clinical programs include roughly 8,000 patient visits per year and are structured to provide care in the following areas:

  • Diabetes
  • General endocrinology
  • Obesity
  • Genetic and Metabolic Bone Disease  
  • Gender Diverse Youth  
  • Endocrinology-gynecology

Our team’s mission is to provide comprehensive, evidence-based, family-centered, interdisciplinary, team-based care for children and youth with endocrine disorders, including diabetes. We also focus on educating and empowering patients, parents and the community to be active participants in the achievement of optimal health outcomes.

Our team strives to educate current health care professionals in pediatric endocrinology and diabetes as well as train future leaders in the field to be at the forefront of research in pediatric endocrinology and to translate this research into improved clinical care. 

Faculty

To learn more about members of the Endocrinology and Metabolism team — including their biography, area(s) of practice, research interests and other affiliations — visit CHEO’s Find Your Doctor Directory or visit the CHEO Research Institute's site to Find A Researcher.

Clinical programs

Inpatient care

Endocrinology consults on approximately 200 in-patients per year. In addition, the endocrinology team admits children and youth within the clinical teaching units, admissions are mainly for DKA management.

Outpatient care (approximately 8,000 visits annually)

Diabetes:

  • Type 1 diabetes clinic  
  • Insulin pump program (>50% of children/youth at CHEO)
  • Individual and group-based diabetes education
  • Type 2 diabetes clinic
  • Transition to adult care program
  • Diabetes camp (Camp Banting)
  • Outreach clinics including Cornwall and Pembroke
  • Twenty four-hour emergency hotline serving approximately 900 patients and families with diabetes  

 Endocrinology:

  • General pediatric endocrinology (see list of conditions above)
  • Differences of sex development team (combined with urology, gynecology, genetics, psychology, neonatology and medical ethics)
  • Gender Diversity Team (together with social work, adolescent medicine, psychiatry and surgery teams)
  • Joint endocrine-gynecology clinics
  • Newborn screening (congenital adrenal hyperplasia, congenital hypothyroidism)  
  • Twenty four-hour emergency hotline serving endocrine patients with acute conditions (e.g. adrenal insufficiency)
  • Genetic and Metabolic Bone Disease  
  • General bone health clinic

Genetic and Metabolic Bone Disease clinic:

  • STRONG multi-disciplinary clinic for skeletal dysplasia
  • Go2 clinic  
  • Intravenous bisphosphonate treatment program
  • Advanced bone diagnostic and monitoring techniques such as bone biopsies
  • Internationally recognized for clinical expertise and excellence  
  • Centre for Healthy Active Living (CHAL) for severe complex obesity

Home and Community Care

Our endocrinology team has partnered with community endocrinologists who provide both shared care (primarily for our diabetes and gender diversity programs) and independent care of children and youth with endocrinology conditions.  Our community partners are important team members who allow for provision of excellent care outside of the CHEO walls.   

Clinical problems and diseases evaluated and followed

Diabetes:

  • Type 1, Type 2
  • Cystic fibrosis related diabetes
  • Monogenic diabetes
  • Diabetes secondary to medication

General Endocrinology:

  • Assessment of growth and puberty
  • Thyroid conditions
  • Disorders of the adrenal gland
  • Pituitary disorders
  • Endocrine causes of hypoglycemia including hyperinsulinism
  • Childhood cancer survivors at risk of hormone deficiencies
  • Gender Diverse Youth
  • Differences of sex development / ambiguous genitalia
  • Disorders of calcium regulation
  • Rickets
  • Polycystic ovarian syndrome
  • Metabolic syndrome
  • Dyslipidemia
  • Bone health assessments for children and teens with osteoporosis due to chronic diseases and their treatment
  • Genetic bone conditions
  • Skeletal dysplasias
  • Severe complex obesity with co-morbidities 

Laboratory and diagnostic programs

  • Trainees are exposed to endocrine tests through the biochemistry laboratory at The Ottawa Hospital, dynamic endocrine testing at CHEO and the Newborn Screening Laboratory.
  • Advanced bone diagnostic and monitoring techniques such as bone biopsies.

Training programs

Undergraduate training opportunities

Pediatric endocrinology is an important area of education for medical students. Type 1 diabetes is one of the most common chronic conditions in pediatrics. Assessment of growth is fundamental to pediatric medicine and interplays with each and every system of the body.

