{"id":18379,"date":"2026-03-23T12:56:44","date_gmt":"2026-03-23T10:56:44","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=18379"},"modified":"2026-03-23T12:56:44","modified_gmt":"2026-03-23T10:56:44","slug":"medicina-interna-astazi-competenta-responsabilitate-si-perspectiva","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/medicina-interna-astazi-competenta-responsabilitate-si-perspectiva\/","title":{"rendered":"Medicina intern\u0103 ast\u0103zi: competen\u021b\u0103, responsabilitate \u0219i perspectiv\u0103"},"content":{"rendered":"

Prof. Dr. Ion Bruckner, Pre\u0219edinte \u2013 Societatea Rom\u00e2n\u0103 de Medicin\u0103 Intern\u0103<\/strong><\/p>\n

Prof. Dr. Ion Bruckner, Pre\u0219edinte al Societatea Rom\u00e2n\u0103 de Medicin\u0103 Intern\u0103, personalitate de referin\u021b\u0103 a medicinei rom\u00e2ne\u0219ti \u0219i un reper al excelen\u021bei academice \u0219i clinice \u00een domeniul medicinei interne, a contribuit decisiv prin activitatea sa sus\u021binut\u0103 \u00een sfera universitar\u0103, clinic\u0103 \u0219i organiza\u021bional\u0103, la consolidarea standardelor profesionale, la promovarea unei practici medicale fundamentate pe dovezi \u0219i la \u00eent\u0103rirea rolului medicului internist \u00een arhitectura sistemului de s\u0103n\u0103tate. <\/em><\/p>\n

\u00cen calitate de Pre\u0219edinte al Societ\u0103\u021bii Rom\u00e2ne de Medicin\u0103 Intern\u0103, Prof. Dr. Ion Bruckner are un rol esen\u021bial \u00een coordonarea ini\u021biativelor \u0219tiin\u021bifice, educa\u021bionale \u0219i profesionale dedicate form\u0103rii continue a medicilor \u0219i alinierii practicii medicale din Rom\u00e2nia la ghidurile \u0219i recomand\u0103rile interna\u021bionale. Viziunea sa asupra medicinei interne \u2013 ca specialitate integratoare, centrat\u0103 pe pacient \u0219i pe complexitatea patologiei cronice \u2013 subliniaz\u0103 importan\u021ba abord\u0103rii multidisciplinare \u0219i a continuit\u0103\u021bii \u00eengrijirii.<\/em><\/p>\n

Medicina intern\u0103 reprezint\u0103 fundamentul \u00eengrijirii clinice pentru pacientul adult, cu rol esen\u021bial \u00een managementul multimorbidit\u0103\u021bii \u0219i al patologiilor complexe. Societatea Rom\u00e2n\u0103 de Medicin\u0103 Intern\u0103 (SRMI) are un rol strategic \u00een dezvoltarea profesional\u0103 a medicilor interni\u0219ti, \u00een promovarea cercet\u0103rii clinice \u0219i transla\u021bionale, precum \u0219i \u00een implementarea ghidurilor de practic\u0103 clinic\u0103 conforme standardelor interna\u021bionale. \u00cen acest interviu, Prof. Dr. Ion Bruckner, pre\u0219edintele SRMI, discut\u0103 despre misiunea societ\u0103\u021bii, priorit\u0103\u021bile strategice, provoc\u0103rile \u0219i perspectivele pentru medicina intern\u0103 \u00een Rom\u00e2nia.<\/em><\/p>\n

Cum defini\u021bi rolul actual al medicinei interne \u00een contextul hiperspecializ\u0103rii medicinei moderne?<\/strong><\/p>\n

Medicina Medicina modern\u0103 este medicina specialit\u0103\u021bilor, fie de organ (cardiologie, pneumologie etc.), fie de boal\u0103 (diabetologie, reumatologie), fie de aparat (radiologie, ultrasonografie etc.). Nici nu poate fi altfel datorit\u0103 dezvolt\u0103rii tehnicilor \u0219i cuno\u0219tin\u021belor. Cu toate acestea, omul r\u0103m\u00e2ne o unitate, toate organele func\u021bioneaz\u0103 coordonat, se influen\u021beaz\u0103 reciproc. \u00cen aceste condi\u021bii, medicina intern\u0103 r\u0103m\u00e2ne o specialitate de sintez\u0103, obligatorie \u00een \u00eenv\u0103\u021b\u0103m\u00e2ntul medical, dar \u0219i \u00een practica medical\u0103 de zi cu zi a tuturor celor ce lucreaz\u0103 direct cu oamenii bolnavi.<\/p>\n

