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  • Many first-year students are unaware of the definition of internal medicine when they begin medical school. Internists do NOT: treat children (unless they are in a Medicine/Pediatrics program), perform surgery, deliver babies, perform tests (MRIs, X-rays, etc.). Stress that an internal medicine physician is what people think of when they think of going to the doctor. Be sure that you clarify the difference between an internist (a physician who practices internal medicine) and an intern (a first-year resident). Many students are unaware of the difference.
  • These fields are subspecialties of internal medicine and thus require an additional fellowship of 2-3 years’ duration in order to practice.
  • 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.
  • 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.
  • IMpact has now moved to an electronic form, which members will receive via e-mail on a monthly basis.
  • Slides

    1. 1. AEQUANIMITAS MCG’s Internal Medicine Interest Group
    2. 2. Internal Medicine The Compass. The Direction. The Diagnosis. Aequanimitas: MCG’s Internal Medicine Interest Group It's More than Just Latin
    3. 3. Primary care Tertiary care Office-based Hospital-based Invasive Non-Invasive Internal Medicine: Dream the possibilities !! Consider it !!
    4. 4. What Is an Internist? <ul><li>Internists are specialists in adult medicine who provide the majority of health care to adults. </li></ul>
    5. 5. What Does an Internist Do? <ul><ul><li>Provide comprehensive, continuing care (primary care) to adults and adolescents. </li></ul></ul><ul><ul><li>Treat acute and chronic medical conditions. </li></ul></ul><ul><ul><li>Care for patients in the hospital or office. </li></ul></ul>
    6. 6. What Does an Internist Do? <ul><ul><li>Arrange consultations with other physicians. </li></ul></ul><ul><ul><li>Conduct preoperative evaluations for surgical colleagues. </li></ul></ul><ul><ul><li>Treat episodic, urgent, and emergent conditions. </li></ul></ul>
    7. 7. What Does an Internist Do? <ul><ul><li>Care for elderly people. </li></ul></ul><ul><ul><li>Provide comprehensive care in women’s health. </li></ul></ul><ul><ul><li>Manage patients with depression and anxiety disorders. </li></ul></ul>
    8. 8. Generalist 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><ul><li>OR </li></ul></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>
    9. 9. Interested in These Fields? <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>Hematology </li></ul><ul><li>Nephrology </li></ul><ul><li>Pulmonology </li></ul><ul><li>Rheumatology </li></ul><ul><ul><li>These subspecialties require completion of a 3-year internal medicine residency and additional fellowship training of up to 3 years. </li></ul></ul>
    10. 10. Interested in These Fields? <ul><li>Adolescent Medicine </li></ul><ul><li>Clinical Care Electrophysiology </li></ul><ul><li>Critical Care Medicine </li></ul><ul><li>Geriatric Medicine </li></ul><ul><li>Interventional Cardiology </li></ul><ul><li>Sports Medicine </li></ul><ul><ul><li>Certificates of Added Qualification are available in these areas upon completion of up to an additional two years of training. </li></ul></ul>
    11. 11. What Opportunities Are Available for an Internist? <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>
    12. 12. Internal Medicine: A World of Opportunities <ul><li>Ambulatory Medicine </li></ul><ul><li>Hospital Medicine </li></ul><ul><li>Invasive/Non-invasive </li></ul><ul><li>Subspecialty Medicine </li></ul><ul><ul><li>Cardiology/Pulmonary/Critical Care </li></ul></ul><ul><ul><li>GI/Nephrology/Endocrinology </li></ul></ul><ul><ul><li>Infectious disease/Rheumatology </li></ul></ul><ul><ul><li>Allergy/Geriatrics </li></ul></ul><ul><li>Industry </li></ul><ul><ul><li>Pharmaceutical/Financial consulting/legal </li></ul></ul>
    13. 13. Internal Medicine: A World of Opportunities <ul><li>Ambulatory Medicine </li></ul><ul><ul><li>Basic General Internal Medicine </li></ul></ul><ul><ul><li>Primarily outpatient </li></ul></ul>
    14. 14. Internal Medicine: A World of Opportunities <ul><li>Hospital Medicine </li></ul><ul><ul><li>Fastest growing specialty </li></ul></ul><ul><ul><li>Inpatient care </li></ul></ul><ul><ul><li>Knowledge of hospital systems/IT </li></ul></ul><ul><ul><li>Understanding of disease management </li></ul></ul>
