Abstract

The vast, specialised, sub-specialised and super sub-specialised categories of the discipline of Endocrinology are undergoing vast and rapid clinical applications based on stratospheric underlying scientific addenda. It is indeed difficult to maintain a paripassu balance between scientific discovery, ethical clearance of clinical application and dissemination of such knowledge in a clear and methodical fashion. The end point of the argument is that a clinician’s practice needs both to learn and assimilate rapidly increasing new practice changing knowledge in the daily management of a patient, and act as “gatekeeper” both regarding the patient’s best interests as well as any potential medico-legal fall-off.