Ejercicio de la Medicina Interna en América Latina: Rol de médico internista

This article explores the causes of the crisis in the role of internists. As in the United States, the progressive specialization of internists lead to a dehumanized, expensive and technical practice of medicine. Aiming to better incomes and prestige, more than 60% of internists practice as speciali...

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Autor principal:	Varela J,Nacor
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2002
Materias:	Education, medical Internal medicine Medicine Medical education Medical graduate
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000100014
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spelling	oai:scielo:S0034-988720020001000142002-04-09Ejercicio de la Medicina Interna en América Latina: Rol de médico internistaVarela J,Nacor Education, medical Internal medicine Medicine Medical education Medical graduate This article explores the causes of the crisis in the role of internists. As in the United States, the progressive specialization of internists lead to a dehumanized, expensive and technical practice of medicine. Aiming to better incomes and prestige, more than 60% of internists practice as specialists. Primary care physicians, with a very low rate of problem solving, cover 75% of consultations. Specialists, with increasing costs, cover the rest of consultations. Patients, medical schools and health organizations are claiming the return of the general internal medicine specialist. To increase the interest for general internal medicine, several strategies are applicable. Medical students interested in general internal medicine could receive a focused training, provided by these specialists. A greater emphasis should be put on primary care. More independent, secondary care diagnostic and treatment centers, should be created. Continuous medical education should be done with periodical re certification of physicians. The public health system should increase its wages and the generalist view should be maintained by physicians when practicing at their private offices (Rev Méd Chile 2002; 130: 96-100)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.1 20022002-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000100014es10.4067/S0034-98872002000100014
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Education, medical Internal medicine Medicine Medical education Medical graduate
spellingShingle	Education, medical Internal medicine Medicine Medical education Medical graduate Varela J,Nacor Ejercicio de la Medicina Interna en América Latina: Rol de médico internista
description	This article explores the causes of the crisis in the role of internists. As in the United States, the progressive specialization of internists lead to a dehumanized, expensive and technical practice of medicine. Aiming to better incomes and prestige, more than 60% of internists practice as specialists. Primary care physicians, with a very low rate of problem solving, cover 75% of consultations. Specialists, with increasing costs, cover the rest of consultations. Patients, medical schools and health organizations are claiming the return of the general internal medicine specialist. To increase the interest for general internal medicine, several strategies are applicable. Medical students interested in general internal medicine could receive a focused training, provided by these specialists. A greater emphasis should be put on primary care. More independent, secondary care diagnostic and treatment centers, should be created. Continuous medical education should be done with periodical re certification of physicians. The public health system should increase its wages and the generalist view should be maintained by physicians when practicing at their private offices (Rev Méd Chile 2002; 130: 96-100)
author	Varela J,Nacor
author_facet	Varela J,Nacor
author_sort	Varela J,Nacor
title	Ejercicio de la Medicina Interna en América Latina: Rol de médico internista
title_short	Ejercicio de la Medicina Interna en América Latina: Rol de médico internista
title_full	Ejercicio de la Medicina Interna en América Latina: Rol de médico internista
title_fullStr	Ejercicio de la Medicina Interna en América Latina: Rol de médico internista
title_full_unstemmed	Ejercicio de la Medicina Interna en América Latina: Rol de médico internista
title_sort	ejercicio de la medicina interna en américa latina: rol de médico internista
publisher	Sociedad Médica de Santiago
publishDate	2002
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000100014
work_keys_str_mv	AT varelajnacor ejerciciodelamedicinainternaenamericalatinaroldemedicointernista
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Ejercicio de la Medicina Interna en América Latina: Rol de médico internista

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