Mammas Ioannis N, Spandidos Demetrios A
Department of Clinical Virology, School of Medicine, University of Crete, Heraklion 71003, Greece.
Exp Ther Med. 2018 Sep;16(3):2799-2802. doi: 10.3892/etm.2018.6546. Epub 2018 Jul 31.
Dr Nikolaos Myriokefalitakis, one of the most experienced paediatricians in the city of Athens, Greece, has worked as a consultant paediatrician at the 'P. & A. Kyriakou' Children's Hospital for more than 25 years, while during the 2004-2011 period, he was the clinical director of the 1st Paediatric Department of the 'Penteli' Children's Hospital. Under his leadership, in 2008, his department was renovated by 'Stavros Niarchos Foundation' and was organised as one of the most modern and exemplary national paediatric departments in Greece. Having the title of the 'teacher in paediatrics' by his junior Greek colleagues, he supports that clinical experience obtained through ward-based bedside teaching is the fundamental principle of paediatric teaching. He notes that paediatric diagnosis is performed thorough medical history and detailed physical examination of the patient and it is rarely established with the help of laboratory, common or specialised, investigations. According to Dr Myriokefalitakis, a modern paediatric department cannot function 'in a vacuum', but requires technological support, adequate medical and nursing personnel and team-working between paediatricians and experts on paediatric subspecialties and other basic specialties. He accepts that the current financial crisis in Greece has clearly affected negatively the clinical practice of primary as well as hospital-based paediatric care, while he regrets to note that as the years go by, physicians become more obsessed with defense medicine and technology. He suggests that it is necessary to distinguish paediatric virology from virology and he ends up encouraging the improvement of paediatric training in Greece highlighting the basic need to 'train the trainers' in medical education.
尼科拉奥斯·米里奥凯法利塔基斯博士是希腊雅典市经验最为丰富的儿科医生之一，在“P. & A. 基里亚库”儿童医院担任儿科顾问医生超过25年，在2004年至2011年期间，他是“彭泰利”儿童医院第一儿科的临床主任。在他的领导下，2008年，他所在的科室由“斯塔夫罗斯·尼亚尔霍斯基金会”翻新，成为希腊最现代化、堪称典范的国家儿科科室之一。他被希腊年轻同行尊称为“儿科导师”，他认为通过病房床边教学获得的临床经验是儿科教学的基本原则。他指出，儿科诊断是通过对患者进行全面的病史询问和详细的体格检查来进行的，很少借助实验室常规或专门检查来确诊。据米里奥凯法利塔基斯博士介绍，一个现代化的儿科科室不能“孤立运作”，而是需要技术支持、充足的医护人员以及儿科医生与儿科亚专业及其他基础专业专家之间的团队协作。他承认，希腊当前的金融危机显然对基层以及医院儿科护理的临床实践产生了负面影响，同时他遗憾地指出，随着时间的推移，医生们越来越痴迷于防御性医疗和技术。他建议有必要将儿科病毒学与病毒学区分开来，最后他鼓励改进希腊的儿科培训，强调在医学教育中“培训培训者”的基本需求。
