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Internal medicine and hospital medicine (in Commonwealth nations) is the medical specialty dealing with the prevention, diagnosis, and treatment of internal diseases. Physicians specializing in internal medicine are called internist or physicians (without a modifier) in Commonwealth nations. Internists are skilled in the management of patients who have undifferentiated or multi-system disease processes. Internists care for hospitalized and ambulatory patients and may play a major role in teaching and research. Internal medicine and hospital medicine are often confused as equivalent in the Commonwealth nations .Internal medicine is also a specialty within clinical pharmacy and veterinary medicine.