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General internal medicine

Doctors working in general internal medicine treat patients with a wide range of acute and long-term medical conditions. 

You’ll spend the majority of your time working between an acute medical unit [1], medical admissions unit and a medical ward managing patients with a wide range of clinical problems.

Life in general internal medicine 

Vital to your success will be your ability to accurately diagnose patients, manage uncertainty, deal with co-morbidities (complex medical problems involving multiple symptoms and conditions) and recognise when the opinion and intervention of another specialist is required.  

Typically, you’ll deal with: 

  • advanced cardiopulmonary [2] resuscitation 
  • direct current (DC) cardioversion (a procedure to convert an abnormal heart rhythm to a normal heart rhythm) 
  • temporary cardiac pacing 
  • insertion of venous lines (peripheral and central) 
  • aspiration [3] of fluid from chest and abdomen 
  • insertion of drainage catheters into chest and abdomen 
  • lumbar puncture 
  • prescribing of drugs for acute and long-term conditions 

Most doctors working in general internal medicine obtain dual specialty e.g. cardiology and general internal medicine, acute internal medicine and general internal medicine or geriatric medicine and general internal medicine. 

Your dual specialty will increase your patient involvement and see you collaborate with a wide range of colleagues as part of an acute medical care workforce. 

A large part of your day will involve reviewing newly admitted patients and continuing treatment for the most unwell, as well as providing care for patients awaiting an operation but who have an acute illness. 

Every day you’ll: 

  • diagnose and treat a wide range of medical disorders, referring for specialist opinion and care as appropriate 
  • provide advice and care for patients admitted to hospital under other specialties (e.g. surgery, obstetrics and gynaecology) who have medical problems 
  • diagnose and treat a variety of medical conditions that are referred to medical outpatient clinics 
  • manage inpatients and outpatients with co-morbidities, including elderly patients with frailty and dementia 

Treating people who are acutely ill and often in life-threatening circumstances is highly rewarding but very challenging. 

How much can I earn? 

You’ll first earn a salary when you start your foundation training [4] after medical school.  Find out details of current salary ranges for foundation and specialty training, SAS doctors [5] and consultants on the Pay for doctors [6] page. 

How about the benefits? 

  • make a difference 
  • flexible and part-time working 
  • high income early in your career   
  • work anywhere in the world   
  • excellent pension scheme 
  • good holiday entitlement 
  • NHS discounts in shops and restaurants 

Must-have skills 

  • excellent communication skills to manage a wide range of relationships with colleagues, and patients and their families  
  • emotional resilience, a calm temperament and the ability to work well under pressure  
  • teamwork and the capacity to lead multidisciplinary teams  
  • problem-solving and diagnostic skills  
  • outstanding organisational ability and effective decision-making skills  
  • first-class time and resource management for the benefit of patients  

Entry requirements 

Your first step is medical school. Typically, you’ll need excellent GCSEs and three A or A* passes at A level including chemistry for a five-year undergraduate degree in medicine. Many medical schools also ask for biology and others may require maths or physics.   

If you already have a degree, you could study for a four-year postgraduate degree in medicine.  

You’ll need to pass an interview and admissions test. You’ll be asked to show how you demonstrate the NHS values such as compassion and respect.  

Some medical schools look to recruit a mix of students from different backgrounds and geographical areas, so your educational and economic background and family circumstances could be considered as part of your application. 

What are my chances of starting a career in general internal medicine? 

There are approximately 891 consultants working in general internal medicine in the NHS in England. 

How to become a doctor in general internal medicine 

After medical school, you’ll join the paid two-year foundation programme [7] where you’ll work in six placements in different settings.  

After your foundation programme, you can apply for paid specialty training [8] to become a doctor in general internal medicine, which will take a minimum of three years. Most doctors in general internal medicine obtain dual specialty, which will typically require a minimum of seven years training. 

You may be able to train part time, for example for health reasons or if you have family or caring responsibilities. 

Where a career in general internal medicine can take you 

You could specialise in:  

  • acute internal medicine 
  • cardiology 
  • endocrinology and diabetes 
  • gastroenterology 
  • geriatric medicine 
  • renal medicine 
  • respiratory [9] medicine 

You’ll also have opportunities to conduct research and teach. 

