How to Choose an Internist - a good one!
Posted by Sonny Saggar on Tue, Jan 10, 2012 @ 07:42 AM
Urgent Matters THE blog for 'The Non-Emergency Room'.
How to Choose an Internist
A specialist in internal medicine (internist) is concerned with the diagnosis and treatment of diseases in adults and adolescents. Their training emphasizes the ability to make difficult diagnoses, direct complex medical investigations and manage most diseases of the internal organs. In addition, an internist promotes disease prevention by advising patients about risk factors associated with adult onset diseases.
Just as important is the internist's role as a referrer or gatekeeper to specialists. When you have symptoms that require attention by a specialist, your internist can be the person who determines which type of specialist you need to see. Afterward, the internist and specialist can coordinate your care. 
Internists typically function as the primary care physician for adults.
An Internist's Training and Credentials
Internists complete medical school and training in a graduate residency program, studying physical, mental and emotional aspects of human health and all of the body's systems. Their education requires time spent in classrooms, medical offices and hospitals, working directly with patients and other medical professionals.
There are two forms of residency programs: one leads to a Medical Doctor (MD) and the other leads to a Osteopathic Doctor (DO). Both paths require a similar amount of education but focus differently; a MD practices allopathic medicine, considered to be conventional medicine in the United States, and looks at the body as a series of separately functioning systems. A DO learns more about the human musculoskeletal system and approaches the body as a whole system. In actual practice, the medical education received by MDs and DOs today is quite similar.
After their first three years of training, some internists begin the practice of medicine as general internal medicine specialists. Others continue their education beyond residency in fellowship programs, which allow them to concentrate in specialty areas such as cardiology or endocrinology.
Once a physician has completed these aspects of education, he may apply to be a certified member of the American Board of Internal Medicine or the American College of Osteopathic Internists. Board membership requires frequent recertification, and to accomplish that, the physician must complete annual coursework requirements.
How to Choose the Right Internist for You
To find the right fit between you and an internist, you'll want to identify possibilities, research their credentials and then assess their capabilities for partnering with you.
Make a List of Possibilities
- Find other patients who have similar medical challenges as you. Ask them for names of internists they like to work with.
- Check with your insurance company for a list of doctors who work with your insurance.
Compare these lists to find names in common with your needs. You will want to spend more time learning about these internists by researching their credentials and capabilities.
Research an Internist's Credentials
Using the list of names you have collected, look for the following information:
- An MD or DO degree from an accredited medical school and residency program.
- Completion of a fellowship, if you seek help in a specialty area.
- Board certification from the board that makes sense for your needs. This may be the American Board of Internal Medicine, the American College of Osteopathic Internists, or others. A master list of medical boards can be found through the American Board of Medical Specialties. The master list of osteopathic boards is located at the American Osteopathic Association.
- Licensure from the state in which you will seek care. The Federation of State Medical Boards provides a master list of licensing bodies.
- A review of possible disciplinary actions. Further information can sometimes be found by inputting the doctor's name and location in to a search engine.
Assess an Internist's Capabilities
Once you have vetted your list based on the criteria above, you'll want to ask the following questions to determine which doctors are worth meeting:
- Is this doctor on the list of providers who work with my insurance?
- Does this doctor have admitting privileges at my choice of hospitals?
- Is this doctor's location convenient for me? What are the office hours? Is the office nearby, located on a bus route or easy to access if I use a wheelchair?
- What happens if I call this doctor in an emergency? How quickly will I get a return call?
- If the doctor is not available, is there someone else who can help me when I make a phone call or need an appointment?
If you are satisfied with the answers, you'll want to consider these questions:
- Does the doctor see you within a fair amount of time of your appointment time?
- Does the doctor listen to your questions and not interrupt you?
- Is the doctor respectful?
- Does the doctor explain the meaning of difficult terms and otherwise communicate effectively with you?
- Does the doctor spend enough time with you?
- Are you comfortable with this doctor?
Finding the right internist may seem like a long, involved process, however, knowing that this doctor may partner with you for a lifetime makes it worth your time and effort.
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