The present and future status of internal medicine in Poland and in the world

Maria Majdan
2016 Polish Archives of Internal Medicine  
939 detailed divisions among different subdisciplines of clinical medical sciences, dealing with pathology and treatment of specific tissues and organs. Therefore, there are specialists with a narrow focus on the pathology of "hair or big toe". These decentralizing tendencies (dividing the clinical medical sciences into narrow specializations) are accompanied by efforts to unify once again the general diagnostic and therapeutic treatment of an individual person, perceived as an integral whole,
more » ... an integral whole, by a doctor who, apart from general knowledge (and in many cases specialist knowledge in some fields) of pathology, is also aware of the social and environmental conditions of a given patient. The old clinical division of medical disciplines into internal diseases, pediatric medicine, gynecology, and surgery enabled a more detailed and orderly view on the knowledge of main human health problems. Maintaining this division, as a starting point to deepen the knowledge and experience by the doctors learning about particular problems concerning organ pathologies in these specific subdivisions of medical sciences, seems to be a necessity. Maintaining the status of the basic clinical medical disciplines: internal diseases, pediatric medicine, gynecology, and surgery despite considerable advances in specific medical subdisciplines seems to be mandatory, because of the following consequences: 1) didactical (teaching of medical staff); 2) organizational (day care and specialist/ stationary care profiles); 3) social (consideration of the entire health situation of a particular patient, and thus avoidance of the harmful pharmacological and medical interactions). The role of internal medicine as one of the basic disciplines in clinical medicine Clinical medical sciences traditionally covered by internal medicine in Poland are cardiology, nephrology, endocrinology, rheumatology, gastroenterology, pulmonology, and hematology. There are several Evaluation of the current situation regarding the division of medical disciplines Currently there is a strong tendency in medicine to make extremely graduated from the Medical University of Lublin; since 2003, Professor of Medicine at the Medical University of Lublin; major clinical and research interests include systemic lupus erythematosus, systemic vasculitis, antiphospholipid syndrome, especially with renal involvement and related disorders; clinical and research interests also include evaluation of immunotherapies in systemic lupus erythematosus, rheumatoid arthritis, and vasculitis; authored or coauthored over 150 academic papers and numerous book chapters and served as an editor of Systemic Lupus Erythematosus (Polish, 2015); a principal investigator for more than 20 clinical trials in systemic lupus erythematosus, systemic sclerosis, vasculitis, and rheumatoid arthritis.
doi:10.20452/pamw.3685 pmid:27906897 fatcat:rlok7fc3arb4fefg44eyrb2ui4