  • Find a vacancy

    • General (Internal) Medicine Consultant

      Hereford, HR1 2ER

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Wye Valley NHS Trust
      Apply now on NHS Jobs for General (Internal) Medicine Consultant job (opens in a new window) [10]
    • Locum Consultant in General Internal Medicine

      Shrewsbury, SY3 8XQ

      Salary:
      £109725.00 to £145478.00
      Type:
      Fixed-Term
      Employer:
      The Shrewsbury and Telford Hospital NHS Trust
      Apply now on NHS Jobs for Locum Consultant in General Internal Medicine job (opens in a new window) [11]
    • Consultant in Diabetes and General Internal Medicine

      London, SE13 6LH

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Lewisham and Greenwich NHS Trust
      Apply now on NHS Jobs for Consultant in Diabetes and General Internal Medicine job (opens in a new window) [12]
    • Locum Consultant in General Internal Medicine (GIM)

      Redhill, RH1 5RH

      Salary:
      £109725.00 to £145478.00
      Type:
      Fixed-Term
      Employer:
      Surrey and Sussex Healthcare NHS Trust
      Apply now on NHS Jobs for Locum Consultant in General Internal Medicine (GIM) job (opens in a new window) [13]
    • Consultant in Clinical Toxicology and General Internal Medicine

      Smethwick, B66 2QT

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Sandwell and West Birmingham NHS Trust
      Apply now on NHS Jobs for Consultant in Clinical Toxicology and General Internal Medicine job (opens in a new window) [14]
    • Junior Locally Employed Doctor in General Medicine/Geriatric Medicine

      Stockport, SK2 7JE

      Salary:
      £52656.00
      Type:
      Permanent
      Employer:
      Stockport NHS Foundation Trust
      Apply now on NHS Jobs for Junior Locally Employed Doctor in General Medicine/Geriatric Medicine job (opens in a new window) [15]
    • Trust doctor in General Medicine (ST1)

      Ashford, TN24 0LZ

      Salary:
      £49909.00
      Type:
      Fixed-Term
      Employer:
      East Kent Hospitals University NHS Foundation Trust
      Apply now on NHS Jobs for Trust doctor in General Medicine (ST1) job (opens in a new window) [16]
    • Trust Doctor In General Medicine (ST3)

      Ashford, TN24 0LZ

      Salary:
      £61825.00
      Type:
      Fixed-Term
      Employer:
      East Kent Hospitals University NHS Foundation Trust
      Apply now on NHS Jobs for Trust Doctor In General Medicine (ST3) job (opens in a new window) [17]
    • Trust Doctor in General Medicine (ST3)

      Ashford, TN24 0LZ

      Salary:
      £61825.00
      Type:
      Fixed-Term
      Employer:
      East Kent Hospitals University NHS Foundation Trust
      Apply now on NHS Jobs for Trust Doctor in General Medicine (ST3) job (opens in a new window) [18]
    • Trust Doctor (ST3 equivalent) in General Medicine

      Worthing, BN11 2DH

      Salary:
      £41750.00 to £64288.00
      Type:
      Fixed-Term
      Employer:
      University Hospitals Sussex NHS Foundation Trust (279)
      Apply now on NHS Jobs for Trust Doctor (ST3 equivalent) in General Medicine job (opens in a new window) [19]
    • Consultant - General Medicine

      Slough, SL2 4HL

      Salary:
      £105504.00 to £139882.00
      Type:
      Fixed-Term
      Employer:
      Frimley Health NHS Foundation Trust
      Apply now on NHS Jobs for Consultant - General Medicine job (opens in a new window) [20]
    • General Medicine Consultant

      Newport, PO30 5TG

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Isle of Wight NHS Trust
      Apply now on NHS Jobs for General Medicine Consultant job (opens in a new window) [21]
    • Specialty Doctor - Emergency Medicine

      Bournemouth, BH7 7DW

      Salary:
      £61542.00 to £99216.00
      Type:
      Fixed-Term
      Employer:
      University Hospitals Dorset NHS Foundation Trust
      Apply now on NHS Jobs for Specialty Doctor - Emergency Medicine job (opens in a new window) [22]
    • Specialty Doctor - Palliative Medicine

