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Revista Cubana de Medicina

versión impresa ISSN 0034-7523


ESPINOSA BRITO, Alfredo. Clinical and Internal Medicine. Rev cubana med [online]. 2013, vol.52, n.3, pp. 214-227. ISSN 0034-7523.

In an scenario where Clinical Medicine, particularly, Internal Medicine faces the challenges and dilemmas that have special characteristics at present, many people have worried about the fact that these conditions could affect the very essence of our profession. The elements of the medical acts are defined. The important role of the clinical method as the scientific method applied to the care of a patient, as well as the dangers of its wrong application is confirmed. The main characteristics of "Hippocratic Physicians" and "Galenic Physicians" as opposite poles of the present clinical acts are outlined. The increase in the number of doctors that leave their patients alone and trust in the new complementary tests for the diagnosis is verified. The current situation and the perspectives of Internal Medicine are addressed, as well as the different types of internists existing in the country, their potentialities and the qualities they should maintain in the future. Our own suggestions are given to achieve a high-quality medicine, more human and less expensive in the future. It is reaffirmed that Clinical Medicine and its method are currently acquiring a higher value than the one it had in the past and that, as internists, we should educate others, by example and word, in the refined and excellent use of the clinical method.

Palabras clave : Clinical Medicine; Internal Medicine; clinical method.

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