Transcript Fostering excellence and professionalism in the practice

Introduction to
Internal Medicine
What is an internist, and what does an
internist do?
 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.
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What opportunities are available for an
internal medicine specialist?
 Academic medicine
 Private practice:
 Solo
 Single-specialty
 Multiple-specialty
 Salaried Internist:
 Staff member at an HMO
 Hospitalist
 Hospital-owned office
 Emergency Room
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Specialist
vs.
 Complete a traditional
3-year internal medicine
residency
 Care for patients with a
variety of medical
conditions
 Manage both chronic and
acute patient problems
Subspecialist
 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)
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Internal Medicine Subspecialty Fields
 Adolescent Medicine
 Hematology
 Allergy and Immunology
 Hepatology
 Cardiovascular Medicine
 Nephrology
 Endocrinology
 Oncology
 Infectious Disease
 Pulmonary Disease /
Critical Care Medicine
 Gastroenterology
 Geriatrics
 Rheumatology
 Sleep Medicine
These subspecialties require completion of a 3-year internal medicine
residency and additional fellowship training of up to 3 years.
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Competitive, salary, time
 http://www.acgme.org/adspublic/
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Residency Times
 Cardiovascular Disease (36/24)
Endocrinology, Diabetes, and Metabolism (24/12)
Gastroenterology (36/18)
Hematology (24/12)
Infectious Disease (24/12)
Medical Oncology (24/12)
Nephrology (24/12)
Pulmonary Disease (24/12)
Rheumatology (24/12)
Hematology & Medical Oncology (36/18)
Pulmonary Disease & Critical Care Medicine (36/18)
Rheumatology & Allergy and Immunology (36/12 rhem & 18 allergy/immu)
Adolescent Medicine (24/)
Clinical Cardiac Electrophysiology (12/12, requires cardiovascular disease
certification)
Critical Care (3 pathways, see http://www.abim.org/cert/policies_aqccm.shtm)
Geriatric Medicine (12/12)
Interventional Cardiology (12/12, requires cardivascular disease certification)
Sports Medicine (12/)
Transplant Hepatology (12/12, requires gastroenterology certification)
http://www.abim.org/cert/policiesssaq.shtm
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Which subspecialties are more competitive to get
into then others?
 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
Rheumatology
Geriatric Medicine
http://forums.studentdoctor.net/showthread.php?t=199551
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 5 Most Commonly Encountered Medical Issues
Hypertension
Diabetes
Acute Myocardial Infarction
Chronic Obstructive Pulmonary Disorder
Asthma
 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
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Why Join ACP?
From Clinical Information and
Education Resources…
to Physician and Patient
Advocacy…
ACP provides products and services
for all stages of an internist’s career.
Plus, Medical Student Membership is FREE!!
www.acponline.org
Thank you!
What is ACP?
 Founded in 1915
 Nation's largest medical specialty society, with
124,000 members
 23,000 medical students (19% of ACP membership)
 Over 19,000 residents and fellows-in-training (15%
of ACP membership)
 Mission
 To enhance the quality and effectiveness of health care
by fostering excellence and professionalism in the
practice of medicine
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Personal and Professional Guidance for
Medical Students
 Online internal medicine residency database
 Medical Student mentoring programs at Internal
Medicine 2008 and online
 Medical Student Abstract Competition
 Council of Student Members, who work with ACP
on policy development and advocacy for medical
students and all physicians
 Access to ACP’s clinical and ethical guidelines
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ACP Council of Student Members
 History
 Established in 1998 to help medical students emerge as
leaders in the medical community
 Mission
 To promote the excellence and professionalism in medical
students, thereby promoting internal medicine as a career
 14-Member Council
 Chair (member of Board of Regents)
 Vice-Chair (member of Board of Governors)
 10 U.S. regions
 Canadian Liaison
 Osteopathic Representative
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Council of Student Members Activities
 Works with ACP to provide advocacy for educational debt
and loan relief
 Contributes to IMpact
 Coordinates student activities at the annual Internal
Medicine meeting, such as the residency fair, abstract
competition, and sessions such as “Stump the Professor”
 Assists with planning student programming at local chapter
scientific meetings, including mentoring breakfasts and
educational sessions about careers in internal medicine
 Provides resources to local internal medicine interest
groups to help increase membership and establish
productive programs
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IMpact
 Monthly e-newsletter
especially for Medical Student
Members
 Articles include:
 Tips for students to succeed in
medical school
 Explanations of current issues
facing medical students and
public health
 Highlights activities of outstanding
Internal Medicine Interest Groups
 Profiles practicing internists
 Clinical questions and answers taken
from MKSAP for Students
 Advocacy Briefs
 Career Information
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ACP and Public Policy
 ACP is rated as one of the most effective
physician advocacy organizations in America
 Through the Key Contact Program, members
can actively participate in ACP’s grassroots
advocacy effort by contacting their Senators
and Representatives on key issues of
importance to internists
 Through the Council of Student Members,
issues concerning medical students are
brought to the attention of ACP’s leadership
and made a part of the College’s Public Policy
agenda
Advocating for Young Physicians and
their Patients Regarding:
 Ways to diminish the financial burdens of
undergraduate medical education
 Medical liability reform
 Feasible and appropriate quality performance
measures
 Access to care for 46+ million uninsured
Americans
 Quality improvement and patient safety
 Public health issues such as flu vaccine
shortages and bioterrorism threats
Internal Medicine 2008 & Chapter Meetings
 Opportunities to present
abstracts
 Networking, mentoring and
social opportunities
 Educational workshops with
world-renowned faculty
 Didactic, interactive and
hands-on formats
ACP Medical Student Members attend FREE!
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ACP provides world-class, peer-reviewed medical
journals and in-depth analysis of issues for
internists
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Physicians’ Information and Education
Resource (PIER)
 Online guidance in
caring for patients
 Problem-based learning
 FREE to members
 Over 450 modules
focusing on:
 Diseases
 Ethical and legal issues
 Screening and prevention
 Procedures
 Complementary and
alternative medicine
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MKSAP for Students 3
 MKSAP stands for Medical Knowledge
Self-Assessment Program
 Designed by Clerkship Directors for all
students taking the medicine clerkship
exam
 Over 400 new patient-centered
self-assessment questions, answers,
and critiques
 Based on the format physicians use for
board prep
ACP Medical Student Members receive a 33% discount!
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Essentials
 Designed to aid medical
students during their third year
internal medicine clerkship
 Contains supplemental learning
materials, such as: clinical
photographs, tables and
screening tools
 Available in both print and
online
 Material content is based upon
two ACP evidence-based
resources: Medical Knowledge
Self-Assessment Program
(MKSAP) and Physician
Information and Education
Resource (PIER)
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Don’t forget to visit ACP Online!
 Online journals
 Access to PIER
 Legislative Action Center
 Residency & career resources
 ACP products catalog
 Membership directory
 Information about additional ACP benefits
relevant to internists throughout their careers
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