As a start I think all Endocrinolgists should undergo proper training as some of the remarks they make to patients who are relying upon them to bring back some good health, is demoralising to the patient who feels they aren't being listened to and are struggling, many for years.
Patients are desperate and hoping against hope that the consultation will brighten their lives and the Endo will do everything in his/her power to resolve the clinical symptoms. Patients usually leave their consultation demoralised with no light in the horizon. After all we believe they have passed their exams and are qualified but many on the forum have been so disappointed.
In the UK they have been instructed to not prescribe T3 now when research by several researchers have proven that it can help enormously. Neither do they test the FT4 and FT3 which can show whether or not the patient is converting T4 to sufficient T3.
I can say that how we 'feel' is the best judge of whether or not the dose/hormones are optimum when all symptoms are resolved. Many doctors only look at the TSH and ignore/don't know any clinical symptoms. Symptoms are the reason we are diagnosed initially (or should be).