Fostering Excellence and Professionalism in the


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  • Academic medicine involves responsibilities in patient care, as well as research, teaching, and administration. In a single-specialty practice, all the physicians are general internists; in a multiple-specialty practice, there are internists, surgeons, pediatricians, etc., all in the same practice. Hospitalists are physicians who practice full-time hospital medicine. They manage patients while they are in the hospital and generally work shifts.
  • These fields are subspecialties of internal medicine and thus require an additional fellowship of 2-3 years’ duration in order to practice.
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  • At this point, you can insert the specific goals for your particular group. This may be a good time to review the mission statement and goals document for your internal medicine interest group.
  • Fostering Excellence and Professionalism in the

    1. 1. Fostering Excellence and Professionalism in the Practice of Internal Medicine
    2. 2. What is an internist, and what does an internist do? <ul><li>Internists are specialists in adult medicine who provide the majority of health care to adults in the hospital or in the office. They: </li></ul><ul><ul><li>Provide comprehensive, continuing care (primary care) to adolescents, adults, and the elderly. This includes women’s healthcare, depression, and anxiety. </li></ul></ul><ul><ul><li>Treat acute and chronic medical conditions. </li></ul></ul><ul><ul><li>Treat episodic, urgent, and emergent conditions. </li></ul></ul><ul><ul><li>Arrange consultations with other physicians and conduct preoperative evaluations for surgical colleagues. </li></ul></ul>
    3. 3. What opportunities are available for an internal medicine specialist? <ul><li>Academic medicine </li></ul><ul><li>Private practice: </li></ul><ul><ul><li>Solo </li></ul></ul><ul><ul><li>Single-specialty </li></ul></ul><ul><ul><li>Multiple-specialty </li></ul></ul><ul><li>Salaried Internist: </li></ul><ul><ul><li>Staff member at an HMO </li></ul></ul><ul><ul><li>Hospitalist </li></ul></ul><ul><ul><li>Hospital-owned office </li></ul></ul><ul><ul><li>Emergency Room </li></ul></ul>
    4. 4. Specialist vs. Subspecialist <ul><li>Complete a traditional 3-year internal medicine residency </li></ul><ul><li>Care for patients with a variety of medical conditions </li></ul><ul><li>Manage both chronic and acute patient problems </li></ul><ul><li>Complete a traditional 3-year medicine residency and then a 2-3 year subspecialty fellowship </li></ul><ul><li>OR </li></ul><ul><li>Complete a combined residency: </li></ul><ul><ul><li>Med/Peds (4 yrs) </li></ul></ul><ul><ul><li>Med/Emerg (5 yrs) </li></ul></ul><ul><ul><li>Med/Neurology (5 yrs) </li></ul></ul><ul><ul><li>Med/Psych (5 yrs) </li></ul></ul>
    5. 5. Internal Medicine Subspecialty Fields <ul><li>Adolescent Medicine </li></ul><ul><li>Allergy and Immunology </li></ul><ul><li>Cardiovascular Medicine </li></ul><ul><li>Endocrinology </li></ul><ul><li>Infectious Disease </li></ul><ul><li>Gastroenterology </li></ul><ul><li>Geriatrics </li></ul><ul><li>Hematology </li></ul><ul><li>Hepatology </li></ul><ul><li>Nephrology </li></ul><ul><li>Oncology </li></ul><ul><li>Pulmonary Disease / Critical Care Medicine </li></ul><ul><li>Rheumatology </li></ul><ul><li>Sleep Medicine </li></ul>These subspecialties require completion of a 3-year internal medicine residency and additional fellowship training of up to 3 years.
    6. 6. “ ACP and the values it holds gives me light for the future. Being  involved in ACP not only lets me get involved with the future of  health care, but it also lets me meet leaders and innovative minds. ACP is  the largest medical specialty society in the country, and it's great  to know that I can become part of such a prestigious organization.&quot;  -Viral Patel, University of Kentucky College of Medicine, 2010 “ Internal Medicine is a wonderful specialty because of the complexity and diversity of our patient population. When other physicians are stuck on a problem, they consult internal medicine for help and I like that!” - Cristin Mount, MD, third-year resident Madigan Army Medical Center “ Internal medicine allows me to practice the entire spectrum of medicine. I am able to develop long-term relationships with my patients even in the current healthcare environment.” - Lawrence M. Phillips, MD, second-year cardiology fellow North Shore Hospital
    7. 7. From Clinical Information and Education Resources… to Physician and Patient Advocacy… ACP provides products and services for all stages of an internist’s career. Plus, Medical Student Membership is FREE!! Why Join ACP?
