Friday, March 25, 2011

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tobacco report "The philosophy of medical education must change from top to bottom, it is not proper" Spanish


"The excessive bureaucracy, overcrowding and modernization of primary care consultations greatly hinders the development of humanistic facet of family doctors, "said Dr. José Hernández Úrculo, director of the Institute for Bioethics and Humanities (IBH) of the English Society of Primary Care Physicians (SEMERGEN) and coordinator of the Lecture Series of the IBH. "Governments are primarily responsible for this type of structure, in which the doctor should be given greater autonomy and have more means at its disposal, among other things. "We are the gateway to the system, but we should also be out."

In this context, Dr. Hernández Úrculo said that communication is "the great unfinished business" the doctor-patient relationship. Therefore, "the current philosophy of medical education must change from top to bottom, it is not the best." To begin with, "should be seen lounging at the patient as a whole thinking and suffering." At present, the study of human being several steps, with proof of this the content of the traditional subject of Anatomy. During his lecture, delivered at the headquarters of the College of Physicians of Cantabria, the expert has spoken of "wage and purchasing power of a country doctor in Castro Urdiales between 1830 and 1930."

For his part, Dr. José Francisco Díaz Ruiz, director of Organization and Teaching of SEMERGEN IBH, has reviewed the origins of bioethics has focused on "one of the rights of patients that have arisen following the development of this discipline in Spain: the living will." Today, all regions have legislation in this regard, hosted in turn by the Patient Empowerment Act of 2002. "The consolidation of the national register of wills is pending solely on the integration of data from a few regions," said the expert. "Being a relatively new law, there is still a great effort to spread among the general population healthcare professional. "

"The doctor-patient relationship in the Middle Ages
The lecture of Dr. Fernando Salmon, Professor of History of Medicine at the University of Cantabria and chairman of the Scientific Committee of the European Association for the History of Medicine and Health, is the result of research that has shown that "a communication with the patient based on trust and adequate mobilization of positive emotions such as joy and hope in recovery, were an important part of the training of medical students the Middle Ages, "he says. "Academic Medicine the XIII and XIV was able to manage and incorporate the basic elements of all relationships of care as part of its technical apparatus, "he adds. Regardless of the adequacy of diagnostic tools and prescription drugs, the medical student learned that "an important part of the priest was himself and the relationship was able to establish with his patient."

Finally, Dr. Luis Montiel, Professor of History of Medicine at the University Complutense of Madrid, has based his lecture at the German Romantics called doctors, who "introduced a new style of medicine, and many revolutionary no sense. " It is a philosophical medicine linking humans with nature and emphasizes what they call "night aspects," as cenesthesia, dreams, psychic abilities unexplored. Quickly incorporate the "animal magnetism" invented by Mesmer, but from a perspective much less materialistic. The discovery that, in terms of "magnetic somnambulism", the patient reveals unthinkable things on his body, his disease and its possible cure-what today would fall within the psychosomatic or purely mental, makes these doctors allow their patients relax for the first time.

'A shifting cycle of SEMERGEN
The IBH has organized for the first time in his Lecture Cantabria, which aims to become an itinerant activity intended to reach the largest possible number of first level health care professionals. In fact, the next edition will take place at the College of Physicians of Valladolid next October. This activity aims to address various aspects of the clinical practice of primary care in which the humanist side should have priority.


** Pictured, from left to right, Drs Fernando Salmon, José Hernández Úrculo, Carlos Leon, president of the College of Physicians of Cantabria, Matilde Sierra, president of SEMERGEN-Cantabria.

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