ENG235 fall2020 u7 internal ped VOC

OVERVIEWDEFINITION Doctors in general internal medicine are trained to manage patients presenting with a wide range of acute and long term medical conditions and symptoms.. Pediatrics is

INTERNAL MEDICINE

& PEDIATRICS

UNIT 7 – VOCABULARY & READING (2 hours)

ENGLISH IN MEDICINE 1 – GENERAL PRACTITIONER Y2

Presenter: Nguyen Hoang Quynh Mai Editor: Nguyen Hoang Quynh Mai Email: 1004quynhmai@gmail.com

1 OVERVIEW

DEFINITION

Doctors in general internal medicine are trained to manage patients presenting with a wide range of acute and long term medical conditions and symptoms.

Pediatrics is the area of medicine that manages medical conditions affecting infants, children and young people.

1 OVERVIEW

WHAT DO YOU KNOW ABOUT:

INTERNAL MEDICINE?

PEDIATRICS?

-MAKE A COMPARISON

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NATURE OF THE WORK

Doctors working in general internal

medicine (GIM) have particular

expertise in diagnostic reasoning,

managing uncertainty, dealing with

co-morbidities and recognizing

when specialty opinion or care is

required

It’s a holistic specialty - treatment takesinto account symptoms of the disease andother factors (mental & social), making itspecific for the individual The aim is tominimize the adverse effects of disease,while allowing children to live as normal alife as possible

The work involves:

- (1) _ and treating the wide spectrum of medical disorders that presentacutely to hospital (2) _ departments and acute medical units, (3) _for specialist opinion and care as appropriate

- (4) _ advice and care for patients (5) _ to hospital under otherspecialties (e.g surgery, obstetrics & gynecology) who have or developmedical problems

- Diagnosing and (6) _ the wide spectrum of medical conditions that arereferred to medical outpatient clinics

- (7) _ inpatients and outpatients with (8) _, including elderly patientswith frailty and dementia

A referring B managing C treating D co-morbidities

E diagnosing F admitted G providing H emergency

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WORKING LIFE - INTERNISTS

GIM is mainly a hospital inpatient specialty, with some outpatient work

in rapid access clinics and for patient follow-up

A large part of the working day involves reviewing newly admittedpatients, continuing treatment of the most unwell patients, or providingcare for patients who have developed an acute illness whilst admitted foranother reason such as a surgical operation Outpatients may be referredwith chest pain or other urgent symptoms

The EU Working Time Directive limits the working week to 48 hours.Some out-of-hours work is required when there are sick patients requiringattention, but this is compensated for by appropriate time off Over 70%

of consultants say they are routinely on-call at weekends

1 OVERVIEW

WORKING LIFE - PEDIATRICIANS

Pediatricians see a wide range of patients, from babies through toteenagers Adapting quickly to different situations is often a dailyrequirement For example, the care of a small baby is completely different tothe care of a teenager, and pediatricians must rapidly meet the needs ofdiverse patients throughout their working day

Pediatrics is a progressive specialty, embracing flexible training andworking Many pediatricians work less than full time, and enjoy flexible hours

in a variety of settings including hospitals, clinics and in the community

Day-to-day responsibilities may include 24-hour services for acuteinpatient care and Accident and Emergency (A&E); outpatient consultations &clinical management for long-term conditions; clinical advice to socialservices, education and other agencies

scientific-based, evidence-based, comprehensive approach to the care of adults; most of the great leaders; breadth and depth of academic & clinical work; complexity of the cases; unique & challenging; not only treating but also preventing disease; so much

to learn & read; never stop learning; truly understand the human body; close to the patients, their needs, problems & families

1 OVERVIEW

Video: internal-medicine

https://www.acponline.org/about-acp/about-HOW DO YOU DEFINE INTERNAL MEDICINE?

When I began my training, I was able to spend six months working inpublic health because I have an interest in prevention That was inaddition to my rotations in different aspects of pediatrics I think it

is important to see the big picture, not just the illness

I like being able to build up a relationship with children and theirfamilies In hospital, you tend to work with children who have acuteproblems, maybe in emergency situations, but in the community it ismore common to deal with children with long-term conditions, such ascerebral palsy or behavioral problems You see and treat the wholechild, not just the ‘sick’ child

Another satisfying aspect is that I work in a truly multidisciplinaryteam to provide the care that is needed So, as well as other clinicians,there will be social workers, dietitians, health visitors and a range ofother professionals sharing skills

 Allergy, immunology & infectious disease

 Diabetes & endocrinology

Nephrolithiasis CHD Peptic ulcer HydronephrosisIleostomy Hemodialysis Endarterectomy Enteritis

Aneurysm Appendicitis Hemorrhoid HydrocephalusMultiple sclerosis CVA Diabetes mellitus MI

Hypertension UTIs Urethral stricture DVT

Acromegaly Graves disease Gigantism Pneumonia

CPR Lumbar puncture Gastritis Angioplasty

WHAT SYSTEM DO THEY BELONG TO?

3 KEY CONCEPTS

3 KEY CONCEPTS

Treatment algorithm

3 KEY CONCEPTS

Placebo effect

3 KEY CONCEPTS

Clearance & half-life (T1/2)

WRITING PRACTICE

1 What is Evidence-based medicine? (3 sentences)

2 What is empiric treatment? (3 sentences)

3 Imagine you are an internist or a pediatrician, describe your specialty and your working life (2 paragraphs)

QUESTIONS