How to Become an Internist (Pulse Checks and Progress!)

how to become an internist

If you’ve ever been inspired by the idea of diagnosing and treating diseases or wondered what it takes to become an internist, you’re in the right place.

In this guide, we’ll delve into the EXACT steps you need to follow to embark on your journey as an internist. We’ll discuss:

  • The skills you need.
  • The education that is essential for this path.
  • How to secure a job as an internist.

So, whether you’re a medical novice or an experienced professional planning to specialize, stay tuned.

We’re about to unfold the roadmap to become an internist.

Let’s get started!

Contents show

Steps to Become an Internist

 

Step 1: Obtain an Undergraduate Degree

To become an internist, your journey begins with acquiring an undergraduate degree.

This is a prerequisite for all medical schools.

Though it is not obligatory to take a specific major, most aspiring doctors choose to major in biology, chemistry, or physics to gain a good foundation of medical knowledge.

These subjects are relevant because they cover the fundamental principles and theories that will be part of the Medical College Admission Test (MCAT), an exam required to enter medical school.

During your undergraduate studies, you can also volunteer or work in medical facilities, hospitals, or clinics to gain first-hand experience of the healthcare environment.

This will not only provide you with practical knowledge and understanding of the healthcare industry but also enhance your resume when applying for medical school.

You should also focus on maintaining high academic performance, as the admissions process for medical school is highly competitive.

Remember, this is your foundation and preparation stage, so take advantage of opportunities for learning and growing in your knowledge of the medical field.

Once you’ve completed your undergraduate degree, you’re ready to take the MCAT and apply to medical schools.

 

Step 2: Gain Volunteer or Shadowing Experience

While you are pursuing your pre-medical education, it is beneficial to start gaining practical experience in the medical field.

Volunteering or shadowing an experienced internist can provide you with valuable insights into the day-to-day responsibilities and challenges faced by internists.

This will give you a first-hand account of the profession, and help you understand if this is the right career path for you.

Try reaching out to local healthcare facilities, hospitals, and clinics to see if there are any opportunities for shadowing or volunteering.

This experience will not only expose you to the practical aspects of internal medicine but also help you develop the essential skills needed in this profession.

It might also provide you with opportunities to network with professionals in the field which can be beneficial for future job or residency applications.

In addition, medical schools often value applicants who have real-world exposure to medicine.

Hence, gaining volunteer or shadowing experience can enhance your medical school application and improve your chances of admission.

Remember, the goal is to learn as much as possible about the profession and confirm your interest in internal medicine.

 

Step 3: Take the Medical College Admission Test (MCAT)

The Medical College Admission Test (MCAT) is a standardized examination that is often used by medical schools across the United States and Canada to assess prospective students’ readiness for medical education.

This test is a critical step in the process of becoming an Internist as it can determine your entry into medical school.

The MCAT covers four sections, including biological and biochemical foundations of living systems, chemical and physical foundations of biological systems, psychological, social, and biological foundations of behavior, and critical analysis and reasoning skills.

To prepare for the MCAT, you may want to enroll in a dedicated MCAT prep course or consider self-study with resources such as textbooks, flashcards, and online study materials.

Practice tests are also invaluable as they can help you understand the test format and the types of questions you’ll encounter.

Once you’ve taken the MCAT and received your scores, you can start applying to medical schools.

Keep in mind that medical schools consider many factors in their admission decisions, including your GPA, MCAT score, interview, and experiences such as volunteering or research.

Therefore, a high MCAT score alone does not guarantee admission, but it can significantly improve your chances.

Remember, becoming an Internist is a long journey, and doing well on the MCAT is just one important milestone along the way.

 

Step 4: Attend Medical School

After obtaining a bachelor’s degree and successfully passing the Medical College Admission Test (MCAT), you will need to attend medical school, which typically takes four years to complete.

The first two years of medical school are usually spent in classrooms and labs, studying subjects such as anatomy, biochemistry, pharmacology, pathology, medical ethics, and laws governing medicine.

You will also learn about the different body systems such as the cardiovascular system, the respiratory system, the digestive system, and the nervous system, among others.

