Reply to: diagnostic and functional structure of a high-resolution thyroid nodule clinic: an efficiency model.

To sum up, it is true that each department must adapt organization of the high-resolution thyroid nodule clinic to its particular situation and available means. In our view, however, a high-resolution thyroid nodule clinic only achieves maximum efficiency and autonomy in the hands of endocrinologists qualified to perform the clinical assessment and ultrasonographic procedures needed for a complete work-up. Training in thyroid ultrasonography and FNA of all interested endocrinologists and residents in endocrinology is therefore desirable, as is a clear positioning of the Spanish Society of Endocrinology and Nutrition in the defense of this training, which is increasingly needed in our field. We think that endocrinologists are the main actors qualified to integrate all data needed for thyroid nodule diagnosis and monitoring, and not as a simple technician, but as a true protagonist able to efficiently tackle a disease whose prevalence overflows the conventional diagnostic channels.