Summary

This document provides information about various medical specializations, including the roles, training, and responsibilities of different types of physicians.

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PHYSICIAN SPECIALTIES U N I T 1 : M E D I C A L A N D P A R A M E D I C A L P E R S ON N EL A N D PLACES TOPIC 2 Why is it important to know about physician specialties? Being familiar with the different types of physician specialties helps you know who to call when you need medical care. It also he...

PHYSICIAN SPECIALTIES U N I T 1 : M E D I C A L A N D P A R A M E D I C A L P E R S ON N EL A N D PLACES TOPIC 2 Why is it important to know about physician specialties? Being familiar with the different types of physician specialties helps you know who to call when you need medical care. It also helps those planning a career in medicine, as they think through what they'd like to do on a day-by-day basis. 3/6/2024 3/6/2024 3/6/2024 What is a Residency? Residency is a post-graduate period in which a doctor practices medicine under the supervision of more senior physicians for three to seven years, depending on the specialty. 3/6/2024 What is a Fellow? A fellow is a physician who attends fellowship training. A fellowship is somewhat like a paid internship during which fellows shadow experts and leaders in their field. The training may involve clinical and surgical practice as well as research. 3/6/2024 Residents have earned their medical degrees, but they are not fully independent physicians. They are not board-certified or fully credentialed. The medical community considers residents to be in training during their residency. Fellows are fully credentialed physicians who are able to practice medicine independently 3/6/2024 3/6/2024 Family Physician Family practice physicians are primary care providers who see patients of all ages and provide basic care for a variety of common ailments. They are usually the first to recognize major health problems, order diagnostic tests, and refer patients to specialists when needed.2 After attending medical school, family medicine physicians attend a family medicine residency program for three to five years. During this time, they will receive hands-on training in pediatric care, emergency medicine, and other areas of general medicine.3 Internist General internists provide primary care to adult patients. Internists usually have more hospital-based training than family practitioners. They may have an office-based practice or work as a hospitalist primarily seeing patients in the hospital. These physicians attend medical school followed by an internal medicine residency. Internists may then choose to pursue a fellowship to subspecialize in a variety of other areas, like endocrinology (hormone-related conditions) or cardiology (heart-related issues).4 Pediatrician Pediatricians take care of patients from infancy through age 18 or, in some cases, age 21.5 Pediatricians provide primary health care to children, including vaccinations, general health checkups, school physicals, and treatment of issues like coughs, colds, stomach, and flu. If a patient has a more serious illness, their pediatrician may refer them to a pediatric subspecialist (e.g., a pediatric orthopedist is a doctor who specializes in treating young patients with bone and muscle concerns). After they graduate from medical school, pediatricians spend at least three years in a residency program that is focused on pediatric medicine. If they choose to study a pediatric subspecialty, they will then attend a fellowship for that subspecialty. Obstetrician/Gynecologist (OB/GYN) A gynecologist is a doctor who specializes in female reproductive health, including menopause and hormone problems. An obstetrician provides care for people who are pregnant. Obstetricians also are trained to deliver babies. Often, these specialities are combined, in which case the physician is referred to as an OB/GYN.6 At minimum, OB/GYNs must attend medical school followed by a residency program. Once their residency is complete, some continue their training with a fellowship for a subspecialty. Gynecological oncology—a field that deals with cancer of the female reproductive organs—is just one example. Cardiologist Cardiologists focus on treatment of the heart and its blood vessels. This can include the management of heart failure, cardiovascular disease, and post-operative care.7 Training to become a cardiologist is fairly extensive. After completing three years of internal medicine residency, aspiring cardiologists need to attend several more years of fellowship training Oncologist Oncology is a subspecialty of internal medicine that has three main areas: medical, surgical, or radiation oncology.8 Oncologists take care of patients who have cancer by treating the disease itself, as well as the symptoms it causes. Often, oncologists take part in clinical trials using new and experimental treatments for cancers that are otherwise incurable. Oncologists attend medical school followed by an oncology residency. There are also