    8. 8. What is ACP? <ul><li>Founded in 1915 </li></ul><ul><li>Nation's largest medical specialty society, with 124,000 members </li></ul><ul><ul><li>23,000 medical students (19% of ACP membership) </li></ul></ul><ul><ul><li>Over 19,000 residents and fellows-in-training (15% of ACP membership) </li></ul></ul><ul><li>Mission </li></ul><ul><ul><li>To enhance the quality and effectiveness of health care by fostering excellence and professionalism in the practice of medicine </li></ul></ul>
    9. 9. Personal and Professional Guidance for Medical Students <ul><li>Online internal medicine residency database </li></ul><ul><li>Medical Student mentoring programs at Internal Medicine 2008 and online </li></ul><ul><li>Medical Student Abstract Competition </li></ul><ul><li>Council of Student Members, who work with ACP on policy development and advocacy for medical students and all physicians </li></ul><ul><li>Access to ACP’s clinical and ethical guidelines </li></ul>
    10. 10. ACP Council of Student Members <ul><li>History </li></ul><ul><ul><li>Established in 1998 to help medical students emerge as leaders in the medical community </li></ul></ul><ul><li>Mission </li></ul><ul><ul><li>To promote the excellence and professionalism in medical students, thereby promoting internal medicine as a career </li></ul></ul><ul><li>14-Member Council </li></ul><ul><ul><li>Chair (member of Board of Regents) </li></ul></ul><ul><ul><li>Vice-Chair (member of Board of Governors) </li></ul></ul><ul><ul><li>10 U.S. regions </li></ul></ul><ul><ul><li>Canadian Liaison </li></ul></ul><ul><ul><li>Osteopathic Representative </li></ul></ul>
    11. 11. Council of Student Members Activities <ul><li>Works with ACP to provide advocacy for educational debt and loan relief </li></ul><ul><li>Contributes to IMpact </li></ul><ul><li>Coordinates student activities at the annual Internal Medicine meeting, such as the residency fair, abstract competition, and sessions such as “Stump the Professor” </li></ul><ul><li>Assists with planning student programming at local chapter scientific meetings, including mentoring breakfasts and educational sessions about careers in internal medicine </li></ul><ul><li>Provides resources to local internal medicine interest groups to help increase membership and establish productive programs </li></ul>
    12. 12. IMpact <ul><li>Monthly e-newsletter especially for Medical Student Members </li></ul><ul><li>Articles include: </li></ul><ul><ul><li>Tips for students to succeed in medical school </li></ul></ul><ul><ul><li>Explanations of current issues facing medical students and public health </li></ul></ul><ul><ul><li>Highlights activities of outstanding Internal Medicine Interest Groups </li></ul></ul><ul><ul><li>Profiles practicing internists </li></ul></ul><ul><ul><li>Clinical questions and answers taken from MKSAP for Students </li></ul></ul><ul><ul><li>Advocacy Briefs </li></ul></ul><ul><ul><li>Career Information </li></ul></ul>
    13. 13. ACP and Public Policy <ul><li>ACP is rated as one of the most effective physician advocacy organizations in America </li></ul><ul><li>Through the Key Contact Program, members can actively participate in ACP’s grassroots advocacy effort by contacting their Senators and Representatives on key issues of importance to internists </li></ul><ul><li>Through the Council of Student Members, issues concerning medical students are brought to the attention of ACP’s leadership and made a part of the College’s Public Policy agenda </li></ul>
    14. 14. Advocating for Young Physicians and their Patients Regarding: <ul><li>Ways to diminish the financial burdens of undergraduate medical education </li></ul><ul><li>Medical liability reform </li></ul><ul><li>Feasible and appropriate quality performance measures </li></ul><ul><li>Access to care for 46+ million uninsured Americans </li></ul><ul><li>Quality improvement and patient safety </li></ul><ul><li>Public health issues such as flu vaccine shortages and bioterrorism threats </li></ul>
    15. 15. Internal Medicine 2008 & Chapter Meetings <ul><li>Opportunities to present abstracts </li></ul><ul><li>Networking, mentoring and social opportunities </li></ul><ul><li>Educational workshops with world-renowned faculty </li></ul><ul><li>Didactic, interactive and hands-on formats </li></ul>ACP Medical Student Members attend FREE!
    16. 16. ACP provides world-class, peer-reviewed medical journals and in-depth analysis of issues for internists
    17. 17. Physicians’ Information and Education Resource (PIER) <ul><li>Online guidance in caring for patients </li></ul><ul><li>Problem-based learning </li></ul><ul><li>FREE to members </li></ul><ul><li>Over 450 modules focusing on: </li></ul><ul><ul><li>Diseases </li></ul></ul><ul><ul><li>Ethical and legal issues </li></ul></ul><ul><ul><li>Screening and prevention </li></ul></ul><ul><ul><li>Procedures </li></ul></ul><ul><ul><li>Complementary and alternative medicine </li></ul></ul>
    18. 18. MKSAP for Students 3 <ul><li>MKSAP stands for Medical Knowledge Self-Assessment Program </li></ul><ul><li>Designed by Clerkship Directors for all students taking the medicine clerkship exam </li></ul><ul><li>Over 400 new patient-centered self-assessment questions, answers, and critiques </li></ul><ul><li>Based on the format physicians use for board prep </li></ul>ACP Medical Student Members receive a 33% discount!
    19. 19. Essentials <ul><li>Designed to aid medical students during their third year internal medicine clerkship </li></ul><ul><li>Contains supplemental learning materials, such as: clinical photographs, tables and screening tools </li></ul><ul><li>Available in both print and online </li></ul><ul><li>Material content is based upon two ACP evidence-based resources: Medical Knowledge Self-Assessment Program (MKSAP) and Physician Information and Education Resource (PIER) </li></ul>
    20. 20. Internal Medicine Interest Group Goals <ul><li>Inform and educate the members regarding the discipline of Internal Medicine </li></ul><ul><li>ADD CUSTOMIZED GOALS HERE </li></ul>
    21. 21. Don’t forget to visit ACP Online! <ul><li>Online journals </li></ul><ul><li>Access to PIER </li></ul><ul><li>Legislative Action Center </li></ul><ul><li>Residency & career resources </li></ul><ul><li>ACP products catalog </li></ul><ul><li>Membership directory </li></ul><ul><li>Information about additional ACP benefits relevant to internists throughout their careers </li></ul>
    22. 22. Thank you!