Transcript Fostering excellence and professionalism in the practice

Fostering Excellence and
Professionalism in the
Practice of Internal Medicine
What is an internist, and what
does an internist do?
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Internists are specialists in adult medicine who provide the
majority of health care to adults in the hospital or in the
office. They:
 Provide comprehensive, continuing care (primary care)
to adolescents, adults, and the elderly. This includes
women’s healthcare, depression, and anxiety.
 Treat acute and chronic medical conditions.
 Treat episodic, urgent, and emergent conditions.
 Arrange consultations with other physicians and conduct
preoperative evaluations for surgical colleagues.
What opportunities are available
for an internal medicine specialist?
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Academic medicine
Private practice:
 Solo
 Single-specialty
 Multiple-specialty
Salaried Internist:
 Staff member at an HMO
 Hospitalist
 Hospital-owned office
 Emergency Room
Specialist
vs.
Subspecialist
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Complete a traditional
3-year internal medicine
residency
Care for patients with a
variety of medical conditions
Manage both chronic and
acute patient problems
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Complete a traditional
3-year medicine residency
and then a 2-3 year
subspecialty fellowship
OR
Complete a combined
residency:
 Med/Peds (4 yrs)
 Med/Emerg (5 yrs)
 Med/Neurology (5 yrs)
 Med/Psych (5 yrs)
Internal Medicine Subspecialty
Fields
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Adolescent Medicine
Allergy and
Immunology
Cardiovascular
Medicine
Endocrinology
Infectious Disease
Gastroenterology
Geriatrics
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Hematology
Hepatology
Nephrology
Oncology
Pulmonary Disease /
Critical Care Medicine
Rheumatology
Sleep Medicine
These subspecialties require completion of a 3-year internal medicine
residency and additional fellowship training of up to 3 years.
Which subspecialties are more
competitive to get into then others?
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Right now, most people agree with the following order of
competitiveness:
Most Competitive:
Cardiology
Gastroenterology
Allergy and Immunology
Moderately Competitive:
Pulmonary
Nephrology
Hematology/Oncology
Mildly Competitive:
Infectious Diseases
Endocrinology
http://forums.studentdoctor.net/showthread.php?t=199551
Rheumatology
Geriatric Medicine
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5 Most Commonly Encountered Medical Issues
Hypertension
Diabetes
Acute Myocardial Infarction
Chronic Obstructive Pulmonary Disorder
Asthma
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5 Most Challenging Medical Issues to Treat
Diabetes
AIDS and related diseases
Systemic Lupus, Erythematosus
Acute Myocardial Infarction
Cancer/Carcinoma/Oncology
http://www.studentsofmedicine.com/inte.htm
The Internal Medicine Interest Group
(IMIG)
Provide exposure and opportunities for
students
 Shadowing program
 Subspecialty Dinners
 Post Match Talk
 Educational Info Lunch Talks
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End!