Tanriover Mine Durusu, Rigby Shirley, van Hulsteijn L Harry, Ferreira Faustino, Oliveira Narcisso, Schumm-Draeger Petra-Maria, Weidanz Frauke, Kramer Mark H H
Turkey.
United Kingdom.
Eur J Intern Med. 2015 Jan;26(1):9-11. doi: 10.1016/j.ejim.2014.11.004. Epub 2014 Dec 2.
The changing demography of European populations mandates a vital role for internists in caring for patients in each level of healthcare. Internists in the tertiary or academic setting are highly ranked in terms of their responsibilities: they are clinicians, educators, researchers, role models, mentors and administrators. Contrary to the highly focused approach of sub-specialties, general internists working in academic settings can ensure that coordinated care is delivered in the most cost-conscious and efficient way. Moreover, internal medicine is one of the most appropriate specialties in which to teach clinical reasoning skills, decision-making and analytical thinking, as well as evidence based, patient oriented medicine. Internists deal with challenging patients of the new millennium with a high burden of chronic diseases and polypharmacy; practice personalised medicine with a wide scientific background and so they are the perfect fit to establish and implement new tools for scientific research. In conclusion, internal medicine is developing a new identity as a specialty in its own right. The European Federation of Internal Medicine supports the concept of academic internists and calls upon the member countries to construct academic (general) internal medicine departments in their respective countries. As 'internal medicine is the cornerstone of every national healthcare system', academic (general) internal medicine should strive to be the cornerstone of every integrated, patient-centred, modern medical care and training system.
欧洲人口结构的变化使内科医生在各级医疗保健中照顾患者方面发挥着至关重要的作用。在三级或学术环境中的内科医生在职责方面排名很高：他们是临床医生、教育工作者、研究人员、榜样、导师和管理人员。与专科高度集中的方法不同，在学术环境中工作的普通内科医生可以确保以最具成本意识和效率的方式提供协调护理。此外，内科是教授临床推理技能、决策和分析思维以及循证、以患者为导向的医学的最合适专业之一。内科医生应对新千年中患有高负担慢性病和多种药物治疗的具有挑战性的患者；凭借广泛的科学背景实践个性化医疗，因此他们非常适合建立和实施新的科研工具。总之，内科本身正在发展成为一个具有新身份的专业。欧洲内科医学联合会支持学术内科医生的概念，并呼吁成员国在各自国家建立学术（普通）内科部门。由于“内科是每个国家医疗保健系统的基石”，学术（普通）内科应努力成为每个综合、以患者为中心的现代医疗保健和培训系统的基石。
