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Internal Medicine Career Information January 17, 2006 The Internist Trained in depth to maintain the health and treat the illnesses of men and women from adolescence through old age Science in the care of people A Career of Many Dimensions General medicine/subspecialty

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Internal Medicine

Career Information

January 17, 2006


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The Internist

  • Trained in depth to maintain the health and treat the illnesses of men and women from adolescence through old age

  • Science in the care of people


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A Career of Many Dimensions

  • General medicine/subspecialty

  • Primary care/consultative

  • Diagnostic/therapeutic

  • Acute/Chronic

  • Simple/complex

  • Young/old

  • Outpatient/inpatient

  • Urban/rural

  • Academic/community


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Rewards of a Career

  • Continuity of care- relationships and responsibility

  • Intellectual depth

  • Challenging diagnostic problems

  • Diversity of patients

  • Therapeutic effectiveness

  • Peer relationships


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In the Medical School

  • Major clinical department

  • Key role in teaching

  • Strong research base


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Residency Training

  • 3 years

  • In depth training in:

    -General internal medicine/Subspecialty medicine

    -Intensive care/Procedures

    -Consultative practice/Preventive medicine

    -Community and clinic based primary care


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Structure of the Profession

  • Major professional society:

    American College of Physicians (ACP)

  • Certifying board:

    American Board of Internal Medicine (ABIM)


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General Internist: Trained to provide high quality medical care to adults of all ages

  • Broad training

  • Primary and tertiary care

  • Consultant

  • Coordinator of patient care

  • Specialist in difficult to make diagnoses

  • Stress prevention

  • Educator

  • Researcher


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Subspecialty internist: Specially qualified to care for adults with illness within a specific organ system

  • Trained and Board certified as a general internist

  • 2-3 year fellowship in specialized area

  • Subspecialty Board certification

  • Special diagnostic/therapeutic services

  • Specialized procedures

  • Primary care for some patients

  • Educators and researchers


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Internal Medicine: Core Disciplines

Nephrology

Rheumatology

Gastroenterology

Allergy/Immunology

General

Internal Medicine

Cardiology

Geriatrics

Pulmonary/Critical Care

Infectious Diseases

Hematology

Endocrinology

Oncology


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Internal Medicine: Sites of Care

  • Hospital based

    -General and subspecialty services, ICU, Consultative care

  • Outpatient

    -Office based: solo or group

    -Community health centers, long term care facilities

    -Emergency room

  • Location

    -Urban, suburban, rural


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Internal Medicine: Summary

  • Internists develop long lasting and meaningful relationships with patients and families

  • Internists are trained in depth to:

    -Treat simple and complex diseases

    -Treat a broad age spectrum

    -Use sophisticated diagnostic skills

    -Provide general medical and subspecialty care

    -Provide primary and consultative care


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