Udokotela we-internist, noma udokotela wangaphakathi, udokotela wokunakekela oyinhloko obona ngokuyinhloko iziguli esimweni esisekelwe ehhovisi, ngaphezu kokugqekeza iziguli esibhedlela. Abangaphakathi bangama-generalists abamba ububanzi bemithi yokwelapha ukufaka impilo yonke yomzimba, ukuvimbela izifo nokuphathwa kwezimo ezigugu kanye nezifo.
Ngokuvamile abaphathi bamazwe baphatha abantu abadala, abanye abasha, kanye nabadala.
Isifo sikashukela, umfutho wegazi ophezulu, nemikhuhlane kanye nomkhuhlane yizinye zezinkinga ezingase ziphathe futhi zisiza ukuphatha njalo. Ngokuvamile abafundi bangabonisana nabachwepheshe noma babheke isiguli ukubona udokotela othe xaxa uma kuvela inkinga enkulu noma ephawulekayo. Abadlali be-interns ngokuvamile abenzi ukuhlinzwa, nakuba ngezinye izikhathi bangenza izinqubo ezincane zehhovisi ezifana nokukhishwa kwe-moleyula, ukuhlolwa kokucindezeleka, noma iziqu. Ngokuvamile abaqeqeshi be-internists benza ama-physicals, baphathe izifo ngokudla, imithi, nezinye izindlela ezingezona ezihlasela.
Indawo yokusebenza
Ngenxa yobubanzi bomsebenzi wabo, abaqeqeshi bezinkampani banezinketho eziningi lapho bazosebenza khona nokuthi umsebenzi wabo uhlelwe kanjani. Abangaphakathi bangasebenza emahhovisi ezokwelapha, emitholampilo, nasezibhedlela, ngokuvamile ehlangene. Umuntu osebenza ngaphakathi angase asebenze ngokuzimela njengomsebenzi we-solo, ephethe futhi ephethe umkhuba wakhe, noma umuntu osebenza naye angase abambisane nabanye odokotela ukuze benze umkhuba weqembu lapho odokotela banomnikazi ngamunye.
Noma, abanye abaqeqeshiwe bangase baqashwe njengabasebenzi abaholelwe ngumtholampilo noma esibhedlela.
Iviki lomsebenzi elijwayelekile
Amahora ehhovisi elijwayelekile cishe ngo-8 ekuseni kuya ku-5 ntambama, izinsuku ezingu-4 kuya ku-5 ngesonto. I-internist ejwayelekile izobona iziguli ezingu-22-25 noma ngaphezulu ngosuku ngalunye phakathi nalawo mahora omtholampilo / ehhovisi. Ngaphandle kwamahora omtholampilo, i-internist ingase ibone iziguli esibhedlela ngezikhathi zansuku zonke, noma nge-call.
Lokhu kungafaka amahora angu-5-15 + ngesonto lomsebenzi, kuye ngomthwalo wesiguli kanye nezidingo zesibhedlela. Uma ngabe i-internist isebenza ngokwabo, bangase basebenzise isikhathi esengeziwe sokuphatha ukuphatha imisebenzi ebangeni lebhizinisi lomkhuba.
Izimfuneko Zokuqeqesha Nezemfundo
Njengabo bonke odokotela, abaqeqeshi be-internists bagcwalise i-bachelor degree degree, kanye neminyaka emine esikoleni sezokwelapha ukuthola i-medical degree ( MD noma DO ) esikoleni sezokwelapha esivunyelwe.
Ngaphandle kwezemfundo zabo eziphansi ze-undergraduate kanye neziqu, izibhedlela kufanele futhi zigcwalise iminyaka eminingana yeziqu zemfundo yezokwelapha (GME) ukuze zibandakanye ukuqeqeshwa kwezeminyaka elilodwa, kanye nokuqeqeshwa okuhlala iminyaka emithathu. Ngaphezu kwalokho, bonke abathintekayo kumele badlulise isitifiketi esidingekayo sezokwelapha kanye nokuhlolwa kwamalayisensi kuhlanganise nazo zonke izinyathelo ezintathu ze-USMLE, nanoma yikuphi ukuhlolwa kwamalayisensi kahulumeni. Abaningi be-internists nabo badinga ukuthi babe yibhodi eliqinisekisiwe emithini yangaphakathi, okufezwa ngokudlulisa izivivinyo zomlomo ezibhalwe ngomlomo nangobhalisiwe.
Yini Okufanele Uyenze
Abafundi bamazwe banezinhlobo ezihlukahlukene zokukhetha ezikhona kubo ngenxa yemvelo yomsebenzi wabo. Futhi, njengabahlengikazi bokunakekelwa okuyinhloko, abaqeqeshi bezinsizakalo eziningi bathanda isimo sabo siqu salokho abakwenzayo kanye nekhono lokusiza iziguli ukuphatha inhlalakahle yabo ngokuhamba kwesikhathi.