    \n
  1. Care considera\u021bi c\u0103 sunt principalele competen\u021be care diferen\u021biaz\u0103 medicul internist ast\u0103zi?<\/li>\n<\/ol>\n

    Medicul internist trebuie s\u0103 aib\u0103 cuno\u0219tin\u021be \u00een diferitele domenii ale patologiei, s\u0103 aib\u0103 \u0219i no\u021biuni tehnice de baz\u0103 privind unele investiga\u021bii, ca de exemplu ecografia, \u0219i, evident, s\u0103 \u0219tie \u0219i s\u0103 efectueze manevre simple (de exemplu, punc\u021bii pleurale sau abdominale). Un medic cu aceste competen\u021be va putea rezolva majoritatea bolilor frecvente \u0219i va putea \u00eendruma pacientul c\u0103tre speciali\u0219ti atunci c\u00e2nd este necesar.<\/p>\n

    \u00cen ce m\u0103sur\u0103 actualul curriculum de reziden\u021biat r\u0103spunde cerin\u021belor medicinei bazate pe dovezi \u0219i practicii clinice moderne?<\/strong><\/p>\n

    Actualul curriculum este teoretic bun, provoc\u0103rile apar \u00een aplicarea sa practic\u0103. Tot teoretic, studentul absolv\u0103 facultatea \u0219i promoveaz\u0103 concursul de reziden\u021biat cu cuno\u0219tin\u021be teoretice bune; reziden\u021biatul are ca scop deprinderea cu elementele de practic\u0103 profesional\u0103 \u0219i aprofundarea cuno\u0219tin\u021belor teoretice, dar \u00een primul r\u00e2nd cu practica profesional\u0103. Totu\u0219i, dac\u0103 \u00eentr-un serviciu num\u0103rul de reziden\u021bi se apropie de num\u0103rul de pacien\u021bi sau dep\u0103\u0219e\u0219te o treime din num\u0103rul de paturi, este evident c\u0103 formarea practic\u0103 are de suferit. F\u0103r\u0103 expunere clinic\u0103 suficient\u0103, preg\u0103tirea profesional\u0103 nu poate fi complet\u0103.<\/p>\n

    Ce competen\u021be considera\u021bi esen\u021biale pentru medicul internist \u00een urm\u0103torul deceniu?<\/strong><\/p>\n

    Urm\u0103torul deceniu, cred c\u0103 urm\u0103toarele decenii, vor asista la o dezvoltare \u0219i extindere mai mare a tehnicii, \u00een primul r\u00e2nd a inteligen\u021bei artificiale (IA). Aceasta va u\u0219ura unele aspecte ale muncii medicale \u0219i vor \u201esupravie\u021bui\u201d sau vor cre\u0219te ca num\u0103r cei ce vor \u0219ti s\u0103 o foloseasc\u0103.<\/p>\n

    Cu toate acestea, inteligen\u021ba artificial\u0103 r\u0103m\u00e2ne un instrument \u2013 o \u201ema\u0219in\u0103\u201d extrem de rapid\u0103 \u0219i cu o memorie vast\u0103, dar lipsit\u0103 de empatie. Pacientul are nevoie de contact uman, de \u00een\u021belegere \u0219i de sprijin emo\u021bional. Este posibil ca IA s\u0103 modifice sau chiar s\u0103 reduc\u0103 rolul unor specialit\u0103\u021bi, \u00eens\u0103 nu va \u00eenlocui medicul, cu at\u00e2t mai pu\u021bin medicul internist sau generalist, a c\u0103rui for\u021b\u0103 const\u0103 tocmai \u00een abordarea holistic\u0103 \u0219i rela\u021bia direct\u0103 cu pacientul.<\/p>\n