This comprehensive education is essential for an internist, as they need to understand all the body’s systems to diagnose and treat a wide variety of diseases and conditions.

The second half of medical school will typically involve clinical rotations, where you will work with patients under the supervision of experienced physicians.

During this time, you will have the chance to experience various medical specialties, including internal medicine.

This is a crucial period to gain practical experience, sharpen your clinical skills, and determine if internal medicine is indeed the right specialty for you.

Remember that medical school requires dedication, discipline, and determination.

It is a challenging journey, but it will prepare you for the rewarding job of being an internist.

 

Step 5: Complete Medical Licensing Exams

After completing the medical degree, the next crucial step to becoming an internist is to pass the medical licensing exams.

In the United States, this typically means taking the United States Medical Licensing Examination (USMLE), which is a three-step examination for medical licensure.

It is sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME).

The first step of the USMLE examines whether you understand and can apply important concepts of the basic sciences to the practice of medicine.

The second step assesses whether you can apply medical knowledge, skills, and understanding of clinical science essential for patient care under supervision.

The final step assesses whether you can apply medical knowledge and understanding of biomedical and clinical science essential for unsupervised practice of medicine.

Passing these rigorous exams is a prerequisite to obtaining a medical license and practicing medicine independently.

Studying for these exams is a process that takes significant time and effort, so it’s essential to create an effective study plan and stick to it.

 

Step 6: Apply for and Complete a Residency in Internal Medicine

Once you’ve completed your medical degree, the next step is to apply for a residency in internal medicine.

This is a crucial step in becoming an internist as it provides practical, hands-on experience in diagnosing and treating a wide range of diseases in adult patients.

Residencies typically last three years and involve a combination of clinical work, research, and teaching.

You’ll work closely with experienced internists and other healthcare professionals to gain a comprehensive understanding of internal medicine.

This includes learning how to interpret tests, make diagnoses, develop treatment plans, and manage a patient’s care from start to finish.

When applying for residencies, consider programs that align with your career goals.

Some programs may be more research-oriented, while others focus on clinical experience or a specific specialty within internal medicine.

It’s also important to consider the culture and location of the residency program, as you’ll be spending a significant amount of time there.

At the end of your residency, you will be evaluated based on your clinical performance, knowledge, procedural skills, and professionalism.

Successfully completing a residency is a prerequisite for licensure and board certification, so take this step seriously.

It’s an opportunity to refine your skills, build a network, and prepare for your career as an internist.

 

Step 7: Pursue a Fellowship for Subspecialization (Optional)

If you’re interested in specializing in a specific area of internal medicine, you can choose to pursue a fellowship after your residency.

This is a period of extra training where you’ll gain hands-on experience in a subspecialty of your choice, such as cardiology, endocrinology, gastroenterology, or rheumatology, among others.

Fellowship programs typically last between one to three years and give you an opportunity to focus on your chosen subspecialty.

This can open up more career opportunities and allow you to focus on the specific type of patients and conditions that interest you most.

When choosing a fellowship, consider your interests and career goals.

Look for programs that offer a good balance between clinical experience, research opportunities, and teaching.

Always ensure that the fellowship program you choose is accredited and recognized by the relevant professional bodies.

Upon completion of the fellowship, you will need to take another set of board examinations specific to your subspecialty to become board certified in that area.

This certification distinguishes you as an expert in your field and can enhance your career prospects.

 

Step 8: Obtain Board Certification in Internal Medicine

After completing residency training, aspiring internists should pursue board certification in internal medicine from the American Board of Internal Medicine (ABIM).

This certification demonstrates your expertise and commitment to the highest standards of patient care in internal medicine.

To obtain the certification, you must first meet eligibility requirements.

This typically includes having a valid and unrestricted license to practice medicine in the United States or Canada and completion of an accredited residency program.

Next, you will need to apply and sit for the ABIM Internal Medicine Certification Exam, a comprehensive and demanding assessment of the knowledge and skills necessary to practice medicine at the highest level.

The exam covers a wide range of topics including general internal medicine and its subspecialties like cardiology, gastroenterology, nephrology, and others.

