Dokotala wodziŵa ntchito zachipatala, kapena dokotala wamkati, ndi dokotala wamkulu wa chisamaliro yemwe amamuwona makamaka odwala pa malo okhudza ofesi, kuphatikizapo kuzungulira odwala kuchipatala. Internists ndi ambiri okhulupirira omwe amagwiritsa ntchito mankhwala ochulukirapo kuti awononge thupi lonse, kuteteza matenda, ndi kuyang'anira matenda ndi matenda.
Nthawi zambiri anthu ogwira ntchito amachiza anthu akuluakulu, achinyamata, komanso okalamba.
Matenda a shuga, matenda oopsa, ndi chimfine ndi matenda a chimfine ndi ena mwa nkhani zomwe othandizira angagwiritse ntchito ndi kuthandizira nthawi zonse. Nthawi zambiri anthu ogwira ntchito kuntchito amafunsira kwa akatswiri kapena amauza wodwalayo kuti akawone dokotala wapadera ngati nkhani yaikulu kapena yovuta ikuchitika. Nthawi zambiri anthu ogwira ntchito samachita opaleshoni, ngakhale kuti nthawi zina amapanga maofesi ang'onoang'ono monga maulendo ochotsera molemba, mayesero opanikizika, kapena zochitika. Kawirikawiri internists amachita physicals, amayendetsa matenda kudzera mwa zakudya, mankhwala, ndi njira zina zosakhala zovuta.
Malo Ogwira Ntchito
Chifukwa cha ntchito yawo yaikulu, anthu ogwira nawo ntchito amakhala ndi njira zambiri zogwirira ntchito ndi momwe ntchito yawo ilili. Ogwira ntchito angagwire ntchito m'maofesi azachipatala, m'makliniki, ndi m'mabungwe, nthawi zambiri kuphatikiza. Munthu wogwira ntchito ntchito angagwire ntchito yekha monga katswiri wa zaumoyo, kukhala ndi chizoloŵezi chake, kapena wophunzira angagwirizane ndi madokotala ena kuti apange gulu lomwe madokotala ali nawo mwiniwake.
Kapena, othandizira ena angagwiritsidwe ntchito ngati ogwira ntchito yothandizira ndi chipatala kapena chipatala.
Sabata Yoyenera Ntchito
Maofesi ambiri amatha nthawi ya 8 koloko mpaka 5 koloko masana, masiku 4 mpaka 5 pa sabata. Ambiri a internist adzawona odwala 22-25 kapena ochuluka tsiku lililonse panthawi yachipatala / maofesi a ofesi. Kuphatikiza pa maola ochipatala, wogwira ntchitoyo angayang'anenso odwala kuchipatala tsiku ndi tsiku, kapena pafoni.
Izi zikhoza kuwonjezera maola asanu ndi asanu ndi asanu ndi limodzi (5-15+) pamlungu pa ntchito, malinga ndi katundu wodwalayo komanso kusowa kwa chipatala. Ngati wogwira ntchito akugwira ntchito yake, akhoza kugwiritsa ntchito nthawi yowonjezera yowongolera ntchito pa ntchito yamalonda.
Zofunikira pa Maphunziro ndi Maphunziro
Monga madokotala onse, ophunzila amaliza digiri ya bachelor ya zaka zinayi, kuphatikizapo zaka zinayi za sukulu ya zamankhwala kuti apeze digiri ya zachipatala ( MD kapena DO ) kuchokera ku sukulu yachipatala yovomerezeka.
Kuwonjezera pa maphunziro awo apamwamba a maphunziro apamwamba komanso ophunzirako maphunziro, chipatala chiyenera kumaliza zaka zingapo za maphunziro a zamankhwala omaliza maphunziro (GME) kuti athe kuwonjezera maphunziro a chaka chimodzi, kuphatikizapo maphunziro a zaka zitatu. Kuwonjezera apo, onse ogwira ntchito ku dipatimenti ayenera kupititsa zovomerezeka zamankhwala ndi zolembera zothandizira, kuphatikizapo mayesero atatu a USMLE, ndi mayesero alionse a boma. Ophunzira ambiri amafunikanso kukhala ovomerezeka ku bungwe la mankhwala, lomwe limapindula polemba mayeso ovomerezeka m'kamwa komanso olembedwa.
Chofunika Kuchita
Internists ali ndi njira zosiyanasiyana zomwe angapeze chifukwa cha ntchito yawo. Komanso, monga madokotala oyang'anira chisamaliro, anthu ambiri ogwira nawo ntchito monga momwe amachitira ndi zomwe amatha kuthandiza odwala kusamalira bwino moyo wawo m'kupita kwanthawi.
