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Internists are essential to the healthcare system, providing expert care for adults with a wide range of health issues. Their role in both inpatient and outpatient settings ensures that patients receive coordinated and continuous care. The training of internists is designed to equip them with the skills necessary to manage complex medical conditions and improve patient outcomes. As healthcare continues to evolve, the role of internists will remain integral to delivering high-quality care.
An internist, also known as a general internist or internal medicine physician, is a medical doctor who specializes in the diagnosis, treatment, and care of adults across a wide spectrum of health issues. Internists are trained to manage complex and chronic illnesses and often serve as primary care providers. This article explores the role, training, and impact of internists in healthcare settings.
Role of an Internist
Internists are pivotal in the healthcare system due to their comprehensive approach to adult medicine. They are skilled in managing patients with multiple concurrent health issues and are adept at coordinating care among various specialists. Internists often work in both outpatient and inpatient settings, providing continuous and holistic care.
Inpatient Care
In inpatient settings, internists play a crucial role in managing hospitalized patients. For instance, a study examined the effects of adding an internist to an inpatient psychiatry team and found significant improvements in the processes of care without increasing costs1. The internist’s responsibilities included communicating with primary care physicians, managing chronic and acute medical problems, and attending hospital work rounds, which enhanced the overall quality of care for psychiatric inpatients.
Outpatient Care
In outpatient settings, internists provide primary care services, including preventive care, diagnosis, and treatment of acute and chronic diseases. They often serve as the first point of contact for patients and are responsible for long-term management of various health conditions.
Training of an Internist
The training of internists is rigorous and comprehensive, involving extensive education and clinical experience. Internists undergo medical school followed by a residency in internal medicine, which typically lasts three years. During this period, they receive training in various subspecialties of internal medicine, such as cardiology, endocrinology, and gastroenterology.
Curricular Innovations
Different institutions have adopted various approaches to enhance the training of internists. For example, Washington University School of Medicine in St. Louis has implemented a prepaid group practice model as part of their training program for general internal medicine and pediatrics2. This model provides a diverse range of services, including primary ambulatory, hospital, emergency, and home services, thereby offering a comprehensive training environment for internists.