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Introduction to Internal Medicine

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:

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Introduction to Internal Medicine

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  1. Introduction to Internal Medicine

  2. 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.

  3. 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

  4. Complete a traditional 3-year internal medicine residency Care for patients with a variety of medical conditions Manage both chronic and acute patient problems 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) Specialist vs. Subspecialist

  5. Adolescent Medicine Allergy and Immunology Cardiovascular Medicine Endocrinology Infectious Disease Gastroenterology Geriatrics Hematology Hepatology Nephrology Oncology Pulmonary Disease / Critical Care Medicine Rheumatology Sleep Medicine Internal Medicine Subspecialty Fields These subspecialties require completion of a 3-year internal medicine residency and additional fellowship training of up to 3 years.

  6. Competitive, salary, time • http://www.acgme.org/adspublic/

  7. 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

  8. Which subspecialties are more competitive to get into then others? • Right now, most people agree with the following order of competitiveness: Most Competitive:CardiologyGastroenterologyAllergy and ImmunologyModerately Competitive:PulmonaryNephrologyHematology/OncologyMildly Competitive:Infectious DiseasesEndocrinologyRheumatology Geriatric Medicine http://forums.studentdoctor.net/showthread.php?t=199551

  9. 5 Most Commonly Encountered Medical IssuesHypertensionDiabetesAcute Myocardial InfarctionChronic Obstructive Pulmonary DisorderAsthma • 5 Most Challenging Medical Issues to TreatDiabetesAIDS and related diseasesSystemic Lupus, ErythematosusAcute Myocardial InfarctionCancer/Carcinoma/Oncology http://www.studentsofmedicine.com/inte.htm

  10. 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!! Why Join ACP?

  11. Thank you!

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. ACP Medical Student Members attend FREE! 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

  20. ACP provides world-class, peer-reviewed medical journals and in-depth analysis of issues for internists

  21. 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

  22. 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!

  23. 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)

  24. 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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