Department of Clinical Physiology, Lund University Hospital, Lund, Sweden.
Adv Physiol Educ. 2009 Dec;33(4):265-7. doi: 10.1152/advan.00072.2009.
Clinical physiologists in Sweden are physicians (the majority with a PhD degree) with thorough training in system physiology and pathophysiology. They investigate patients in a functional approach and are engaged in basic and applied physiology teaching and research. In 1954, clinical physiology was founded as an independent academic and clinical discipline by the Swedish government to ensure "contact between routine clinical work and the scientific progression." Up until 2008, clinical physiology was an independent clinical discipline but was then made a subdiscipline to radiology, a fundamentally different discipline. Individuals wishing to become clinical physiologists are required to be trained and certified as European radiologists, after which training and certification as clinical physiologists may be pursued. This means that radiologists without training in clinical physiology have become gatekeepers for future clinical physiologists. Unfortunately, this development takes place at a time when research and education in preclinical integrative physiology have diminished in favor of other organizational levels, such as cellular and molecular biology. The responsibilities for education and research in integrative human physiology have therefore mainly been transferred to clinical physiologists. Clinical physiology has been a successful independent clinical discipline in Sweden for the past 55 years and could serve as a model for other countries. Unless clinical physiologists regain control over their own discipline, systems physiology as a knowledge base and resource for patient care, education, and research will be severely impaired.
瑞典的临床生理学家是医生（大多数拥有博士学位），他们接受过系统生理学和病理生理学的全面培训。他们采用功能方法对患者进行检查，并从事基础和应用生理学的教学和研究。1954 年，瑞典政府将临床生理学设立为一个独立的学术和临床学科，以确保“常规临床工作与科学进展之间的联系”。直到 2008 年，临床生理学一直是一个独立的临床学科，但后来成为与放射学完全不同的学科的一个分支。希望成为临床生理学家的人必须接受并获得欧洲放射学家的培训和认证，然后才能接受临床生理学家的培训和认证。这意味着没有临床生理学培训的放射科医生已经成为未来临床生理学家的把关人。不幸的是，这种发展发生在临床前整合生理学的研究和教育减少的时期，转而支持其他组织层次，如细胞和分子生物学。因此，综合人体生理学的教育和研究的责任主要转移到了临床生理学家身上。在过去的 55 年里，临床生理学在瑞典一直是一个成功的独立临床学科，它可以为其他国家提供借鉴。除非临床生理学家重新获得对自己学科的控制权，否则作为患者护理、教育和研究的知识库和资源的系统生理学将受到严重损害。
