Discover your future in Internal Medicine

The General Internist Career Path

Internal Medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness.

More About Internal Medicine Careers

The Subspecialist Career Path

Subspecialists in internal medicine have chosen to receive additional, more in-depth training and board certification in the diagnosis and management of diseases of a specific type or diseases affecting a single organ system.

More About Subspecialty Careers

The Hospitalist Career Path

Hospitalists are providers who dedicate most of their career to the care of hospitalized patients. They focus on clinical management, with an added eye to quality, safety, and utilization.

More About Hospitalist Careers

My Kind of Medicine:
Real Stories of ACP Internists

Saad Z. Usmani

Dr. Saad Z. Usmani

Director of Clinical Research

Joshua M. Liao, MD

Dr. Joshua M. Liao

Internal Medicine Resident

Dr. Valerie J. Lang

Dr. Valerie J. Lang

Associate Professor of Medicine

Dr. David Fleming

Dr. David Fleming

ACP President with Dr. Robert Centor, ACP Chair, Board of Regents

Dr. Kent J. DeZee

Dr. Kent DeZee

Program Director, General Medicine Fellowship

Dr. Erik Wallace

Dr. Erik Wallace

Associate Dean

Dr. Suchitra Behl

Dr. Suchitra Behl

Consultant for FORTIS C-DOC

Dr. Aysha Khoury

Dr. Aysha Khoury

Clinical Decision Unit Internist

Victor Simms

Dr. Victor A. Simms

Associate Chief, Dept. of IM

Take Action
Join us on the Hill

  1. Join the Advocates for Internal Medicine Network and make a difference on Capitol Hill.
  2. Login to the Legislative Action Center and be heard by policy makers.
  3. Follow The Advocacy Blog and get the latest news and opinions on health care reform.
Challenge your mind…

HEADLINES from ACP:

MORE NEWS
MKSAP 5 - Question of the Week

A 55-year-old woman undergoes follow-up evaluation for a mildly pruritic eruption on and surrounding her right nipple, which developed about 5 months ago. Triamcinolone acetonide cream was begun 1 month ago with no improvement in the lesion. She has no personal or family history of eczema or psoriasis, and she is otherwise healthy. Her only medication is triamcinolone.

Breast findings are shown.

This patient has Paget disease of the breast, defined as a persistent, scaling, eczematous, or ulcerated lesion involving the nipple/areolar complex. Histologically, the hallmark of Paget disease of the breast is the presence of malignant, intraepithelial adenocarcinoma cells (Paget cells) within the epidermis of the nipple associated with an underlying invasive or intraductal cancer. It is often misdiagnosed on the first presentation as either eczema or psoriasis, but when there is a lack of response to appropriate therapy, a biopsy should be performed.

The most characteristic lesions of chronic cutaneous lupus erythematosus are discoid lesions appearing as erythematous, infiltrated plaques that are covered with scale and are associated with follicular plugging. These lesions are most often found on the face, neck, and scalp. As they expand, they develop depressed central scars. This patient's lesion, location, and appearance are not clinically compatible with chronic cutaneous lupus.

Lichen simplex chronicus is a localized disorder characterized by intense pruritus, which leads to a localized area of lichenified skin (thickened skin with increased and exaggerated skin markings due to scratching). This patient has no evidence of lichenification.

The most common form of psoriasis is plaque psoriasis. The skin lesions of this disorder are sharply demarcated, erythematous plaques covered by silvery-white scales that affect the scalp and extensor surfaces (elbows and knees) as well as the nails. A single patch of psoriasis located on the nipple would be a very rare presentation.

Key Point

  • Paget disease of the breast is a ductal carcinoma that presents as a persistent, scaling, eczematous, or ulcerated lesion involving the nipple/areolar complex and may be mistaken for more benign conditions such as eczema.
Q. Which of the following is the most likely diagnosis?
Abstract Competition

Abstract Competition

The College sponsors local and national abstract competitions especially for student members that offer monetary awards and the chance to win recognition.

Doctor's Dilemma

Doctor's Dilemma™

ACP's national medical jeopardy competition, held each year at ACP’s annual meeting, allows dozens of teams of residents and medical students from around the nation to compete for the coveted title of national champion.

Member Benefits

Discover the benefits of ACP membership that are waiting for you.

Shop ACP Online

MKSAP for Students 5 Digital

MKSAP for Students 5 Digital

List: $69.95
Student Member: $59.95

Internal Medicine Essentials

Internal Medicine Essentials for Students

List: $54.95
Student Member: $44.95

MKSAP for Students 5 Book

MKSAP for Students 5 Book

List: $54.95
Student Member: $44.95

On Being a Doctor 3

On Being a Doctor 3

List: $29.95
Member: $24.95

Ethics Manual, Sixth Edition

Ethics Manual, Sixth Edition

List: $12.95
Member: $10.95

Breaking the Cycle

Breaking the Cycle

List: $29.95
Member: $24.95