Othandizira amaoneka kuti amasangalala kukhala ndi zotsatira zabwino pamoyo wa anthu panthawi zonse. Komanso, chifukwa anthu ogwira ntchito sapanga opaleshoni yambiri, ndalama zawo (malingaliro osokoneza bongo inshuwalansi, etc.) ndi ofanana poyerekeza ndi zina zapadera.
Chimene Sichiyenera Kuzikonda
Anthu ogwira ntchito zachipatala angakhale olemetsa kwambiri poyerekeza ndi ntchito yochita maofesi ndi pulogalamu yachipatala yoitanira anthu kuchipatala, zomwe zimathetsedwa mosavuta pogwira ntchito kumudzi komwe amapereka chithandizo cha chipatala ndikuuza odwala onse kuchipatala. Ngakhale kuti munthu wopeza pantchito akulipira bwino, pali zina zamalonda zomwe zimapereka ndalama zambiri, choncho ngati mukuyang'ana kupanga madola 300,000 kapena ochulukitsa ngati dokotala, mungafune kuganizira zachipatala kapena apadera ena apadera.
Malipiro
Malingana ndi Medical Group Management Association (MGMA), ndalama zambiri kwa internists ndi $ 191,000, malinga ndi chiwerengero cha 2006. Ma 75th percentile for compensation ndi pafupifupi $ 221,000, omwe angathe kupeza ndalama zopitirira $ 277,000 kwa opeza bwino. Otsatira amatha kukhala nawo masabata 4-6 a tchuthi. Kumbukirani kuti ambiri a internists amalandira ndalama mwachindunji monga eni eni kapena ogwirizana nawo payekha, kusiyana ndi wogwira ntchito kuchipatala.
Njira ya Ntchito
Mankhwala apakati ndi chimodzi mwazochita zamankhwala zovuta kwambiri zomwe dokotala angasankhe, ndipo othandizira ali ndi mwayi wambiri mwa madokotala onse pa njira za ntchito. Ogwira ntchito ali ndi mwayi wokhala antchito a gulu, chipatala, kapena chipatala, kapena angasankhe kutsegulira ndi kudziyesa okha. Kuphatikiza apo, munthu wophunzira payekha akhoza kukhala chipatala, popanda maphunziro oonjezera kapena maphunziro oyenerera, omwe amapereka malipiro apamwamba ndi masiku ambiri pa chaka kuti apeze maola ochuluka masiku omwe chipatala chikugwira ntchito.
Kuonjezerapo, wogwira ntchitoyo angasankhe kumaliza maphunziro ena a GME (maphunziro apamwamba a maphunziro omaliza maphunziro) monga chiyanjano, zomwe zingathandize wophunzirayo kuti azidziwitsanso muzochita zina zachipatala ndikugwiritsanso ntchito gulu kapena dongosolo la thupi. Munthu wophunzira angasankhe kuchita chimodzi mwazinthu izi:
- Katswiri wa zamoyo : amachitira matenda a mtima, mapapo, mitsempha ya mitsempha ndi zovuta za mtima; kumafuna chiyanjano cha zaka zitatu.
- Katswiri wotchedwa Endocrinologist : Amachiza matenda kapena zikhalidwe za ma glands, mahomoni ndi zina zowonjezera mkati - zimafuna zaka ziwiri za chiyanjano pambuyo poti mankhwala akukhala m'kati mwa mankhwala.
- Gastroenterologist : amachitira zakudya zamagazi kuphatikizapo m'mimba, chiwindi, ndi matumbo; kumafuna chiyanjano cha zaka ziwiri.
- Wofilosofi wa Nephro : amakumana ndi vuto la impso; kumafuna mgwirizano wa zaka ziwiri mutatha kukhala.
- Pulmonologist : Amachiza matenda a mapapo ndi matenda monga COPD, mphumu, khansara, kupuma ndi mavuto ogona. Amafuna mgwirizano wa zaka ziwiri.
- Katswiri wa zamoyo : amachititsa khansa komanso zilonda zamtundu uliwonse, ndipo amapereka chemotherapy. Amafuna 2 zaka za chiyanjano pambuyo pa mankhwala ammudzi okhalamo.
- Rheumatologist : amachititsa kusokonezeka kwa ziwalo, minofu, ndi mafupa, monga nyamakazi. Ndikufuna zaka 3 za maphunziro a chiyanjano.
- Allergist & Immunologist: kuyezetsa, kuyesa, ndi kuyang'anira matenda aakulu ndi zofooka za chitetezo cha mthupi. Amafuna mgwirizano wa zaka ziwiri.