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Internship (medicine)
A medical (or surgical) intern is a physician in training who has completed medical school and has a medical degree, but does not yet have a license to practice medicine unsupervised. Under the guidance of senior doctors, interns will learn how to diagnose and treat patients, handle medical records and deal with different clinical situations. Medical education generally ends with a period of practical training similar to internship, but the way the overall program of academic and practical medical training is structured differs depending upon the country, as does the terminology used (see medical education and medical school for further details).
In Australia, medical graduates must complete one year in an accredited hospital post before they receive full registration. This year of conditional registration is called the intern year. An internship is not necessarily completed in a hospital at the same state as the graduate's medical school.
In Austria, the sixth and final year of medical school is called "Klinisch-praktisches Jahr" or "KPJ" (literally translated: clinical practical year). In this internship students complete at least three rotations in surgical and non-surgical specialties before they finish medical school. After graduation and before starting residency, new doctors must complete a 9 months long "Basisausbildung" (literally translated: basic training). In this time, they are supposed to acquire the most important ("basic") practical skills for practicing medicine regardless of their future specialty and are supervised by a board-certified specialist. After completion, new doctors are allowed to decide whether they want to complete residency ("Facharztausbildung") or the so-called "Turnus", which is the approx. 3.5 year long training in general medicine. Only after successfully completing residency or the "Turnus" and subsequent board-certification, doctors are allowed to practice medicine unsupervised.
In Brazil, medical school consists of six years or twelve semesters. The final two years (or one and a half years, depending on the university in question) are the internship. During this time, students work extensive hospital hours and do basic hospital work while supervised by residents and staff. This period is usually divided among internal medicine, surgery, gynecology and obstetrics, pediatrics, emergency medicine, family medicine, and a final elective period in which the student chooses an area for further experience. On conclusion of the internship, the student becomes a doctor and may work unsupervised or enter a residency program to gain a specialty.
The basic medical license in China is granted by examination. Those with a bachelor's degree in medicine are allowed to participate in the exam after one year of internship. Those with an associate's degree are allowed to participate after two years of internship in primary care using an assistant physician's license. Those with a professional degree are allowed to participate after 5 years of internship in primary care using the same license.
A further internship system for Chinese medical practitioners is called guīpéi (规培, short for Chinese: 住院医师规范化培训; lit. 'standardized training for residential physicians'). This program consists of a minimum of 3 years of rotating (轮转) across secondary care departments. Interns have reported long hours, poor pay, repetitive work, and a lack of respect under this system, with a wave of suicides in January 2024. Guipei grants a further certificate, considered indispensable for career advancement. Being hired at a government-run hospital virtually requires this certificate, as hospitals prefer doctors that can work unsupervised (主治).
The guipei system has been in place since 1993. The latest system-wide rules were set in 2013, though some specific divisions have received updates since. For example, a new 2024 rule requires physicians who majored in traditional Chinese medicine to rotate through at least 15 departments in addition to the 3-year requirement.
In Hong Kong, anyone who is awarded a bachelor's degree in medicine from the University of Hong Kong or the Chinese University of Hong Kong, or holds a non-local medical degree and passes the licensing examination held by the Medical Council of Hong Kong, must practice as a houseman in a public hospital under the administration of the Hong Kong Hospital Authority for 12 months, during which a department rotates every three months, which must include internal medicine and surgery. After passing the intern assessment, they can be officially registered as medical practitioners. The salary of interns is half of the starting salary of officially registered doctors working in public hospitals, which is now about HK$36,000 per month.
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Internship (medicine)
A medical (or surgical) intern is a physician in training who has completed medical school and has a medical degree, but does not yet have a license to practice medicine unsupervised. Under the guidance of senior doctors, interns will learn how to diagnose and treat patients, handle medical records and deal with different clinical situations. Medical education generally ends with a period of practical training similar to internship, but the way the overall program of academic and practical medical training is structured differs depending upon the country, as does the terminology used (see medical education and medical school for further details).
In Australia, medical graduates must complete one year in an accredited hospital post before they receive full registration. This year of conditional registration is called the intern year. An internship is not necessarily completed in a hospital at the same state as the graduate's medical school.
In Austria, the sixth and final year of medical school is called "Klinisch-praktisches Jahr" or "KPJ" (literally translated: clinical practical year). In this internship students complete at least three rotations in surgical and non-surgical specialties before they finish medical school. After graduation and before starting residency, new doctors must complete a 9 months long "Basisausbildung" (literally translated: basic training). In this time, they are supposed to acquire the most important ("basic") practical skills for practicing medicine regardless of their future specialty and are supervised by a board-certified specialist. After completion, new doctors are allowed to decide whether they want to complete residency ("Facharztausbildung") or the so-called "Turnus", which is the approx. 3.5 year long training in general medicine. Only after successfully completing residency or the "Turnus" and subsequent board-certification, doctors are allowed to practice medicine unsupervised.
In Brazil, medical school consists of six years or twelve semesters. The final two years (or one and a half years, depending on the university in question) are the internship. During this time, students work extensive hospital hours and do basic hospital work while supervised by residents and staff. This period is usually divided among internal medicine, surgery, gynecology and obstetrics, pediatrics, emergency medicine, family medicine, and a final elective period in which the student chooses an area for further experience. On conclusion of the internship, the student becomes a doctor and may work unsupervised or enter a residency program to gain a specialty.
The basic medical license in China is granted by examination. Those with a bachelor's degree in medicine are allowed to participate in the exam after one year of internship. Those with an associate's degree are allowed to participate after two years of internship in primary care using an assistant physician's license. Those with a professional degree are allowed to participate after 5 years of internship in primary care using the same license.
A further internship system for Chinese medical practitioners is called guīpéi (规培, short for Chinese: 住院医师规范化培训; lit. 'standardized training for residential physicians'). This program consists of a minimum of 3 years of rotating (轮转) across secondary care departments. Interns have reported long hours, poor pay, repetitive work, and a lack of respect under this system, with a wave of suicides in January 2024. Guipei grants a further certificate, considered indispensable for career advancement. Being hired at a government-run hospital virtually requires this certificate, as hospitals prefer doctors that can work unsupervised (主治).
The guipei system has been in place since 1993. The latest system-wide rules were set in 2013, though some specific divisions have received updates since. For example, a new 2024 rule requires physicians who majored in traditional Chinese medicine to rotate through at least 15 departments in addition to the 3-year requirement.
In Hong Kong, anyone who is awarded a bachelor's degree in medicine from the University of Hong Kong or the Chinese University of Hong Kong, or holds a non-local medical degree and passes the licensing examination held by the Medical Council of Hong Kong, must practice as a houseman in a public hospital under the administration of the Hong Kong Hospital Authority for 12 months, during which a department rotates every three months, which must include internal medicine and surgery. After passing the intern assessment, they can be officially registered as medical practitioners. The salary of interns is half of the starting salary of officially registered doctors working in public hospitals, which is now about HK$36,000 per month.