Internal Medicine

Prem Narayan | Consultant | VelMed Hospital

What is Internal Medicine?

Internal Medicine is a great Career option. Internet is brimming with pages on How to get into Internal Medicine, while one should first understand What is a Career in Internal Medicine. While anyone can have an opinion on what Internal Medicine entails; only a real professional can really explain it.

With 10 years & 3 months of professional experience, Consultant Prem Narayan understands Internal Medicine. Here is how Consultant Prem Narayan detailed Internal Medicine:

Internal Medicine encompasses the care of all adults, healthy and sick. Internists can be generalists or subspecialists, like cardiologists or rheumatologists. Patients with multiple problems and medications would typically be seen by an internist.

How Consultant Prem Narayan got into Internal Medicine?

I did my MBBS & MD from KGMC Lucknow after which I started practicing Internal Medicine. In 2018, I joined Velmed Hospital, Dehradun as an Internal Medicine Consultant.

Consultant Prem Narayan's Talk on Internal Medicine

The Journey of Internal Medicine What Is Internal Medicine Internal Medicine Internal Medicine is a medical specialty focused on the prevention, diagnosis, and treatment of adult diseases. Internists, or internal medicine physicians, manage complex and chronic illnesses, coordinate patient care, and provide comprehensive health management, often serving as primary care providers for adults across a wide range of medical conditions. Internal Medicine plays a crucial role in the healthcare system by providing expert care for adults with both common and complex diseases. Professionals in this field are often at the forefront of managing chronic conditions such as diabetes, hypertension, and heart disease, which are prevalent in the adult population. The specialty allows internists to develop long-term relationships with patients, offering continuity of care and a holistic approach to health. Internists also benefit from the intellectual challenge of diagnosing multifaceted medical problems and coordinating care among various specialists. This leads to improved patient outcomes, professional satisfaction from solving complex cases, and the opportunity to make a significant difference in patients’ lives over time. A physician specializing in Internal Medicine may encounter a middle-aged patient presenting with fatigue, weight gain, and high blood pressure. Through a detailed medical history, physical examination, and appropriate diagnostic tests, the internist identifies underlying hypothyroidism and early-stage diabetes. The internist develops a comprehensive treatment plan, including medication, lifestyle modifications, and regular follow-up visits. By coordinating care with an endocrinologist and a nutritionist, the internist ensures the patient receives specialized input while maintaining oversight of the overall health picture. Over time, the patient’s symptoms improve, and complications are prevented, demonstrating how internal medicine professionals integrate knowledge, patient-centered care, and collaboration to achieve optimal health outcomes. Education Anatomy Anatomy is the scientific study of the structure of living organisms, focusing on the organization and relationships of body parts at both macroscopic and microscopic levels. For those in Internal Medicine, anatomy serves as a cornerstone, underpinning the understanding of disease processes, clinical examination, diagnostics, and effective patient management. A thorough grasp of anatomy is indispensable for anyone preparing for or working in Internal Medicine. This knowledge allows practitioners to accurately interpret clinical signs, understand the progression of diseases, and localize symptoms to specific organs or systems. Mastery of anatomical concepts is essential for performing physical examinations, interpreting imaging studies, and planning interventions. Over the course of a career, a solid foundation in anatomy enhances diagnostic accuracy, improves communication with colleagues across specialties, and supports lifelong learning as medical science evolves. Ultimately, understanding anatomy is not just an academic requirement but a practical necessity that ensures safe, effective, and holistic patient care. Consider a patient presenting with acute abdominal pain. An internist must use their anatomical knowledge to differentiate between possible causes such as appendicitis, cholecystitis, or diverticulitis. By correlating the location of the pain, associated symptoms, and physical examination findings with the underlying anatomy of the abdomen, the physician can narrow down the differential diagnosis. This understanding guides the selection of appropriate diagnostic tests and informs decisions about urgent interventions or referrals. In daily practice, such application of anatomical principles ensures that patient assessments are thorough and that management plans are both targeted and effective, ultimately improving patient outcomes. Physiology Physiology is the scientific study of how living organisms function, focusing on the mechanisms and processes that sustain life at cellular, tissue, organ, and systemic levels. In Internal Medicine, physiology forms the backbone of understanding disease processes, guiding both diagnosis and treatment through a deep comprehension of normal and abnormal bodily functions. A thorough grasp of physiology is indispensable for anyone preparing for or working in Internal Medicine. This discipline provides the essential framework for interpreting clinical symptoms, understanding disease mechanisms, and predicting patient responses to various interventions. Mastery of physiological principles enables professionals to make informed decisions, whether evaluating a patient’s lab results or determining the most appropriate therapeutic approach. Over the course of a career, this foundational knowledge supports lifelong learning, facilitates adaptation to new medical advancements, and enhances the ability to communicate complex concepts to patients and colleagues. Ultimately, a strong command of physiology empowers internal medicine practitioners to deliver safer, more effective, and evidence-based care. Consider a patient presenting with shortness of breath and swelling in the legs. An internal medicine physician draws upon their understanding of cardiovascular and renal physiology to assess whether these symptoms are due to heart failure, kidney dysfunction, or another underlying cause. By integrating knowledge of fluid balance, cardiac output, and compensatory mechanisms, the physician interprets clinical findings and diagnostic tests to pinpoint the root problem. This physiological insight guides the selection of appropriate treatments, such as diuretics or vasodilators, and informs monitoring strategies to prevent complications. In this way, a solid foundation in physiology directly translates into improved patient outcomes and more precise, individualized care. Biochemistry Biochemistry is the scientific study of the chemical processes and substances that occur within living organisms. It bridges biology and chemistry, focusing on molecular mechanisms underlying physiological functions. For Internal Medicine, biochemistry forms a crucial part of the academic foundation, enabling practitioners to understand disease mechanisms, diagnostics, and therapeutic interventions at a molecular level. A solid grasp of biochemistry is indispensable for anyone pursuing or practicing Internal Medicine. This discipline provides insight into how the body’s metabolic pathways, enzymes, and molecular interactions contribute to health and disease. Understanding these processes allows clinicians to interpret laboratory results, recognize metabolic disorders, and appreciate the biochemical basis of pharmacological treatments. Mastery of biochemistry enhances diagnostic accuracy and informs evidence-based decision-making, which is essential for effective patient care. Over the course of a career, this knowledge supports lifelong learning, adaptation to new medical advances, and the ability to communicate complex concepts to patients and colleagues. Ultimately, biochemistry is not just an academic requirement but a practical tool that underpins clinical excellence in Internal Medicine. Consider a patient presenting with unexplained fatigue, jaundice, and elevated liver enzymes. An internist with a strong background in biochemistry can interpret these findings through the lens of hepatic metabolism. By understanding the biochemical pathways of bilirubin conjugation and breakdown, the physician can differentiate between hemolytic, hepatocellular, and obstructive causes of jaundice. This knowledge guides the selection of further diagnostic tests and informs the choice of appropriate treatments. Additionally, when prescribing medications, the internist considers the patient’s liver function and the biochemical mechanisms of drug metabolism, minimizing adverse effects and optimizing therapeutic outcomes. In this way, biochemistry directly informs daily clinical decisions and patient management in Internal Medicine. Pharmacology Pharmacology is the scientific study of drugs, encompassing their origins, chemical properties, biological effects, mechanisms of action, therapeutic uses, and potential side effects. In Internal Medicine, pharmacology is fundamental, as it underpins the safe and effective use of medications in diagnosing, treating, and managing a wide range of adult diseases and conditions. A thorough understanding of pharmacology is essential for anyone preparing for or working in Internal Medicine because it directly influences patient care and outcomes. Internal Medicine specialists routinely prescribe, adjust, and monitor medications for complex and often multi-morbid patients. Mastery of pharmacological principles enables these professionals to anticipate drug interactions, recognize adverse effects, and tailor therapies to individual patient needs, especially in the context of chronic disease management. Over the course of a career, this knowledge not only enhances clinical decision-making but also fosters patient trust and safety. Furthermore, as new medications and treatment protocols emerge, a strong pharmacological foundation allows practitioners to critically evaluate and integrate advances into their practice, ensuring lifelong professional growth and adaptability. Consider an internist managing a patient with hypertension, diabetes, and chronic