Internal medicine residents defend infectious diseases as part of his map of competencies.

The internists indicate character Coordinator and versatile of his specialty, high training gained during its formative period and essentials of comprehensive care for the patient, as the main reasons why the internists, already today, lead care units for prevention of Cardiovascular riskInfectious diseases, thromboembolic disease, autoimmune diseases, er, Tropical Medicine, pulmonary hypertension, cardiac insufficiency, palliative care and hospitalization home, areas where they sometimes work with other specialists in conjunction.

The internists recognizes the derivation of competences, which so far has been in a natural way, currently requires specific regulation and expect the creation of the ACE is carried out according to the needs and logical health skills, taking into account the confluence of specific specialties in multidisciplinary teams around areas of knowledge, while respecting the areas of expertise currently play the internist and for which there is already a high level of training in the specialty program. It is undeniable that the rigidity of the system is pernicious, is desirable is to provide a more flexible structures, and to establish walkways between plots of knowledge.

The comprehensive treatment of patients, main lack of current according to community residents healthcare

To level of care, more than 1,500 training in internal medicine specialists support comparatively greater burden in the teaching hospitals of the country, the largest number of attended beds and most of the medical guards. In addition, the specialty of internal medicine is that most places offer, more than 3,500 in the last 15 years; last call for MIR, more than 10% of the first 100 voters chose the specialty, making it the fourth most selected option.

In this sense, residents believe that internal medicine is versatile and highly trained specialists with pillars of knowledge solids which settle knowledge plots involving the future ACE.

Areas of specific training (ACE) fit in with the spirit of the core subjects, in the sense of favouring the deepening in areas of expertise with multidisciplinary approach. In this context, the internist in training want to express its concern at the positions of some scientific societies, advocating the creation of a specialty in infectious diseases, arguing that there may not be generational in a subspecialty that emerged in the years of the HIV epidemic. Leaving aside work or corporatist motivations that could underpin this demand, future specialists in internal medicine consider that during its formative period, those residents who want to polarize your resume to infectious diseases have opportunity to do so with great care, training and scientific quality. In fact, they argue that generational is taking place already nowadays, by 2025 75 per cent of the specialists in Spain will be less than 50 years and remember as internal medicine took over and solved the problem of the epidemic in our country, with the present educational structure, and with very high quality scientific and health care, providing with infectious diseases physicians at the forefront at international level.

Community Futures therefore believe that the demand for a specialty in infectious diseases was due more to the need to regulate the work of the infectólogos that framework to training needs, believing also that the formation of the infectologist only will be integrated within a specialty in internal medicine. From the educational point of view, they believe, subspecialty in infectious diseases must be derived from internal medicine, and the regulation of the labour context consideration should be in the definition of the ACE that is taking place at the present time.

Firmante:

Ana Torres do Rego
Vocal MIR in the Board of Directors of the SEMI

Cristian Gomez Torrijos
Vocal MIR in the National Commission for internal medicine specialty

Sergio Serrano Villar
Vocal MIR in the National Commission for internal medicine specialty

Elisa Rodriguez Avila
representative of residents of the Asturian society of internal medicine

Monica Abdillas Bonías
representative of residents of the Valencian society of internal medicine

Bethlehem Garrido Bernet
representative of residents of the Canary Island society of internal medicine

David Bernal Bello
representative of residents of the society of internal medicine of Castilla la Mancha

Ivan Moreno Muñoz
Subcommitee member of the Young Internists in the European Federation of internal medicine