It is important to note that an internal medicine doctor specializes in the treatment of adults within general medicine, although they often have training in subspecialties such as infectious diseases.
Internal medicine doctors typically complete a three-year residency which provides them with a focused approach to adult care without further training in pediatric or obstetric care. Hence, an internal medicine practitioner treats patients that are 18 years of age and above and provide health promotion and preventive care. They may recommend screenings and coordinate with medical specialists. Some internists go on to specialize in a certain field of internal medicine, such as cardiology, pulmonology, or neurology.
A general medicine practitioner , commonly referred to as a GP, is a medical doctor who specializes in many diseases affecting the body, whose primary treatment does not involve surgery. General practitioners are trained to provide care for patients of all ages. This includes treatment for adults, adolescents, and children.
Some general medicine practitioners may choose to become family doctors, treating patients of all ages and genders. Surgery residents were alumni of public medical schools, especially FMUSP itself, while in the general medicine program there was a larger proportion of students from private schools.
The randomly selected residents that agreed to participate in the research were interviewed in sessions of approximately one hour. The author developed a questionnaire, with open and closed questions, structured to include aspects considered important in the decision-making process for the choice of medical specialty. Data was obtained regarding sociodemographic characteristics, the moment of choice, stability of the choice and the reasons for the choice of specialty.
The answers obtained were classified and analyzed by the researcher herself, and by two other independent judges. There was a significant difference between the two specialties with regard to the moment of choice for the future field of work within medicine Figure 1.
It was observed that general doctors considered several other fields, while the surgeons considered fields where surgical techniques were also present gynecology-obstetrics, ophthalmology, orthopedics etc. The reasons given by the residents for their choice are shown in Table 2. When their reasons were compared with those presented by the surgery residents, statistically significant differences were found in the following categories illustrated with some examples :.
I really enjoy clinical reasoning; it gives me pleasure Chronic disease creates a tie I never liked surgery; I don't like procedures The general doctor thinks he cures, but he doesn't put his hands on the patient to help If you can't operate, then acquire patience You can see that a tumor is being removed It is important to highlight that there were no statistically significant differences between men and women within each specialty, in relation to the reasons for the choice that were presented.
The general medicine residents' main reasons involved essentially two basic aspects of this clinical field: the subjective relationship with the patient and cognitive knowledge.
Some residents summarized these two fundamental aspects of general medicine in their responses to justify their choice, for instance: "It stimulates more research and has a closer relationship with the patient. I enjoy creating a stronger bond with the patient.
The length of time you see the patient in the other fields is very short I don't want to be a super-specialist in just one thing Likewise, the surgeons' main reasons were related to the fundamental aspects of the field of surgery: the technical abilities inherent to surgical activity and the less direct and less personal doctor-patient relationship, which tends to be standardized and usually programmed.
Some answers among the residents of surgery condensed these aspects, for instance: "I like to cut and sew. Because of the type of patient, I would never want to get into geriatrics or neurology. I prefer young people; cases that are resolved more smoothly.
For the surgeons, their personality traits attracted them positively to that specialty. For some of the general doctors, their personal characteristics did not so much favor entering the field of general medicine, but rather they steered these doctors away from surgery. The general doctors stated in relation to personality: "I did not have a personality profile for surgery, nor did I have manual dexterity. I found surgery tedious On the other hand, surgery residents stated, in relation to their personality characteristics, that: "It has to do with personality.
I am a practical guy and I don't like beating about the bush: the problem is this and it has to be solved in this way The surgeon's lifestyle was responsible for some general doctors' decision against the field of surgery, as expressed in their responses.
There was a desire to be a surgeon, but not the desire to work as one: "Because of the lifestyle of surgery, without scheduling for anything, without a set time to eat lunch: the surgeon doesn't know when it will finish. It's a lot of hours on your feet When abilities and personality were considered as internal determinants, they supplanted the external ones influence of others in the socialization process, social representation of the field and lifestyle , for residents in the fields of both general medicine and surgery.
Surgeons perform many of the same duties as other physicians, recording patients' medical histories and diagnosing illnesses, injuries and other conditions. However, while physicians' therapies typically encourage the body to heal itself, surgeons act directly to correct illnesses, injuries and deformities. Working through open incisions in the traditional way with scalpels, or with tiny instruments inserted into the body through fine tubes or, increasingly, with the aid of robots, surgeons cut, fuse and reshape the body's tissues to restore proper function.
General surgeons can operate on any part of the body. Many surgeons specialize, though, either on one part of the body or on diseases like cancer. A median salary is the midpoint in a list of salaries for one occupation, with half earning more than the median and half earning less.
Fred Decker is a trained chef and certified food-safety trainer. Urquiaga Oct 12, healthcareproviders, Physicians, differences, healthcareprofessionals, medicalspecialties, physicianjobs, similarities, surgeons, surgicalsubspecialties.
Similarities Physicians and surgeons have a few similarities. More specifically they: Take medical history. Update patient charts and information. Prescribe medications. Order, perform and interpret diagnostic tests. Design treatment plans.
Counsel patients on diet, hygiene, preventative care and more.
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