Straddling medical specialties: should we have more comprehensive advanced training?

Intern Med J

Sydney Medical School, Northern Clinical School, Faculty of Medicine and Health (FMH), University of Sydney, Sydney, New South Wales, Australia.

Published: May 2019

AI Article Synopsis

  • Major advancements in medicine, particularly in genetics, imaging, and targeted therapies, have emerged over the last 35 years, impacting both endocrinology and medical oncology.
  • The overlap between endocrinology and medical oncology requires improved communication and skill integration to address common clinical scenarios effectively.
  • Current issues include costly and inefficient referrals between specialists, suggesting a need for dual training programs to enhance patient care and streamline communication.

Article Abstract

Over careers spanning 35 years each, we have witnessed great advances in medicine especially in genetics, imaging, immunotherapies and targeted cancer therapies. Our respective specialties of endocrinology and medical oncology have come to overlap significantly necessitating better communication and skills across both specialties. We will highlight common scenarios that straddle endocrinology and medical oncology. The same broad issues apply to other closely related specialties, albeit with different clinical challenges. At present, we see expensive and inefficient cross-referrals to other subspecialists or sometimes no referral at all, leading to significant clinical omissions. Opportunities for dual advanced training, or for more comprehensive single advanced training could more efficiently lead to enhanced patient care and communication.

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Source
http://dx.doi.org/10.1111/imj.14278DOI Listing

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