title: Generalism in modern subspecializing medicine.
abstract: BACKGROUND
  Medicine is currently developing at a breath holding pace. Diseases and medical conditions for which no remedy was available only a few years ago, can now be treated or even completely cured. However, this advancement of medicine comes with increasing complexity in many situations.
  
  
  OBJECTIVE
  This article discusses how we have to adapt our health care organization and our work as physicians to better cope with the new challenges of the enormous advancement of medicine, with a specific focus on internal medicine.
  
  
  CONCLUSIONS
  If we want our patients to obtain maximal benefit of the progress in biomedical knowledge and the ensuing improved clinical outcomes in many areas we need to further focus and concentrate complex medical care in a team-based approach. In addition, we need to match increasing subspecialization with an attitude of generalism, both in our clinical work and in our teaching and training programs.
authors.affiliation: University College London Hospitals, London, United Kingdom; Department of Vascular Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. Electronic address: marcel.levi@uclh.nhs.uk.
authors.forename: Marcel
authors.initials: M
authors.lastname: Levi
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D006801:Humans; D007388:Internal Medicine / Q000193:education* / Q000639:trends*; D010820:Physicians / Q000592:standards*; D011361:Professional Competence; D057170:Translational Research, Biomedical / Q000639:trends*
keywords: Biomedical knowledge; Generalism; Medicine; Organization; Subspecialty