      Dorchester, DT1 2SL

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      Weldmar Hospicecare
      Apply now on NHS Jobs for Specialty Doctor - Palliative Medicine job (opens in a new window) [23]
    • Deputy General Manager - Pathology and Endoscopy (INTERNAL)

      Hereford, HR1 2ER

      Salary:
      £47810.00 to £54710.00
      Type:
      Permanent
      Employer:
      Wye Valley NHS Trust
      Apply now on NHS Jobs for Deputy General Manager - Pathology and Endoscopy (INTERNAL) job (opens in a new window) [24]
    • Trust Doctor in Acute General Medicine IMT 3/ST3 – ST5

      Oxford, OX3 9DU

      Salary:
      £61825.00
      Type:
      Fixed-Term
      Employer:
      Oxford University Hospitals NHS Foundation Trust
      Apply now on NHS Jobs for Trust Doctor in Acute General Medicine IMT 3/ST3 – ST5 job (opens in a new window) [25]
    • Intern Administrator

      Salford, M6 8HD

      Salary:
      £24465.00
      Type:
      Fixed-Term
      Employer:
      Northern Care Alliance NHS Foundation Trust
      Apply now on NHS Jobs for Intern Administrator job (opens in a new window) [26]
    • Consultant in General Medicine

      Warrington, WA5 1QG

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Warrington and Halton Teaching Hospitals NHSFT
      Apply now on NHS Jobs for Consultant in General Medicine job (opens in a new window) [27]
    • Consultant in General Medicine

      kings lynn, PE30 4ET

      Salary:
      £109725.00 to £145478.00
      Type:
      Permanent
      Employer:
      The Queen Elizabeth Hospital King's Lynn NHSFT
      Apply now on NHS Jobs for Consultant in General Medicine job (opens in a new window) [28]
    • Specialist Doctor in Elderly Medicine

      Wakefield, WF14DG

      Salary:
      £100870.00 to £111441.00
      Type:
      Permanent
      Employer:
      The Mid Yorkshire Teaching NHS Trust
      Apply now on NHS Jobs for Specialist Doctor in Elderly Medicine job (opens in a new window) [29]
    • Specialist Doctor in Stroke Medicine

      Wakefield, WF14DG

      Salary:
      £100870.00 to £111441.00
      Type:
      Fixed-Term
      Employer:
      The Mid Yorkshire Teaching NHS Trust
      Apply now on NHS Jobs for Specialist Doctor in Stroke Medicine job (opens in a new window) [30]
    • Specialty Doctor in Stroke Medicine

      Redhill, RH1 5RH

      Salary:
      £61542.00 to £99216.00
      Type:
      Fixed-Term
      Employer:
      Surrey and Sussex Healthcare NHS Trust
      Apply now on NHS Jobs for Specialty Doctor in Stroke Medicine job (opens in a new window) [31]
    • Specialty Doctor in Emergency Medicine

      King's Lynn, PE30 4ET

      Salary:
      £61542.00 to £99216.00
      Type:
      Permanent
      Employer:
      The Queen Elizabeth Hospital King's Lynn NHSFT
      Apply now on NHS Jobs for Specialty Doctor in Emergency Medicine job (opens in a new window) [32]
    • Finance Assistant (INTERNAL)

      Hereford, HR1 2QX

      Salary:
      £27485.00 to £30162.00
      Type:
      Secondment
      Employer:
      Wye Valley NHS Trust
      Apply now on NHS Jobs for Finance Assistant (INTERNAL) job (opens in a new window) [33]
    • EPR Trainer *Internal*

      Carlisle / Whitehaven, CA3 0HA

      Salary:
      £27485.00 to £30162.00
      Type:
      Fixed-Term
      Employer:
      North Cumbria Integrated Care NHS Foundation Trust
      Apply now on NHS Jobs for EPR Trainer *Internal* job (opens in a new window) [34]
    • Trust Doctor in Emergency Medicine (ST1)

