Introduction to Internal Medicine What is an

Introduction to Internal Medicine

What is an internist, and what does an internist do? n Internists are specialists in adult medicine who provide the majority of health care to adults in the hospital or in the office. They: v Provide comprehensive, continuing care (primary care) to adolescents, adults, and the elderly. This includes women’s healthcare, depression, and anxiety. v Treat acute and chronic medical conditions. v Treat episodic, urgent, and emergent conditions. v Arrange consultations with other physicians and conduct preoperative evaluations for surgical colleagues. www. acponline. org

What opportunities are available for an internal medicine specialist? n Academic medicine n Private practice: v Solo v Single-specialty v Multiple-specialty n Salaried Internist: v Staff member at an HMO v Hospitalist v Hospital-owned office v Emergency Room www. acponline. org

Specialist vs. n Complete a traditional 3 -year internal medicine residency n Care for patients with a variety of medical conditions n Manage both chronic and acute patient problems Subspecialist n Complete a traditional 3 -year medicine residency and then a 2 -3 year subspecialty fellowship OR n Complete a combined residency: v Med/Peds (4 yrs) v Med/Emerg (5 yrs) v Med/Neurology (5 yrs) v Med/Psych (5 yrs) www. acponline. org

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

www. acponline. org

Competitive, salary, time n http: //www. acgme. org/adspublic/ www. acponline. org

www. acponline. org

www. acponline. org

www. acponline. org

www. acponline. org

Residency Times n 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 www. acponline. org

Which subspecialties are more competitive to get into then others? n 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 www. acponline. org

n 5 Most Commonly Encountered Medical Issues Hypertension Diabetes Acute Myocardial Infarction Chronic Obstructive Pulmonary Disorder Asthma n 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 www. acponline. org

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? n Founded in 1915 n Nation's largest medical specialty society, with 124, 000 members v 23, 000 medical students (19% of ACP membership) v Over 19, 000 residents and fellows-in-training (15% of ACP membership) n Mission v To enhance the quality and effectiveness of health care by fostering excellence and professionalism in the practice of medicine www. acponline. org

Personal and Professional Guidance for Medical Students n Online internal medicine residency database n Medical Student mentoring programs at Internal Medicine 2008 and online n Medical Student Abstract Competition n Council of Student Members, who work with ACP on policy development and advocacy for medical students and all physicians n Access to ACP’s clinical and ethical guidelines www. acponline. org

ACP Council of Student Members n History v Established in 1998 to help medical students emerge as leaders in the medical community n Mission v To promote the excellence and professionalism in medical students, thereby promoting internal medicine as a career n 14 -Member Council v Chair (member of Board of Regents) v Vice-Chair (member of Board of Governors) v 10 U. S. regions v Canadian Liaison v Osteopathic Representative www. acponline. org

Council of Student Members Activities n Works with ACP to provide advocacy for educational debt and loan relief n Contributes to IMpact n Coordinates student activities at the annual Internal Medicine meeting, such as the residency fair, abstract competition, and sessions such as “Stump the Professor” n Assists with planning student programming at local chapter scientific meetings, including mentoring breakfasts and educational sessions about careers in internal medicine n Provides resources to local internal medicine interest groups to help increase membership and establish productive programs www. acponline. org

IMpact n Monthly e-newsletter especially for Medical Student Members n Articles include: v Tips for students to succeed in medical school v Explanations of current issues facing medical students and public health v Highlights activities of outstanding Internal Medicine Interest Groups v Profiles practicing internists v Clinical questions and answers taken from MKSAP for Students v Advocacy Briefs v Career Information www. acponline. org

ACP and Public Policy n ACP is rated as one of the most effective physician advocacy organizations in America n 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 n 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: n Ways to diminish the financial burdens of undergraduate medical education n Medical liability reform n Feasible and appropriate quality performance measures n Access to care for 46+ million uninsured Americans n Quality improvement and patient safety n Public health issues such as flu vaccine shortages and bioterrorism threats

Internal Medicine 2008 & Chapter Meetings n Opportunities to present abstracts n Networking, mentoring and social opportunities n Educational workshops with world-renowned faculty n Didactic, interactive and hands-on formats ACP Medical Student Members attend FREE! www. acponline. org

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

Physicians’ Information and Education Resource (PIER) n Online guidance in caring for patients n Problem-based learning n FREE to members n Over 450 modules focusing on: v Diseases v Ethical and legal issues v Screening and prevention v Procedures v Complementary and alternative medicine www. acponline. org

MKSAP for Students 3 n MKSAP stands for Medical Knowledge Self-Assessment Program n Designed by Clerkship Directors for all students taking the medicine clerkship exam n Over 400 new patient-centered self-assessment questions, answers, and critiques n Based on the format physicians use for board prep ACP Medical Student Members receive a 33% discount! www. acponline. org

Essentials n Designed to aid medical students during their third year internal medicine clerkship n Contains supplemental learning materials, such as: clinical photographs, tables and screening tools n Available in both print and online n Material content is based upon two ACP evidence-based resources: Medical Knowledge Self-Assessment Program (MKSAP) and Physician Information and Education Resource (PIER) www. acponline. org

Don’t forget to visit ACP Online! n Online journals n Access to PIER n Legislative Action Center n Residency & career resources n ACP products catalog n Membership directory n Information about additional ACP benefits relevant to internists throughout their careers www. acponline. org