MidlevelWTF is actively reaching out to our sources to obtain an uncensored version of this poster and identify the hospital in question. Please contact us if you have more information.

This one gave us a really good chuckle. "Endocrinology consults may include, but are not limited to: DKA, HHS, HbA1C > 8, hyperglycemia, hypoglycemia"? Last time we checked, knowing how to manage diabetes and diabetes-related complaints was well within the wheelhouse of any medicine physician. Not to mention, we'd trust a physician to understand and manage the pathophysiology of something like DKA over an algorithm-oriented midlevel any day of the week. It would literally be more time-consuming and annoying for a hospitalist physician to involve some midlevel in the treatment of a patient just because they were hyperglycemic or because they had an A1C greater than 8. Perhaps this endocrine consult service was meant more for midlevel hospitalists who have no fucking idea how to manage diabetes and blood glucose?

Also, what exactly does "board-certified" mean? Unless you hold certification from the American Board of Internal Medicine (ABIM), the American Board of Family Medicine (ABFM), the American Board of Emergency Medicine (ABEM), or some other physician certifying board in a specialty that encompasses the management of diabetes, you're not board-certified. End of discussion.