      Ashford, TN24 0LZ

      Salary:
      £49909.00
      Type:
      Fixed-Term
      Employer:
      East Kent Hospitals University NHS Foundation Trust
      Apply now on NHS Jobs for Trust Doctor in Emergency Medicine (ST1) job (opens in a new window) [35]
    • Flexible Workforce (Bank) Doctor (Emergency Medicine)

      Calderdale and Huddersfield NHS Foundation Trust, HD3 3EA

      Salary:
      Negotiable
      Type:
      Bank
      Employer:
      Calderdale and Huddersfield NHS Foundation Trust
      Apply now on NHS Jobs for Flexible Workforce (Bank) Doctor (Emergency Medicine) job (opens in a new window) [36]
    • Specialty Doctor Emergency Medicine (Conquest Hospital)

      St Leonards-on-sea, TN37 7RD

      Salary:
      £59175.00 to £95400.00
      Type:
      Permanent
      Employer:
      East Sussex Healthcare NHS Trust
      Apply now on NHS Jobs for Specialty Doctor Emergency Medicine (Conquest Hospital) job (opens in a new window) [37]
    • Trust Grade Doctor in Elderly Medicine

      London, W6 8RF

      Salary:
      Negotiable
      Type:
      Fixed-Term
      Employer:
      Imperial College Healthcare NHS Trust
      Apply now on NHS Jobs for Trust Grade Doctor in Elderly Medicine job (opens in a new window) [38]
    • Consultant Infectious Diseases & General Medicine

      Middlesbrough, TS4 3BW

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      South Tees Hospitals NHS Foundation Trust
      Apply now on NHS Jobs for Consultant Infectious Diseases & General Medicine job (opens in a new window) [39]
    • Consultant in Acute General Medicine

      Carmarthen, SA31 2AF

      Salary:
      £110240.00 to £160951.00
      Type:
      Permanent
      Employer:
      Hywel Dda University Health Board
      Apply now on NHS Jobs for Consultant in Acute General Medicine job (opens in a new window) [40]
    • Consultant in Respiratory & General Medicine

      Carlisle/Whitehaven, CA2 7HY

      Salary:
      £93666.00 to £126281.00
      Type:
      Permanent
      Employer:
      North Cumbria Integrated Care NHS Foundation Trust
      Apply now on NHS Jobs for Consultant in Respiratory & General Medicine job (opens in a new window) [41]
    • Directorate General Manager for Medicines

      Bodelwyddan, LL18 5UJ

      Salary:
      £78120.00 to £90013.00
      Type:
      Permanent
      Employer:
      Betsi Cadwaladr University Health Board
      Apply now on NHS Jobs for Directorate General Manager for Medicines job (opens in a new window) [42]
    • Locum Consultant in General Medicine

      Hartshill, Stoke on Trent, ST4 6QG

      Salary:
      Negotiable
      Type:
      Fixed-Term
      Employer:
      University Hospital of North Midlands NHS Trust
      Apply now on NHS Jobs for Locum Consultant in General Medicine job (opens in a new window) [43]
    • Highly Specialist Pharmacist - General Medicine

      London, SE1 7EH

      Salary:
      £64156.00 to £71148.00
      Type:
      Permanent
      Employer:
      Guy's and St Thomas' NHS Foundation Trust
      Apply now on NHS Jobs for Highly Specialist Pharmacist - General Medicine job (opens in a new window) [44]
    • Foundation Year 2 Resident Doctor - Emergency Medicine

      Westcliff-on-Sea, SS0 0RY

      Salary:
      £41541.00
      Type:
      Fixed-Term
      Employer:
      Mid and South Essex NHS Foundation Trust
      Apply now on NHS Jobs for Foundation Year 2 Resident Doctor - Emergency Medicine job (opens in a new window) [45]
    • Locally Employed Doctor in Emergency Medicine ST4+

      Carlisle, CA2 7HY

      Salary:
      £61825.00 to £70425.00
      Type:
      Fixed-Term
      Employer:
      North Cumbria Integrated Care NHS Foundation Trust
      Apply now on NHS Jobs for Locally Employed Doctor in Emergency Medicine ST4+ job (opens in a new window) [46]
    • Specialty Doctor/Clinical Fellow in Palliative Medicine

