Specialty Designation
Residency
Specialty Code
140
Type
Specialty
Specialty Description

An internist is a personal physician who provides long-term, comprehensive care in the office and in the hospital, managing both common and complex illnesses of adolescents, adults, and the elderly.

Completing training
9092
With known plans
7733
Pursuing more training
3842
Practicing in the US
2463
Group practice
878
In same specialty
1874
In same state as program
987
In NHSC or similar underserved area
33
Academician
1360
Full-time
1331
Military
34
Non-clinical research
14
Non-medical career/left country
11
Unemployed
9
Academic year
2022
Number of accredited programs
610
Length of accredited training
3
Minimum number of prior years required
0
Offers graduate year 1 positions, available immediately upon medical school completion
Yes
Average number of PY1 interviews
227.50
Percent of programs requiring Step 1 score for interview
88.30
Percent of programs requiring Level 1 score (for DOs) for interview
73.40
Total number of active residents/fellows
30778.00
Average number of residents/fellows
50.40
Average percent female
43.80
Average percent international medical graduates
45.10
Average percent DOs
23.40
Average number of full-time physician faculty
69.70
Average number of part-time physician faculty
14.10
Average percent female full-time physician faculty
37.60
Average ratio of full-time physician faculty to resident/fellow
1.30
Average hours on duty per week
61.50
Average maximum consecutive hours on duty
17.90
Average days off duty per week
1.20
Average percent of training in hospital outpatient clinics
25.90
Average percent of training in non-hospital ambulatory care community settings
15.50
Average number of days of vacation
19.80
Average resident/fellow compensation
59840.59
Specialty Overview

What is an internist?

An internist is a personal physician who provides long-term, comprehensive care in the office and in the hospital, managing both common and complex illnesses of adolescents, adults, and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections, and diseases affecting the heart, blood, kidneys, joints, and the digestive, respiratory, and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health, and effective treatment of common problems of the eyes, ears, skin, nervous system, and reproductive organs.

How to become an internist?

Specialty training required prior to certification: Three years

What does an internist do?

Internists are physician specialists uniquely trained to apply scientific knowledge to the care of adults across the spectrum from health to complex illness.

As an internist, a physician may choose to become  a general internist or an internal medicine subspecialist. A general internist handles the broad, comprehensive spectrum of illnesses that affect adults. General internists 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. 

Many general internists provide care for their patients in an ambulatory (office or outpatient) setting, often serving as their primary care physician over the duration of their adult lives, which provides the opportunity to establish long and rewarding personal relationships with their patients. Some general internists choose to focus their practice exclusively in inpatient settings, functioning as what are termed as “hospitalists.”

Still other general internists will function in a primary care role and continue to care for their patients when they are admitted to the hospital.  Additionally, many general internists practice in other clinical settings, such as rehabilitation centers, hospices, and extended care facilities.

An internist also has the option of choosing to become a subspecialist in internal medicine by receiving additional 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 cardiovascular system). Subspecialists often see patients on a limited basis in consultation with a general internist or another medical specialist, though they too may develop long, rewarding relationships with patients who have ongoing or chronic illnesses.

For most general internal medicine specialists and subspecialists, caring for patients is their primary daily activity. Nonetheless, there are many other activities available in the field of internal medicine that may suit the needs of physicians who have additional interests. One such choice is teaching medical students, residents, and/or subspecialty fellows and other health professionals. Teaching responsibilities can be an important component of a career that is based in a teaching hospital or medical school setting. Internists make up the largest proportion of medical school faculty of any clinical field.

Another career choice may be in medical research, ranging from bench research (i.e., basic science) to applied translational or clinical research. Again, these research responsibilities can be a primary component of an internist’s professional activities or can complement other activities in patient care and/or teaching.

Many internists pursue careers in administration (activities related to managing the business side of healthcare). Work in this area provides opportunities for developing managerial and leadership skills.

No matter the setting, there is a need for administrative expertise.

Finally, health policy, health care delivery and public health are areas of interest for internists. Internists who wish to impact populations of people rather than provide direct patient care may pursue a career working in such settings as public health departments, public health schools, or a variety of governmental or other nonprofit organizations.

Association

American College of Physicians
190 N. Independence Mall West
Philadelphia, PA 19106
Phone: (215) 351-2600 | (800) 227-1915
https://www.acponline.org/

 

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Grad Year
2022