kidney disease. The physician must select antihypertensive medications that effectively lower blood pressure without worsening kidney function or interacting adversely with the patient’s diabetes medications. Applying pharmacological knowledge, the internist understands the mechanisms, metabolism, and side effect profiles of various drug classes. This expertise guides the choice of an ACE inhibitor, recognizing its renal protective benefits and potential impact on potassium levels. The internist also anticipates possible drug-drug interactions and educates the patient about signs of adverse effects. In this scenario, the practical application of pharmacology ensures a tailored, safe, and effective treatment plan, demonstrating the discipline’s critical role in everyday clinical practice. Pathology Pathology is the scientific study of diseases, focusing on their causes, mechanisms, structural changes, and effects on the body. It bridges basic science and clinical practice, providing essential insights into disease processes. For Internal Medicine, pathology forms a cornerstone, enabling accurate diagnosis, effective management, and informed clinical decision-making. A deep understanding of pathology is indispensable for anyone preparing for or working in Internal Medicine. This discipline underpins the ability to interpret clinical symptoms, laboratory findings, and imaging results by revealing the underlying disease mechanisms. Mastery of pathology empowers professionals to distinguish between similar clinical presentations, anticipate disease progression, and select appropriate treatments. Over the course of a career, this foundational knowledge enhances diagnostic accuracy, supports evidence-based practice, and fosters lifelong learning. Furthermore, it enables effective communication with multidisciplinary teams and contributes to improved patient outcomes. By integrating pathological principles into daily practice, internists remain at the forefront of medical advances and maintain the competence required for high-quality patient care. Consider a patient presenting with unexplained fatigue, weight loss, and mild jaundice. An internist, drawing on their knowledge of pathology, recognizes these symptoms could indicate underlying liver pathology such as autoimmune hepatitis or early-stage cirrhosis. By correlating clinical findings with laboratory abnormalities—such as elevated liver enzymes and bilirubin—the physician narrows the differential diagnosis. Understanding the pathophysiological changes in liver tissue guides the decision to order specific serological tests and, if necessary, a liver biopsy. This theoretical foundation allows the internist to interpret biopsy results accurately, confirm the diagnosis, and initiate targeted therapy. Ultimately, the application of pathology ensures a systematic, informed approach to complex cases, leading to better patient management and outcomes. Radiology Radiology is a medical specialty that uses imaging techniques such as X-rays, CT scans, MRI, and ultrasound to diagnose and sometimes treat diseases within the body. For Internal Medicine, radiology is essential, as it provides critical insights into patient conditions, guiding diagnosis, management, and ongoing care decisions. A strong grasp of radiology is indispensable for anyone in Internal Medicine. Physicians routinely encounter complex cases where physical examination and laboratory results alone are insufficient for accurate diagnosis. Understanding radiological principles enables internists to interpret imaging studies, recognize normal and abnormal findings, and collaborate effectively with radiologists. This knowledge not only enhances diagnostic accuracy but also improves patient outcomes by facilitating timely interventions. Over the course of a career, proficiency in radiology empowers internal medicine professionals to make informed decisions, communicate clearly with multidisciplinary teams, and stay current with evolving diagnostic technologies. Ultimately, radiology forms a cornerstone of modern internal medicine practice, supporting both acute care and long-term disease management. Consider a patient admitted with acute shortness of breath and chest pain. An internist, drawing on their radiology knowledge, reviews the patient’s chest X-ray and identifies signs of pulmonary edema and possible cardiomegaly. This interpretation, combined with clinical findings, leads to the prompt diagnosis of acute heart failure. The internist then orders further imaging, such as an echocardiogram, to assess cardiac function and guide therapy. By integrating radiological data with clinical judgment, the internist ensures rapid, targeted treatment, minimizes unnecessary testing, and communicates effectively with cardiology and radiology colleagues. This scenario highlights how radiology expertise directly impacts patient care and decision-making in Internal Medicine. Skills Selfless Service Selfless Service is the unwavering commitment to prioritize the needs, well-being, and interests of patients above personal gain, recognition, or convenience. In Internal Medicine, this core value ensures that physicians consistently act with compassion, integrity, and dedication, fostering trust and delivering the highest standard of care to every individual. Selfless Service directly enhances performance in Internal Medicine by fostering deeper patient trust, improving communication, and encouraging collaborative teamwork. Clients and employers value this quality because it leads to better patient outcomes, higher satisfaction, and a positive reputation for the healthcare institution. Physicians who embody selfless service are more likely to go the extra mile during complex cases, remain available during emergencies, and advocate for their patients’ best interests. Cultivating this skill involves ongoing self-reflection, mentorship, and a conscious effort to empathize with patients’ experiences. Over time, consistently placing patient needs first becomes second nature, reinforcing a culture of excellence and compassion within the medical team. Consider a scenario where an internist is managing a patient with multiple chronic illnesses who suddenly deteriorates late at night. Despite having completed a long shift, the physician chooses to stay, coordinating care, communicating with specialists, and supporting the patient’s anxious family. By putting aside personal fatigue and inconvenience, the physician ensures continuity of care and timely interventions, which ultimately stabilize the patient’s condition. This act of selfless service not only saves a life but also strengthens the trust between the physician, patient, and family, highlighting how essential this value is in achieving success and making a meaningful impact in Internal Medicine. Behavioural Skills Behavioural skills encompass the ability to communicate effectively, demonstrate empathy, manage stress, collaborate with others, and adapt to changing situations. In Internal Medicine, these skills enable professionals to build trust with patients, work efficiently within multidisciplinary teams, and navigate complex clinical environments, ultimately enhancing patient care and outcomes. Behavioural skills directly enhance performance in Internal Medicine by fostering stronger patient-doctor relationships, improving teamwork, and facilitating clear communication during high-pressure situations. Employers and clients highly value these skills because they lead to better patient satisfaction, reduced errors, and a more harmonious workplace. Cultivating behavioural skills requires ongoing self-reflection, seeking feedback, participating in communication workshops, and learning from real-world experiences. Over time, professionals who prioritize these skills become more resilient, adaptable, and effective in their roles, which not only benefits their patients but also advances their own career progression and reputation within the medical community. Consider a scenario where an internist is managing a patient with multiple chronic conditions who becomes frustrated and non-compliant with treatment. By employing behavioural skills, the physician listens attentively, acknowledges the patient’s concerns, and communicates the importance of adherence in a compassionate manner. The internist also collaborates with nursing staff and social workers to address barriers to care, such as medication costs or transportation issues. Through these actions, the physician not only resolves the immediate conflict but also strengthens the therapeutic alliance, leading to improved patient engagement and better health outcomes. This example illustrates how behavioural skills are indispensable in navigating complex clinical challenges and achieving success in Internal Medicine. Communication Skills Communication skills encompass the ability to clearly convey information, listen actively, interpret nonverbal cues, and adapt messages to diverse audiences. In internal medicine, these skills enable physicians to effectively interact with patients, families, and healthcare teams, ensuring accurate diagnoses, shared decision-making, and optimal patient care outcomes. Strong communication skills directly enhance an internal medicine physician’s performance by fostering trust, reducing misunderstandings, and facilitating comprehensive patient assessments. Employers and patients highly value these abilities because they lead to better patient satisfaction, adherence to treatment plans, and collaborative teamwork. To cultivate communication skills, professionals should seek feedback, engage in reflective practice, and participate in training sessions focused on empathy, cultural competence, and conflict resolution. Over time, consistent practice and a commitment to self-improvement help internal medicine practitioners refine their ability to communicate effectively in complex and emotionally charged situations, ultimately elevating the quality of care they provide. Consider a scenario where an internal medicine physician must deliver a new diagnosis of diabetes to a patient who is anxious and overwhelmed. The physician uses clear, compassionate language to explain the condition, listens attentively to the patient’s concerns, and addresses misconceptions. By encouraging questions and involving the patient in developing a personalized management plan, the physician ensures understanding and fosters a sense of partnership. This approach not only alleviates the patient’s anxiety but also increases the likelihood of