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Physicians BioThe Department of Medicine-Pediatrics has 1 physician and is located in the Canandaigua Office. Dr. Alling is Board Certified in both Internal Medicine and Pediatrics and works as part of both departments at the group. He is accepting new patients. See the services provided by the department of Medicine-Pediatrics.

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Douglas Alling, MD


What is a medical specialist?

A medical specialist is a physician who has completed the usual four years of medical school plus three to six years of training in a residency program where there is extensive study and preparation for them to care for patients in specific areas of medicine. As a resident the physician spends full time in a hospital or ambulatory care setting under the supervision of teachers. During this time the resident cares for patients, attends conferences, and participates in research in the area of specialty being studied.  At the end of the residency the physician must complete a comprehensive evaluation and examination in order to receive certification. Some specialty boards also require re certification every seven to ten years to maintain the certification. In addition the physician must participate in yearly continuing medical education.

What is a Medicine-Pediatrics Specialist?

Medicine-Pediatrics, also called Med-Peds, is a combination of the separate specialties Internal Medicine and Pediatrics. A Med-Peds physician receives training to become board-certified in both Internal Medicine and Pediatrics by completing a four-year residency training program. Through this combined training, a Med-Peds physician is capable of performing all the duties of the individual specialists. Physicians who choose to become Med-Peds specialists typically wish to receive the rigorous and often in-hospital training of the individual specialists while also maintaining the ability to care for people of all ages.

Many Med-Peds specialists enter primary care practices upon completion of their training while others further sub-specialize into fields such as Cardiology, Infectious Diseases, Pulmonology and others. Med-Peds physicians in primary care are able to care for families much like traditional family physicians but invariably have some differences in their approach to patient care and do not practice any obstetrics or surgery.

The Med-Peds combination is relatively new in the medical world. We have the distinction in the Rochester area of having one of the two oldest programs in the country at The University of Rochester (the other is The University of North Carolina). There were few Med-Peds training programs until the late 1980's and early '90's. Now there are well over 100 programs nationwide. Most major university medical centers offer a combined program in addition to the individual specialties, and there are many non-university-affiliated hospital systems that offer this training as well.

What is a Nurse Practitioner?

A nurse practitioner (NP) is a registered professional nurse with advanced education and clinical training in a health care specialty area. Nurse practitioners work with people of all ages and their families, providing information people need to make informed decisions about their health care and lifestyle choices. Nurse practitioners evaluate the health status of patients through history taking, physical examination and evaluation of laboratory tests. They provide comprehensive health care wellness evaluations as well as assess and manage acute minor illnesses and refer patients to physicians and other health care providers when necessary. The nurse practitioner prescribes medicines and other therapies when it is appropriate. At the Canandaigua Medical Group, your doctor reviews all notes of your visits with the nurse practitioner. The physician remains ultimately responsible for your health care. Through the nurse practitioner your doctor can be more responsive to your individual needs.

Nurse Practitioners have been in practice with the Canandaigua Medical Group (CMG) for over 20 years. Initially they practiced only in Internal Medicine but today they work within all the specialty areas of CMG.

The Nurse Practitioner movement began over 25 years ago in Colorado at a time of a severe physician shortage. Registered nurses were trained in advanced techniques of diagnosis and treatment to fill the need during that time. Today, most of our nurse practitioners have had at least 8 years of education and clinical practice before they take their first job. All of them had been practicing as registered nurses before they went back to school for their advanced education.

Here at the Canandaigua Medical Group, they are an integral part of the health care team. They practice in the collaborative relationship with our physician colleagues, diagnosing and treating both acute and chronic illnesses. They are able to prescribe medications, order, perform and interpret diagnostic studies and lab work, provide immunizations, perform physical exams, check ups and promote health seeking behavior and wellness. They counsel, educate, teach and treat individuals and families about their total health care needs.As professional health care specialists, they bring their years of nursing experience and education to the care of each individual and family.

There are more than 8,600 Nurse Practitioners certified to practice in New York State and some of the very best are here at the Canandaigua Medical Group as integral members of your health care team.