Post-graduate training in Internal Medicine: the generalist and sub-specialisation
Autor(a) principal: | |
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Data de Publicação: | 2000 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://revista.spmi.pt/index.php/rpmi/article/view/2015 |
Resumo: | After a short introduction, the author describes apersonal view of the different possible aspects ofInternal Medicine. A definition, historicalperspective, organisation, vocation and formation,with reference to the different realities in the USA(where these problems have been much discussed)and Portugal, including several well-known expertcitations, is made. The dichotomy between GeneralInternal Medicine and its Sub – Specialities, as wellas the relation between the General Internist andthe Specialist is elaborated. Special emphasis is givento the priority need of future investment in PrimaryCare and in the formation of Generalists (Internists,Paediatricians and Family Physicians who are inshort supply in our country) on which,unquestionably, our Health System must be based.Also attention is drawn to the undesirable numberof General Physicians without suitable formationand institutional employment. A plan to differenciateInternal Medicine as a Medical Speciality, basedon a common period of 3 years, is presented andjustified. The division of General Internal Medicineinto three different but complementary fields issuggested: Primary Care Internist, HospitalSpecialist and Emergency Specialist, adapting therecognised American and German models. The finalconclusions emphasise the need to face theseproblems with determination and coherence, puttingpatients suffering and the way Health System works,as our top priority. |
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Post-graduate training in Internal Medicine: the generalist and sub-specialisationA formação em Medicina Interna: o generalista e a subespecializaçãoMedicina Internasub-especialidadesgeneralistaespecialistaInternal Medicinesub-specialitiesgeneralistspecialistAfter a short introduction, the author describes apersonal view of the different possible aspects ofInternal Medicine. A definition, historicalperspective, organisation, vocation and formation,with reference to the different realities in the USA(where these problems have been much discussed)and Portugal, including several well-known expertcitations, is made. The dichotomy between GeneralInternal Medicine and its Sub – Specialities, as wellas the relation between the General Internist andthe Specialist is elaborated. Special emphasis is givento the priority need of future investment in PrimaryCare and in the formation of Generalists (Internists,Paediatricians and Family Physicians who are inshort supply in our country) on which,unquestionably, our Health System must be based.Also attention is drawn to the undesirable numberof General Physicians without suitable formationand institutional employment. A plan to differenciateInternal Medicine as a Medical Speciality, basedon a common period of 3 years, is presented andjustified. The division of General Internal Medicineinto three different but complementary fields issuggested: Primary Care Internist, HospitalSpecialist and Emergency Specialist, adapting therecognised American and German models. The finalconclusions emphasise the need to face theseproblems with determination and coherence, puttingpatients suffering and the way Health System works,as our top priority.Após uma breve introdução, o autor aborda o temada Medicina Interna nas suas mais variadas facetas,fazendo uma resenha pelos aspectos históricos,organizacionais, doutrinários, vocacionais eformativos, tendo sempre como referência asrealidades dos EUA (onde esta polémica atingiumaior dimensão) e a Portuguesa, servindo – se comfrequência de citações de alguns Internistasconsagrados como verdadeiros Mestres quanto aoseu pensamento acerca desta complexaproblemática. Dá destaque à dicotomia entre aMedicina Interna Geral e as Sub – Especialidades ,bem como à relação entre o Internista Generalista eo Internista Especialista e particular ênfase ànecessidade de se ter de investir prioritariamentede futuro na área dos Cuidados Primários e nosdenominados Generalistas (Internistas, Pediatras eMédicos de Família, amplamente deficitários nonosso país), nos quais, indiscutivelmente, se devebasear o nosso Sistema de Saúde. Chama também aatenção para a existência indesejável de umelevadíssimo número de “médicos praticantes daClínica Geral “sem a posse de habilitaçõesadequadas e de enquadramento institucionalapropriado. Apresenta ainda e fundamentaresumidamente um