adherence to treatment, demonstrating how effective communication skills are vital for achieving positive health outcomes and building lasting patient relationships. Patience Patience is the ability to remain calm, composed, and persistent in the face of delays, challenges, or frustration, without becoming anxious or reactive. In Internal Medicine, patience is vital because diagnosis and treatment often require careful observation, repeated assessments, and ongoing communication with patients, families, and multidisciplinary teams. Patience directly enhances performance in Internal Medicine by allowing professionals to thoroughly evaluate complex cases, listen attentively to patients, and make well-considered decisions rather than rushing to conclusions. Clients and employers value this skill because it leads to more accurate diagnoses, better patient relationships, and improved long-term outcomes. Cultivating patience involves practicing mindfulness, reflecting on challenging interactions, and seeking feedback from mentors. Over time, exposure to diverse clinical situations helps internal medicine professionals build resilience and the ability to remain steady under pressure, ultimately fostering a more thoughtful and effective approach to patient care. Consider a scenario where an internist is managing a patient with multiple, vague symptoms that do not point to a clear diagnosis. Rather than becoming frustrated or making hasty decisions, the physician exercises patience by methodically gathering information, ordering appropriate tests, and revisiting the patient for further history. Over several days, the internist’s patient and persistent approach uncovers subtle clinical clues that lead to the correct diagnosis. This patience not only prevents unnecessary interventions but also builds trust with the patient, demonstrating the critical role this skill plays in achieving successful outcomes in Internal Medicine. Clinical Skills Clinical skills encompass the ability to accurately assess, diagnose, and manage patient health through effective history-taking, physical examination, and interpretation of clinical data. In Internal Medicine, these skills are fundamental, enabling practitioners to make informed decisions, provide high-quality care, and build trust with patients and colleagues alike. Mastery of clinical skills directly enhances an internal medicine physician’s ability to identify subtle signs of disease, tailor treatment plans, and respond promptly to changes in patient conditions. Employers and patients highly value these competencies because they translate into safer, more effective care and improved outcomes. Developing clinical skills requires ongoing practice, mentorship, and engagement with real-world cases. Physicians refine their abilities through bedside teaching, simulation exercises, and reflective learning, ensuring they remain adept at recognizing complex presentations. Over time, consistent exposure to diverse patient populations and commitment to lifelong learning allow internal medicine professionals to maintain and elevate their clinical acumen, making them indispensable members of any healthcare team. Consider a scenario where a patient presents with vague symptoms such as fatigue and mild shortness of breath. An internal medicine physician, relying on well-honed clinical skills, conducts a thorough history and physical examination, noting subtle findings like jugular venous distension and faint crackles in the lungs. Recognizing these clues, the physician suspects early heart failure, orders appropriate diagnostic tests, and initiates timely treatment. This prompt, skillful intervention prevents the patient’s condition from deteriorating and avoids unnecessary hospital admission. Such expertise not only improves patient outcomes but also demonstrates the critical importance of clinical skills in navigating complex medical cases and delivering exemplary care in internal medicine. Positives Self Satisfaction Self satisfaction is the deep sense of fulfillment and contentment that arises from achieving personal and professional goals, knowing one’s actions have made a meaningful difference, and feeling aligned with one’s values and purpose. In internal medicine, this feeling is cultivated through patient care, problem-solving, and ongoing intellectual growth, creating a positive feedback loop that enhances motivation and well-being. The presence of self satisfaction in internal medicine is a powerful driver of job satisfaction and professional growth. Physicians in this field often face complex medical challenges and are entrusted with guiding patients through difficult diagnoses and treatments. When they witness tangible improvements in their patients’ health or successfully manage intricate cases, the resulting sense of accomplishment reinforces their commitment to the profession. This ongoing cycle of challenge and reward not only sustains enthusiasm but also fosters resilience in the face of demanding workloads. The daily experience of making a real difference in patients’ lives provides internal medicine professionals with a unique sense of purpose, helping them to maintain passion for their work and continually strive for excellence. Consider an internist who has been managing a patient with multiple chronic illnesses, including diabetes and hypertension. Through careful monitoring, patient education, and tailored treatment plans, the physician gradually helps the patient achieve better control over their conditions. Over several months, the patient’s lab results improve, their symptoms lessen, and their quality of life increases noticeably. The internist sees firsthand the positive impact of their expertise and dedication, feeling a profound sense of self satisfaction. This fulfillment not only validates their years of training and hard work but also inspires them to continue providing compassionate, high-quality care to others, reinforcing the rewarding nature of a career in internal medicine. Respect & Recognition Respect & Recognition refers to the esteem, appreciation, and acknowledgment received from patients, colleagues, and the broader medical community for one’s expertise, dedication, and compassionate care. In internal medicine, this positive regard not only affirms a physician’s value but also fosters a sense of purpose and professional fulfillment. The respect and recognition that internists receive are powerful motivators that enhance both job satisfaction and career growth. Being valued for clinical acumen and trusted judgment creates a supportive environment where professionals feel empowered to excel. Daily interactions with grateful patients and appreciative colleagues reinforce the importance of their work, making challenges more manageable and successes more meaningful. This ongoing acknowledgment encourages continuous learning and fosters leadership opportunities, as internists are often sought after for their broad knowledge and problem-solving abilities. Ultimately, respect and recognition serve as a foundation for a rewarding career, helping internal medicine physicians maintain enthusiasm and resilience throughout their professional journey. Imagine an internist who has been managing a complex patient with multiple chronic conditions. After months of careful coordination and attentive care, the patient’s health stabilizes, and their quality of life improves significantly. The patient expresses heartfelt gratitude, sharing how the physician’s dedication made a profound difference. Colleagues also commend the internist’s expertise during a team meeting, highlighting their pivotal role in the patient’s recovery. This moment of acknowledgment, both from the patient and peers, leaves the internist with a deep sense of pride and fulfillment. Such experiences exemplify how respect and recognition are woven into the daily fabric of internal medicine, making the profession deeply rewarding. Monetary Benefits Monetary benefits refer to the financial rewards and compensation that professionals receive for their work, including salary, bonuses, incentives, and retirement contributions. In internal medicine, these benefits provide stability, recognize expertise, and support a comfortable lifestyle, making the profession attractive and ensuring that physicians feel valued for their dedication and skills. The substantial monetary benefits in internal medicine play a vital role in enhancing job satisfaction and long-term career growth. Physicians in this field often invest years in education and training, and competitive compensation acknowledges their commitment and expertise. This financial security allows them to focus on delivering high-quality patient care without the constant stress of financial uncertainty. Additionally, attractive salaries and benefits packages can open doors to further professional development, such as attending conferences or pursuing advanced certifications. The assurance of a stable income also empowers internal medicine professionals to plan for their future, support their families, and contribute to their communities, making their daily work more fulfilling and motivating. Consider Dr. Patel, an internist working in a bustling metropolitan hospital. Thanks to a competitive salary and comprehensive benefits package, she is able to provide her children with excellent educational opportunities and invest in her own professional growth by attending national medical conferences. The financial rewards she receives not only recognize her expertise and long hours but also give her peace of mind, knowing she can save for retirement and manage unexpected expenses. This sense of security and appreciation translates into greater enthusiasm and commitment in her daily interactions with patients, reinforcing her passion for internal medicine and her dedication to making a difference in her community. Challenges Handling Patients Family Handling Patients Family in Internal Medicine refers to the complex process of communicating with, supporting, and managing the expectations and emotions of patients’ relatives. This challenge is demanding because families often experience anxiety, confusion, and distress, requiring physicians to balance empathy, clear communication, and medical decision-making under emotionally charged circumstances. The challenge of handling patients’ families significantly shapes the daily routine of internal medicine professionals. Emotional conversations, frequent updates, and managing differing opinions can be time-consuming and mentally