Davidson C, King R C
Br Med J (Clin Res Ed). 1986 Aug 30;293(6546):547-50. doi: 10.1136/bmj.293.6546.547.
The general physician with or without an interest is directly responsible for the initial and continuing care in most acute medicine. Specialty interests cover the whole range of medicine but in most instances are subordinate to the claims of general medicine. Consultants in district general hospitals carry a bigger caseload in acute medicine than their colleagues in teaching hospitals, and this has implications for undergraduate and postgraduate training. The management of patients in intensive care units remains very much the task of the general physician. The general physician will continue to be an essential member of the hospital service in the foreseeable future.
无论有无特定兴趣领域的普通内科医生，在大多数急性医学领域都直接负责初始治疗和持续护理。专科兴趣涵盖医学的各个领域，但在大多数情况下都从属于普通医学的需求。地区综合医院的会诊医生在急性医学方面的工作量比教学医院的同行更大，这对本科和研究生培训有影响。重症监护病房患者的管理在很大程度上仍然是普通内科医生的任务。在可预见的未来，普通内科医生仍将是医院服务的重要成员。
