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General Internal Medicine

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Nature of the work

General internal medicine, focuses on the management of patients who develop urgent or life-threatening medical problems. It covers a full range of adult medical illness, with responsibility mainly for acute emergencies and ongoing care.

Working in general internal medicine

One of the great attractions of general internal medicine is that specialists see a wide spectrum of clinical problems. General internal medicine may be practiced on its own where the physician plays a leading role managing urgent and emergency patients, or in combination with another medical specialty such as gastroenterology or respiratory disease. Some physicians may combine acute medicine with academic research or a non-clinical role.

The specialty is expanding rapidly, and it’s estimated a minimum of 700 consultant posts will be required within the next 10 years. This figure may increase further as those practicing general internal medicine together with another specialty concentrate more on their second specialty.

Common procedures / interventions

A wide range of procedures may be needed, including airway management, insertion of lines and drains, and diagnostic procedures such as echocardiography and bronchoscopy.

Associated sub specialties

General internal medicine is a specialty in its own right, but will often be practiced by doctors whose main specialty is:

  • Geriatric medicine.
  • Gastroenterology.
  • Respiratory medicine.
  • Cardiology.
  • Endocrinology.
  • Diabetes.

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