fellowships for subspecialties of oncology, like pediatric oncology (children's cancer) and radiation oncology (radiation treatment for cancer). Gastroenterologist Gastroenterologists treat the functions and diseases of the digestive system.9This field attracts physicians who enjoy doing procedures, but who also like seeing patients in an outpatient setting. Gastroenterology is another subspecialty of internal medicine. At minimum, gastroenterologists attend medical school followed by an internal medicine residency. From there, they need to attend fellowship training for gastroenterology. Pulmonologist Pulmonologists treat the cardio-pulmonary system, which consists of the heart, lungs, and organs involved in the respiratory process.10 In addition, pulmonologists may work in office settings to treat patients with breathing disorders, severe allergies, lung problems, and other respiratory diseases. They may also treat patients with pulmonary disease who are in the intensive care unit (ICU). Aspiring pulmonologists attend medical school followed by an internal medicine residency. They then attend fellowship training for pulmonology. What Is an Intensivist? An intensivist is a physician who works in the intensive care unit treating critically ill patients. In addition to medical school and residency, these doctors also do a fellowship in critical care medicine. Infectious Disease Physician Infectious disease physicians deal with infections that are hard to diagnose or treat.11They also treat serious infections such as the swine flu, bird flu, HIV/AIDS, and other infectious diseases. After medical school, infectious disease physicians must attend an internal medicine residency followed by fellowship training for infectious diseases. Nephrologist Nephrologists treat kidney disease and prescribe dialysis for those experiencing kidney failure.12 After medical school, these physicians attend an internal medicine residency program. They are then required to attend fellowship training for nephrology. Endocrinologist Endocrinologists treat the endocrine system— the glands that produce and secrete hormones that control and regulate nearly all of the body's functions. People with diabetes or thyroid disease are often treated by an endocrinologist.13 Like other internal medicine physicians, endocrinologists attend medical school followed by an internal medicine residency. They are then required to attend fellowship training for endocrinology. 3/6/2024 Ophthalmologist Ophthalmologists are medical doctors who treat diseases or disorders of the eyes, such as cataracts and glaucoma.15 Vision correction that cannot be handled by an optometrist may be treated by an ophthalmologist. When necessary, ophthalmologists will also perform eye surgery. Ophthalmologists attend medical school followed by a residency for ophthalmology. They are not required to take a fellowship, although many choose to attend fellowship training for specific eye diseases or surgical procedures. 3/6/2024 Otolaryngologist Otolaryngologists are more commonly referred to as ENTs, or ear/nose/throat doctors.16 ENTs handle a lot of issues, including sinus problems, allergies, head and neck cancers, and more. Because of this, many ENTs attend fellowships for a subspecialty of otolaryngology, such as rhinology, which focuses on issues related to the nose and sinuses. 3/6/2024 Dermatologist Dermatologists diagnose and treat conditions that affect the hair, skin, and nails. This may include treating rashes or acne, diagnosing melanoma (skin cancer), and much more. In addition to this, dermatoligists also perform many aesthetic procedures that are paid for out of pocket rather than by insurance. Such procedures include Botox injections, laser skin treatments, and more. 3/6/2024 Psychiatrist A psychiatrist specializes in mental health. They treat emotional and behavioral problems through a combination of psychotherapy, psychoanalysis, medication, and hospitalization.18Their work may be office-based, hospital-based, or a combination of the two. 3/6/2024 Neurologists are doctors who take care of patients with medical conditions that affect the brain, spine, or nerves.19 They see patients who have complex medical disorders such as Parkinson's disease, multiple sclerosis, and neuropathy. Neurologists also take care of patients who have common problems such as migraine headaches and dizziness. Like other physicians, neurologists must attend medical school then a residency for neurology. From there, they may pursue fellowship training for a subspecialty, such as pediatric neurology or vascular neurology (related to blood vessels in the brain). 