PowerPoint Presentation - Internal Medicine

					Internal Medicine

    Career Information
     January 17, 2006
               The Internist
   Trained in depth to maintain the health
    and treat the illnesses of men and women
    from adolescence through old age


 Science     in the care of people
    A Career of Many Dimensions
   General medicine/subspecialty
   Primary care/consultative
   Diagnostic/therapeutic
   Acute/Chronic
   Simple/complex
   Young/old
   Outpatient/inpatient
   Urban/rural
   Academic/community
            Rewards of a Career
   Continuity of care- relationships and
    responsibility
   Intellectual depth
   Challenging diagnostic problems
   Diversity of patients
   Therapeutic effectiveness
   Peer relationships
          In the Medical School
   Major clinical department

   Key role in teaching

   Strong research base
            Residency Training
   3 years
   In depth training in:
    -General internal medicine/Subspecialty
    medicine
    -Intensive care/Procedures
    -Consultative practice/Preventive medicine
    -Community and clinic based primary care
     Structure of the Profession
Major professional society:
American College of Physicians (ACP)

Certifying board:
American Board of Internal Medicine (ABIM)
General Internist: Trained to provide high
     quality medical care to adults of all ages
   Broad training
   Primary and tertiary care
   Consultant
   Coordinator of patient care
   Specialist in difficult to make diagnoses
   Stress prevention
   Educator
   Researcher
Subspecialty internist: Specially qualified
 to care for adults with illness within a specific
                  organ system
 Trained and Board certified as a general internist

 2-3 year fellowship in specialized area

 Subspecialty Board certification

 Special diagnostic/therapeutic services

 Specialized procedures

 Primary care for some patients

 Educators and researchers
Internal Medicine: Core Disciplines
                             Nephrology
                                          Rheumatology
         Gastroenterology
                                                    Allergy/Immunology

                       General                       Cardiology
  Geriatrics
                    Internal
                    Medicine                        Pulmonary/Critical Care

          Hematology                          Infectious Diseases
                             Endocrinology
                  Oncology
    Internal Medicine: Sites of Care
   Hospital based
    -General and subspecialty services, ICU, Consultative
    care
   Outpatient
    -Office based: solo or group
    -Community health centers, long term care facilities
    -Emergency room
   Location
    -Urban, suburban, rural
     Internal Medicine: Summary
   Internists develop long lasting and meaningful
    relationships with patients and families
   Internists are trained in depth to:
    -Treat simple and complex diseases
    -Treat a broad age spectrum
    -Use sophisticated diagnostic skills
    -Provide general medical and subspecialty care
    -Provide primary and consultative care

				
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