PubMed · 11372232
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J T Chyna. Beyond implementation: thriving under APCs.. https://pubmed.ncbi.nlm.nih.gov/11372232/
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Pulmonary hypertension (PH) is a rare blood vessel disorder of the lung, in which the pressure in the pulmonary artery rises above normal levels and can become life-threatening. The authors discuss the disease process, symptoms, investigations and patient management.
To answer the question addressed, two working groups, one made of the staff of a University clinic, the other one composed of practising general internists, have discussed the assets and weaknesses of a University service of Internal Medicine for postgraduate training. The groups agreed on a number of points: patients' characteristics (complexity and co-morbidities), quality of teaching, method acquisition for clinical reasoning, as well as absence of exposure to ambulatory patients and of follow-up. The groups differed in their views related to the lack of training in psychiatry and psychosocial problems or to hospital dysfunctions. Opening of internal medicine to primary care appears to be necessary at the same time as individual qualities among the senior staff are to be developed, such as critical analysis and self-questioning.