3/6/2024 Radiologist A radiologist is a physician who is trained in viewing and interpreting diagnostic tests.20 Often, the treating physician must interpret test results as well. The radiologist's analysis can offer additional information or advice for further testing. Before a radiologist is licensed, they must attend medical school and a residency for radiology. From there, they may choose to attend fellowship training for a subspecialty of radiology that is focused on a specific aspect of radiology or area of the body. 3/6/2024 Anesthesiologist Anesthesiologists are trained to manage patient pain and vital signs during surgery.21They also often manage medical emergencies in the hospital, such as cardiac arrest and sudden breathing problems. Aspiring anesthesiologists must attend medical school followed by a residency program for anesthesiology. There are numerous subspecialties of anesthesiology they may attend fellowships for, including anesthesia for patients with chronic pain or for patients in the ICU. 3/6/2024 Surgeon Surgeons spend time planning a surgical procedure, performing surgery in the operating room, and then following up afterwards to identify any complications and confirm that the procedure was a success. Surgeons can be trained in general surgery or in more specialized areas of surgery, such as hand surgery, pediatric surgery, or vascular surgery (related to blood flow problems).22 3/6/2024 Physician Executive Some physicians do not practice medicine. Instead, they take leading roles in health care policy, pharmaceutical research, or health insurance companies.23 Non-clinical doctors generally are required to have completed medical school and residency. They must also maintain a medical license. 3/6/2024 3/6/2024 Role- play time: Role-play 1 Participants: Doctor, Mother, Daughter (age 5 years old) Location: Patients house Situation: Fever of 37.5°C or above Breathlessness Rapid breathing Cough Not taking usual feeds 3/6/2024 Role-play 2 Participants: doctor, patient, nurse Location: Doctor’s office Situation: The patient arrives to the doctor’s office with: Pain or burning while urinating. Frequent urination. Feeling the need to urinate despite having an empty bladder. Bloody urine. Pressure or cramping in the groin or lower abdomen. 3/6/2024 ROOMS AND DEPARTMENTS IN A HOSPITAL U N I T 1 : M E D I C A L A N D P A R A M E D I C A L P E R S ON N EL A N D PLACES TOPIC 3 Unit a department of an institution, especially a h ospital, that has a particular purpose. 3/6/2024 Ward a large room in a hospital with beds for people to stay in. 3/6/2024 A&E/ EMERGENCY ROOM/ER CASUALTY (BRITISH) the accident and emergency department of a hospital 3/6/2024 Consulting room/ doctor’s office a room where a doctor examines a patient and discusses their medical problems with them. 3/6/2024 Day room a room in a hospital where patients can go during the day to watch television, read, or talk. 3/6/2024 Delivery room/ discharge room a room in a hospital where women give birth. 3/6/2024 Dispensary a place in a hospital where you can get medicines and drugs. 3/6/2024 High dependency unit The department of a hospital for people who are very ill or badly injured, but need less care than people in intensive care 3/6/2024 Housekeeping The department of a hotel or hospital that is responsible for cleaning rooms. 3/6/2024 Nursery An area in a hospital where new babies are looked after until they go home 3/6/2024 Intensive Care Unit (ICU) An intensive care unit in a hospital. The department of a hospital for people who are so ill or badly injured that they need to have special medical care an d be watched very closely. 3/6/2024 Maternity ward The part of a hospital where pregnant women or women who have just given birth to babies are looked after 3/6/2024 Operating room/ theatre/ theater/Surgery a room in a hospital where doctors perform medical operations 3/6/2024 Padded cell A room in a hospital for mentally ill people, with soft material on the walls so that they cannot hurt themselves 3/6/2024 Pharmacy The part of a shop or hospital where medicines are prepared 3/6/2024 Sickroom A room where someone who is ill rests or gets medical treatment 3/6/2024 X- ray room The general x-ray room is used for taking standard x-rays such as back, neck, chest, limb, hand or foot. 3/6/2024 Clinical laboratory A medical laboratory or clinical laboratory is a laboratory where tests are conducted out on clinical specimens to obtain information about the health of a patient to aid in diagnosis, treatment, and prevention of disease.Clinical Medical laboratories are an example of applied science, as opposed to research laboratories that focus on basic science, such as found in some academic institutions. 3/6/2024 Doctor’s office A doctor's office is the room or clinic where a doctor works. 3/6/2024 Waiting room a room provided for the use of people who are waiting to be seen by a doctor or dentist or who are waiting in a station for a bus or train. 3/6/2024 Admission office Responsible for the flow of patients and the processing of admissions, discharges, transfers, and also most procedures to be carried out in the event of a patient's death. 3/6/2024 Mortuary A funeral home or morgue. 3/6/2024 Infectious diseases ward A ward or a healthcare unit which caters to all patients with medical and communicable conditions ranging to conditions affecting the different systems and organs of the body. 3/6/2024

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