      Romford, RM4 1QH

      Salary:
      Negotiable
      Type:
      Fixed-Term
      Employer:
      Saint Francis Hospice
      Apply now on NHS Jobs for Specialty Doctor/Clinical Fellow in Palliative Medicine job (opens in a new window) [47]
    • Senior Locally Employed Doctor in Respiratory Medicine

      Manchester, M23 9LT

      Salary:
      £61825.00
      Type:
      Fixed-Term
      Employer:
      Manchester University NHS Foundation Trust
      Apply now on NHS Jobs for Senior Locally Employed Doctor in Respiratory Medicine job (opens in a new window) [48]
    • Locally Employed Doctor (Standard) - Emergency Medicine HGS

      Sutton Coldfield, B75 7RR
      Birmingham, B9 5SS

      Salary:
      £52656.00
      Type:
      Fixed-Term
      Employer:
      University Hospitals Birmingham NHS Foundation Trust
      Apply now on NHS Jobs for Locally Employed Doctor (Standard) - Emergency Medicine HGS job (opens in a new window) [49]
    • Service Support Assistant (INTERNAL)

      Hereford, HR1 2ER

      Salary:
      £24465.00
      Type:
      Permanent
      Employer:
      Wye Valley NHS Trust
      Apply now on NHS Jobs for Service Support Assistant (INTERNAL) job (opens in a new window) [50]
    • Ward Sister - Frome (INTERNAL)

      Hereford, HR1 2ER

      Salary:
      £47810.00 to £54710.00
      Type:
      Permanent
      Employer:
      Wye Valley NHS Trust
      Apply now on NHS Jobs for Ward Sister - Frome (INTERNAL) job (opens in a new window) [51]
    • Medical Laboratory Assistant *Internal*

      Carlisle, CA2 7HY

      Salary:
      £24937.00 to £26598.00
      Type:
      Permanent
      Employer:
      North Cumbria Integrated Care NHS Foundation Trust
      Apply now on NHS Jobs for Medical Laboratory Assistant *Internal* job (opens in a new window) [52]
    • Foundation Year 2 Resident Doctor - Emergency Medicine

      Westcliff-on-Sea, SS0 0RY

      Salary:
      £41541.00
      Type:
      Fixed-Term
      Employer:
      Mid and South Essex NHS Foundation Trust
      Apply now on NHS Jobs for Foundation Year 2 Resident Doctor - Emergency Medicine job (opens in a new window) [45]
    • Locally Employed Doctor in Emergency Medicine ST4+

      Carlisle, CA2 7HY

      Salary:
      £61825.00 to £70425.00
      Type:
      Fixed-Term
      Employer:
      North Cumbria Integrated Care NHS Foundation Trust
      Apply now on NHS Jobs for Locally Employed Doctor in Emergency Medicine ST4+ job (opens in a new window) [46]
    • Specialty Doctor/Clinical Fellow in Palliative Medicine

      Romford, RM4 1QH

      Salary:
      Negotiable
      Type:
      Fixed-Term
      Employer:
      Saint Francis Hospice
      Apply now on NHS Jobs for Specialty Doctor/Clinical Fellow in Palliative Medicine job (opens in a new window) [47]
    • Senior Locally Employed Doctor in Respiratory Medicine

      Manchester, M23 9LT

      Salary:
      £61825.00
      Type:
      Fixed-Term
      Employer:
      Manchester University NHS Foundation Trust
      Apply now on NHS Jobs for Senior Locally Employed Doctor in Respiratory Medicine job (opens in a new window) [48]
    • Locally Employed Doctor (Standard) - Emergency Medicine HGS

      Sutton Coldfield, B75 7RR
      Birmingham, B9 5SS

      Salary:
      £52656.00
      Type:
      Fixed-Term
      Employer:
      University Hospitals Birmingham NHS Foundation Trust
      Apply now on NHS Jobs for Locally Employed Doctor (Standard) - Emergency Medicine HGS job (opens in a new window) [49]
    • Locum Respiratory Consultant with General Medicine

      Carlisle, CA2 7HY

      Salary:
      £109725.00 to £145478.00
      Type:
      Fixed-Term
      Employer:
      North Cumbria Integrated Care NHS Foundation Trust
      Apply now on NHS Jobs for Locum Respiratory Consultant with General Medicine job (opens in a new window) [53]
    • Locum Consultant Physician in General Medicine

