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Subspecialty Careers: General Internal Medicine

The Discipline

Internal medicine is a specialty that relies on the basic sciences and a diverse breadth of knowledge to form the foundation for a successful career in a variety of fields, including general internal medicine, hospital medicine, or any of the internal medicine subspecialties. Specialists in general internal medicine (“general internists”) are crucial in filling a vital need in our health care system, serving as the primary or principal providers of care in outpatient (ambulatory) and /or inpatient (hospital) settings.

General internists handle the broad and comprehensive spectrum of illnesses that affect adults, and are recognized as experts in diagnosis, in treatment of chronic illness, and in health promotion and disease prevention—they are not limited to one type of medical problem or organ system.

Procedures

Common procedures for general internists include lumbar puncture, joint aspiration and injection, central venous line placement, paracentesis and thoracentesis.

Training

After successful completion of medical school, those interested in becoming an internist will enter a residency program. Residency in internal medicine usually lasts three years, and residents work in a variety of settings, including university hospitals, community teaching hospitals, hospital outpatient clinics, and community physicians’ offices. Residents assume progressive responsibility as they acquire various skills in treating hospitalized patients and gain competency in ambulatory care. The broad experience provided by three years of internal medicine residency provides the necessary training for practice as a general internist. For general internists who are interested in an academic career that includes a research component, a number of academic medical centers also offer general internal medicine fellowships following residency training.

Training Positions

For the 2011-2012 academic year, there were 381 ACGME-accredited training programs with 23,034 trainees.

Certification

The American Board of Internal Medicine (ABIM) offers certification for physicians interested in pursuing the field of internal medicine.

Major Professional Society

Major Publications

Have questions about training and careers in internal medicine? Search the ACP Mentoring Database to find an internal medicine physician who can answer your questions.

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. (ACP Members only)

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