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[University trauma surgery and orthopedics: where is the journey going to?].
Unfallchirurgie (Heidelb)
January 2025
Klinik für Orthopädie und Unfallchirurgie, MUM - Muskuloskelettales Universitätszentrum München, LMU Klinik, Marchioninistraße 15, 81377, München, Deutschland.
In the field of tension between generalists and specialists, in modern university trauma and orthopedic surgery the question arises as to which expertise has the greatest importance for the future of clinical care. University medicine consists of three large pillars: Research, teaching and treatment of patients. Each of these pillars is faced with the challenge of increasing specialization; however, generalists are extremely important for the future of university trauma surgery and orthopedics.
View Article and Find Full Text PDFA meta-analysis highlights the idiosyncratic nature of tradeoffs in laboratory models of virus evolution.
Virus Evol
December 2024
Department of Ecology and Evolutionary Biology, Yale University, 165 Prospect Street, New Haven, CT 06511, United States.
Different theoretical frameworks have been invoked to guide the study of virus evolution. Three of the more prominent ones are (i) the evolution of virulence, (ii) life history theory, and (iii) the generalism-specialism dichotomy. All involve purported tradeoffs between traits that define the evolvability and constraint of virus-associated phenotypes.
View Article and Find Full Text PDFWhy the NHS needs adult generalists: A call for single certification in general internal medicine.
Future Healthc J
December 2024
Postgraduate School of Medicine NHSE Workforce, Training and Development, West Midlands, 23 Stephenson Street, Birmingham, B2 4BH, England, United Kingdom.
As the UK NHS faces growing challenges of the ageing population and escalating healthcare costs, we examine the role of the general internal medicine (GIM) consultant in inpatient medicine. We argue that the reintroduction of GIM could provide a sustainable and valuable contribution to high-quality, cost-effective inpatient care drawing on parallels from the GIM hospitalist model in the USA. Additionally, GIM expansion could contribute to improved outcomes for complex medical patients and surgical patients, as well as safety and quality initiatives.
View Article and Find Full Text PDFCompetencies related to generalism for Japanese medical undergraduates: Essential skills for comprehensive care.
Med Teach
September 2024
Center for General Medicine Education, School of Medicine, Keio University, Shinjuku-ku, Tokyo, Japan.
Objective: To identify generalism-related competencies that medical students in Japan should acquire in order to provide comprehensive care for patients.
Methods: The team responsible for developing the new 'Generalism' section of the 2022 revision of the Model Core Curriculum for Medical Education in Japan (MCC) consisted of nine members from diverse medical backgrounds across Japan. We adopted pragmatism paradigm and analyzed to identify decision-making processes using a qualitative document analysis.
Generalism and specialism within medicine: a viewpoint from internal medicine training and perspective on the challenges of enthusing undergraduate UK medical students.
Future Healthc J
December 2024
Departments of Endocrinology, Diabetes and General (Internal) Medicine, Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust North Staffordshire, Stoke-on-Trent ST4 6QG, England.
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