organigrama de diferenciaçãoda especialidade a partir de um Tronco Comum de3 anos, preconizando a divisão da Medicina InternaGeral em três áreas distintas e complementares: OInternista dos Cuidados Primários, o Hospitalista eo Emergentista, adaptando os reconhecidos modelos americano e alemão. Termina com um enunciar dealgumas conclusões, onde destaca a necessidade dese dever assumir as consequências destas reflexõescom determinação e coerência, fundamentalmenteatravés de orientações que permitam a efectivaresolução dos problemas dos Doentes e do nossoSistema de Saúde.Sociedade Portuguesa de Medicina Interna2000-12-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spmi.pt/index.php/rpmi/article/view/2015Internal Medicine; Vol. 7 No. 4 (2000): Outubro/ Dezembro; 246-260Medicina Interna; Vol. 7 N.º 4 (2000): Outubro/ Dezembro; 246-2602183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/2015https://revista.spmi.pt/index.php/rpmi/article/view/2015/1413Poças, Joséinfo:eu-repo/semantics/openAccess2023-06-10T06:11:11Zoai:oai.revista.spmi.pt:article/2015Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:00:08.491671Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Post-graduate training in Internal Medicine: the generalist and sub-specialisation A formação em Medicina Interna: o generalista e a subespecialização |
title |
Post-graduate training in Internal Medicine: the generalist and sub-specialisation |
spellingShingle |
Post-graduate training in Internal Medicine: the generalist and sub-specialisation Poças, José Medicina Interna sub-especialidades generalista especialista Internal Medicine sub-specialities generalist specialist |
title_short |
Post-graduate training in Internal Medicine: the generalist and sub-specialisation |
title_full |
Post-graduate training in Internal Medicine: the generalist and sub-specialisation |
title_fullStr |
Post-graduate training in Internal Medicine: the generalist and sub-specialisation |
title_full_unstemmed |
Post-graduate training in Internal Medicine: the generalist and sub-specialisation |
title_sort |
Post-graduate training in Internal Medicine: the generalist and sub-specialisation |
author |
Poças, José |
author_facet |
Poças, José |
author_role |
author |
dc.contributor.author.fl_str_mv |
Poças, José |
dc.subject.por.fl_str_mv |
Medicina Interna sub-especialidades generalista especialista Internal Medicine sub-specialities generalist specialist |
topic |
Medicina Interna sub-especialidades generalista especialista Internal Medicine sub-specialities generalist specialist |
description |
After a short introduction, the author describes apersonal view of the different possible aspects ofInternal Medicine. A definition, historicalperspective, organisation, vocation and formation,with reference to the different realities in the USA(where these problems have been much discussed)and Portugal, including several well-known expertcitations, is made. The dichotomy between GeneralInternal Medicine and its Sub – Specialities, as wellas the relation between the General Internist andthe Specialist is elaborated. Special emphasis is givento the priority need of future investment in PrimaryCare and in the formation of Generalists (Internists,Paediatricians and Family Physicians who are inshort supply in our country) on which,unquestionably, our Health System must be based.Also attention is drawn to the undesirable numberof General Physicians without suitable formationand institutional employment. A plan to differenciateInternal Medicine as a Medical Speciality, basedon a common period of 3 years, is presented andjustified. The division of General Internal Medicineinto three different but complementary fields issuggested: Primary Care Internist, HospitalSpecialist and Emergency Specialist, adapting therecognised American and German models. The finalconclusions emphasise the need to face theseproblems with determination and coherence, puttingpatients suffering and the way Health System works,as our top priority. |
publishDate |
2000 |
dc.date.none.fl_str_mv |
2000-12-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/2015 |
url |
https://revista.spmi.pt/index.php/rpmi/article/view/2015 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/2015 https://revista.spmi.pt/index.php/rpmi/article/view/2015/1413 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
dc.source.none.fl_str_mv |
Internal Medicine; Vol. 7 No. 4 (2000): Outubro/ Dezembro; 246-260 Medicina Interna; Vol. 7 N.º 4 (2000): Outubro/ Dezembro; 246-260 2183-9980 0872-671X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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