The Important Role of Syndrome Differentiation in TCM Internal Medicine

2021 ◽  
2018 ◽  
Vol 17 (2) ◽  
pp. 113-113
Author(s):  
Mark Lander ◽  

Sir, I read with interest the Viewpoint article by Dr Chadwick regarding the future of Acute Internal Medicine (AIM) training, particularly the development of Capabilities in Practice (CiPs) and their potential to promote a greater identity within the specialty training. Dr Chadwick highlights the struggle we face in asserting why our specialty is so vibrant and vital. In my experience, Acute Internal Medicine training suffers from an identity crisis whereby the specialty is seen as being permanently on call, with trainees working more shifts as the Duty Medical Registrar (DMR) than on other specialty training programs, without the variability of outpatient and skill-based training. Indeed, the recent Joint Royal Colleges of Physicians Training Board (JRCPTB) statement regarding quality criteria for GIM/AIM Registrars appears to regard the role of the AIM registrar as that of the DMR rather than a specialist in their own field.


2013 ◽  
Vol 4 ◽  
pp. 594-600 ◽  
Author(s):  
Marek Saracyn ◽  
Rafał Płoski ◽  
Stanisław Niemczyk

2013 ◽  
pp. 12-19
Author(s):  
Patrizia Zoboli ◽  
Giuseppe Chesi ◽  
Fabrizio Boni ◽  
Federica Maselli ◽  
Lisa Zambianchi

BACKGROUND Internal medicine specialists are often asked to evaluate a patient before surgery. Perioperative risk evaluation for elderly patients is important, because complications increase with age. The increasing age of the general population increases the probabilities of surgery in the older patients. The manifestation of a surgical problem, is more likely to be severe and complicated in the elderly patients. In fact, emergency surgery treatment occurs more frequently in the elderly (e.g., it is much more common to see intestinal obstruction complicating colorectal cancer in the elderly compared with a younger population). Old age is an independent factor for long hospital stay after surgery. The role of the preoperative medical consultant is to identify and evaluate a patient’s current medical status and provide a clinical risk profile, in order to decide whether further tests are indicated prior to surgery, and to optimise the patient’s medical condition in the attempt of reducing the risk of complications. The medical consultant must know which medical condition could eventually influence the surgery, achieve a good contact and communication between the medical and surgical team, in order to obtain the best management planning. AIM OF THE STUDY This paper focuses on the rational use of antibiotic prophylaxis and on the treatment of the complications of post-surgery infections (e.g., pulmonary complication, peritonitis, intra-abdominal infection). Specific aspects of pre-operative risk evaluation and peri and post-operative management are discussed. CONCLUSIONS The internal medicin specialist in collaboration with the surgical team is necessary in the peri and post-surgery management.


2019 ◽  
Vol 9 (5-s) ◽  
pp. 167-169
Author(s):  
Dhananjay S. Khot

The metabolic disorders are major health issues of today’s scenario and incidences of metabolic diseases increases day by day due to the disturbed pattern of life style. Ayurveda texts have described term “Santarpanjanya Vikaras” which resembles diseases of defective tissue metabolism. Ayurveda mentioned that improper dietary habits and sedentary life style affects state of Agni which resulted Ama production and finally leading to the metabolic syndrome. The vitiation of Dosha, diminish state of Dhatu and blockage of channels, etc. also can initiate pathogenesis of metabolic disorders. The Kayachikitsa branch of Ayurveda recommended use of internal medicine for the management of various metabolic disorders. Considering increased health burden of society due to the metabolic syndrome present article explore role of ayurveda internal medicine for the management of metabolic syndrome. Keywords: Ayurveda, metabolic syndrome, Santarpanjanya, Madhumeha and Sthoulya.       


2020 ◽  
Vol 10 (21) ◽  
pp. 36-46
Author(s):  
Árpád Hudra

Imre Magyar, the last great representative of the Korányi School, who was appointed as the director and professor of the Internal Medicine Clinic I of the Budapest University of Medicine in 1965, emphasised in his inaugural address that from the three closely intertwined functions of the university clinic, i.e. patient care, research and medical training and education, he considers the latter the most important. The study intends to present that Imre Magyar, as an absolute educator, pursued this objective until his retirement in 1980. In his inaugural address he regarded lectures given by teachers of higher calibre with the intention to teach students medical thinking as one of the most important components of education. He even looked at lectures rather as seminars, never forgetting to make presentations on patients. Textbooks were meant for home education. Magyar, however, also “provided assistance” with this for medical students. His functional holistic thinking made it possible that medicine as specialised sciences be once again summarised as a uniform internal medicine dealing with the whole individual in his textbooks co-written by Petrányi and used in medical training for decades. Making a concrete connection with the patient, appropriate verbal and metacommunications, empathy, understanding and showing appropriate medical behaviour were, in his view, prerequisites for becoming a doctor. That is why he was concerned about the function of the doctor’s character in healing, and conducted investigations also described in this study on several occasions in relation with the cultivation of medical students. That is why Imre Magyar, who saw the big picture of education, emphasised the vital role of literature, arts and music in a doctor’s life.


2014 ◽  
Vol 3 (3) ◽  
pp. 231-258
Author(s):  
Diana Lin Awad Scrocco

Many scholars have argued that practicing medicine requires sophisticated rhetorical prowess (Loftus 2012; Pender 2005; Segal 2005, 2007). Although rhetorical theory can explain how novices learn to argue like experts, much work in the subfield of medical learning only implicitly draws on rhetorical notions (e.g., Barton & Eggly 2009; Heritage & Maynard 2006). This study examines conversations between faculty physician preceptors and resident physician trainees in an internal medicine clinic to consider the role of persuasion in teaching novices to argue like experts. Using Aristotelian topoi, I reveal how the common lines of argument underlying medical teaching and learning help novice and expert physicians explain concepts, elicit interpretations, and initiate deliberation. As they synthesize and rationalize medical information, they use antecedent-and-consequence, possible-and-impossible, authority, and testimonial topoi. This study of professional enculturation elucidates a rarely examined area of medical communication, potentially enabling preceptors to teach their tacit reasoning more explicitly to residents.


1978 ◽  
Vol 58 (12) ◽  
pp. 1546-1546
Author(s):  
Philip L. Witt
Keyword(s):  

2013 ◽  
Vol 88 (11) ◽  
pp. 1713-1718 ◽  
Author(s):  
Valerie J. Lang ◽  
Jennifer Kogan ◽  
Norm Berman ◽  
Dario Torre

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