taxing. This aspect of the job demands resilience, as physicians must remain composed and compassionate even when confronted with anger, grief, or unrealistic expectations. Successful professionals develop strong communication skills, set clear boundaries, and foster trust through transparency and empathy. They also collaborate with multidisciplinary teams, such as social workers and nurses, to ensure families receive comprehensive support. By prioritizing active listening and maintaining professionalism, internists can navigate these interactions more effectively, ultimately improving patient care and family satisfaction. Consider an internist caring for an elderly patient with multiple chronic illnesses whose prognosis is uncertain. The patient’s family is anxious and divided about the best course of action, with some members advocating for aggressive treatment and others preferring comfort care. The physician arranges a family meeting, listens to each person’s concerns, and explains the medical situation in clear, compassionate terms. By acknowledging the family’s emotions and providing honest information, the internist helps them reach a consensus that aligns with the patient’s wishes. Through patience, empathy, and skilled communication, the physician transforms a potentially contentious situation into a collaborative decision-making process, ensuring the family feels heard and supported. Lack of Awareness Lack of Awareness in Internal Medicine refers to insufficient knowledge or understanding among patients, colleagues, or even within the broader healthcare system about the scope, complexity, and value of internal medicine. This challenge is demanding because it can lead to miscommunication, underappreciation, and barriers to optimal patient care and professional recognition. This difficulty often manifests in daily work as misunderstandings about the internist’s role, delayed referrals, or patients’ unrealistic expectations. Such circumstances can create frustration, hinder collaboration, and sometimes result in suboptimal outcomes. Overcoming this challenge requires resilience, as professionals must continually advocate for their specialty and educate others about their expertise. Successful internists address this constraint by proactively engaging in interdisciplinary discussions, participating in educational initiatives, and fostering strong communication with patients and colleagues. By consistently demonstrating the breadth and depth of their knowledge, they gradually build trust and recognition, ensuring their contributions are valued and their patients receive comprehensive care. Consider an internist working in a busy hospital where other departments often overlook the importance of internal medicine consultations. Recognizing this, the internist takes the initiative to organize regular case review meetings, inviting colleagues from various specialties to discuss complex cases collaboratively. Through these sessions, the internist highlights the diagnostic acumen and holistic approach that internal medicine brings to patient care. Over time, colleagues begin to appreciate the internist’s insights, leading to more timely and appropriate referrals. This proactive approach not only improves patient outcomes but also elevates the profile of internal medicine within the institution, demonstrating how awareness can be built through persistent engagement and education. 247 Job A "247 Job" in Internal Medicine refers to the continuous, round-the-clock responsibility that physicians bear for patient care. This means being available at all hours, responding to emergencies, and making critical decisions, often with little notice. The demanding nature arises from unpredictable schedules and the high stakes of patient outcomes. The relentless nature of a 247 job in Internal Medicine can lead to physical exhaustion, emotional fatigue, and a sense of being perpetually on call. This constant demand requires immense resilience, as professionals must balance patient needs with their own well-being. Successful internists often develop strong time management skills, set clear boundaries when possible, and rely on teamwork to share responsibilities. They also prioritize self-care, seeking support from colleagues and family, and utilize structured handover systems to ensure continuity of care without personal burnout. By fostering a culture of mutual support and open communication, these professionals manage to maintain high standards of care while protecting their own health and job satisfaction. Consider an internist working in a busy urban hospital, frequently called in during nights and weekends for acute patient issues. To manage the 247 demands, she collaborates closely with her team, ensuring thorough handovers at shift changes and leveraging electronic health records for seamless communication. She schedules brief periods of rest during quieter moments and maintains regular check-ins with colleagues to share the emotional load. By setting realistic expectations with patients and families about availability, she creates boundaries that allow her to recharge. Through these strategies, she not only delivers consistent, high-quality care but also preserves her own resilience and enthusiasm for her profession. Lack of Support Lack of support in Internal Medicine refers to insufficient assistance, guidance, or resources from colleagues, administration, or institutional systems. This challenge is demanding because it can lead to professional isolation, increased workload, and emotional fatigue, making it harder for physicians to deliver optimal patient care and maintain personal well-being. The absence of adequate support in Internal Medicine can significantly affect daily work by increasing stress, prolonging decision-making, and heightening the risk of burnout. Physicians may feel overwhelmed by administrative burdens, complex cases, or lack of mentorship, which can erode confidence and job satisfaction. Overcoming this challenge requires resilience, adaptability, and proactive communication. Successful professionals often seek out informal networks, foster collaborative relationships, and advocate for systemic improvements. They may also invest in self-care and professional development to maintain their effectiveness and morale. By building trust with colleagues and leveraging available resources, they find ways to share responsibilities and create a more supportive work environment, even when formal support structures are lacking. Consider a hospitalist in a busy urban hospital who frequently faces understaffing and limited administrative assistance. Despite these constraints, she initiates regular case discussions with fellow internists during breaks, creating an informal peer support group. When confronted with a particularly complex patient, she consults with specialists and nurses, pooling collective expertise to devise the best care plan. She also communicates openly with hospital leadership about resource gaps, suggesting practical workflow improvements. By actively seeking collaboration and voicing concerns constructively, she not only manages her workload more effectively but also fosters a culture of mutual support among her peers, demonstrating how initiative and teamwork can help overcome the challenge of lack of support in Internal Medicine. A Day Of Internal Medicine The world of Internal Medicine is a dynamic blend of intellectual challenge and human connection, where each day unfolds at a brisk, purposeful pace. The environment is a constant hum of activity—phones ringing, colleagues consulting, patients arriving with complex stories—yet beneath the surface, there is a steady rhythm shaped by the practitioner’s commitment to thoroughness and compassion. Every moment is an opportunity to solve puzzles, offer reassurance, and make critical decisions that impact lives. For an internal medicine professional, no two days are ever quite the same, but each is defined by a relentless pursuit of answers and a deep responsibility to patient care. As dawn breaks, the internal medicine practitioner arrives at the clinic or hospital, greeted by the soft glow of computer screens and the promise of a new day. The early morning hours are devoted to reviewing patient charts, lab results, and overnight updates. This is a time for focused concentration, as the physician anticipates the needs of each patient, prioritizes urgent issues, and mentally maps out the day’s schedule. The calm before the storm allows for careful planning, ensuring that every detail is considered before the first patient walks through the door. By mid-morning, the pace accelerates as the heart of the day begins. Exam rooms fill with patients presenting a wide spectrum of symptoms, from subtle complaints to complex, multi-system diseases. The practitioner moves from room to room, conducting thorough interviews, performing physical exams, and ordering or interpreting diagnostic tests. Each encounter is a blend of detective work and empathetic listening, requiring sharp clinical acumen and the ability to communicate clearly. The hours fly by in a whirlwind of decision-making, collaboration with nurses and specialists, and the satisfaction of making a tangible difference in patients’ lives. The afternoon brings a shift toward collaboration and execution. The internal medicine professional participates in multidisciplinary meetings, discusses challenging cases with colleagues, and coordinates care plans with pharmacists, social workers, and other specialists. This is also the time to follow up on test results, adjust medications, and ensure that treatment recommendations are being implemented effectively. The practitioner balances direct patient care with the orchestration of a broader healthcare team, all while remaining vigilant for new developments or urgent consults. As the day winds down, the focus turns to wrapping up and preparing for what lies ahead. The practitioner completes detailed documentation, reviews the outcomes of the day’s interventions, and addresses any lingering patient concerns. There may be time for a brief review of recent medical literature or participation in a teaching session with residents or students. Before leaving, the physician organizes the next day’s schedule, flags critical follow-ups, and ensures that nothing has been overlooked. The day ends with a sense of accomplishment and readiness to face the challenges of tomorrow, knowing that each day in internal medicine is a step in a lifelong journey of learning and service.