      Hengoed, CF82 7GP

      Salary:
      £121264.00
      Type:
      Fixed-Term
      Employer:
      Aneurin Bevan University Health Board
      Apply now on NHS Jobs for Locum Consultant Physician in General Medicine job (opens in a new window) [54]
    • Junior Clinical Fellow in General Medicine

      Newport, NP20 2UB

      Salary:
      £46324.00 to £60706.00
      Type:
      Fixed-Term
      Employer:
      Aneurin Bevan University Health Board
      Apply now on NHS Jobs for Junior Clinical Fellow in General Medicine job (opens in a new window) [55]
    • Senior Clinical Fellow in General Medicine

      Ystrad Fawr, CF82 7GP

      Salary:
      £46324.00 to £71814.00
      Type:
      Fixed-Term
      Employer:
      Aneurin Bevan University Health Board
      Apply now on NHS Jobs for Senior Clinical Fellow in General Medicine job (opens in a new window) [56]
    • Health Care Assistant - General & Specialist Medicine

      Bury, BL9 7TD

      Salary:
      £24937.00 to £26598.00
      Type:
      Permanent
      Employer:
      Northern Care Alliance NHS Foundation Trust
      Apply now on NHS Jobs for Health Care Assistant - General & Specialist Medicine job (opens in a new window) [57]
    • Consultant in Geriatric and General Medicine

      Nottingham, NG72UH

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Nottingham University Hospitals NHS Trusts
      Apply now on NHS Jobs for Consultant in Geriatric and General Medicine job (opens in a new window) [58]
    • Senior Clinical Fellow in General Medicine

      Swansea, SA6 6NL

      Salary:
      £46324.00 to £71814.00
      Type:
      Fixed-Term
      Employer:
      Swansea Bay University Health Board
      Apply now on NHS Jobs for Senior Clinical Fellow in General Medicine job (opens in a new window) [59]
    • Consultant in Rheumatology and General Medicine

      Wakefield, WF1 4DG

      Salary:
      £109725.00 to £145478.00
      Type:
      Permanent
      Employer:
      The Mid Yorkshire Teaching NHS Trust
      Apply now on NHS Jobs for Consultant in Rheumatology and General Medicine job (opens in a new window) [60]
    • Locally Employed Doctor (Higher) in Emergency Medicine QEHB

      Birmingham, B15 2TH

      Salary:
      £61825.00
      Type:
      Fixed-Term
      Employer:
      University Hospitals Birmingham NHS Foundation Trust
      Apply now on NHS Jobs for Locally Employed Doctor (Higher) in Emergency Medicine QEHB job (opens in a new window) [61]
    • Locally Employed Doctor (Higher) in Respiratory Medicine - QEHB

      Birmingham, B15 2TH

      Salary:
      £61825.00
      Type:
      Fixed-Term
      Employer:
      University Hospitals Birmingham NHS Foundation Trust
      Apply now on NHS Jobs for Locally Employed Doctor (Higher) in Respiratory Medicine - QEHB job (opens in a new window) [62]
    • Trust Doctor (F2) in Orthopaedics / Emergency Medicine / Paediatrics

      Bath, BA1 3NG

      Salary:
      £42008.00
      Type:
      Fixed-Term
      Employer:
      Royal United Hospitals Bath NHS Foundation Trust
      Apply now on NHS Jobs for Trust Doctor (F2) in Orthopaedics / Emergency Medicine / Paediatrics job (opens in a new window) [63]
  • These organisations have further information about being a doctor in general internal medicine, particularly as your career progresses, so take a look.

    Royal College of Physicians [64]

    Royal College of Physicians of Edinburgh [65]

    Royal College of Physicians and Surgeons of Glasgow [66]

    Society for Acute Medicine [67]

    European Federation of Internal Medicine [68]

Other roles that may interest you

  • Emergency medicine [69]
  • Acute internal medicine [70]
  • Geriatric medicine [71]
  • Respiratory medicine [72]

Source URL:https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/medicine/general-internal-medicine

Links
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