James Hotz IM Lead Mentor for Students Mitch Goldman IM Residency Program Director Careers and Training in Internal Medicine and Internal Medicine Subspecialties Topics for Discussion What an internist does ID: 929033
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Slide1
Careers and Training in Internal Medicine (IM) and Medicine Subspecialties
James
Hotz
, IM Lead Mentor for Students
Mitch Goldman, IM Residency Program Director,
Slide2Careers and Training in Internal Medicine and Internal Medicine Subspecialties
Topics for Discussion
What an internist does
How internal medicine differs from other specialtiesThe multitude of professional opportunities available to those who select internal medicine as a careerTraining descriptionQuestions and Discussion
Slide3Careers and Training in Internal Medicine
An internist is a specialist in internal medicine, the largest and “most popular” of all the medical specialties.
Internists diagnose and treat a wide variety of medical problems in adults (adolescents through seniors), and have particular expertise in solving puzzling diagnostic
problems and managing complex and complicated diseases. There are two broad categories of internists — generalinternists and subspecialists.
Slide4Internal Medicine :
Entrustable
Professional Activities
1. Manage care of patients with acute common diseases across multiple care settings.2. Manage care of patients with acute complex diseases across multiple care settings.3. Manage care of patients with chronic diseases across multiple care settings.4. Provide age-appropriate screening and preventative care.5. Resuscitate, stabilize, and care for unstable or critically ill patients.6. Provide perioperative assessment and care.7. Provide general internal medicine consultation to nonmedical specialties.8. Manage transitions of care.
9. Facilitate family meetings.
10. Lead and work within
interprofessional
health care teams.
11. Facilitate the learning of patients, families, and members of the interdisciplinary team.
12. Enhance patient safety.13. Improve the quality of health care at both the individual and systems level.14. Advocate for individual patients.15. Demonstrate personal habits of lifelong learning.16. Demonstrate professional behavior.
Slide5Careers and Training in Internal Medicine;
Standard Training Duration 36 months for General Internal Medicine and Board Eligibility
General internists Broad spectrum of illnesses Experts in diagnosis and treatment of chronic illness Health promotion and disease prevention Not limited to one organ system. Often care for patients over the duration of their adult lives, Opportunity to establish long, rewarding personal relationships with patients. Setting: Most general internists provide care for their patients in an ambulatory (office or outpatient) setting, and in an inpatient setting when their patients become hospitalized.
Other general internists choose to care for patients either exclusively in the
inpatient setting
(often called hospitalists) or exclusively in an outpatient setting.
Slide6What Are Hospitalists?
Popular Trend…kind of like residency only better hours and pay
Trained as general internists that prefer to work in hospital setting
Growth area created from desire to improve the efficiency of in- hospital care. In academic centers , increased demands related to work hours reductions for residents Tend to work in hospital admitting patients with schedules such as one-two weeks on, one-two weeks off and do not have outpatient or continuity patients
Slide7Careers and Training in Internal Medicine Subspecialists
Subspecialists in internal medicine
Receive additional in-depth training and board
certification in the diagnosis and management of diseases (e.g., infectious diseases) or a single organ system (e.g., the cardiovascular system). Typically 1-4 (i.e. cardiology plus interventional) years While subspecialists may see patients for a limited basis in consultation from a general internist or another medical specialist, they too may develop long relationships with patients who demand continued care.
Slide8Internal Medicine Subspecialties
Adolescent medicine
Allergy and Immunology
Cardiology Critical CareEndocrinology GastroenterologyGeriatrics Infectious Disease HematologyNephrology OncologyPulmonary Disease RheumatologySleep MedicinePalliative Care
Slide9Opportunities Post -Graduation
Train high quality individuals to be the next generation of
Primary care providers
Subspecialists HospitalistsClinician-educatorsPhysician scientistsLeaders here and abroad Global Health, Research, Clinical Programs
Slide10Salary 2020 Medscape
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Slide11What is Residency L
ike?
A lot of work regardless of where
3 years in duration (in general)Must have diverse patient exposureOne third must be ambulatory (clinic)Must have ICU trainingMust have exposure to subspecialties and other specialtiesMust have didactics, journal clubs, scholarly activityMust have sufficient supervision and gradual responsibilityMust be able to demonstrate competency and to be able to function as an independent practitioner when it’s all over!
Slide12Indiana University Internal Medicine Residency Program
Mitch Goldman, MD
Program Director
Slide13Question? Discussion
Ask Us Anything?
Mitch Goldman, Program Director,
mgoldman@iu.eduJames Hotz, Lead Mentor for IM, jahotz@iupui.eduIf you are interested in a mentor in Internal Medicine please email our Mentor Coordinator Cassie: caskent@iu.edu