Internal medicine: Wikis

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From Wikipedia, the free encyclopedia

Internal medicine is the medical specialty concerned with the diagnosis, management and nonsurgical[1] treatment of unusual or serious diseases. According to some sources, an emphasis on internal structures is implied.[2] In North America, specialists in internal medicine are commonly called, "internists". Elsewhere, especially in Commonwealth nations, such specialists are often called physicians. Because their patients are often seriously ill or require complex investigations, internists do much of their work in hospitals. Formerly, many internists were not subspecialized and would see any complex nonsurgical problem; this style of practice has become much less common.

In modern urban practice, most internists are subspecialists: that is, they generally limit their medical practice to problems of one organ system or to one particular area of medical knowledge. For example, gastroenterologists and nephrologists specialize respectively in diseases of the gut and the kidneys.

Internists have a lengthy clinical and scientific training in their areas of medical interest and have special expertise in the use of prescription drugs or other medical therapies (as opposed to surgery).

Contents

Definition of an internist

Internists are trained to diagnose severe, chronic illnesses and situations where several different illnesses may strike at the same time. They also help patients understand preventive medicines, men's and women's health, substance abuse, mental health, as well as effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Most older adults in the United States see internists as their primary medical practitioners.

Education and training of internists

The training and career pathways for internists vary considerably across the world.

First, they must receive the "entry-level" education required of any medical practitioner in the relevant jurisdiction. The entry-level for medical education programs are tertiary-level courses, undertaken at a medical school attached to a university.

Programs that require previous undergraduate education are usually four or five years in length. Hence, gaining a basic medical education may typically take eight years, depending on jurisdiction and university. Following completion of entry-level training, newly graduated medical practitioners are often required to undertake a period of supervised practice before the licensure, or registration, is granted, typically one or two years. This period may be referred to as, "internship" or "conditional registration." Then, internists require specialist training in internal medicine or one of its subspecialties. In North America, this postgraduate training is often referred to as residency training; in Commonwealth countries, such trainees are often called registrars.

Training in medical specialties typically takes from three to 10 years, and sometimes more, depending on specialty and jurisdiction. A medical practitioner who completes specialist training in internal medicine (or in one of its subspecialties) is an internist, or a medical specialist in the older, narrower sense. In some jurisdictions, training in internal medicine is begun immediately following completion of entry-level training, or even before. In other jurisdictions, a medical specialist must undertake generalist (un-streamed) training for one or more years before commencing specialization. Hence, depending on jurisdiction, an internist typically takes 12 or more years after commencing basic medical training — five to eight years at university to obtain a basic medical qualification and up to another six years to become a medical specialist. Internal Medicine subspecialists may also practice general internal medicine, but a particular subspecialty, i.e., cardiology or pulmonology licensure is granted after completing a fellowship (Additional training of 2–3 years).

Subspecialties of internal medicine

In the United States, there are two organizations responsible for certification of subspecialists within the field, the American Board of Internal Medicine, and the American Osteopathic Board of Internal Medicine.

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American Board of Internal Medicine

The following are the subspecialties recognized by the American Board of Internal Medicine.[3]

Internists may also specialize in "allergy" and "immunology." The American Board of Allergy, Asthma, and Immunology is a conjoint board between internal medicine and pediatrics.

American College of Osteopathic Internists

The American College of Osteopathic Internists recognizes the following subspecialties.[4]

Medical diagnosis and treatment

Medicine is mainly focused on the art of diagnosis and treatment with medication, but many subspecialties administer surgical treatment:

See also

References

External links


Study guide

Up to date as of January 14, 2010
(Redirected to Topic:Internal medicine article)

From Wikiversity

Contents

Welcome to the Department of Internal Medicine, a subdivision of the School of Medicine.

This branch of medicine deals with study and nonsurgical management of diseases or disorders involving internal organs in adults.

If you are a physician in the real world you are especially encouraged to contribute to this department and our mother school. We are interested in developing online learning resources related to all areas of internal medicine.

School:Medicine
Division of the School of Medicine

Participants

If you are interested in learning more about internal medicine, or helping out here, add your name to the list!

  • PalMD
  • kaizesan
  • ...
  • Emilio (The preceding unsigned comment was added by 190.64.129.148 (talk • contribs) 12:56, 23 October 2007.)
  • --Ashashyou 21:32, 7 April 2008 (UTC)
  • User:madhero88

Ideas, proposals, to do

Stock post message.svg To-do list for Topic:Internal medicine: edit · history · watch · refresh
  • Develop Internal medicine articles
  • Link clinical quizes to articles
  • Develop "course-packs" within which to include articles
  • Recruit friends/colleagues to assist
  • Start discussions regarding courses in development to decide on scope, level, tone
  • ?Board review

Articles for Development

Can be included into "coursepaks" later.

Courses

Learning projects

Help Desk

Topic:Internal medicine/Help Desk

External links

  1. Full text online journal of sexually transmitted diseases.
  2. The American College of Physicians

Simple English

Internal medicine is the branch and specialty of medicine concerning the diagnosis and nonsurgical treatment of diseases in adults, especially of internal organs.

Doctors of internal medicine, also called "internists", are required to have included in their medical schooling and postgraduate training at least three years dedicated to learning how to prevent, diagnose, and treat diseases that affect adults.

= Caring for the whole patient

=

Internists are trained to solve puzzling diagnostic problems and handle severe chronic illnesses and situations where several different illnesses may strike at the same time.

Subspecialties of internal medicine

Internists can choose to focus their practice on general internal medicine, or may take additional training to "subspecialize" in one of 13 areas of internal medicine, generally organized by organ system. Cardiologists, for example, are doctors of internal medicine who subspecialize in diseases of the heart. The training an internist receives to subspecialize in a particular medical area is both broad and deep. Subspecialty training (often called a "fellowship") usually requires an additional one to three years beyond the standard three year general internal medicine residency. (Residencies come after a student has graduated from medical school.)

In the United States, there are two organizations responsible for certification of subspecialists within the field, the American Board of Internal Medicine, and the American Osteopathic Board of Internal Medicine.

The following are the subspecialties recognized by the American Board of Internal Medicine[1].

  • Cardiology, dealing with disorders of the heart and blood vessels
  • Endocrinology, dealing with disorders of the endocrine system and its specific secretions called hormones
  • Gastroenterology, concerned with the field of digestive diseases
  • Hematology, concerned with blood, the blood-forming organs and its disorders
  • Infectious disease, concerned with disease caused by a biological agent such as by a virus, bacterium or parasite
  • Medical oncology, dealing with the study and treatment of cancer
  • Nephrology,dealing with the study of the function and diseases of the kidney
  • Pulmonology, dealing with diseases of the lungs and the respiratory tract
  • Rheumatology, devoted to the medical diagnosis and therapy of rheumatic diseases.

The ABIM also recognizes additional qualifications in the following areas

  • Adolescent medicine
  • Clinical cardiac electrophysiology
  • Critical care medicine
  • Geriatric medicine
  • Interventional cardiology
  • Sports medicine
  • Transplant hepatology

Internists may also specialize in allergy and immunology. The American Board of Allergy, Asthma, and Immunology is a conjoint board between internal medicine and pediatrics.

The American College of Osteopathic Internists recognizes the following subspecialties.[2]

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