Passing this exam signifies to patients, healthcare providers, and employers that you have the clinical judgment, skills, and attitudes essential for providing excellent patient care.

After achieving certification, you must maintain it through continuous learning and periodic assessment to ensure you stay up-to-date in your field.

This process is known as Maintenance of Certification (MOC) and it’s an ongoing requirement of ABIM.

The MOC program includes regular assessments, self-assessment activities, and practice improvement activities.

Earning and maintaining board certification can open doors to more career opportunities and potentially higher earnings in the field of internal medicine.

 

Step 9: Maintain Certification and Continuing Education

After completing your residency and gaining initial certification, it is crucial to maintain your certification as an internist.

This typically involves participating in continuing education opportunities, which keeps you abreast of the latest medical research, treatments, and best practices in internal medicine.

The American Board of Internal Medicine (ABIM) requires internists to participate in the Maintenance of Certification (MOC) program to ensure they meet the highest standards in internal medicine.

This involves completing self-assessment activities, patient surveys, and passing an examination every ten years.

Participation in medical seminars, workshops, and conferences is another excellent way to keep your knowledge up-to-date.

Some internists may choose to sub-specialize in a particular area such as cardiology, gastroenterology, or endocrinology, which may require additional training and certification.

In addition to formal educational requirements, continuous reading of medical journals and articles can help you stay informed about the latest advancements in internal medicine.

Networking with other professionals in your field can also provide valuable insights and knowledge.

Remember, medicine is an ever-evolving field and maintaining your certification and education is not only a professional requirement but also a commitment to provide the best care to your patients.

 

Step 10: Find a Position as an Internist

As the last step in your journey to become an internist, you must find a position that suits your career goals and aspirations.

Internists typically work in hospitals, outpatient clinics, or private practices.

They can also be found working in research or teaching positions in universities and medical schools.

Start by researching potential employers and the different roles that might be available.

Consider the size of the practice, the patient population, location, and the work culture.

Also, consider whether you want to specialize further and pursue a subspecialty.

Use job search websites and professional networks to find job opportunities.

It is also beneficial to network with other healthcare professionals, attend medical job fairs, and connect with alumni from your residency program.

Prepare a compelling resume and cover letter tailored to each job application.

Highlight your qualifications, medical training, any special skills or subspecialties, and your internship and residency experiences.

Prepare for interviews by reviewing common questions and developing answers that highlight your skills, experiences, and why you are interested in the role.

It can also be helpful to practice with a mentor or colleague.

Once you secure a position, you will need to obtain licensure and board certification in your state.

Be sure to stay updated with continuing education and recertification requirements throughout your career.

Remember, it might take some time to find the right fit, so don’t get discouraged if you don’t land your dream job right away.

Keep refining your skills, expanding your network, and pursuing opportunities that align with your career goals.

 

Step 11: Join Professional Organizations

Joining professional organizations is a significant step in the career of an internist.

Organizations such as the American College of Physicians (ACP) or the American Board of Internal Medicine (ABIM) offer various resources for internists including networking opportunities, continued learning, and career development programs.

These organizations also host events, conferences, and seminars where internists can meet other healthcare professionals, discuss new developments in the field, and learn from the experiences of seasoned practitioners.

Participating in these organizations can provide internists with credibility and connections that can help them to advance in their careers.

It may also provide opportunities for further specialization, leadership roles and active involvement in shaping the future of internal medicine.

Additionally, some organizations offer certification programs that can enhance your professional standing.

By achieving these certifications, internists can demonstrate their expertise and commitment to the field, which can lead to better career opportunities and higher remuneration.

Remember that active participation in professional organizations is often viewed favorably by employers and peers alike, and can play a significant role in your career progression.

 

Step 12: Continue Professional Development

As an internist, your learning doesn’t stop when you graduate from medical school or finish your residency.

Medicine is a field that continues to evolve as new research and technologies emerge.

To maintain your medical license and board certification, you will need to commit to lifelong learning through continuing medical education (CME) activities.

These activities can take many forms, such as attending conferences, participating in workshops, or reading medical journals.

They can help you stay updated on the latest medical practices, research, and guidelines.

