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[Clinical research: where does it come from? Where is it going?]
1Division d'endocrinologie et de diabétologie, Département de Médicine, Hôpital cantonal universitaire, Genève.
Summary
Clinical investigation faces challenges from medical subspecialization, impacting knowledge dissemination. Switzerland
Area of Science:
- Clinical Investigation
- Medical Research
- Switzerland
Context:
- Clinical investigation faces challenges similar to those in Europe and North America.
- Fragmentation of internal medicine into subspecialties hinders multidisciplinary information sharing.
- A gap exists between medical practitioners and the scientific community.
Purpose:
- To examine the past, present, and future of clinical investigation.
- To highlight challenges in clinical research, particularly in Switzerland.
- To discuss the bidirectional progression of medical knowledge.
Summary:
- Medical knowledge progresses bidirectionally from basic research to clinical medicine.
- Switzerland has fostered basic and clinical research through national and private funding.
- Political and administrative decisions may threaten the future of research funding and progress.
Impact:
- Understanding the impact of subspecialization on medical progress.
- Recognizing the importance of multidisciplinary approaches in medicine.
- Emphasizing the role of intellectual and moral standards in a nation's value.