Services Offered
The multifaceted role of an internist encompasses a wide array of services both within and outside the hospital environment. Internists are at the forefront of diagnosing and managing a plethora of health issues. Their commitment to comprehensive patient care ensures that adults receive the necessary attention and expertise to navigate their healthcare journeys effectively.
Pill Endoscopy
This innovative diagnostic tool involves the ingestion of a small capsule equipped with a camera that captures images of the gastrointestinal tract. Internists utilise pill endoscopy to identify potential issues such as bleeding, polyps, or tumours in areas that are challenging to examine through traditional endoscopy. This non-invasive procedure is particularly beneficial for patients with gastrointestinal symptoms that require further investigation.
Comprehensive Primary Care
Beyond specific tests, internists provide a broad spectrum of primary care services, including routine check-ups, vaccinations, and chronic disease management. They employ a holistic approach to health, considering both physical and mental well-being, and continuously monitor the progress of conditions such as diabetes, hypertension, and hyperlipidaemia.
Patient Education and Lifestyle Management
Educating patients about their conditions, treatment options, and lifestyle modifications forms an integral part of an internist's role. They work collaboratively with patients to implement effective disease management strategies and preventative measures.
Lung Function Test
Also known as pulmonary function tests, these assessments evaluate how well the lungs are working. Internists interpret various metrics such as lung volumes, airflow rates, and gas exchange efficiency. These tests are invaluable for diagnosing conditions like asthma, chronic obstructive pulmonary disease (COPD), and pulmonary fibrosis.
ECG (Electrocardiogram)
Internists conduct both resting and stress ECGs to monitor the electrical activity of the heart. A resting ECG provides baseline cardiac information while a stress ECG assesses how the heart responds to physical exertion. This testing is crucial in identifying arrhythmias, coronary artery disease, and other cardiac abnormalities.
Medication
Review of appropriateness of chronic medication and optimising treatment according to evidence based medicine principles. As an internist, my professional journey encompasses a variety of interests that contribute to my holistic approach to patient care. Each interest harmonises with my core role of diagnosing, treating, and managing adult patients, while also enriching my understanding of complex medical issues.
Chronic Disease Management
Chronic diseases such as diabetes, hypertension, and asthma often define my day-to-day interactions with patients. My interest in these conditions feeds into a desire to develop personalised management plans that empower patients. I pursue continuous education on the latest guidelines and treatment modalities to ensure that my patients receive cutting-edge care tailored to their individual needs. The complexities of chronic disease management highlight the importance of persistence in treatment, patient education, and regular follow-ups.
Preventive Medicine
Preventive medicine is a pivotal aspect of my practice. Engaging with patients about lifestyle modifications prompts discussions on diet, exercise, and smoking cessation. This preventative approach not only addresses existing health concerns but also works towards averting future complications. My interest lies in researching effective interventions and community health programs that provide patients with the tools needed to lead healthier lives.
Geriatric Medicine
With an ageing population, geriatric medicine is increasingly integral to my work as an internist. I take a keen interest in the nuances of polypharmacy, cognitive impairment, and the multifactorial aspects of geriatric syndromes. Understanding the complexities that affect older adults—often characterised by a multitude of health issues—enables me to develop comprehensive care plans that prioritise their quality of life.
Evidence-Based Practice
In an ever-evolving medical landscape, my commitment to evidence-based practice remains steadfast. I engage in ongoing research and literature review to stay abreast of emerging studies that inform clinical decisions. This pursuit not only enhances my clinical acumen but also fosters an environment of support and transparency with patients about the rationale for proposed treatments.
Patient-Centric Care
Ultimately, my primary focus as an internist revolves around fostering strong physician-patient relationships. I strive to cultivate an environment where patients feel heard and valued. My interest lies in the various aspects of communication and shared decision-making, which I believe are fundamental in delivering patient-centred care. This interpersonal dimension not only aids in building trust but also significantly enhances patient satisfaction and adherence to treatment protocols.
Ethical Responsibility
In my commitment to the ethical principles of medicine, I adhere to a framework that prioritises patient welfare, autonomy, and justice. The foundation of this commitment lies in the recognition of the inherent dignity of every individual, guiding my decisions and actions in clinical practice. Through informed consent, I ensure that patients are actively involved in their care, empowering them to make choices that align with their values and preferences. Respecting patient autonomy is not merely a procedural obligation; it is a fundamental aspect of fostering trust and ensuring that medical interventions are aligned with the best interests of those we serve.
Furthermore, I engage in continuous professional development to stay abreast of advancements in medical ethics and clinical guidelines. As medical knowledge and technologies evolve, so too must our ethical considerations, ensuring equitable access to health care and upholding the principle of justice. This commitment extends beyond individual patient interactions to encompass a broader responsibility to the community and society at large. By advocating for ethical practices within healthcare systems, I aim to contribute to a culture that prioritises integrity, compassion, and respect for all, ultimately enhancing the quality of care delivered across various settings.
"It all starts by caring enough to engage the patient in the decision-making. Many people argue that 'We don't have time for this in the consultation. I'd rather just tell people what I think is best for them, and then, they can decide whether they want it or not.' Well, that's not very caring. This might be efficient, but it does not reflect the best that we can offer.'"
Dr Victor Montori, on shared decision-making