Install the LifePage App to:

(for Free) Watch Consultant Prem Narayan’s full Internal Medicine Career Talk

₹ Do a Self Assessment on Internal Medicine to calculate your Dream Index, which is defined as:

According to Prem Narayan your chances of success in Internal Medicine is __%

Access your personalized Dream Index Report which will have all your Dream Indices sorted in descending order.

How to get into

Internal Medicine?

If you are want to get into Internal Medicine, start by investing in a Career Plan.

The 14 hour process, guided by a LifePage Career Advisor, will help you introspect and check whether your interest in Internal Medicine is merely an infatuation or is it truly something you wish to do for the rest of your life.

Next, your Career Advisor will help you document how you can get into Internal Medicine, what education and skills you need to succeed in Internal Medicine, and what positives and challenges you will face in Internal Medicine.

Finally, you will get a Career Plan stating which Courses, Certifications, Trainings and other Items you need to do in the next 7 years to become world’s best in Internal Medicine.

LifePage Career Plan

14 hour personalized guidance program

Your LifePage Career Advisor facilitates your guided introspection so that you systematically explore various Career options to arrive at a well thought out Career choice.

Next: your Advisor helps you figure out how you will get into your chosen Career and how will you develop the skills needed for success in your Chosen Career.

LifePage Plan will not stop at saying "to become an Architect study Architecture". It will guide you on which Certifications, Trainings and Other items you need to do along with your Architecture education to become the world's best Architect.

Links for this Talk

Consultant Prem Narayan's LifePage:

[LifePage]
https://www.lifepage.in/page/premnarayan

LifePage Career Talk on Internal Medicine

[Career]
https://www.lifepage.in/careers/internal-medicine

[Full Talk]
https://lifepage.app.link/20190125-0001

[Trailer]
https://www.youtube.com/watch?v=AaJwU2grm54

(Internal Medicine, Dr Prem Narayan Vaish, Velmed Hospital, Consultant, Doctor, Physician, Surgeon)

Similar Talks

Cardiology

Dr Yogendra Singh
Cardiologist | Fortis Escorts Hospital

[ 13 years Experience ]

Cardiology is a branch of medicine dealing with disorders of the heart as well as parts of the circulatory system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Physicians who specialize in this field of medicine are called cardiologists, a specialty of internal medicine.

"I studied at the Institute of Medical Sciences, Banaras Hindu University, Varanasi, for the MBBS and MD degrees. I spent 18 months as Senior Resident in Cardiology at SGPGIMS Lucknow and then obtained the DM (Cardiology) superspeciality degree in 2004 from GSVM Medical College in Kanpur. This was followed by a six-month stint at Apollo Hospitals Colombo as Senior Registrar in Interventional Cardiology, and a year at Apollo Gleneagles Hospital in Kolkata, as Associate Consultant in Interventional Cardiology. Subsequently I have worked as Consultant Interventional Cardiology & Electrophysiology at Himalayan Institute of Medical Sciences, and currently, I am working at Fortis Escorts Hospital in Dehradun."

Cancer Surgery

Dr Sunil Saini
Director | Cancer Research Institute - SRHU

[ 26 years & 4 months Experience ]

Surgery is the removal of the tumor and surrounding tissue during an operation. A doctor who specializes in treating cancer using surgery is called a surgical oncologist. Surgery is the oldest type of cancer therapy and remains an effective treatment for many types of cancer today.

"After completing Graduation and Post Graduation from B H U, Banaras, I did Surgery and Medicine from B H U, Banaras. After that, I did training in Head & Neck Cancer Surgery from Mumbai. I have been practicing Cancer Surgery since 1992 at Cancer Research Institute SRHU, Dehradun"

Gynaecology

Dr Annu Dhir
Gynaecologist | P K Dhir Memorial Clinic

[ 33 years & 10 months Experience ]

Gynaecology is the branch of physiology and medicine which deals with the functions and diseases specific to women and girls, especially those affecting the reproductive system.

"I have done my medical education from Rewa Medical College and PG diploma in Gynaecology from Puna and Hospital Management diploma from Apolo Hospital, Delhi. After that I have joined Air force as a family doctor and for the 15 years I was working with the Air force. Then I came to Dehradun where my mother in law was practicing and I joined her and since then I am practicing Gynaecology for the last 32 years."

Neurology

Dr Mahesh Kuriyal
Senior Consultant Neurosurgeon | CMI Hospital,Dehradun

[ 26 years & 10 months Experience ]

Neurology is defined as the study of nervous system which includes body parts,brain,spinal cord and nerves.

"I am a Neurosurgeon in Dehradun, currently practising at the Combined Medical Institute Hospital on Haridwar Road. I completed my graduation (MBBS) and post-graduation (MS - Master of Surgery) from King George's Medical College, Lucknow. I followed this up with an MCh (Neurosurgery) degree from Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Lucknow."

