Overview
Endocrinology covers diabetes (the volume core), thyroid, pituitary/adrenal disease, osteoporosis, and increasingly obesity medicine in the GLP-1 era. It is thinking-doctor medicine: biochemistry puzzles, long-term relationships, almost no 3am procedures, and demand in every town big enough for a hospital.
Selection and points
How selection works
| Component | What it involves |
|---|---|
| AT job application | Hospital-level selection; dual with general medicine very common and encouraged. |
The unofficial view
- Diabetes-tech projects (CGM/pumps), bone or pituitary research, and gen-med dual intent are the classic strengtheners.
Competition & demographics
Competitiveness
- Tertiary posts moderately contested; overall an accessible AT with strong applicant fit valued over volume.
Who's in the program
- Majority-female trainee cohort; excellent part-time culture.
How to improve your chances at each stage
StageResident (PGY2–3)
- Endo BPT terms; a CGM/diabetes QI project is achievable and topical.
StageRegistrar years & applications
- Dual gen med/endo maximises employability, especially regional.
StageIf you don't get on (or change your mind)
- Adjacent: general medicine, chemical pathology, obesity-focused GP practice.
See also the general strategy guide: universal CV, referee and interview advice that applies across specialties.
Job market & workforce outlook
Outlook: Diabetes prevalence guarantees demand; GLP-1/obesity medicine expanding the field rapidly
- Universal demand; regional shortage acute; private clinic + public sessions the standard mix.
Income
- Clinic-based earnings: indicatively $300,000–500,000; less procedural upside, more schedule control.
Pre-tax, indicative, and highly variable with hours, setting and billing model. ATO figures are averages of taxable income by reported occupation.
Subspecialties & special interests
| Area | Notes |
|---|---|
| Diabetes technology | Pumps/CGM |
| Obesity medicine | GLP-1 era growth |
| Reproductive/pituitary/bone | Tertiary clinics |
Official links
Community: questions and perspectives
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❓ Questions & answers
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🩺 Experiences, corrections & perspectives
If you've trained in endocrinology & diabetes, or tried to, share what the page can't capture: what it's really like, what's changed, what you wish you'd known.
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