Clinical Pediatrics For General Practitioners Pdf

[Rashawn Devegowda]

Weare committed to providing the best experience possible for our patients and visitors. For both in-person and virtual visits, BMC is here to ensure you have everything you need to make your visit a success.

We are delighted that you have chosen to allow us to help you keep your children healthy. Our team of pediatric clinicians at Boston Medical Center will work with you to provide the best possible care for your child. We provide comprehensive medical care from infancy to young adulthood. This includes routine check-ups and childhood immunizations, as well as care when your child is sick or has a chronic medical problem.

Our pediatric providers go the extra mile to help families raising children in MetroBoston. Here are a few standout elements of our practice and programs we've developed here that reflect our tradition of innovation and leadership nationally in an integrative approach to primary care for kids and families:

At Boston Medical Center we provide a variety of clinicians tohelp deliver the best pediatrics possible. Our team of physicians and nurses has been recognized by a number of independant organizations for overall excellence.

The Pediatric Fellowship Program is based in the Department of General Pediatrics at Boston University Chobanian & Avedisian School of Medicine and Boston Medical Center. The mission of the fellowship is to train highly motivated investigators with a focus on topics relevant to medically under-served communities. We have an exciting mix of educational curricular choices in epidemiology and health services research, and experiential learning opportunities in public health. BMC has over a 100-year history of caring for children from traditionally underserved populations. Much of our research and many of our programs focus on improving the lives of these children. The clinical service has approximately 2,000 admissions and 75,000 ambulatory visits each year. The residency is combined with Boston Children's Hospital.

The Health Service Research Division is home to the General Academic Pediatrics Fellowship. This fellowship part of the larger Academic Primary Care Fellowship at BMC/BU in collaboration with the Division of General Internal Medicine (including Addiction Medicine), Department of Family Medicine, Department of Surgery, the Preventive Medicine Training program, and the BU School of Public Health. Our trainees have gone on to hold leadership positions in academia and government.

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Physicians and surgeons work in both clinical and nonclinical settings. Clinical settings include physicians' offices and hospitals; nonclinical settings include government agencies, nonprofit organizations, and insurance companies.

About 24,200 openings for physicians and surgeons are projected each year, on average, over the decade. Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.

Physicians and surgeons diagnose and treat injuries or illnesses and address health maintenance. Physicians examine patients; take medical histories; prescribe medications; and order, perform, and interpret diagnostic tests. They often counsel patients on diet, hygiene, and preventive healthcare. Surgeons operate on patients to treat injuries, such as broken bones; diseases, such as cancerous tumors; and deformities, such as cleft palates.

There are two types of physicians, with similar degrees: M.D. (Medical Doctor) and D.O. (Doctor of Osteopathic Medicine). Both use the same methods of treatment, including drugs and surgery, but D.O.s place additional emphasis on the body's musculoskeletal system, preventive medicine, and holistic (whole-person) patient care. D.O.s are most likely to be primary care physicians, although they work in all specialties.

Anesthesiologists focus on the care of surgical patients and on pain relief. They administer drugs (anesthetics) that reduce or eliminate the sensation of pain during an operation or another medical procedure. During surgery, they adjust the amount of anesthetic as needed and monitor the patient's heart rate, body temperature, blood pressure, and breathing. They also provide pain relief for patients in intensive care, for women in labor, and for patients suffering from chronic pain.

Cardiologists diagnose and treat diseases or conditions of the heart and blood vessels, such as valve problems, high blood pressure, and heart attacks. Cardiologists may work with adults or specialize in pediatrics (typically newborns through age 21). Although they treat many of the same disorders in either population, cardiologists in pediatric care focus on conditions that patients are born with rather than on those that develop later in life.

Dermatologists provide care for diseases relating to the skin, hair, and nails. They treat patients who may have melanoma or other skin cancers. They may offer both medical and surgical dermatology services.

Emergency medicine physicians treat patients in urgent medical situations. These physicians evaluate, care for, and stabilize patients whose illness or injury requires immediate attention. Unlike many other physicians, who often choose to specialize, most emergency medical physicians are generalists.

Family medicine physicians are generalists who address health maintenance and assess and treat conditions that occur in everyday life. These conditions include sinus and respiratory infections, intestinal ailments, and broken bones. Family medicine physicians typically have regular, long-term patients, who may include all members of the same household.

General internal medicine physicians diagnose and provide nonsurgical treatment for a range of problems that affect internal organs and systems such as the stomach, kidneys, liver, and digestive tract. Internists use a variety of diagnostic techniques to treat patients through medication or hospitalization. Their patients are mostly adults. They may specialize, such as in gastroenterology or endocrinology.

Obstetricians and gynecologists (OB/GYNs) provide care and counsel to women regarding pregnancy, childbirth, and the female reproductive system. They also diagnose and treat health issues specific to women, such as cervical cancer, ovarian cysts, and symptoms related to menopause.

Ophthalmologists diagnose and treat conditions of the eye. Treatment may include surgery to correct vision problems or to prevent vision loss from glaucoma and other diseases. Ophthalmologists also may fit eyeglasses, prescribe contact lenses, and provide other vision services.

Orthopedic surgeons diagnose and treat conditions of or injuries to the musculoskeletal system, which includes bones, muscles, ligaments, and tendons. They may specialize in certain areas of the body, such as the foot and ankle, or in a particular type of practice, such as sports medicine.

Pathologists test body tissue, fluids, and organs and review test results to diagnose diseases. These physicians may choose specializations that include clinical pathology, which focuses on laboratory analysis of bodily fluids, and anatomical pathology, which focuses on examinations of tissue and other samples acquired through autopsy or surgery.

Pediatricians provide care for infants, children, teenagers, and young adults. They specialize in diagnosing and treating problems specific to younger people. Most pediatricians administer vaccinations and treat common illnesses, minor injuries, and infectious diseases. Some pediatricians specialize in serious medical conditions that commonly affect younger patients, such as autoimmune disorders.

Psychiatrists are primary mental health physicians. They diagnose and treat mental illnesses through a combination of personal counseling (psychotherapy), psychoanalysis, hospitalization, and medication. Psychotherapy involves psychiatrists helping their clients change behavioral patterns and explore past experiences. Psychoanalysis involves long-term psychotherapy and counseling. Psychiatrists may prescribe medications to correct chemical imbalances that cause some mental illnesses.

Radiologists review and interpret x rays and other medical images, such as ultrasounds, to diagnose injuries or diseases. They may specialize, such as in diagnostic radiology, which involves reviewing images and recommending treatment or additional testing, or in interventional radiology, which includes diagnosing patients and treating them with minimally invasive techniques.

Physicians in healthcare establishments work daily with other healthcare staff, such as registered nurses, other physicians, medical assistants, and medical records and health information technicians.

Physicians and surgeons work in both clinical and nonclinical settings. Some examples of clinical settings are physicians' offices and hospitals, including academic hospitals associated with residency programs or schools of medicine. Nonclinical settings include government agencies, nonprofit organizations, and insurance companies.

In clinical settings, physicians may work as part of a group practice or healthcare organization. These arrangements allow them to coordinate patient care but give them less independence than solo practitioners have.

Physicians and surgeons may stand for long periods throughout the day. Other working conditions may vary by specialty. For example, surgeons and anesthesiologists usually work in a sterile environment and must follow protocol to maintain it during procedures.

Students spend the first phase of medical school in classrooms, small groups, and laboratories, taking courses such as anatomy, biochemistry, pharmacology, psychology, medical ethics, and in the laws governing medicine. They also gain practical skills: learning to take medical histories, examine patients, and diagnose illnesses.

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