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The Internal Medicine Teaching Unit is led by the Internal Medicine Department and its various care units (General Internal Medicine, Hepatology, Autoimmune System Diseases, Infectious Diseases), with participation from the Cardiology, Respiratory Medicine, Neurology, Haematology, Oncology, Intensive Care Medicine and A&E Departments.
Internal Medicine training itinerary
Internal medicine is a core medical speciality that is practised primarily in hospital settings, providing comprehensive care to sick adults. It uses a medical approach in the prevention, diagnosis, therapeutic indication and follow-up of diseases in adults, including during their rehabilitation and palliative care. Internists are the backbone of the hospital, offering their versatility in acute and emergency hospitalisation; carrying out consultancy roles in primary care; and offering innovation in areas other than conventional hospitalisation and in the socio-health field.
The teaching unit is made up of 3 different departments. These include the Internal Medicine Department, which is broken down into the Systemic Autoimmune Disease Department, the Internal Medicine - Hepatology Department and the Infectious Disease Department. The Internal Medicine department is made up of different units which independently treat patients suffering from complex pathologies (Pleural Unit, Thromboembolic Diseases Unit, Autoinflammatory Diseases Unit and the Autoimmune Diseases unit).
In daily practice, resident medical staff visit patients together alongside specialist physicians. During these visits, medical records are drawn up and physical examinations are carried out. Visits can also entail clinical ultrasounds, diagnostic-therapeutic examinations (thoracentesis, paracentesis, arthrocentesis, liver biopsy, etc.) as well as differential diagnoses and the provision of diagnostic guidance. The pertinent examinations are requested and the treatment is duly adjusted.
During the IMR training, internal medicine residents learn how to diagnose and manage the most commonly found diseases on hospital wards and in internal medicine consultations. They will also learn about the most commonly treated pathology in other medical fields, obtaining a comprehensive and multi-disciplinary training that will allow them, upon the completion of their residency programme, to tackle a wide range of clinical scenarios with complete independence.
Moreover, in terms of specific areas of interest, residents will learn how to manage immunosuppressive therapies and patients suffering from cirrhosis, HIV and nosocomial infections, amongst other pathologies.
On-duty shifts are carried out in the A&E department in combination with inpatient care, preparing the Internal Medicine resident to treat critically ill patients in a fully independent manner upon the completion of their IMR training. It should be noted that residents treat patients suffering from a broad range of medical pathologies, meaning experience is gained in the management of patients suffering from conditions such as shock, respiratory failure (intubation and mechanical ventilation) and cardiac arrest.
Healthcare, teaching (sessions) and research tasks are carried out on a daily basis in all Internal Medicine departments. The Internal Medicine IMR will be progressively incorporated into these sessions, and will also participate in the research groups of his/her interest.
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