Eye Surgery

Dr Gaurav Luthra
Head Surgeon | Drishti Eye Institute, Dehradun

[ 23 years & 8 months Experience ]

Eye surgery is surgery performed on the eye or its adnexa, typically by an ophthalmologist. An expert eye surgeon is responsible for selecting the appropriate surgical procedure for the patient, and for taking the necessary safety precautions.

"After completing my schooling from St Josephs, Drehardun I went to Maulana Azad Medical College, New Delhi for my graduation and post graduation in medicine. I have been practicing eye surgery since 1995."

Radiology

Dr Ramesh Kumar Pandey
Consultant Radiologist | CMI Hospital

[ 13 years & 10 months Experience ]

Radiology is a specialty that uses medical imaging to diagnose and treat diseases seen within the body. A variety of imaging techniques such as X-ray radiography, ultrasound, computed tomography (CT), nuclear medicine including positron emission tomography (PET), and magnetic resonance imaging (MRI) are used to diagnose and/or treat diseases. Interventional radiology is the performance of (usually minimally invasive) medical procedures with the guidance of imaging technologies.

"I am graduated in Medicine. I have done my DMRD and DNB from Yashodhra Supersepciality Hospital, Hyderabad. After that I am working as a full time consultant. I specialized in Imaging and do Non-Vascular Interventional radiology also."

Pulmonary & Critical Care

Dr Puneet Tyagi
Head Pulmonary & Critical Care | VelMed Hospitals

[ 19 years & 4 months Experience ]

A pulmonologist, or pulmonary disease specialist, is a physician who possesses specialized knowledge and skill in the diagnosis and treatment of pulmonary (lung) conditions and diseases.

"After completing my education, I have worked with various hospitals in Delhi, Bareilly and Dehradun. I am working at Velmed Hospitals, Dehradun as the head of Pulmonary & Critical Care Medicine. I am trained in pulmonary medicine & Critical Care from a prestigious institute of India (VP Chest Institute Delhi. Previously I was Principal Consultant at Max Superspeciality Hospital, Dehradun, and I have 22 years of experience in pulmonary medicine & Critical Care."

Ophthalmology

Dr Rohan Mehra
Ophthalmologist | Shri Mahant Indiresh Hospital, Dehradun

[ 3 years Experience ]

Ophthalmology is the medical science of treating the diseases of the eye. The eyes are an integral part of a body as they help us give shape (visually) to everything around us.

"I studied at The Doon School, Dehradun. After, which I attained an MBBS Degree from Shri Mahant Indiresh Hospital, Dehradun (2008-2013) and soon after moved to Delhi NCR and worked at Sir Ganga Ram Hospital for a year. Following that I then applied for and attained an MS Degree in Ophtamology and have been practicing Ophthalmology at Shri Mahant Indiresh Hospital, Dehradun, since, 2015."

Cardiac Surgery

Dr Kishor Joshi
Senior Consultant & HoD | Fortis Escorts Heart Institute

[ 15 years Experience ]

Cardiac surgery, or cardiovascular surgery, is surgery on the heart or great vessels performed by cardiac surgeons. It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to correct congenital heart disease; or to treat valvular heart disease from various causes, including endocarditis, rheumatic heart disease, and atherosclerosis. It also includes heart transplantation.

"After doing my MBBS from Institute of Medical Sciences from Vijayanagar, I did MS from JIPMER, Pondicherry. Thereafter, I did M Ch, Cardiothoracic and Vascular Surgery from AIIMS and did fellowship in Congenital Heart Surgery from Medical College of Carolina. I have worked in various hospitals as a Cardiac Surgeon and have been working at Fortis Escorts Hospital, Dehradun as a Senior Consultant & Head of Department since 2016."

Gynaecology

Dr S G Sethi
Gynaecologist | S G Sethi Clinic

[ 40 years Experience ]

Gynaecology is the study of the female reproductive system which includes the ovaries, uterus and the breast and most imp thing is producing babies and helping woman to have proper family planning and healthy living.

"After completing my education from Grant Medical College, Bombay, I came to Dehradun. I am working as Obstetrics and Gynaecologist for the last 40 years."

Pediatrics

Dr Nameet Jerath
Pediatrician | Indraprastha Apollo Hospital, New Delhi

[ 11 years & 8 months Experience ]

Pediatrics is the branch of medicine that involves the medical care of infants, children, and adolescents. The American Academy of Pediatrics recommends people be under pediatric care up to the age of 21. A medical doctor who specializes in this area is known as a pediatrician, or paediatrician. Pediatricians work both in hospitals, particularly those working in its subspecialties such as neonatology, and as primary care physicians.

"After completing my MBBS, I did my MD in Pediatrics and after that I did my Fellowship in Pediatrics Critical Care from Sydney Children's Hospital & Hospital for Sick Children, Toronto. In 2006, I started practicing as a Senior Consultant in the Department of Pediatrics, Pediatrics Critical Care & Pulmonologist at Indraprastha Apollo Hospital, New Delhi."

Orthopedic Surgery

Dr Subhash Shalya
Sr Consultant Orthopedic Surgeon | Various Hospitals

[ 23 years Experience ]

Orthopedic surgery or orthopedics is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopaedic surgery is surgery performed by a medical specialist, such as an orthopedist or orthopaedic surgeon, trained to deal with problems that develop in the bones, joints, and ligaments of the human body.

"After completing my MBBS from SNMC, BR Ambedkar University Agra, I did my MS in Orthopedics & then in Surgery from SN Medical College Agra, UP. In 1994, I did my PGCR in Rehabilitation from All India Institute of Physical Medicine and Rehabilitation, Mumbai. In 1990, I started working as a Sr Consultant for various hospitals and later in 1995 I got associated as Full Time Senior Consultant Orthopedic Surgeon at Indraprastha Apollo Hospital where I worked for more than 9 years. In 2005, I started my own clinic & rehabilitation centre named Bone Joints Care Foundation of India which is an NGO in the field of rehabilitation of pediatric and geriatric patients suffering from disabilities and deformities. I am also associated with Fortis C-Doc Hospital New Delhi, Max Hospital Noida & NMC Hospital Noida as a visiting Sr Consultant Orthopedic Surgeon."

Teaching Anatomy

Dr S L Jethani
HOD & Professor | Himalayan Institute of Medical Sciences

[ 34 years Experience ]

Anatomy is the branch of biology concerned with the study of the structure of organisms and their parts. Anatomy is a branch of natural science dealing with the structural organization of living things.

"I did MBBS and MS in Anatomy from G R Medical College, Gwalior. I also did my internship at the same college. I taught at G R Medical College for few years before moving to Himalayan Institute of Medical Sciences, Dehradun. I have been a Dean and Medical Superintendent at the institute. I am a Professor and Head of Department at Himalayan Institute of Medical Sciences, Dehradun."

Neurosurgery

Dr Nagender Singh Rawat
Neurosurgeon | VelMed Hospital

[ 3 years & 1 month Experience ]

Neurosurgery is the medical specialty concerned with the prevention, diagnosis, surgical treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system.

"I completed my M Ch (Neurosurgery) from SGPGIMS, Lucknow. Since 2016, I am working as a neurosurgeon and in June 2018, I joined VelMed Hospital, Dehradun as a Neurosurgeon."