Abangaphakathi bezwe babonakala bejabulela ukuthola leyo nethonya elihle emiphakathini yabantu ngokuqhubekayo. Futhi, ngoba abakwa-internists abenzi ukuhlinzwa okuningi, izindleko zabo zokukhokha (umshuwalense wokungasebenzi, njll) ziphansi uma kuqhathaniswa nezinye izinto ezikhethekile.
Okungafani
Abaqeqeshi bendabuko bangase balayishwe ngokweqile ngokulinganisa umkhuba wokusebenza ehhovisi nge-schedule yesibhedlela esibhedlela, yokuxazulula iziguli esibhedlela, okuxazululwa kalula ngokusebenza emphakathini ohlinzeka ngezinsizakalo zezibhedlela nokubhekisela kuzo zonke iziguli zakho ezibhedlela esibhedlela. Nakuba u-internist akhokhela kahle, kunezinye izidingo zezokwelapha ezikhokha ngaphezulu, ngakho-ke uma ufuna ukuthola $ 300,000 noma ngaphezulu njengodokotela, ungase uthande ukucabangela ukukhethekile okukhethekile noma okunye okukhethekile okukhethekile kwezokwelapha.
Ukuvuselelwa
Ngokusho kwe-Medical Group Management Association (MGMA), isinxephezelo esijwayelekile sabasebenzi be-internists silinganiselwa ku-$ 191,000, esekelwe idatha ka-2006. I-75th percentile yenxephezelo ingaba ngu-$ 221,000, okusemandleni okuthola imali engaphezulu kuka-$ 277,000 kwabahola abaphezulu kakhulu. Ama-internists ngokuvamile anamaviki angu-4-6 amaholide. Khumbula ukuthi iningi labafundi basekhaya bazuza imali ngqo njengabanikazi noma abalingani bomkhuba wangasese, ngokuphambene nokusebenza kwesibhedlela.
Indlela Yomsebenzi
Imithi yangaphakathi ingenye yezobuchwepheshe ezihlukahlukene kakhulu zezokwelapha udokotela angayikhetha, futhi abaqeqeshi be-interns cishe banokukhetha kakhulu kunoma yimuphi odokotela ngokwemigomo yemisebenzi. Abafundi bangaphakathi banenketho yokuba ngabasebenzi beqembu, imitholampilo, noma esibhedlela, noma bangase banqume ukuvula nokwenza umkhuba wabo esikhundleni. Ngaphezu kwalokho, i-internist ingaba yisibhedlela, kungenakho ukuqeqeshwa okungeziwe noma imfundo edingekayo, ehlinzeka ngokukhokhelwa okuphezulu kanye nezinsuku eziningi phakathi nonyaka ngokushintshanisa amahora amaningi phakathi nezinsuku esibhedlela esibhedlela.
Ukwengeza, i-internist inganquma ukuqedela i-GME eyengeziwe (imfundo yezokwelapha iziqu) ngendlela yokwenza ubudlelwane, okuzovumela lowo muntu ukuba afunde ngokukhethekile kwezinye zezokwelapha futhi agxile esimweni esithile seqembu noma isimiso somzimba. I-internist ingakhetha ukhethe ngokukhethekile kwenye yezici ezilandelayo zemithi yangaphakathi:
- I-cardiologist : uphatha izifo zenhliziyo, amaphaphu, imithwalo yegazi kanye nezimo ezinzima zenhliziyo; kudinga ukubambisana kweminyaka emithathu.
- I-endocrinologist : uyaphatha izifo noma izimo zezinhlayiya, ama-hormone kanye nezinye izivimbe zangaphakathi - kudinga iminyaka emibili yokwabelana ngemva kokuhlala kwamakhambi wangaphakathi.
- I-Gastroenterologist : iphatha uhlelo lokugaya kuhlanganise nesisu, isibindi, namathumbu; kudinga ukubambisana kweminyaka emibili.
- Isazi sezinkanyezi : sibhekene nokuphazamiseka kwezinso; idinga ubudlelwano obuneminyaka emibili emva kokuhlala.
- I-Pulmonologist : iphatha izifo zamaphaphu nokuphazamiseka okufana ne-COPD, i-asthma, umdlavuza, ukuphefumula nokulala kwezinkinga. Kudinga ubudlelwane obuneminyaka emibili.
- I-oncologist : iyakhathaza umdlavuza kanye nezicubu eziqinile zonke izinhlobo, futhi iqondisa i-chemotherapy. Kudinga iminyaka emibili yobuhlobo ngemuva kokuhlala komuthi wangaphakathi.
- I-Rheumatologist : iphatha ukungezwani kwamalungu, imisipha namathambo, njenge-arthritis. Kudinga iminyaka engu-3 yokuqeqeshwa kobudlelwano.
- I-allergen ne-Immunologist: ukuxilongwa, ukuhlola, nokulawula ukulimala okukhulu nokuntuleka kwesistimu yomzimba. Kudinga ubudlelwane bominyaka emibili.