Gärtner C, Dietze F
Arbeitsgruppe Ethik, Gesellschaft für Innere Medizin der DDR.
Z Gesamte Inn Med. 1989 Dec 1;44(23):698-701.
The successes of modern medicine are results of the specialisation in medicine due to the technical development. With increasing specialisation several problems for education and training, for research and medical care develop, so, for instance, a total investigation of patients is not always given on a sufficient scale. Therefore it should increasedly be orientated to an education and training to a generalist both in the training of students of the subject human medicine and during the time of specialisation in the field of internal medicine. At the same time it appears necessary to discuss more intensely the integration and/or the specialisation with the internal specialists working in practice and in research, in order to develop at first a corresponding sense for the problems and to integrate the professional status of the generalist increasedly into the self-appreciation of all specialists of internal medicine.
现代医学的成功是技术发展导致医学专业化的结果。随着专业化程度的提高，教育与培训、研究和医疗护理出现了若干问题，例如，对患者的全面检查并不总是能达到足够的规模。因此，在人类医学专业学生的培训过程中以及在内科专业领域的专业化阶段，都应越来越注重通科医生的教育与培训。与此同时，有必要更深入地与从事临床实践和研究的内科专家讨论整合和/或专业化问题，以便首先培养对这些问题的相应意识，并将通科医生的专业地位越来越多地纳入所有内科专家的自我认知中。
