No disrespect to other specialties, but Internal Medicine is objectively the most fascinating and comprehensive branch in existence. It is the de facto face of any hospital or medical college.
Beyond the obvious sub-specialties like Cardiology, Neurology, Pulmonology, Gastroenterology, Nephrology, Endocrinology, Oncology, and Rheumatology, the academic depth is staggering. We are expected to master Pharmacology, Biochemistry, Physiology, Microbiology, and Pathology at almost the same level as the MDs in those respective foundational branches.
In my experience, we have to know Anatomy, including every joint and muscle attachment, just as well as the surgical teams. While we do not perform the surgeries, we are expected to know the names of General Surgery and Orthopedic procedures along with their specific complications.
Then there is the high-pressure environment of ICU critical care and casualty emergency medicine. We are the ones managing the most unstable patients at the frontlines and making the most critical split-second decisions.
The list continues. We manage conditions typically handled by ENT and Ophthalmology. We are responsible for the complexities of pregnancy, including physiological changes, gestational diabetes, and seizures.
Even the university exams demand we act as specialists in Dermatology for conditions like Pemphigus or Psychiatry for Schizophrenia or Bipolar disorder.
We are even expected to interpret X-rays, CTs and MRIs just as well as a Radiologist in medical colleges
Finally, there is Pediatrics, where we must master the approach to malnutrition, short stature, and almost the entire spectrum of childhood illness.
Is there any other branch that is truly as vast as Internal Medicine? I do not think so.
2-0 Manchester United.
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@RelatableLuo A common misconception. While it looks like it, this isn't actually a dermatitis because there is no primary inflammation (redness or itching). It’s technically a non-inflammatory desquamation. Subtle but important distinction
Patient is perfectly healthy, but frustrated. Every few months, his fingertips start peeling like this. I see this all the time in the OPD; identify the cause