Goic A
Unidad de Planificaciön de la Educación Médica, Facultad de Medicina, Universidad de Chile, Santiago de Chile.
Rev Med Chil. 1996 Jun;124(6):740-6.
The role of internists has been extensively debated in the last decades. Chile has a 40 years experience in specialist training, based on USA hospital residency programs. The universities have tuition of programs and financing comes from the Ministry of Health. The Chilean Association of Medical Faculties accredits training centers. The present paper proposes a profile for internists (referred as an adult general physician) in the areas of attitudes and behaviors, knowledge and skills. The features, training areas and educational experiences that the internist should have, based on the described profile are also pointed out. Current training programs should be modified, since they have become the vestibule for super-specialization rather than conducting to the practice of general internal medicine. The internist's amplitude and integration of knowledge, fine clinical skills based on medical interview, physical examination and therapeutic mastery, differentiates him from sub-specialists.
在过去几十年里，内科医生的角色一直备受广泛争议。智利基于美国医院住院医师培训项目，在专科培训方面拥有40年的经验。各大学负责课程学费，资金来自卫生部。智利医学系协会对培训中心进行认证。本文提出了内科医生（称为成人普通内科医生）在态度与行为、知识与技能方面的概况。还指出了基于所描述概况内科医生应具备的特征、培训领域和教育经历。当前的培训项目应予以修改，因为它们已成为超专科培训的入门阶段，而非通向普通内科实践的途径。内科医生知识的广度与整合、基于医学问诊、体格检查和治疗掌握的精湛临床技能，使其有别于亚专科医生。