Gynaecology

Dr Sanjay Sujata
Gynaecologist | Sanjay Maternity Centre

[ 8 years & 6 months Experience ]

Gynaecology is the branch of physiology and medicine which deals with the functions and diseases specific to women and girls, especially those affecting the reproductive system.

"I did my MBBS and Diploma in Obstetrics and Gynaecology from G R Medical College, Jiwaji University. I have been practicing as a Gynaecologist at Sanjay Orthopaedic, Spine & Maternity Centre since 2010. I have been awarded with many awards and recognitions such as 100 Women Achievers Award by MWCD and Indira Gandhi National Award."

Pain and Spine Care

Dr Lavkush Pandey
Pain Management Specialist | Samvedna Pain and Spine Endoscopy Clinic

[ 9 years & 10 months Experience ]

Pain and Spine Care consists of a group of physicians who provide specialized care for lower back and neck pain, cancer pains, join pains, Headache or Orofacial Pain, Labor analgesia or other chronic pain conditions.

"I finished my MBBS graduation from Guwahati Medical College in 1999. After that, I worked in many renowned hospitals in Delhi. I have been working as a Pain Management Specialist at the Samvedna Pain and Spine Endoscopy Clinic in Dehradun where I practice minimum invasive spine and pain interventions along with spine endoscopic discectomy. I manage all kind of chronic pains specially lower back and neck pains."

Neurodevelopmental Paediatrics

Dr Ajay Sharma
Consultant Paediatrician | Various Medical Assignments

[ 40 years & 3 months Experience ]

Neurodevelopmental pediatricians evaluate and treat infants, toddlers and children who show signs of motor and developmental delays. Pediatric behavior health is also a part of neurodevelopmental pediatrics. Developmental pediatrics helps kids who have motor, speech, social or learning delays (developmental disorders in children).

"After doing education I started working as a consultant neurodevelopmetal paediatrician and clinical director in the Evelina London, Guy's and St Thomas' Hospital, UK. I have extensive clinical and teaching experience of the child development and developmental disorders. I have also co-authored two books on child development (From Birth to Five Years - Children's Developmental Progress and Practical Developmental Examination). I also volunteer with the Latika Roy Foundation in India helping them with medical consultancy, running parents' groups, teaching on courses and setting up a website www.enablenet.info."

Pulmonology

Dr. Aditya S Agrawal
Pulmonologist | The Opera House Clinic

[ 8 years & 6 months Experience ]

Pulmonology is a medical speciality that deals with diseases involving the respiratory tract. Pulmonologists have expertise in structural, inflammatory, infectious, and neoplastic disorders of the lung parenchyma, pleura and airways, pulmonary vascular disease and its effect on the cardiovascular system, and detection and prevention of occupational and environmental causes of lung disease.

"I am trained in Pulmonary Medicine for which I received an MD followed by a DNB by the National Board of Examinations, followed by a fellowship in Lung Cancer and then a senior post at the National Institute of Tuberculosis and Respiratory Diseases, New Delhi. I have several research papers and also teaching post graduate students. My experience helps me manage respiratory diseases such as lung infections, smoking related lung disease, interstitial lung diseases, pleural diseases (like water/fluid around the lung), obstructive lung diseases (Asthma, bronchitis and COPD), lung cancers and sleep disordered breathing like sleep apnea."

Community Medicine

Chandrakant Lahariya
Public Health Specialist | World Health Organisation

[ 15 years Experience ]

Community health is a major field of study within the medical and clinical sciences which focuses on the maintenance, protection, and improvement of the health status of population groups and communities.

"I have worked as a Junior Resident Fellow at Lady Hardinge Medical College. After that, I did an MBA in Health Care Management from Amity University and started working as Program Consultant with The INCLEN Trust. I was an Assistant Professor at GR Medical College, Gwalior. In 2008 I joined World Health Organization as Focal Point. I also worked as Consultant with UNICEF and UNFPA, and Advisor to many state governments in India. Currently I am working with World Health Organization as Public Health Specialist."

Sports Medicine & Pain Management

Rajat Chauhan
Sports Medicine & Pain Doctor | Back 2 Fitness

[ 16 years & 8 months Experience ]

Sports medicine is an area of medical practice concerned with holistic well-being of the sports person, whether it be amateur or elite. It also addresses role of exercises in health conditions and or for well-being of all. It also involves nutrition, exercise & sports technique, recovery, performance and treatment of injuries resulting from sports-exercise activities. Musculoskeletal Medicine (Pain management) is an area of medical practice which focuses on conservative non-injection & non-surgical management of muscular and skeletal pains. For that you need to address both psychological and physical issues by understanding the patient rather than just pain area.

"I like to call myself a student of pain and running, as I’m always learning more about my subjects of interest. I am also a militant advocate of GOYA (Get Off Your Arse) Move-Mint. I have been running for last 34 years and making others to run too. In my spare time I am a doctor specializing in Sports-Exercise Medicine (Queen's Medical Centre, Nottingham) and Osteopathy / Musculo-Skeletal Medicine (London College of Osteopathic Medicine) with special interest in Back and Knee Pain. In 2008, I started my own clinic Back2Fitness and I work as CEO and Medical Director there. Besides heading Back 2 Fitness, a Sports-Medicine & Muscuklo-Skeletal Medicine clinic for last 10+ years. I, along with my band of crazy friends, came up with La Ultra - The High, a 555 km (previously 333 & 222 km) run in Leh-Ladakh, India. We have been putting it together for last 9 years now. Some call it the world's cruelest ultra marathon. In 2017, we are brought to India its first iRun Fest, a Running Festival, which showcased Running Documentaries from around the world, Panel Discussions with thought leaders in running being on board and a platform for all involved in running in whatever capacity. Till 2016, I had been associated with Adidas India as Running Advisor for about 3 years. I was also the founding Director of Sports & Exercise Department at Ashoka University where I was responsible for the sports infrastructure and making sports and physical activity an integral part of the curriculum. I have been writing for Mint and Hindustan Times for over a decade now. I've done a series of running podcast, MoveMint for Mint newspaper and series of FacebookLive for Hindustan Times newspaper. I have also been an Associate Editor at British Journal of Sports Medicine and a columnist for The Hindu, Hindustan Times, Mint, Forbes India and Founding Fuel. My book on Pain, published by Penguin Publications, The Pain Handbook was released in 2016."

Obstetrics and Gynaecology

Dr Sujata Agarwal
Consultant Gynaecologist & Obstetrician | IVY Health & Infertility Centre

[ 26 years Experience ]

Obstetrics and gynecology is the medical specialty that deals with pregnancy, childbirth, and the postpartum period and the health of the female reproductive systems and the breasts.

"After completing my schooling from various Govt schools across the country, I did my MBBS, then MD (Obstetrics & Gynaecology) & Residency programme from King George's Medical University, Lucknow. I started working as a Consultant Gynecologist & Obstetrician. I am also a visiting Surgeon Obstetrics & Gynaecology at Indraprastha Apollo Hospital, New Delhi. Later, I also did Diploma in Sonology. I have my own clinics at Sarita Vihar & Badarpur by the name Health & Gynae Clinic and IVY Health & Infertility Centre, New Delhi specializing in High Risk Obstetrics, Infertility and Ultrasound. I have been practicing as Obstetrics & Gynaecology since last 25 years."

