Career Girls

Overview:

Internists, specifically,  are physicians who diagnose and provide non-surgical treatment of diseases and injuries of internal organ systems. They provide care mainly for adults who have a wide range of problems associated with the internal organs. 

They may refer patients to other specialists when more complex care is required. They work mostly with adult patients.

Physicians and surgeons diagnose and treat injuries or illnesses. Physicians examine patients; take medical histories; prescribe medications; and order, perform, and interpret diagnostic tests. They often counsel patients on diet, hygiene, and preventive healthcare. Surgeons operate on patients to treat injuries, such as broken bones; diseases, such as cancerous tumors; and deformities, such as cleft palates.

There are two types of physicians, with corresponding degrees: M.D. (Medical Doctor) and D.O. (Doctor of Osteopathic Medicine). Both use the same methods of treatment, including drugs and surgery, but D.O.s place additional emphasis on the body's musculoskeletal system, preventive medicine, and holistic (whole-person) patient care. D.O.s are most likely to be primary care physicians, although they can be found in all specialties.

Physicians and surgeons typically do the following:

• Take a patient’s medical history
• Update charts and patient information to show current findings and treatments
• Order tests for nurses or other healthcare staff to perform
• Review test results to identify any abnormal findings
• Recommend and design a plan of treatment
• Address concerns or answer questions that patients have about their health and well-being
• Help patients take care of their health by discussing topics such as proper nutrition and hygiene

In addition, surgeons operate on patients to treat injuries, diseases, or deformities.

Physicians and surgeons work in one or more of several specialties.

Work Environment:

Physicians and surgeons held about 708,300 jobs in 2014. Many physicians work in private offices or clinics, often with a small staff of nurses and administrative personnel. Some practice independently or with a small group of other doctors. About 1 out of 10 physicians was self-employed in 2014.

Increasingly, physicians are working in group practices, healthcare organizations, or hospitals, where they share a large number of patients with other doctors. The group setting allows them more time off and lets them coordinate care for their patients, but it gives them less independence than solo practitioners have.

Physicians work daily with other healthcare staff, such as registered nurses, other physicians, medical assistants, and medical records and health information technicians.

Most physicians and surgeons work full-time. Many physicians and surgeons work long, irregular, and overnight hours. Physicians and surgeons may travel between their offices and hospitals to care for their patients. While on call, a physician may need to address a patient’s concerns over the phone or make an emergency visit to a hospital or nursing home.

Education and Training:

Physicians and surgeons have demanding education and training requirements. Almost all physicians complete at least 4 years of undergraduate school, 4 years of medical school, and, depending on their specialty, 3 to 7 years in internship and residency programs.

Most applicants to medical school have at least a bachelor's degree, and many have advanced degrees. Although no specific major is required, all students must complete undergraduate work in biology, chemistry, physics, math, and English. Students also take courses in the humanities and social sciences. In addition, some students volunteer at local hospitals or clinics to gain experience in a healthcare setting.

Medical schools are highly competitive. Most applicants must submit transcripts, scores from the Medical College Admission Test (MCAT), and letters of recommendation. Schools also consider an applicant’s personality, leadership qualities, and participation in extracurricular activities. Most schools require applicants to interview with members of the admissions committee.

A few medical schools offer combined undergraduate and medical school programs that last 6 or 7 years.

Students spend most of the first 2 years of medical school in laboratories and classrooms, taking courses such as anatomy, biochemistry, pharmacology, psychology, medical ethics, and the laws governing medicine. They also gain practical skills, learning to take medical histories, examine patients, and diagnose illnesses.

During their last 2 years, medical students work with patients under the supervision of experienced physicians in hospitals and clinics. Through rotations in internal medicine, family practice, obstetrics and gynecology, pediatrics, psychiatry, and surgery, they gain experience in diagnosing and treating illnesses in a variety of areas.

After medical school, almost all graduates enter a residency program in their specialty of interest. A residency usually takes place in a hospital and varies in duration, generally lasting from 3 to 7 years, depending on the specialty.

All states require physicians and surgeons to be licensed; requirements vary by state. To qualify for a license, candidates must graduate from an accredited medical school and complete residency training in their specialty.

All physicians and surgeons also must pass a standardized national licensure exam. M.D.s take the U.S. Medical Licensing Examination (USMLE). D.O.s take the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA). For specific state information about licensing, contact your state’s medical board.

Certification is not required for physicians and surgeons; however, it may increase their employment opportunities. M.D.s and D.O.s seeking board certification in a specialty may spend up to 7 years in residency training; the length of time varies with the specialty. To become board certified, candidates must complete a residency program and pass a specialty certification exam from the American Board of Medical Specialties (ABMS), the American Osteopathic Association (AOA), or the American Board of Physician Specialties (ABPS).

Skills to Develop:

Communication skills: Physicians and surgeons need to be excellent communicators. They must be able to communicate effectively with their patients and other healthcare support staff.

Compassion: Physicians and surgeons deal with patients who are sick or injured and may be in extreme pain or distress. Physicians and surgeons must be able to treat patients and their families with compassion and understanding.

Detail-oriented: Physicians and surgeons must ensure that patients are receiving appropriate treatment and medications. They must also monitor and record various pieces of information related to patient care.

Dexterity: Physicians and surgeons must be good at working with their hands. They may work with very precise and sometimes sharp tools, and mistakes can have serious consequences.

Leadership skills: Physicians who work in their own practice need to be effective leaders. They must be able to manage a staff of other professionals to run their practice.

Organizational skills: Some physicians own their own practice. Strong organizational skills, including good recordkeeping, are critical in both medical and business settings.

Patience: Physicians and surgeons may work for long periods with patients who need special attention. Persons who fear medical treatment may require more patience.

Physical stamina: Physicians and surgeons should be comfortable performing physical tasks, such as lifting or turning disabled patients. Surgeons may spend a great deal of time bending over patients during surgery.

Problem-solving skills: Physicians and surgeons need to evaluate patients’ symptoms and administer the appropriate treatments. They need to do this quickly if a patient’s life is threatened.

Job Outlook:

Employment of physicians and surgeons is projected to grow 14 percent from 2014 to 2024, much faster than the average for all occupations. The growing and aging population is expected to drive overall growth in the demand for physician services as consumers continue to seek high levels of care that uses the latest technologies, diagnostic tests, and therapies.

Although the demand for physicians and surgeons is expected to continue, some factors will likely temper growth. New technologies will allow physicians to treat more patients in the same amount of time, thereby reducing the number of physicians who would be needed to complete the same tasks. In addition, physician assistants and nurse practitioners can do many of the routine duties of physicians and may be used to reduce costs at hospitals and doctor’s offices.

Demand for physicians’ services is sensitive to changes in healthcare reimbursement policies. Consumers may seek fewer physician services if changes to health coverage result in higher out-of-pocket costs for them. However, the number of individuals who have access to health insurance is expected to continue to increase because of federal health insurance reform. Such access will in turn increase demand for the services of physicians and surgeons.

Earnings:
According to the Medical Group Management Association’s Physician Compensation and Production Survey, median total compensation for physicians varies with their type of practice. In 2014, physicians practicing primary care received total median annual compensation of $241,273 and physicians practicing in medical specialties received total median annual compensation of $411,852. 

Earnings vary with the physician’s or surgeon’s number of years in practice, geographic region of practice, hours worked, skill, personality, and professional reputation.

The median annual wages of internists were $238,227 in 2014.  

Earnings vary with the physician’s or surgeon’s number of years in practice, geographic region of practice, hours worked, skill, personality, and professional reputation.