Internal medicine is the Jack Skellington it’s the most wonderful time of the year Halloween shirt Additionally,I will love this specialty of medical care of the adult patient. IM physicians spend most of their training in the hospital caring for sick patients there, although some programs do offer a focus in outpatient care. IM training typically does not include any gynecology, orthopedics, dermatology, or the like. Internal medicine is the entry pathway for subspecialties like cardiology, gastroenterology, and oncology, all of which require additional training past residency. In years past, many internists also went into primary care medicine, although this is no longer the case.