Gynaecology

Dr Rekha Khanna
Doctor | Various Hospitals

[ 17 years & 1 month Experience ]

Gynaecology is the medical practice dealing with the health of the female reproductive systems (vagina, uterus, and ovaries) and the breasts. Almost all modern gynaecologists are also specialists in Obstetrics which is the field of study concentrated on pregnancy, childbirth, and the postpartum period.

"After completing my graduation in Medicine, I did specialization in Ayurvedic Medicine. I also did diploma in Reproductive and Child Health. I have been working as a Ayurvedic Doctor and Gynaecologist since 1999."

Reconnective Medicine

Ailane Araujo
Nutritional & Quantum Doctor | Institute of Reconnective Medicine

[ 2 years & 1 month Experience ]

Reconnective Healing is a highly evolved form of energy interaction that works to advance our health, balance, and quality of life progress, with a more infinite sense of freedom and expanded consciousness. It promotes our ability to heal ourselves and impact the lives of others as our own personal frequency becomes attuned, enhanced and integrated.

"I have a Ph D degree in Nutrition and Positive Psychology. After years of practising traditional medicine, I decided to heal people using an alternative practice called Reconnective Healing. I am working as a Nutritional & Quantum Doctor with the Institute of Reconnective Medicine."

Orthopaedic Surgery

Dr Anant Johri
Senior Resident | AIIMS Rishikesh

[ 1 year Experience ]

Orthopaedic surgery or orthopaedics is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopaedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders.

"Since childhood I was deeply passionate about orthopaedics since that my father and grandparents have been practising orthopaedic surgeons. After school, I pursued an MBBS degree from Manipal and a Masters in Orthopaedics and Orthopaedic Surgery from Ludhiana. Since July 2017, I have been practising as a Senior Resident in the Department of Orthopaedics at AIIMS, Rishikesh."

General & Laparoscopic Surgery

Dr Puneet Tyagi
Consultant Surgeon | VelMed Hospital

[ 3 years Experience ]

Laparoscopic surgery is also known as a key-hole surgery or minimally invasive surgery. It is widely used in gynaecology, gastroenterology and urology. Patients receive specialised assessment, latest treatments along with clinical post-operative care, medications and a regular follow-up.

"After completing my education, I started practicing as a Consultant Surgeon and in 2018, I joined Velmad Hospital as a Consultant Surgeon (General & Laparoscopic Surgery)."

Plastic Surgery

Dr Yogi Aeron
Director | Outreach Centre of Resurge Int

[ 48 years Experience ]

Plastic surgery is a surgical specialty involving the restoration, reconstruction, or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes craniofacial surgery, hand surgery, microsurgery, and the treatment of burns. While reconstructive surgery aims to reconstruct a part of the body or improve its functioning, cosmetic (or aesthetic) surgery aims at improving the appearance of it.

"After completing my specialization in plastic surgery, I started working as a Plastic Surgeon. I have been working since 1967, treating various patients for burns and other problems. I am currently the director of the outreach centre of Resurge International as well."

Obstetrics and Gynaecology

Dr Anuradha Sharma
Consultant Gynaecologist & Obstetrician | Dr. Anuradha's Clinic

[ 31 years & 11 months Experience ]

Obstetrics and Gynecology (OB/GYN) is the branch of medical science that deal with the female reproductive system. Obstetrics deals with pregnancy and Gynecology deals with all the non-pregnancy issues as well. Specialized education and training helps an obstetrician in the management of pregnancy, labour, and the time immediately following childbirth, whereas a gynecologist is a physician who is trained to diagnose and treat disorders related to the female reproductive system.

"After completing my schooling from Carmel Convent School Gwalior, I did my MBBS in 1982 & MS (Obstetrics & Gynaecology) in 1985 from Gajraj Raja Medical College. Thereafter, I did my Residency programme from Moolchand Hospital and worked for a year at AIIMS. Later, I worked as a Consultant Gynecologist & Obstetrician with various Hospitals like Sunrise Hospital, Maheshwari Clinic and others. I have expertise in High risk Obstetrics, Antenatal, Infertility Surgery, etc. In 1990, I started my own clinic in Sarita Vihar, Delhi. I am also a member of Federation of Obstetric and Gynecological Societies of India (FOGSI), Association of Obstetricians & Gynecologists of Delhi (AOGD) and Delhi Medical Association (DMA)."

ENT

Dr Anil Chauhan
ENT Consultant | VelMed Hospital

[ 16 years Experience ]

ENT Specialist deals within medicine that deals with conditions of the ear, nose, and throat and related structures of the head and neck. Doctors who specialize in this area are called otorhinolaryngologists, otolaryngologists, ENT doctors, ENT surgeons, or head and neck surgeons.

"After completing my MBBS & MS, I started working as an ENT physician. In 2018, I joined VelMed Hospital as an ENT Consultant."

Cardiothoracic & Vascular Surgery

Dr Manish Meswani
Senior Consultant | VelMed Hospital

[ 22 years & 1 month Experience ]

Cardiovascular surgery is surgery on the heart or great vessels performed by cardiac surgeons. It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to correct congenital heart disease; or to treat valvular heart disease from various causes, including endocarditis, rheumatic heart disease, and atherosclerosis. It also includes heart transplantation.

"I worked for 8 years in Australia and New Zealand, 5 years in Gujarat and in the last 3 years I have worked in various hospitals of Uttarakhand. In 2018, I joined VelMed Hospital as a Senior Consultant of Cardiothoracic & Vascular Surgery."

Anesthesia

Harsha Bhat
Anesthesiologist | Various Hospitals

[ 6 years Experience ]

Anesthesia or anaesthesia (from Greek "without sensation") is a state of controlled, temporary loss of sensation or awareness that is induced for medical purposes. It may include some or all of analgesia (relief from or prevention of pain), paralysis (muscle relaxation), amnesia (loss of memory), and unconsciousness. A patient under the effects of anesthetic drugs is referred to as being anesthetized.

"I did MBBS from Mysore Medical College And Research Institute and MD (Anesthesia) from R&D Medical College Udaipur in 2014, since then I am practicing Anesthesia."

Paediatric Surgery

Santosh Kumar Singh
Associate Professor | Swami Ram Himalayan University

[ 18 years Experience ]

Paediatric surgery is a subspecialty of surgery involving the surgery of fetuses, infants, children, adolescents, and young adults.

"I did graduation and post-graduation in medicine from GSVM Medical College, Kanpur. I then did Masters in Paediatric Surgery. I practised in Kanpur for over a decade before moving to Dehradun. I am Assistant Professor at Swami Ram Himalayan University."

Reconnective Medicine

Ailane Araujo
Nutritional & Quantum Doctor | Institute of Reconnective Medicine

[ 2 years & 1 month Experience ]

Interventional Cardiology

Abhinav Jain
Consultant Cadiologist | CMI Hospital

[ 1 year & 1 month Experience ]

Interventional cardiology is a branch of cardiology that deals specifically with the catheter based treatment of structural heart diseases. Andreas Gruentzig is considered the father of interventional cardiology after the development of angioplasty by interventional radiologist Charles Dotter.

"I did MBBS from Dr D Y Patil Medical College,Pimpri, Pune and MD (General Medicine) from Himalayan Institute of Medical Sciences. After that I have worked as an Associate Consultant at Max Superspeciality Hospital, Saket, New Delhi, Max Super Speciality Hospital, Saket, and HIMS, Dehradun. I am working as a Consultant Cardiologist at Combined Medical Institute, Dehradun since 2019."