Whats the difference between internal medicine and primary care

Overview

Adults can choose a family medicine doctor or an internal medicine doctor as their primary care physician. Read this Q&A to help you decide what’s best for you.

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Your primary care doctor is a key member of your health care team. He or she offers guidance to help you stay well, provides treatment and monitoring when you’re ill, and coordinates your care if you need specialized treatment.

At Duke Primary Care, adults have a choice between doctors specializing in family medicine or internal medicine. In many ways, these types of doctors are similar: Their common goal is to help you protect and improve your health. But there are differences in their training and the types of patients they see.

Dr. Madhavi G. Reddy, MBBS, a family medicine doctor at Duke Primary Care Arringdon in Morrisville, and Dr. Karl Bernat Jr., MD, an internal medicine doctor at Duke Primary Care Heritage Internal Medicine in Wake Forest, each provided perspectives on their type of medical practice.

What Kinds of Patients Do You See?

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Dr. Reddy: As a family physician, I see newborn babies to patients in their 90s. Having long-term relationships with my patients means I can see someone grow older and be involved in every step of their health care. This helps me know each patient and the entirety of their health in ways that can make care more personalized.

Dr. Bernat: As an internal medicine doctor, or internist, I see adults -- patients from 18 years and older.

What Types of Care Do You Provide?

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Dr. Reddy: Family doctors are involved in all kinds of care, from doing physicals to chronic disease management like diabetes or high blood pressure. If someone has a fever, stomach pain, or skin rash, I can help with that, too.

Dr. Bernat: In internal medicine, we provide a wide scope of primary care, including preventive care as well as the treatment of complex adult diseases -- like high blood pressure, heart disease, diabetes, and high cholesterol.

What Are Some of the Benefits to Your Patients?

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Dr. Reddy: Because I get to know patients over a long time, I can focus on preventative care in a unique way. Our relationship means I know their history. We can spend less time catching up on what’s happened in the past and more time talking about care and treatment options for the future. Family medicine is about knowing the whole person, understanding who they are, what’s going on in their life. In some cases, having years of care together can ease anxiety because a patient knows me.

Dr. Bernat: Internists serve as primary care doctors for people who need routine care, but we have the added advantage that we’ve been specially trained to help patients who have multiple medical problems or uncontrolled medical problems. We also try to help people who have diagnostic dilemmas -- for example, they may have multiple symptoms but are having trouble getting a diagnosis. 

What Kinds of Training Do Family Medicine/Internal Medicine Doctors Receive?

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Dr. Reddy: When I trained to become a family medicine doctor, I got a complete look at all the different kinds of patient needs I would have to treat. We deal a lot with general wellness and prevention of disease, but also received training to better understand the needs of children and women. That includes pregnancy, labor, and delivery because after a child is born, they can become our patients.

Dr. Bernat: Internal medicine doctors complete a three-year residency after medical school. That entails serving in the hospital as staff physicians and in a clinic where we see outpatients. During that time, we train in critical care, so we have extensive training in caring for the sickest of the population. We also do rotations in specialties like cardiology, endocrinology, and gastroenterology.

Whats the difference between internal medicine and primary care

Wondering what the difference is between a family doctor and an internal medicine doctor? You’re in good company. Lots of people are confused by the two terms – or more accurately, by the differences between the two specialties. While there is some overlap between internal medicine and family practice, there are several important differences between the two.

Here are the top five:

  1. Family medicine focuses on treating patients of all ages– both kids and adults. That means when you schedule an appointment with a family physician, your doctor will have a broad base of training in conditions and issues that affect patients of all ages, from infants to seniors.
  2. Internal medicine is focused on the unique needs of adult patients

    You know how a pediatrician treats only kids? Well, an internal medicine doctor (or internist) treats only adults. And that means they’re focused specifically on the very unique needs and health risks adult patients face at every stage of their adult years.

  3. Family medicine doctors receive broad-based training in health and medical issues affecting patients of all ages

    While a few many have additional training in subspecialty areas, most family doctors have training that focuses on general outpatient care, including diagnosis and management of acute illnesses and chronic conditions, as well as preventive care.

  4. Internal medicine doctors are educated in general medical and health needs (including preventive care) as well, but as noted, that training is focused on adults. In addition to receiving training in general medical issues, internal medicine doctors also receive significant education and experience in specialty areas like psychiatry, dermatology, ophthalmology, orthopedics, palliative medicine, sleep medicine, infectious diseases and other subspecialties to ensure they can provide complete care for men and women at every stage of life.
  5. And finally, in addition to providing outpatient care at their practices, internists are more likely to provide hospital care as well. That doesn’t mean a family doctor can’t treat patients in an inpatient setting, but most of their training focuses on outpatient services, with inpatient needs referred to specialists. Internists have in-depth training and education in inpatient treatment as well as outpatient care.

One more important area of confusion to clear up: While they’re often referred to as internists, an internal medicine doctor is not the same as an intern, a term that refers to a medical student who’s still in training. While some interns may train to become internists, an internist – or internal medicine doctor – is a “full-fledged” doctor who’s completed all the training necessary to provide you with comprehensive care that’s focused on your unique needs.

As an adult, you can receive great care from both a family doctor and an internal medicine doctor. But because adulthood involves a lot of unique medical needs and health risks, many adult patients prefer the in-depth focus that only an internist can provide.

If you live in or around the Charlotte Metro area and want to find out more about the care options offered by Matthews Internal Medicine: Call 704-246-3926 or use our online form to request an appointment today.

What is the difference between primary care doctor and internal medicine?

This is one of the clearest ways the two areas of medicine differ. “Internal medicine focuses exclusively on adult medicine, while family medicine typically sees all the members of a family—children as well as adults,” explains Dr. Linda Girgis, a family physician and graduate of St. George's University (SGU).

Why would you see a internal medicine doctor?

Internal Medicine physicians routinely see patients with chronic conditions such as heart disease, hypertension, diabetes, obesity, and pulmonary disease. Often, other medical professionals call upon Internal Medicine Physicians for their ability to connect the dots, help solve problems, and identify solutions.