What are internists?
Internists, or internal medicine physicians, are doctors trained in preventing, diagnosing, and treating conditions of the human body's internal organs. They deepOrthopedic Surgeon-West Orangely understand and know all aspects of adult medical care. However, they don't deal with conditions in children and adolescents. They are experts in treating patients over 18.
Internists manage a wide range of illnesses, from simple conditions like allergies to severe diseases such as diabetes and heart disease. They typically practice in government and private settings, including hospitals, private clinics, rehabilitation centers, and hospice care.
What do internists do?
Many doctors who study internal medicine manage a wide array of illnesses. They are called general internists. Some, though, specialize in one of the subspecialties of internal medicine. Even though this makes them experts in specific conditions, they are still qualified to treat all problems.
Patient relationships with internists are usually long-lasting as they care for patients with chronic diseases such as diabetes, hypertension, heart diseases, and chronic respiratory illnesses. If your primary care physician is an internist, you will see the doctor for routine care, including wellness appointments, checkups, and screening tests that include bone density and lipid profile. You will also see internists in case of chest and abdominal pain.Â
Pain in the chest area has a variety of reasons, and internists can help you find the real cause behind the pain. It could result from problems in the digestive system, such as acid reflux, emotional issues like severe anxiety, or even something more serious, such as a heart attack.Â
Causes for stomach pain are also very diverse. A strain on the stomach muscles or viral infection in this region leads to pain in the stomach. Several severe conditions, such as acute appendicitis and cancer, present as stomach aches, too. Going to an internist will help you understand the actual cause behind your pain and allow you to get timely treatment.Â
Other than recording medical history and performing a thorough physical examination, internists are qualified to prescribe various diagnostic tests to diagnose the problem accurately. Internists generally order standard tests, including complete blood and urine analysis and imaging tests such as CT scan, MRI scan, and ultrasound, to name a few.
If a condition is beyond the knowledge and scope of an internist, they may make speedy referrals to the right specialists to begin the necessary treatment on time. They then coordinate with the specialists to monitor treatment progress and any adverse reactions to different medications. Most internists also help in counseling patients with mental illnesses and, in general, educate and encourage patients to make healthy lifestyle changes.
Training and qualifications of internists
To become a licensed internist in the US, one must complete the following:
- 4 years of an undergraduate degree in sciences
- 4 years of medical school
- 3 years of compulsory residency in internal medicine
- Clear the exam given by the American Board of Internal Medicine (ABIM)
Some internists train in internal medicine subspecialties, such as:
- Cardiology: Internists with this specialty diagnose and treat conditions of the heart and blood vessels. These disorders include hypertension, arrhythmia, pericarditis, atherosclerosis, atrial fibrillation, and coronary heart disease. Additionally, they perform procedures like exercise tests, echocardiograms, and cardiac catheterization.
- Endocrinology: Endocrinologists specialize in dealing with hormone-related complications, including diabetes, fertility problems, and an overactive thyroid. They diagnose, treat, and manage three broad endocrine conditions: tumors, hypersecretion, and hyposecretion.
- Hematology: It refers to the study and treatment of blood disorders. Hematologists diagnose and treat conditions affecting the blood and related structures, such as bone marrow. They also perform procedures like blood transfusions, bone marrow biopsies, complete blood cell and platelet counts, and blood enzyme tests.
- Gastroenterology: Focusing on conditions affecting the organs of the digestive system, internists who pursue this subspecialty diagnose and treat conditions like colon polyps, pancreatitis, hepatitis, gallbladder disease, and celiac disease.
- Immunology: This area concerns the diagnosis, management, and treatment of asthma, allergies, and immune system ailments like allergic rhinitis, urticaria (hives), atopic dermatitis, and autoinflammatory syndromes. Immunologists conduct skin prick, patch, antibody, and T-cell tests to determine underlying immune system conditions.
- Infectious diseases: Internists specializing in this area diagnose, treat, and manage illnesses caused by external pathogens entering your body. Disease-causing pathogens include viruses, bacteria, fungi, parasites, and prions. You can also contract infectious diseases from other people, insect bites, and contaminated soil, food, or water.
- Rheumatology: Rheumatologists diagnose and treat systemic autoimmune disorders causing the inflammation of bones, muscles, tendons, joints, and ligaments. Rheumatoid arthritis, tendinitis, bursitis, and scleroderma are some examples of these conditions.
- Oncology: This subspecialty concerns the diagnosis and treatment of cancer. Internists with this specialization act as primary healthcare providers for cancer patients and help manage and coordinate their treatment.Â
- Pulmonary diseases: Internists who pursue this subspecialty focus on lung health and breathing problems. They are adept in diagnosing and treating respiratory concerns like pulmonary hypertension, cystic fibrosis, sleep apnea, bronchitis, and tuberculosis. Additionally, they perform procedures like lung function tests and polysomnograms to diagnose various conditions and assess air volume in your lungs.
What procedures do internists perform?
Internal medicine doctors perform a wide range of procedures. Some of these are as follows:
- Vaccination: Internists can administer vaccines to adults to prevent ailments like diphtheria, tetanus, hepatitis A and B, shingles, and whooping cough.
- Pain management injections: They also administer therapeutic injections for pain management. These include cortisone shots (also known as steroid shots; these injections help reduce pain and inflammation) and trigger point injections (these help soothe myofascial pain, especially in your arms, legs, neck, and shoulders).
