Dr. John Lupiano is an internal medicine physician in New York with over 27 years of experience. Internal medicine has existed in the United States for over a century, with the Association of American Physicians advocating for the field. In 1895, the AAP president first used the term "internal medicine" and envisioned physicians dedicating 15 years to postgraduate study in the field. In 1915, the American College of Physicians was formed to represent internal medicine and later partnered with the American Medical Association to create the American Board of Internal Medicine to regulate certification of internists through written and oral exams, demonstrating strong knowledge of topics related to internal medicine.