Abstract

The data demonstrated a trend toward increasing subspecialisation and away from generalism. The European Federation of Internal Medicine and American Society of Internal Medicine warn that such development could be disadvantageous for patients and society. Changes in age distribution of the population, polymorbid patients, limited financial sources, drug interactions, multisystemic disorders, urgent medicine and indication of surgical intervention are main reasons for the need to preserve General Internal Medicine. The ideas presented in this paper are trying to solve the problem.

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