Introduction to Internal Medicine. What is an internist, and what does an internist do? Internists are specialists in adult medicine

Introduction to Introduction to Internal MedicineInternal Medicine

www.acponline.orgwww.acponline.org

What is an internist, and what does an What is an internist, and what does an internist do?internist do?

Internists are specialists in adult medicine who Internists are specialists in adult medicine who provide the majority of health care to adults in the provide the majority of health care to adults in the hospital or in the office. They:hospital or in the office. They:

Provide comprehensive, continuing care (primary care) to Provide comprehensive, continuing care (primary care) to adolescents, adults, and the elderly. This includes women’s adolescents, adults, and the elderly. This includes women’s healthcare, depression, and anxiety.healthcare, depression, and anxiety.

Treat acute and chronic medical conditions.Treat acute and chronic medical conditions.

Treat episodic, urgent, and emergent conditions.Treat episodic, urgent, and emergent conditions.

Arrange consultations with other physicians and conduct Arrange consultations with other physicians and conduct preoperative evaluations for surgical colleagues.preoperative evaluations for surgical colleagues.


What opportunities are available for an What opportunities are available for an internal medicine specialist?internal medicine specialist?

Academic medicineAcademic medicine

Private practice:Private practice: SoloSolo

Single-specialty Single-specialty

Multiple-specialtyMultiple-specialty

Salaried Internist:Salaried Internist: Staff member at an HMOStaff member at an HMO

HospitalistHospitalist

Hospital-owned officeHospital-owned office

Emergency Room Emergency Room


SpecialistSpecialist vs. vs. Subspecialist Subspecialist

Complete a traditional Complete a traditional 3-year internal medicine 3-year internal medicine residencyresidency

Care for patients with a Care for patients with a variety of medical variety of medical conditionsconditions

Manage both chronic and Manage both chronic and acute patient problemsacute patient problems

Complete a traditional Complete a traditional 3-year medicine residency and 3-year medicine residency and then a 2-3 year subspecialty then a 2-3 year subspecialty fellowshipfellowship

OROR

Complete a combined Complete a combined residency:residency:

Med/Peds (4 yrs)Med/Peds (4 yrs)

Med/Emerg (5 yrs)Med/Emerg (5 yrs)

Med/Neurology (5 yrs)Med/Neurology (5 yrs)

Med/Psych (5 yrs)Med/Psych (5 yrs)


Internal Medicine Subspecialty FieldsInternal Medicine Subspecialty Fields

Adolescent MedicineAdolescent Medicine

Allergy and ImmunologyAllergy and Immunology

Cardiovascular MedicineCardiovascular Medicine

EndocrinologyEndocrinology

Infectious DiseaseInfectious Disease

GastroenterologyGastroenterology

GeriatricsGeriatrics

HematologyHematology

HepatologyHepatology

NephrologyNephrology

OncologyOncology

Pulmonary Disease / Pulmonary Disease / Critical Care MedicineCritical Care Medicine

RheumatologyRheumatology

Sleep MedicineSleep Medicine

These subspecialties require completion of a 3-year internal medicine residency and additional fellowship training of up to 3 years.



Competitive, salary, timeCompetitive, salary, time

http://www.acgme.org/adspublic/http://www.acgme.org/adspublic/

http://www.acgme.org/adspublic/






Residency TimesResidency Times

Cardiovascular Disease (36/24)Cardiovascular Disease (36/24)Endocrinology, Diabetes, and Metabolism (24/12)Endocrinology, Diabetes, and Metabolism (24/12)Gastroenterology (36/18)Gastroenterology (36/18)Hematology (24/12)Hematology (24/12)Infectious Disease (24/12)Infectious Disease (24/12)Medical Oncology (24/12)Medical Oncology (24/12)Nephrology (24/12)Nephrology (24/12)Pulmonary Disease (24/12)Pulmonary Disease (24/12)Rheumatology (24/12)Rheumatology (24/12)

Hematology & Medical Oncology (36/18)Hematology & Medical Oncology (36/18)Pulmonary Disease & Critical Care Medicine (36/18)Pulmonary Disease & Critical Care Medicine (36/18)Rheumatology & Allergy and Immunology (36/12 rhem & 18 allergy/immu)Rheumatology & Allergy and Immunology (36/12 rhem & 18 allergy/immu)

Adolescent Medicine (24/)Adolescent Medicine (24/)Clinical Cardiac Electrophysiology (12/12, requires cardiovascular disease Clinical Cardiac Electrophysiology (12/12, requires cardiovascular disease certification)certification)Critical Care (3 pathways, see Critical Care (3 pathways, see http://http://www.abim.org/cert/policies_aqccm.shtmwww.abim.org/cert/policies_aqccm.shtm))Geriatric Medicine (12/12)Geriatric Medicine (12/12)Interventional Cardiology (12/12, requires cardivascular disease certification)Interventional Cardiology (12/12, requires cardivascular disease certification)Sports Medicine (12/)Sports Medicine (12/)Transplant Hepatology (12/12, requires gastroenterology certification)Transplant Hepatology (12/12, requires gastroenterology certification)

http://www.abim.org/cert/policiesssaq.shtm

http://www.abim.org/cert/policies_aqccm.shtm

http://www.abim.org/cert/policies_aqccm.shtm




Which subspecialties are more competitive to get Which subspecialties are more competitive to get into then others?into then others?

