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 New York internist Dr. John Lupiano is a 
physician who has worked for organizations 
including St. Clare’s Hospital and Family 
Health Center. A 27-year veteran of internal 
medicine, Dr. John Lupiano is board 
certified by the American Board of Internal 
Medicine and the American Board of 
Public Health and Preventive Medicine. 
With a history tied to the Association of 
American Physicians (AAP), internal 
medicine has been practiced for more 
than a century in the United States.
 The president of the AAP, Dr. William Osler, was the first 
person to use the phrase “internal medicine” in a formal, 
recorded presidential address in 1895. His vision was that 
internists would dedicate up to 15 years to postgraduate 
studies in the field of internal medicine, of which the 
practitioners would spend a significant amount of time in 
hospital laboratories, wards, and outpatient dispensaries. 
In 1915, the American College of Physicians (ACP) was 
formed and became a powerful voice and resource for 
the field of internal medicine. The ACP works toward the 
enhancement of medical practices and procedures and 
collaborated with the American Medical Association to 
establish the American Board of Internal Medicine (ABIM).
 The board carried out regulated written and 
oral examinations that tested internists’ 
comprehension of their field. Certification by 
the ABIM became a highly recognized 
achievement, as it demonstrated a strong 
command of pathology, physiology, and other 
sciences that impact internal medicine. In 
1940, the ABIM introduced board certification 
in subspecialties, which included tuberculosis, 
allergy, cardiology, and gastroenterology. 
Within three decades, hematology, oncology, 
rheumatology, and other subspecialties were 
certifiable by the ABIM.

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The History of Internal Medicine

  • 1.
  • 2.  New York internist Dr. John Lupiano is a physician who has worked for organizations including St. Clare’s Hospital and Family Health Center. A 27-year veteran of internal medicine, Dr. John Lupiano is board certified by the American Board of Internal Medicine and the American Board of Public Health and Preventive Medicine. With a history tied to the Association of American Physicians (AAP), internal medicine has been practiced for more than a century in the United States.
  • 3.  The president of the AAP, Dr. William Osler, was the first person to use the phrase “internal medicine” in a formal, recorded presidential address in 1895. His vision was that internists would dedicate up to 15 years to postgraduate studies in the field of internal medicine, of which the practitioners would spend a significant amount of time in hospital laboratories, wards, and outpatient dispensaries. In 1915, the American College of Physicians (ACP) was formed and became a powerful voice and resource for the field of internal medicine. The ACP works toward the enhancement of medical practices and procedures and collaborated with the American Medical Association to establish the American Board of Internal Medicine (ABIM).
  • 4.  The board carried out regulated written and oral examinations that tested internists’ comprehension of their field. Certification by the ABIM became a highly recognized achievement, as it demonstrated a strong command of pathology, physiology, and other sciences that impact internal medicine. In 1940, the ABIM introduced board certification in subspecialties, which included tuberculosis, allergy, cardiology, and gastroenterology. Within three decades, hematology, oncology, rheumatology, and other subspecialties were certifiable by the ABIM.