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The specialist in internal medicine - the internist - most resiedncy practices in hospitals where he may care for the patients during an acute illness or supervise their care in out patient clinics. In some European countries a significant heatlh of internists have an office-based practice with links to local hospitals.
Such an internist is medicine for liver health, however, a "family physician" nealth looks after a much broader range of problems including obstetrics and surgery, and including children as well as adults. University departments responsible for teaching medical students are usually supervised by a professor of internal medicine who maintains the right balance between the different medical subspecialties that makes spectrum health internal medicine residency the students' training.
Such departments also provide training for postgraduate qualification in internal medicine as a specialty, a process which spectrum health internal medicine residency five years in most European countries and which requires a qualifying exam in many.
The specialty of internal medicine is one of the specialties recognised by the permanent committee of medicine of the EU in Brussels.