Many internists also choose to specialize in a subfield of internal medicine, which will require additional fellowship training.

You may also consider joining professional associations like the American College of Physicians.

These organizations offer resources for continuing education and provide opportunities for networking with other physicians.

They often hold annual meetings where you can share experiences and learn from experts in your field.

Remember to keep track of your CME credits, as you will need to provide proof of your ongoing education during your license renewal process.

State requirements vary, so check with your state’s medical board to understand specific requirements.

Additionally, strive to stay informed about the latest medical technologies and treatment methods.

This could involve taking additional courses or training in specific procedures or techniques.

By continuing your professional development throughout your career, you can ensure that you are providing the best possible care to your patients.

 

Internist Roles and Responsibilities

Internists, also known as internal medicine physicians, specialize in the prevention, diagnosis, and treatment of internal diseases in adults.

They provide comprehensive care to adults often serving as their primary healthcare providers.

They have the following roles and responsibilities:

 

Patient Consultation

  • Consult with patients to understand their health concerns.
  • Evaluate patients’ health, diagnose their conditions, and develop treatment plans.
  • Assess patients’ health history and perform physical examinations.

 

Medical Procedures

  • Perform routine examinations and preventive health measures.
  • Carry out minor surgical procedures like biopsies.
  • Perform diagnostic tests and procedures to determine the nature of the patient’s illness.

 

Treatment Planning

  • Develop treatment plans according to patients’ health and age.
  • Provide holistic and comprehensive patient care.
  • Prescribe medications considering possible drug interactions and side effects.

 

Patient Education

  • Teach patients about their health conditions and how to manage them.
  • Provide advice on diet, nutrition, exercise and other lifestyle modifications.
  • Guide patients on preventive health care measures.

 

Coordination of Care

  • Coordinate with other medical professionals for specialized care.
  • Refer patients to specialists when necessary.

 

Medical Records

  • Maintain detailed and accurate patient records, including their history, examinations, treatments, and outcomes.
  • Document patient care by charting in patient and department records.

 

Continuing Education

  • Stay updated with the latest medical research, treatments, and procedures.
  • Attend conferences, workshops, and training programs to enhance professional knowledge.

 

Healthcare Team Collaboration

  • Collaborate with other healthcare professionals such as nurses, physician assistants, and specialists.
  • Participate in multidisciplinary team meetings to discuss patient care and treatment.

 

Regulatory Compliance

  • Follow all the healthcare regulations and safety standards.
  • Respect patient confidentiality and adhere to medical ethics.

 

Crisis Intervention

  • Handle medical emergencies effectively and in a timely manner.
  • Provide critical care and advanced life support when required.

 

What Does an Internist Do?

Internists, also known as physicians of internal medicine, mainly provide care to adults.

They work in clinics, hospitals, or private practices, providing long-term, comprehensive management of both common and complex illnesses.

Their job involves diagnosing and treating diseases affecting internal organ systems such as the heart, lungs, liver, and digestive tract.

They are especially skilled in managing patients with multiple health concerns or complex illnesses.

Internists may work with other specialists in coordinating patient care.

This can include interpreting test results, providing medical consultations, and advising on preventative healthcare measures.

Some internists may choose to focus on a sub-specialty of internal medicine such as cardiology, gastroenterology, or endocrinology.

This means they would focus more specifically on diseases and conditions affecting these particular organ systems.

Many patients seek out internists for their primary healthcare needs, relying on their broad knowledge base and expertise in diagnosing and managing a diverse range of health issues.

As such, the internist is responsible for providing thorough examinations, clear communication and the highest standard of care.

