When physicians graduate from medical school, they can choose to go directly into practice or continue their medical education to become certified specialists in one of many fields. Internal medicine, one such field, is a specialty that focuses on the diagnosis and treatment of illnesses in adults. Physicians who undergo such specialization are often referred to as internists.
To become an internist, physicians must complete their residency in general internal medicine. If they choose, they then can pursue an internal medicine subspecialization.
Internists address a wide variety of diseases ranging in complexity and severity. Internists who practice in a hospital setting are called hospitalists.
About the Author:
A specialist in internal medicine, Dr. Abhishek Kapila treats patients through EmCare in Frankfort, Kentucky. Dr. Abhishek Kapila completed his residency in internal medicine at the James H. Quillen College of Medicine at East Tennessee State University.
A relatively new field of medicine, hospital medicine is a specialty focused on hospitalized patients and their care. Practitioners, referred to as hospitalists, can include physicians, physician assistants, and nurse practitioners trained in internal medicine, who are involved in clinical care, research, and teaching.
Typical responsibilities for hospitalists include coordinating the patient’s admission process, discharge, and follow-up appointments, providing care during the patient’s hospital stay, managing consultations and specialists, and ordering tests. Additionally, hospitalists also work to improve the overall performance of the hospital by employing process improvement tools and techniques, collaborating with all health care personnel involved in the care of the patient, and by using hospital resources efficiently.
About the Author:
A native of India, Dr. Abhishek Kapila, completed his medical residency at the East Tennessee State University James H. Quillen College of Medicine. Licensed to practice medicine in Kentucky and Virginia, Dr. Abhishek Kapila currently serves as a hospitalist at the Frankfort Regional Medical Center Hospital, in Frankfort, Kentucky.
Emerging trends in the medical field in 2017 include an increase in the demand for telehealth services such as secure email, video, and patient portals that allow electronic contact between a doctor and patient, as well as technologies that provide cost information directly to the consumer. This trend is associated with the projected increases in deductibles and mirrors the way consumers comparison shop for any product or service.
Industry experts have also identified improvements in electronic hospital record (EHR) software and an increased use of big data as expected trends in 2017 as EHR vendor’s struggle to meet mandated technology requirements and decision-makers feel more pressure in regards to payment models, lower costs, and consumer engagement.
About the Author:
Recognized for excellence in teaching medical students, Dr. Abhishek Kapila completed his medical residency at the East Tennessee State University James H. Quillen College of Medicine. Serving as a hospitalist Dr. Abhishek Kapila is dedicated to integrating technologies into hospital processes and practices that will enhance patient care and the hospital’s overall performance.
Many people want to visit the hospital when a friend or family member requires inpatient care, but some find that it is difficult to know what to do or say. Visitors may worry about getting in the way, upsetting the patient, or even creating an awkward social situation.
It is true that a visit may be ill-timed if there are problems in the relationship, or if seeing a particular visitor may cause the patient stress. If the relationship is a good one, and if the visitor is able to show love and good cheer, the patient may pick up on these feelings and begin to reciprocate.
This effect works best when the patient wants a visit, so any potential well-wishers should check first. Ideally, a visitor will talk with the patient or a family member about the best time to arrive and then call just before leaving to confirm. Once there, the visitor should remain aware of the patient’s energy level and stay no more than 20 minutes, or leave when the patient appears to be getting tired.
All visitors should wash or sanitize their hands and should avoid wearing perfume or scents, as these can irritate some people. A gift is a nice idea, but it should be something that is entertaining or useful, such as crossword puzzles or warm socks. Flowers are cheery at first but do not stay that way.
Finally, visitors must remember that they are there to provide companionship. Companionable silence can be very comforting, particularly if it communicates to the patient that he or she does not need to entertain the visitor. Visitors can offer light conversation and share relevant news, but listening is often the most important thing that the visitor can do.
About the Author:
Dr. Abhishek Kapila has served as a hospitalist at several Kentucky medical centers. Now a hospitalist with EmCare in Frankfort, Dr. Abhishek Kapila oversees the treatment of patients admitted to the hospital.