Internal Medicine - PowerPoint PPT Presentation

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Internal Medicine

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  1. Internal Medicine Career Information January 17, 2006

  2. 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

  3. 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

  4. Rewards of a Career • Continuity of care- relationships and responsibility • Intellectual depth • Challenging diagnostic problems • Diversity of patients • Therapeutic effectiveness • Peer relationships

  5. In the Medical School • Major clinical department • Key role in teaching • Strong research base

  6. 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

  7. Structure of the Profession • Major professional society: American College of Physicians (ACP) • Certifying board: American Board of Internal Medicine (ABIM)

  8. 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

  9. 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

  10. Internal Medicine: Core Disciplines Nephrology Rheumatology Gastroenterology Allergy/Immunology General Internal Medicine Cardiology Geriatrics Pulmonary/Critical Care Infectious Diseases Hematology Endocrinology Oncology

  11. 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

  12. 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