[Concept and scope of internal medicine]

Area of Science:

• Internal Medicine
• Medical Subspecialties
• Pathology

Context:

• Internal medicine encompasses the study of internal pathology.
• Subspecialties have emerged from internal medicine, categorized by organ systems, pathogenic mechanisms, patient characteristics, or procedures.
• The relationship between internal medicine and its subspecialties is multifaceted.

Purpose:

• To analyze the relationship between internal medicine and its subspecialties.
• To highlight the characteristics of internal medicine, including its focus on broad clinical syndromes and multisystemic diseases.
• To advocate for a revival of the identity of internal medicine.

Summary:

• Internal medicine is a foundational medical field that has given rise to various subspecialties.
• These subspecialties are organized based on organ systems, disease mechanisms, patient demographics, or specific procedures.
• The core of internal medicine involves comprehensive patient care, multisystemic disease management, and a strong patient-physician relationship.

Impact:

• Understanding the structure and evolution of internal medicine and its subspecialties is vital for medical education and practice.
• Recognizing the distinct identity of internal medicine is essential for its continued relevance and effectiveness.
• This analysis informs discussions on medical training, research, and departmental organization within internal medicine.