Definition of a General Internist

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Definition of a General Internist by Mind Map: Definition of a General Internist

1. "General Internal Medicine is a subspecialty of Internal Medicine which embraces the values of generalism, is aligned with population needs, and promotes the practitioner's ability to adapt their practice profile when population needs change. "General Internists are prepared to diagnose and manage patients with common and emergency internal medicine conditions, and are able to do so when the individual has multiple conditions and with limited access to other subspecialists. General Internists provide comprehensive care of the adult patient in an integrated fashion as opposed to an organ-centred or disease-centred approach. They are prepared to maintain stability of patients with multisystem disorders over the long-term or during physiological stresses such as during pregnancy or the peri-operative period. "General Internists advocate for their individual patients as well as for all patients within complex healthcare delivery systems, by aiming to optimize and not maximize care, including prevention of other conditions. General Internists recognize that the practice of medicine is tightly linked to the art and science of health care delivery and, by virtue of their pivotal role are uniquely placed to engage in quality improvement, patient safety, and healthcare systems initiatives."

1.1. Paragraph 1 Subspecialty of IM

1.1.1. Embraces Generalism

1.1.2. Aligned with population needs

1.1.3. Promotes adaptable practice to meet pop needs

1.2. Paragraph 2 - What General Internists do as clinicians:

1.2.1. Dx/Tx common and ER conditions

1.2.1.1. Including pts with multiple conditions

1.2.1.2. Sometimes in the absence of sub specialist support

1.2.2. Provide comprehensive and integrated care

1.2.3. Maintain stability of pts with multi system disorders

1.2.3.1. Chronically

1.2.3.2. During stress (ex periop and Pg)

1.3. Paragraph 3 - What General Internists do Macro view including CanMEDS roles

1.3.1. Advocate for individual patients and all patients

1.3.2. notion of optimization versus maximization

1.3.3. Prevention

1.3.4. Quality improvement

1.3.5. Patient Safety

1.3.6. Health Care Systems initiatives

2. Alternative Paragraph 1 from CSIM Mission Statement

2.1. GIM in Canada is a subspecialty of Internal Medicine that promotes the health and well being of Canadian patients, their communities, and their health care systems through clinical care, research, education and advocacy for health promotion and disease management. GIM embraces the values common to all healing professions, and in particular, the values of generalism, teamwork, competency-based training, life-long learning, evidence-based medicine, holism, and humane, patient-centered care.

2.1.1. What we do macro:

2.1.1.1. Addresses Health of Pts, communities, and health care systems

2.1.2. How:

2.1.2.1. Clinical care

2.1.2.2. Research

2.1.2.3. Education

2.1.2.4. Advocacy

2.1.2.4.1. Health Promotion

2.1.2.4.2. Disease Management

2.1.3. Values:

2.1.3.1. Generalism

2.1.3.2. Teamwork

2.1.3.3. Competency based training

2.1.3.4. Life long learning

2.1.3.5. EBM

2.1.3.6. Holism

2.1.3.7. Humane, patient centred care

3. Key CSIM comment ????

3.1. In fact, GIM is so vast in scope that no single practitioner can develop, practice, and maintain expertise across its entire spectrum. GIM practices are a reflection of the populations being served, the skill sets and the training of the practitioner, and the complimentary clinical resources within a community. One of the hallmarks of GIM is the ability to adapt to the evolving needs of the population and to work collaboratively within the health care system.

4. Abbreviated starting point for paragraph 2

4.1. The clinical practice of GIM is characterized by its depth and breadth. General Internists provide consultant level care in diverse settings and across multiple disciplines in a single patient or across a series of clinical encounters with many patients.

5. Paragraph 3: GIM non clinical

5.1. Tx/advocate for individual patients and all patients (the system)

5.2. Prudent use of limited resources

5.3. Unique perspective as Generalist/Specialists makes them particularly apt to engage in initiatives requiring a broad vision such as:

5.3.1. Clinical Research

5.3.2. Quality improvement

5.3.3. Health care system

5.3.4. Patient safety

5.3.5. Chronic disease prevention and management

5.3.6. Health Promotion

5.3.7. Medical Education

5.3.8. Epidemiology

5.3.9. Public Health

5.3.10. Administration