    15. 15. Internal Medicine: A World of Opportunities <ul><li>Invasive/Non-invasive </li></ul><ul><ul><li>Pulmonary </li></ul></ul><ul><ul><ul><li>Bronchoscopy </li></ul></ul></ul><ul><ul><ul><li>Lung Biopsy </li></ul></ul></ul><ul><ul><ul><li>Bronchial stents </li></ul></ul></ul><ul><ul><ul><li>Chest tubes </li></ul></ul></ul><ul><ul><ul><li>Thoroscopic procedures </li></ul></ul></ul><ul><ul><ul><li>Invasive hemodynamics </li></ul></ul></ul>
    16. 16. Internal Medicine: A World of Opportunities <ul><li>Invasive/Non-invasive </li></ul><ul><ul><li>Cardiology </li></ul></ul><ul><ul><ul><li>Cardiac catherization </li></ul></ul></ul><ul><ul><ul><li>Coronary angioplasty/stents </li></ul></ul></ul><ul><ul><ul><li>Atherectomy </li></ul></ul></ul><ul><ul><ul><li>Vascular angioplasty/stents: femoral/renal </li></ul></ul></ul><ul><ul><ul><li>Pacemaker/AICD/BiV pacers </li></ul></ul></ul><ul><ul><ul><li>EP studies/ablations </li></ul></ul></ul>
    17. 17. Internal Medicine: A World of Opportunities <ul><li>Invasive/Non-invasive </li></ul><ul><ul><li>GI </li></ul></ul><ul><ul><ul><li>Liver biopsy </li></ul></ul></ul><ul><ul><ul><li>Endoscopy: upper/lower </li></ul></ul></ul><ul><ul><ul><li>ERCP </li></ul></ul></ul><ul><ul><ul><li>Biliary sphincterotomy/stents </li></ul></ul></ul><ul><ul><ul><li>Capsule endoscopy </li></ul></ul></ul>
    18. 18. Internal Medicine: A World of Opportunities <ul><li>Invasive/Non-invasive </li></ul><ul><ul><li>Nephrology </li></ul></ul><ul><ul><ul><li>Renal biopsy </li></ul></ul></ul><ul><ul><ul><li>Dialysis </li></ul></ul></ul><ul><ul><ul><li>Insertion of large bore central venous catheters </li></ul></ul></ul><ul><ul><ul><li>Angioplasty and Access declots </li></ul></ul></ul><ul><ul><ul><li>Insertion peritoneal catheters </li></ul></ul></ul>
    19. 19. Internal Medicine: A World of Opportunities <ul><li>Invasive/Non-invasive </li></ul><ul><ul><li>Hematology/Oncology </li></ul></ul><ul><ul><ul><li>Bone marrow aspirate and biopsy </li></ul></ul></ul><ul><ul><ul><li>Bone marrow transplant </li></ul></ul></ul>
    20. 20. Internal Medicine: A World of Opportunities <ul><li>Invasive/Non-invasive </li></ul><ul><ul><li>Endocrine </li></ul></ul><ul><ul><ul><li>Thyroid biopsy </li></ul></ul></ul><ul><ul><ul><li>Bone biopsy </li></ul></ul></ul>
    21. 21. Internal Medicine: A World of Opportunities <ul><li>Invasive/Non-invasive </li></ul><ul><ul><li>Rheumatology </li></ul></ul><ul><ul><ul><li>Arthrocentesis </li></ul></ul></ul><ul><ul><ul><li>Joint Injection </li></ul></ul></ul>
    22. 22. Internal Medicine Interest Group Goals <ul><ul><li>Serve the students of your medical school and the campus public. </li></ul></ul><ul><ul><li>Inform and educate the members regarding the discipline of Internal Medicine. </li></ul></ul><ul><ul><li>Promote communication among members and faculty through mentoring opportunities. </li></ul></ul><ul><ul><li>Promote the specialty of Internal Medicine. </li></ul></ul>
    23. 23. American College of Physicians <ul><li>Largest medical specialty society in the nation </li></ul><ul><ul><li>118,000 members </li></ul></ul><ul><ul><li>19,000 student members </li></ul></ul><ul><ul><li>22,000 resident/fellow-in-training members </li></ul></ul><ul><ul><li>(numbers as of June 2005) </li></ul></ul>
    24. 24. Medical Student Membership Benefits <ul><li>Free access to online versions of Annals of Internal Medicine and ACP Journal Club </li></ul><ul><li>Internal Medicine Residency Database </li></ul><ul><li>Discounted textbooks and print versions of journals </li></ul><ul><li>Free online access to PIER , an evidence-based decision support tool </li></ul>
    25. 25. Medical Student Membership Benefits <ul><li>Council of Student Members </li></ul><ul><li>IMpact, an E-newsletter for students </li></ul><ul><li>Free attendance at ACP Annual Session and local chapter scientific meetings </li></ul><ul><li>Medical student mentoring programs at Annual Session and online </li></ul><ul><li>Policy development and advocacy </li></ul><ul><li>Medical Student Abstract Competition </li></ul>
    26. 26. Additional Information <ul><li>Student Membership in the ACP is FREE! </li></ul><ul><li>For more information, check out the ACP Web site: </li></ul><ul><ul><li>www.acponline.org </li></ul></ul>

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