- Mammogram: Mammograms help screen for and diagnose breast cancer. During the procedure, internists use low-dose X-rays to identify abnormal areas in your breast tissue. There are primarily two types of mammograms: digital mammography in 2D and digital mammography in 3D.
- Abscess drainage: Skin abscesses, typically triggered by bacterial infections, are pus-filled pockets under the inflamed skin's surface. Internists can clear these pockets through a procedure called abscess drainage, during which they make an incision through your skin, drain out the pus, clean the pocket using a sterile solution, and dress the wound.
- Skin biopsies: Healthcare providers use skin biopsies to diagnose skin conditions like rashes, psoriasis, infections, and skin cancer. During the procedure, they remove a tiny sample of your skin tissue, which they then examine under a microscope in the lab. The different types of skin biopsy include punch, shave, and excisional biopsy.
How do you prepare for your first internist's appointment?
When you are sick, getting caught up in the hassle of booking a doctor's appointment can be too much, and you might forget what you need to do to make a successful visit. Here's how to prepare yourself for a visit to an internist near you:
- Make sure to give the doctor's office information regarding the reason for your appointment when booking your slot.Â
- If this is the first time you see the doctor, be prepared to provide information about your medical history. Bring your past medical records and a list of medications (with the dosage) you may be consuming.Â
- During the visit, give the internist all the information about your symptoms and when they started.
- After listening to you and performing your checkup, the internist may diagnose and prescribe you a treatment. Ask questions to fully understand the treatment, especially if a new medication is involved.Â
- Also, ask if a follow-up appointment is required.
Internist vs. family physicianÂ
Generally, people often need clarification on the difference between a family physician and an internist. Both serve as primary care physicians who provide overall health management, but there is a distinct difference. Their patient demographics make them different: Internists focus exclusively on adults, while family physicians treat people of all ages—children and adults.
Internists specialize in primary care screening and treating common adult issues, such as diabetes, hypertension, and a complex combination of conditions. Family physicians have extensive training that qualifies them to deal with varying health problems for the entire family, focusing on wellness, disease prevention, and chronic disease management.Â
Find the best internist near you in Baltimore, Maryland
The decision of choosing between an internist and a family physician is a difficult one. Still, internists are the best choice if you are looking for someone with a deep knowledge of internal organs. By using the Zocdoc application, the process of finding top-rated internists in Baltimore becomes more straightforward.Â
At Zocdoc, you can filter internists based on criteria like your preferred appointment date, condition or disease, current place of residence, zip code, and even the medical insurance you hold. Go into the Zocdoc website and fill in your details in the respective search boxes. The platform will immediately present you with a curated list containing details of internists best suited to meet your needs.Â
With Zocdoc, you can better understand your doctor by studying their profile, which is available for all internists listed on the website. The profile details the internists' educational background, training and qualifications, work experience, affiliations and accreditation, and any awards received for exemplary work. It also gives you detailed information about the diseases they specialize in treating, the age group of patients they generally see, the doctor's gender, and the languages they speak fluently.Â
You can also check which internists practicing in your area accept your medical insurance policy and plan. Select your current insurance from the drop-down menu or use Zocdoc’s insurance detector and learn if you prefer seeing an in-network internist near you.Â
While you can add medical, dental, and vision insurance plans to your Zocdoc account, you can only search for and schedule an appointment with one insurance plan at a time. If you have multiple plans, you can mention your secondary insurance plan and carrier in your notes for the provider in the last step of the booking process. If your provider uses Zocdoc’s intake forms, you can add details about your secondary insurance while filling out your forms online. For more insurance-related queries, check Zocdoc's patient help center.
All bookings on Zocdoc are fast, free, and secure!
Internal medicine statistics for Baltimore, Maryland
According to the "Occupational Employment and Wages, May 2021" report published by the U.S. Bureau of Labor Statistics, about 2,710 licensed internists were practicing in Maryland. The state's concentration of jobs and location quotient are among the highest in all US states. For every 1,000 jobs in Maryland, there are about 1.06 internists.Â
The location quotient is much higher than the national average; it is 2.57. The location quotient is the number you obtain when you divide the number of internists practicing in Maryland by the total number in the US; if the number is greater than 1, then it has a higher concentration of employment when compared to the national average. As of May 2021, 1,570 licensed internists were practicing in the metropolitan area of Baltimore-Columbia-Towson in Maryland. The location quotient for this region was 3.03, much higher than the location quotient for Maryland or the entire US.
The National Center for Health Statistics collects and reports health-related data for the US. According to a report published by the Centers for Disease Control and Prevention, some of Maryland's top causes of death included cancer, heart disease, chronic lower respiratory disease, and diabetes.Â
In 2017, nearly 11,653 people died from heart disease, increasing to 12,624 by 2020. There was a minimal increase in the number of deaths caused by cancer in 2017 (10,796) and 2020 (10,799). It was the same for chronic lower respiratory diseases, where about 2,079 people died in 2017 and 2,084 in 2020. Diabetes and its complications were responsible for the death of 1,439 people in 2017; the number increased to 1,784 by 2020. Internists are adept at identifying and treating these illnesses and can even refer to a top specialist in severe circumstances.
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