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[Internal medicine today--and tomorrow?].

¹Département de médecine interne, Hôpital cantonal universitaire, Genève.

Schweizerische Medizinische Wochenschrift

|December 26, 1992

Summary

Internal medicine physicians face alienation due to technological advancements and complex healthcare systems. Solutions involve fostering research dialogue and developing new clinical investigators for scientific evaluation.

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Area of Science:

Internal Medicine
Medical Education
Biotechnology

Background:

The practice of internal medicine is evolving rapidly.
Physicians experience alienation due to technological and systemic changes.

Observation:

Technological advancements shift internists from observers to operators.
The gap between biomedical research and clinical practice widens.
Biotechnology offers numerous therapeutic options, overwhelming clinicians.
The patient-physician relationship is now institutionalized.

Findings:

Physicians feel alienated by technology, research language barriers, excessive therapeutic options, and institutional involvement.
Proposed solutions include creating clinical investigators as interfaces between research and practice.
Developing new investigators to evaluate diagnostic and therapeutic strategies scientifically is crucial.

Implications:

Internal medicine needs structural changes to become a scientific and professional organization.
Adapting to the European medical landscape is essential.
Fostering interdisciplinary dialogue and scientific rigor can address physician alienation.

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