Por Jesús Díez Manglano, President of the Spanish Society of Internal Medicine.
During 2020, the SARS-CoV-2 disease pandemic, also known as coronavirus 19 or COVID-19, was reported to internists, as well as other health professionals, in addition to their habitual clinical work. Enfrentarnos has a new, unconscious treatment, which provokes many serious people with severe deaths, you have a speech unspeakable for our specialty.
As far as infection with the human immunodeficiency virus is concerned, including more recently the Ebola virus infection control network, internists have been referring to our resources and have unleashed the mayors to help ours.
In this context he has fundamental fundamentals of actions: first lie the provision to work on participatory and collaborative form with the medicines of other specialties and with other sanitary professionals in other areas such as nurses, pharmacists, physiotherapists, nurses and nurses, and secondly the permanent interest in knowing the continuous advances in the treatment and diagnostics of the medium through the reading and study of the bibliography, the elaboration of clinical protocols, and by supuesto, generating new knowledge with research studies. In addition, the internists participated in assessment committees of the sanitary authorities and in communication media transmitting the contrasting information and veraz.
Internal Medicine is a hospital specialty with a global vision of the infirm person. The internist is concerned about all the health needs of his patient with a rigorous approach based on the best scientific knowledge, deploys the most appropriate clinical skills and uses the rational and rational sanitary resources.
His objectives are to ensure the mayor supervision of the persons, with the best functional capacity and the best quality of life possible. All contribute to the sustainability of the sanitary system. Además the internists are waiting for the patients when there are no expectations for treatment and until the end of their life, prioritizing the quality of life and comfort.
In recent years the presence of internists in the faculties of medicine has decreased generating difficulties in the teaching of materials such as physiopathology or general pathology. Sondeverbod, internal medicine is fundamental in the teaching of medicine. The internists are specially capable of teaching medical history, physical exploration, clinical reasoning and resolution of complex clinical problems.. The University should facilitate the incorporation of internists into the teaching of degree including clinical activity as a quantifiable and indispensable merit in the ANECA accreditation processes.
Continuing training and acquisition of new knowledge and the inherent qualities of internal medicine. Since then, some of the internists have been incorporating new techniques into their habitual practices, such as ultrasound, capillaryoscopy, and elastography. Just as the internists, like the rest of the specialists, are undergoing a number of certification processes that will ensure the updating of their documents and guarantees to the public with the best assistance available.
In the last years, the presence of internists in the faculties of medicine has decreased generating difficulties in the teaching of materials such as physiopathology or general pathology.
The development of the investigation conducted by internal medicine specialists has led to an exponential development in the first years of this XXI cycle. The internists designed, developed, analyzed and published high-relevance investigations for patients. This has been recently tested in the COVID-19 pandemic. Prohibition of probes, todavía is insufficient the presence of internists in the evaluation processes of the competitive research projects. In addition, the housing camps offer many internships such as multimorbidity, complexity or polyfarmacies are considered in public and private convectors to fund research projects.
In Spain and Europe, demographic forecasts point to a progressive population growth over the next 30 years. The crime of the former population and the increase in chronic illnesses that the internist has is a medicine that is more necessary in the actual context and that will be invisible in the sanitary context of the future. By her the sanitary authorities deberían plan the needs of specialists in internal medicine, which is to be incremented in the decades close and deberían value the increase in the number of places for the training of medical specialists in the close convocations of MIR exams.
All previously mentioned attributes, holistic activity oriented towards illness, clinical knowledge, continuous training, teaching, investigation, collaborative and participatory work, concern for the sustainability of the sanitary system and food supplementation. By the way, choose and own the medicine internally its its decisions are highly intelligent, and will be good options for future medicine.