Subspecialist

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 (e.g., infectious diseases) or diseases affecting a single organ system (e.g., the heart). Although subspecialists often see patients for a limited basis in consultation from a general internist or another medical specialist, they too may develop long and rewarding relationships with patients who have ongoing or chronic illnesses that demand continued care.

Once general internal medicine residency training is complete, a physician may begin to practice internal medicine. Alternatively, many physicians wish to obtain further subspecialty training in a more limited area with a plan to focus their future activities on diseases of one type or organ system. Subspecialty training, called fellowship, usually adds two to three years after medical residency. Applications for fellowship are generally submitted during the second year of the internal medicine residency.

Adolescent Medicine

Adolescent medicine focuses on the physical, psychological, social, and sexual development of adolescents and young adults.

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Allergy & Immunology

Allergy and immunology involves the management of disorders related to hypersensitivity or altered reactivity caused by the release of immunologic mediators or by activation of inflammatory mechanisms.

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Cardiology

Cardiology is the prevention, diagnosis, and management of disorders of the cardiovascular system, including ischemic heart disease, cardiac dysrhythmias, cardiomyopathies, valvular heart disease, pericarditis and myocarditis, endocarditis, congenital heart disease in adults, hypertension, and disorders of the veins, arteries, and pulmonary circulation.

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Critical Care

Critical care medicine encompasses the diagnosis and treatment of a wide variety of clinical problems representing the extreme of human disease.

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Endocrinology

Endocrinology is the diagnosis and care of disorders of the endocrine system.

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Gastroenterology

Gastroenterology encompasses the evaluation and treatment of patients with disorders of the gastrointestinal tract, pancreas, biliary tract, and liver.

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Geriatrics

Geriatric medicine involves the recognition of differences in presentation of disease and the importance of maintaining functional independence in elderly patients.

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Hematology

The discipline of hematology relates to the care of patients with disorders of the blood, bone marrow, and lymphatic systems, including the anemias, hematological malignancies and other clonal processes, and congenital and acquired disorders of hemostasis, coagulation, and thrombosis.

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Infectious Disease

Infectious disease medicine requires an understanding of the microbiology, prevention, and management of disorders caused by viral, bacterial, fungal, and parasitic infections.

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Nephrology

Nephrology involves the diagnosis and management of diseases of the kidneys, its contiguous collecting system, and its vasculature. The commonly encountered conditions in Nephrology include disorders of fluid, electrolyte, and acid-base balance.

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Oncology

Medical Oncology is the diagnosis and management of benign and malignant neoplasms.

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Pulmonary Disease

Pulmonary medicine is the diagnosis and management of disorders of the lungs, upper airways, thoracic cavity, and chest wall.

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Rheumatology

Rheumatology deals with the prevention, diagnosis, and management of crystalline diseases, systemic rheumatic diseases, spondyloarthropathies, vasculitis, inflammatory muscle disease, osteoporosis, osteoarthritis, recreational sports injury, soft-tissue diseases and trauma.

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Clinical Cardiac Electrophysiology

Clinical Cardiac Electrophysiology is the discipline that manages the complex cardiac arrhythmias with the use of implantable pacemakers and cardioverter-defibrillators, as well as the application of other interventional techniques and treatments.

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Interventional Cardiology

Interventional Cardiology is the discipline responsible for catheter-based interventions in the management of ischemic heart disease, congenital heart disease, and acquired valvular disease.

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Imagine the Possibilities: Careers in Internal Medicine

This career-counseling brochure [PDF] contains information about careers in internal medicine and is designed for medical and pre-medical students.

Benefits of ACP Membership for Students: ACP's free Medical Student Membership includes benefits designed especially to meet students' needs.

Find a Residency

Search ACP's Internal Medicine Residency Database for information on all internal medicine residency programs in the U.S. and Canada.

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