Right now, most people agree with the following order of competitiveness: Right now, most people agree with the following order of competitiveness:

Most Competitive:Most Competitive:CardiologyCardiologyGastroenterologyGastroenterologyAllergy and ImmunologyAllergy and Immunology

Moderately Competitive:Moderately Competitive:PulmonaryPulmonaryNephrologyNephrologyHematology/OncologyHematology/Oncology

Mildly Competitive:Mildly Competitive:Infectious DiseasesInfectious DiseasesEndocrinologyEndocrinologyRheumatology Rheumatology Geriatric MedicineGeriatric Medicine

http://forums.studentdoctor.net/showthread.php?t=199551


5 Most Commonly Encountered Medical Issues5 Most Commonly Encountered Medical IssuesHypertensionHypertensionDiabetesDiabetesAcute Myocardial InfarctionAcute Myocardial InfarctionChronic Obstructive Pulmonary DisorderChronic Obstructive Pulmonary DisorderAsthmaAsthma

5 Most Challenging Medical Issues to Treat5 Most Challenging Medical Issues to TreatDiabetesDiabetesAIDS and related diseasesAIDS and related diseasesSystemic Lupus, ErythematosusSystemic Lupus, ErythematosusAcute Myocardial InfarctionAcute Myocardial InfarctionCancer/Carcinoma/OncologyCancer/Carcinoma/Oncology

http://www.studentsofmedicine.com/inte.htm

http://www.studentsofmedicine.com/inte.htm


From Clinical Information and From Clinical Information and Education Resources… Education Resources…

to Physician and Patient to Physician and Patient Advocacy… Advocacy…

ACP provides products and services ACP provides products and services for all stages of an internist’s career.for all stages of an internist’s career.

Plus, Medical Student Membership is FREE!!Plus, Medical Student Membership is FREE!!

Why Join ACP?Why Join ACP?

Thank you!Thank you!


What is ACP?What is ACP?

Founded in 1915 Founded in 1915

Nation's largest medical specialty society, with 124,000 Nation's largest medical specialty society, with 124,000 membersmembers

23,000 medical students (19% of ACP membership)23,000 medical students (19% of ACP membership)

Over 19,000 residents and fellows-in-training (15% Over 19,000 residents and fellows-in-training (15% of ACP membership)of ACP membership)

MissionMission

To enhance the quality and effectiveness of health care by fostering To enhance the quality and effectiveness of health care by fostering excellence and professionalism in the practice of medicineexcellence and professionalism in the practice of medicine


Personal and Professional Guidance for Personal and Professional Guidance for Medical StudentsMedical Students

Online internal medicine residency databaseOnline internal medicine residency database

Medical Student mentoring programs at Internal Medical Student mentoring programs at Internal Medicine 2008 and onlineMedicine 2008 and online

Medical Student Abstract CompetitionMedical Student Abstract Competition

Council of Student Members, who work with ACP Council of Student Members, who work with ACP on policy development and advocacy for medical on policy development and advocacy for medical students and all physiciansstudents and all physicians

Access to ACP’s clinical and ethical guidelinesAccess to ACP’s clinical and ethical guidelines


ACP Council of Student MembersACP Council of Student Members HistoryHistory

Established in 1998 to help medical students emerge as Established in 1998 to help medical students emerge as leaders in the medical communityleaders in the medical community

MissionMission

To promote the excellence and professionalism in medical To promote the excellence and professionalism in medical students, thereby promoting internal medicine as a careerstudents, thereby promoting internal medicine as a career

14-Member Council14-Member Council

Chair (member of Board of Regents)Chair (member of Board of Regents)

Vice-Chair (member of Board of Governors)Vice-Chair (member of Board of Governors)

10 U.S. regions10 U.S. regions

Canadian Liaison Canadian Liaison

Osteopathic RepresentativeOsteopathic Representative


Council of Student Members ActivitiesCouncil of Student Members Activities

Works with ACP to provide advocacy for educational debt and loan Works with ACP to provide advocacy for educational debt and loan reliefrelief

Contributes to Contributes to IMpactIMpact

Coordinates student activities at the annual Internal Medicine Coordinates student activities at the annual Internal Medicine meeting, such as the residency fair, abstract competition, and meeting, such as the residency fair, abstract competition, and sessions such as “Stump the Professor”sessions such as “Stump the Professor”

Assists with planning student programming at local chapter Assists with planning student programming at local chapter scientific meetings, including mentoring breakfasts and educational scientific meetings, including mentoring breakfasts and educational sessions about careers in internal medicinesessions about careers in internal medicine