Several members of our Pediatric Endocrinology faculty and our residents and fellows are involved in the Endocrine Block at the University of Ottawa, providing lectures and serving as Case Based Learning (CBL) tutors both in the English and French streams.    

There is almost always a medical student on a selective or elective rotation in Pediatric Endocrinology, which consists primarily of attending outpatient clinics.  Students also have the opportunity to participate in inpatient consults and rounds with the residents, fellows and faculty for patients either admitted or consulted to endocrinology. This provides a broad exposure to both acute and chronic care in endocrinology.

Each week of the rotation, time is dedicated for formal teaching with the on-service endocrinologist or with the fellow and residents on service. Topics include: growth, puberty, adrenal insufficiency and hypoglycemia.  

A unique opportunity for medical students is the chance to attend diabetes camp for up to two weeks in August. This is a wonderful opportunity to learn about diabetes by spending time with  children and youth who have type 1 diabetes, experiencing how they manage their condition and making hundreds of insulin adjustment decisions.

Postgraduate training program 

The division of endocrinology offers several opportunities for postgraduate training including:

Pediatric Endocrinology Residency Program

In coordination with the Faculty of Medicine at the University of Ottawa, this program has full accreditation from the Royal College of Physicians and Surgeons of Canada. All Canadian trainees satisfactorily completing the program are eligible candidates for the Royal College Pediatric Endocrinology examination.

Residents must have completed their pediatric training in an approved institution to be eligible for this program.

Upon completion of the two-year Pediatric Endocrinology Subspecialty Residency program, trainees will have the clinical skills necessary to diagnose and manage endocrinologic conditions in children, be knowledgeable to teach at both the undergraduate and postgraduate levels, and have the basic skills required to conduct clinical and/or laboratory research.  

Pediatric Endocrinology Clinical Fellowship Program

Clinical fellowships in pediatric endocrinology are offered to international graduates.  The clinical fellowships follow a similar structure to the pediatric residency program though can be tailored to the fellow’s goals and duration of the training program.  

Clinical fellows may qualify for the Royal College of Physicians and Surgeons of Canada Subspecialty Examination Affiliate Program (SEAP) route to exam eligibility if they have completed the full two-year Pediatric Endocrinology residency training program.  

Pediatric Endocrinology Research Fellowship  

Graduates of the pediatric endocrinology residency program may choose to complete a third year of training to allow for further development of research skills required to perform independent research.  

Genetic and Metabolic Bone Disease Fellowship Both clinical and research fellowships in Genetic and Metabolic Bone Disease are offered at CHEO.  Dr. Ward is world renowned for her clinical and research work within the field of pediatric bone disease and leads the bone fellowship program.  

Pediatric Endocrinology Rotations for Postgraduate Trainees

Members of the Division of Endocrinology provide postgraduate training to interested trainees, both as an integral part of general pediatric residency training as well as to interested applicants as part of their  elective. Specific areas covered during these rotations include but are not limited to:

  • Type 1 Diabetes
  • General endocrinology
  • Obesity and lipid disorders
  • Gender diversity

Rounds and Teaching

A comprehensive Academic Half Day curriculum has been designed to cover all major topics within pediatric endocrinology and metabolism. 

The curriculum includes both pediatric endocrinology and joint pediatric and adult endocrinology sessions. A weekly teaching session about specific pediatric endocrinology topics occurs for all house staff and is led by the faculty or pediatric endocrinology fellow or resident. Weekly pediatric endocrinology rounds include discussion of interesting inpatients and outpatients and teaching through a journal club or an evidence-based topic review.  

Residents are encouraged to attend weekly city-wide endocrinology rounds, quarterly DSD rounds, and relevant pediatric gynecology rounds.

Teaching of non-medical expert CanMEDS roles is provided with workshops within the Academic Half Day curriculum and during pediatric subspecialty resident retreats. Residents are encouraged to attend research methodology seminars hosted by the CHEO RI.   

Research

The Division of Endocrinology has a strong research program with experts and research across the field of pediatric endocrinology.    

Areas of current research include (but are not limited to):

  • Type 1 Diabetes
  • Pediatric bone disease  
  • Pediatric Obesity
  • Gender Diversity  
  • Patient safety including adrenal suppression
  • Digital tools to improve quality care  
  • Social determinants of health in diabetes
  • Growth hormone

For latest information on research and discoveries coming from our team, visit the CHEO Research Institute website.