 

Essential Internist Skills

  • Diagnosis: An internist must have the ability to diagnose a wide range of diseases accurately and efficiently, using a variety of medical techniques and technologies.
  • Communication: Effective communication with patients, their families, and other healthcare professionals is critical. Internists need to explain complex medical conditions and procedures in a manner that is easily understood.
  • Medical Knowledge: An internist needs a comprehensive understanding of the human body, diseases, medical conditions, and treatments. They must also stay updated on the latest medical research and advancements.
  • Problem-solving: Internists often encounter patients with multiple or complex medical conditions. They need to be able to analyze these situations and develop effective treatment plans.
  • Compassion: Empathy and understanding are vital in dealing with patients. Internists often help patients manage chronic illnesses, so they must be able to understand and respond to their patients’ physical and emotional needs.
  • Detail-oriented: The ability to focus on minute details is important for internists. From reading medical histories to diagnosing conditions and prescribing treatments, every detail can potentially impact a patient’s health.
  • Stress Management: As healthcare professionals, internists often work in high-stress environments. They need to manage their stress effectively to ensure they can provide the best care for their patients.
  • Leadership: Internists often lead teams of healthcare professionals. They must be able to delegate tasks, make important decisions, and manage team dynamics effectively.
  • Technical skills: Proficiency in using medical equipment, software, and other technologies is crucial for modern healthcare practice.
  • Organizational skills: Managing multiple patients, maintaining accurate records, and coordinating with other healthcare professionals requires excellent organizational skills.
  • Ethics: Medical ethics, including confidentiality, informed consent, and professional boundaries, are essential to the practice of internal medicine.
  • Continuing Education: Medicine is a field that constantly evolves. Internists must be committed to lifelong learning and regularly update their knowledge and skills.
  • Patience: Dealing with patients requires patience, especially when dealing with difficult cases or when communicating complex medical information.
  • Decision-making: Internists must make critical decisions regarding patient care often under pressure. These decisions could significantly affect a patient’s health and wellbeing.
  • Physical Stamina: Internists often have long and irregular working hours. They must have the physical stamina to cope with the demands of their role.

 

Internist Career Path Progression

The Foundation: Internship in Internal Medicine

Your journey typically begins with an internship in Internal Medicine after graduating from medical school.

You are like a sponge at this stage, absorbing knowledge and gaining practical experience.

Your responsibilities may include patient care, conducting physical exams, and assisting senior doctors.

Here are some tips for success in this role:

  1. Continuous Learning: Stay up-to-date with the latest research, diagnostic methods, and treatment plans.
  2. Seek Mentorship: Don’t hesitate to ask questions and seek guidance from senior doctors or consultants.
  3. Active Participation: Show enthusiasm and take ownership of your assigned tasks and duties.

 

The Ascent: Residency in Internal Medicine

After your internship, you’ll transition into the role of a Resident in Internal Medicine.

You’ll handle more complex cases, participate in treatment planning discussions, and become an integral part of the healthcare team.

Here’s how to thrive in this stage:

  1. Problem Solving: Sharpen your problem-solving skills by diagnosing complex cases and developing effective treatment plans.
  2. Collaboration: Embrace teamwork and communicate effectively with your peers, patients, and other healthcare providers.
  3. Medical Knowledge: Focus on expanding your medical knowledge and expertise in internal medicine.

 

Reaching New Heights: Internal Medicine Specialist (Internist)

The next rung on the ladder is becoming an Internist.

At this stage, you’re recognized for your expertise in treating adult diseases.

You may take on more challenging cases, guide treatment decisions, and drive patient care to success.

To excel as an Internist:

  1. Mentorship: Share your knowledge and help junior doctors grow.
  2. Diagnostic Skills: Refine your skills in diagnosing complex diseases and conditions.
  3. Leadership: Lead by example and inspire others with your work ethic and patient care abilities.

 

Beyond the Horizon: Subspecialties and Beyond

As your career progresses, you may choose to specialize in a particular area, such as becoming a Gastroenterologist, Cardiologist, or even an Endocrinologist.

Each of these roles involves greater responsibilities, leadership, and strategic decision-making.

Here’s what to focus on:

  1. Technical Expertise: Drive medical initiatives and shape the treatment approaches in your area of specialty.
  2. Management Skills: If you transition into management, develop strong leadership and communication skills to guide your team effectively.
  3. Innovation: Continue to innovate and stay at the forefront of medical research and technology trends.

 

Pinnacle of Success: Chief of Medicine or Medical Director

You may reach roles like Chief of Medicine or Medical Director at the highest echelons of the internal medicine career ladder.

