Internal Medicine Career Information January 17, 2006
The Internist <ul><li>Trained in depth to maintain the health and treat the illnesses of men and women from adolescence th...
A Career of Many Dimensions <ul><li>General medicine/subspecialty </li></ul><ul><li>Primary care/consultative </li></ul><u...
Rewards of a Career <ul><li>Continuity of care- relationships and responsibility </li></ul><ul><li>Intellectual depth </li...
In the Medical School <ul><li>Major clinical department </li></ul><ul><li>Key role in teaching </li></ul><ul><li>Strong re...
Residency Training <ul><li>3 years </li></ul><ul><li>In depth training in: </li></ul><ul><li>-General internal medicine/Su...
Structure of the Profession <ul><li>Major professional society:  </li></ul><ul><li>American College of Physicians (ACP) </...
General Internist:  Trained to provide high quality medical care to adults of all ages <ul><li>Broad training </li></ul><u...
Subspecialty internist:  Specially qualified to care for adults with illness within a specific organ system <ul><li>Traine...
Internal Medicine: Core Disciplines General  Internal Medicine Rheumatology Allergy/Immunology Cardiology Pulmonary/Critic...
Internal Medicine: Sites of Care <ul><li>Hospital based </li></ul><ul><li>-General and subspecialty services, ICU, Consult...
Internal Medicine: Summary <ul><li>Internists develop long lasting and meaningful relationships with patients and families...
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  1. 1. Internal Medicine Career Information January 17, 2006
  2. 2. The Internist <ul><li>Trained in depth to maintain the health and treat the illnesses of men and women from adolescence through old age </li></ul><ul><li>Science in the care of people </li></ul>
  3. 3. A Career of Many Dimensions <ul><li>General medicine/subspecialty </li></ul><ul><li>Primary care/consultative </li></ul><ul><li>Diagnostic/therapeutic </li></ul><ul><li>Acute/Chronic </li></ul><ul><li>Simple/complex </li></ul><ul><li>Young/old </li></ul><ul><li>Outpatient/inpatient </li></ul><ul><li>Urban/rural </li></ul><ul><li>Academic/community </li></ul>
  4. 4. Rewards of a Career <ul><li>Continuity of care- relationships and responsibility </li></ul><ul><li>Intellectual depth </li></ul><ul><li>Challenging diagnostic problems </li></ul><ul><li>Diversity of patients </li></ul><ul><li>Therapeutic effectiveness </li></ul><ul><li>Peer relationships </li></ul>
  5. 5. In the Medical School <ul><li>Major clinical department </li></ul><ul><li>Key role in teaching </li></ul><ul><li>Strong research base </li></ul>
  6. 6. Residency Training <ul><li>3 years </li></ul><ul><li>In depth training in: </li></ul><ul><li>-General internal medicine/Subspecialty medicine </li></ul><ul><li>-Intensive care/Procedures </li></ul><ul><li>-Consultative practice/Preventive medicine </li></ul><ul><li>-Community and clinic based primary care </li></ul>
  7. 7. Structure of the Profession <ul><li>Major professional society: </li></ul><ul><li>American College of Physicians (ACP) </li></ul><ul><li>Certifying board: </li></ul><ul><li>American Board of Internal Medicine (ABIM) </li></ul>
  8. 8. General Internist: Trained to provide high quality medical care to adults of all ages <ul><li>Broad training </li></ul><ul><li>Primary and tertiary care </li></ul><ul><li>Consultant </li></ul><ul><li>Coordinator of patient care </li></ul><ul><li>Specialist in difficult to make diagnoses </li></ul><ul><li>Stress prevention </li></ul><ul><li>Educator </li></ul><ul><li>Researcher </li></ul>
  9. 9. Subspecialty internist: Specially qualified to care for adults with illness within a specific organ system <ul><li>Trained and Board certified as a general internist </li></ul><ul><li>2-3 year fellowship in specialized area </li></ul><ul><li>Subspecialty Board certification </li></ul><ul><li>Special diagnostic/therapeutic services </li></ul><ul><li>Specialized procedures </li></ul><ul><li>Primary care for some patients </li></ul><ul><li>Educators and researchers </li></ul>
  10. 10. Internal Medicine: Core Disciplines General Internal Medicine Rheumatology Allergy/Immunology Cardiology Pulmonary/Critical Care Infectious Diseases Endocrinology Oncology Hematology Geriatrics Gastroenterology Nephrology
  11. 11. Internal Medicine: Sites of Care <ul><li>Hospital based </li></ul><ul><li>-General and subspecialty services, ICU, Consultative care </li></ul><ul><li>Outpatient </li></ul><ul><li>-Office based: solo or group </li></ul><ul><li>-Community health centers, long term care facilities </li></ul><ul><li>-Emergency room </li></ul><ul><li>Location </li></ul><ul><li>-Urban, suburban, rural </li></ul>
  12. 12. Internal Medicine: Summary <ul><li>Internists develop long lasting and meaningful relationships with patients and families </li></ul><ul><li>Internists are trained in depth to: </li></ul><ul><li>-Treat simple and complex diseases </li></ul><ul><li>-Treat a broad age spectrum </li></ul><ul><li>-Use sophisticated diagnostic skills </li></ul><ul><li>-Provide general medical and subspecialty care </li></ul><ul><li>-Provide primary and consultative care </li></ul>
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