Provides resources to local internal medicine interest groups to help Provides resources to local internal medicine interest groups to help increase membership and establish productive programsincrease membership and establish productive programs


IMpactIMpact Monthly e-newsletter Monthly e-newsletter

especially for Medical Student Membersespecially for Medical Student Members

Articles include:Articles include:

Tips for students to succeed in medical schoolTips for students to succeed in medical school

Explanations of current issues facing medical Explanations of current issues facing medical students and public healthstudents and public health

Highlights activities of outstanding Internal Highlights activities of outstanding Internal Medicine Interest GroupsMedicine Interest Groups

Profiles practicing internistsProfiles practicing internists

Clinical questions and answers taken from Clinical questions and answers taken from MKSAP for StudentsMKSAP for Students

Advocacy BriefsAdvocacy Briefs

Career InformationCareer Information

ACP and Public Policy

ACP is rated as one of the most effective ACP is rated as one of the most effective physician advocacy organizations in Americaphysician advocacy organizations in America

Through the Key Contact Program, members Through the Key Contact Program, members can actively participate in ACP’s grassroots can actively participate in ACP’s grassroots advocacy effort by contacting their Senators advocacy effort by contacting their Senators and Representatives on key issues of and Representatives on key issues of importance to internistsimportance to internists

Through the Council of Student Members, Through the Council of Student Members, issues concerning medical students are issues concerning medical students are brought to the attention of ACP’s leadership brought to the attention of ACP’s leadership and made a part of the College’s Public Policy and made a part of the College’s Public Policy agendaagenda

Advocating for Young Physicians and their Patients Regarding:

Ways to diminish the financial burdens of Ways to diminish the financial burdens of undergraduate medical educationundergraduate medical education

Medical liability reformMedical liability reform

Feasible and appropriate quality performance Feasible and appropriate quality performance measuresmeasures

Access to care for 46+ million uninsured Access to care for 46+ million uninsured AmericansAmericans

Quality improvement and patient safetyQuality improvement and patient safety

Public health issues such as flu vaccine Public health issues such as flu vaccine shortages and bioterrorism threatsshortages and bioterrorism threats


Internal Medicine 2008 & Chapter MeetingsInternal Medicine 2008 & Chapter Meetings

Opportunities to present Opportunities to present abstractsabstracts

Networking, mentoring and Networking, mentoring and social opportunitiessocial opportunities

Educational workshops with Educational workshops with world-renowned facultyworld-renowned faculty

Didactic, interactive and Didactic, interactive and hands-on formatshands-on formats

ACP Medical Student Members attend FREE!


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


Physicians’ Information and Education Physicians’ Information and Education Resource (PIER)Resource (PIER)

Online guidance in Online guidance in caring for patientscaring for patients

Problem-based learningProblem-based learning

FREE to membersFREE to members

Over 450 modules Over 450 modules focusing on:focusing on: DiseasesDiseases

Ethical and legal issuesEthical and legal issues

Screening and preventionScreening and prevention

ProceduresProcedures

Complementary and Complementary and alternative medicinealternative medicine


MKSAP for Students 3MKSAP for Students 3

MKSAP stands for Medical Knowledge MKSAP stands for Medical Knowledge Self-Assessment ProgramSelf-Assessment Program

Designed by Clerkship Directors for all Designed by Clerkship Directors for all students taking the medicine clerkship students taking the medicine clerkship examexam

Over 400 new patient-centered Over 400 new patient-centered self-assessment questions, answers, self-assessment questions, answers, and critiquesand critiques

Based on the format physicians use for Based on the format physicians use for board prepboard prep

ACP Medical Student Members receive a 33% discount!


EssentialsEssentials Designed to aid medical Designed to aid medical

students during their third year students during their third year internal medicine clerkshipinternal medicine clerkship

Contains supplemental learning Contains supplemental learning materials, such as: clinical materials, such as: clinical photographs, tables and photographs, tables and screening toolsscreening tools

Available in both print and Available in both print and onlineonline

Material content is based upon Material content is based upon two ACP evidence-based two ACP evidence-based resources: Medical Knowledge resources: Medical Knowledge Self-Assessment Program Self-Assessment Program (MKSAP) and Physician (MKSAP) and Physician Information and Education Information and Education Resource (PIER)Resource (PIER)


Don’t forget to visit ACP Online!Don’t forget to visit ACP Online!

Online journalsOnline journals

Access to PIERAccess to PIER

Legislative Action CenterLegislative Action Center

Residency & career resourcesResidency & career resources

ACP products catalogACP products catalog

Membership directoryMembership directory

Information about additional ACP benefits relevant to Information about additional ACP benefits relevant to internists throughout their careersinternists throughout their careers

Documents

Introduction to Internal Medicine. What is an internist, and what does an internist do? Internists are specialists in adult medicine