Here, you’ll be responsible for shaping the overall medical strategy of the organization, making critical decisions, and managing larger teams.

 

Internist Salary

Entry-Level Internist

  • Median Salary: $150,000 – $180,000 per year
  • Entry-level internists are typically fresh medical school graduates who have completed a residency in internal medicine. They have 0-2 years of experience in practice.

 

Mid-Level Internist

  • Median Salary: $200,000 – $240,000 per year
  • Mid-level internists have around 2-5 years of practice. They are seasoned practitioners who have started to develop specializations within internal medicine.

 

Senior Internist

  • Median Salary: $240,000 – $300,000 per year
  • Senior internists have over 5 years of experience. They have a deep understanding of internal medicine and often lead teams, handle complex cases, and mentor new physicians.

 

Lead Internist / Internal Medicine Department Head

  • Median Salary: $300,000 – $400,000+ per year
  • These roles are held by internists with significant experience and administrative skills. They are responsible for leading the internal medicine department, overseeing patient care, and making critical decisions regarding treatments and department operations.

 

Chief Medical Officer (CMO) / Medical Director

  • Median Salary: $350,000 – $500,000+ per year
  • These high-level positions require extensive clinical and administrative experience. CMOs or Medical Directors set the medical policy and procedure for a healthcare organization and have ultimate responsibility for patient care.

 

Internist Work Environment

Internists typically work in hospitals, private practices, clinics, or medical centers.

They may also provide consultation services in various settings where internal medicine expertise is required.

Their working hours can be long and unpredictable, especially when they are on-call or dealing with emergency situations.

The role often involves multi-tasking between treating patients, conducting research, and administrative duties.

Internists regularly collaborate with other medical professionals such as nurses, anesthesiologists, and surgeons to ensure the most effective course of treatment for their patients.

As they progress in their careers, they may choose to specialize further or even open their own practices.

 

FAQs About Becoming an Internist

What qualifications do I need to become an internist?

To become an internist, you’ll need a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree.

This typically requires four years of undergraduate studies, four years of medical school, and three years of residency in internal medicine.

In addition, you need to pass the United States Medical Licensing Examination (USMLE) or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX).

Additionally, many internists choose to become board-certified in internal medicine or a sub-specialty, which requires additional training and examination.

 

How long does it take to become an internist?

The pathway to becoming an internist typically takes at least 11 years after high school.

This includes four years of undergraduate study, four years of medical school, and three years of residency.

If you choose to specialize further, fellowship training can take an additional 1 to 3 years.

 

Is it possible to become an internist without going to medical school?

No, it is not possible to become an internist without going to medical school.

Practicing medicine requires rigorous and specialized education and training, including medical school and residency.

This is necessary to ensure that doctors are fully equipped with the knowledge and skills needed to provide high-quality patient care.

 

Is being an internist stressful?

Being an internist can be stressful at times, as it involves dealing with complex medical conditions, making critical decisions, and managing the emotional aspects of patient care.

However, many internists find the work to be rewarding and fulfilling, as they play a crucial role in diagnosing and managing a wide range of health issues and helping patients maintain their health.

 

What is the job outlook for internists?

The job outlook for internists is projected to be positive in the next decade.

As the population ages, the demand for healthcare services and internal medicine doctors is expected to increase.

In addition, opportunities for internists exist in a wide variety of settings, including hospitals, private practices, and academic medical centers.

 

Conclusion

There you have it.

Embarking on a journey to become an internist is quite the undertaking, but undeniably rewarding.

Equipped with the right knowledge, training, and perseverance, you’re well on your way to making a monumental difference in the field of internal medicine.

Remember, the journey may be demanding, but the possibilities are boundless. Your contributions could lead to the next significant breakthrough that changes how we understand, treat, and prevent diseases.

So, take that initial stride. Immerse yourself in continuous learning. Connect with other healthcare professionals. And most importantly, never stop honing your medical skills.

Because the world is anticipating the difference you can make.

And if you’re seeking tailored guidance on initiating or advancing your career in internal medicine, consider our AI Career Path Advisor.

This complimentary tool is designed to provide personalized advice and resources to help you effectively navigate your career path.

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