    Ce sfat a\u021bi oferi medicilor tineri care iau \u00een considerare o carier\u0103 \u00een medicin\u0103 intern\u0103?<\/strong><\/p>\n

    \u00cemi aduce\u021bi aminte de tinere\u021bea mea din epoca comunist\u0103! Nu pot da un sfat mai bun dec\u00e2t Lenin (poate singurul sfat bun pe care l-a dat): \u00cenv\u0103\u021ba\u021bi, \u00eenv\u0103\u021ba\u021bi, \u00eenv\u0103\u021ba\u021bi.<\/p>\n

    Care sunt principalele obiective strategice ale SRMI pentru urm\u0103torii 5\u201310 ani?<\/strong><\/p>\n

    Cred c\u0103 obiectivele generale ale Societ\u0103\u021bii nu se schimb\u0103 \u00een timp:<\/p>\n

      \n
    • s\u0103 contribuie la actualizarea (\u00een terminologia modern\u0103, up-gradarea) cuno\u0219tin\u021belor medicilor interni\u0219ti sau din alte specialit\u0103\u021bi;<\/li>\n
    • s\u0103 apere interesele profesionale ale medicilor \u00een general \u0219i ale celor interni\u0219ti \u00een special;<\/li>\n
    • s\u0103 men\u021bin\u0103 un standard \u0219tiin\u021bific ridicat \u00een toate manifest\u0103rile la care particip\u0103.<\/li>\n<\/ul>\n

      Av\u00e2nd \u00een vedere rolul \u0219tiin\u021bific \u0219i educa\u021bional al Congresului Na\u021bional de Medicin\u0103 Intern\u0103, care considera\u021bi c\u0103 vor fi principalele puncte forte ale edi\u021biei din acest an \u0219i cum vor contribui acestea la dezvoltarea profesional\u0103, educa\u021bional\u0103 \u0219i \u0219tiin\u021bific\u0103 a medicilor interni\u0219ti?<\/strong><\/p>\n

      Principalul punct forte al Congresului \u00eel reprezint\u0103 participan\u021bii, f\u0103r\u0103 \u00eendoial\u0103 \u00een primul r\u00e2nd cei ce vor conferen\u021bia, dar \u0219i cei ce vor audia, care prin \u00eentreb\u0103ri \u0219i particip\u0103ri la discu\u021bii vor ridica nivelul congresului. Dezvoltarea profesional\u0103 se realizeaz\u0103 prin dob\u00e2ndirea de cuno\u0219tin\u021be \u00een domenii cu care nu este familiarizat \u0219i prin contactul cu colegii, prin \u00eemp\u0103rt\u0103\u0219irea cuno\u0219tin\u021belor. Dialogul \u0219tiin\u021bific autentic este un motor al progresului profesional.<\/p>\n

      \u00cen final, v\u0103 rog s\u0103 transmite\u021bi comunit\u0103\u021bii medicilor interni\u0219ti \u0219i tinerilor speciali\u0219ti, pentru a-i inspira \u0219i a-i sprijini \u00een dezvoltarea profesional\u0103 \u0219i \u0219tiin\u021bific\u0103.<\/strong><\/p>\n

      \u00cen primul r\u00e2nd, le-a\u0219 spune c\u0103 au ales o meserie frumoas\u0103, care, practicat\u0103 corect \u0219i cu d\u0103ruire, le va aduce multe satisfac\u021bii. Este o meserie grea, care presupune responsabilitate \u0219i implicare profund\u0103, cere mult\u0103 dedica\u021bie, dar aceasta nu \u00eenseamn\u0103 s\u0103 renun\u021be la o via\u021b\u0103 de familie frumoas\u0103, la o formare multilateral\u0103. Medicul este un om de cultur\u0103 \u0219i satisfac\u021bia cultural\u0103 compenseaz\u0103 greut\u0103\u021bile \u0219i, uneori, nepl\u0103cerile vie\u021bii profesionale. Le doresc ani mul\u021bi \u0219i fructuo\u0219i \u00een meserie \u0219i \u00een familie.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Prof. Dr. Ion Bruckner, Pre\u0219edinte \u2013 Societatea Rom\u00e2n\u0103 de Medicin\u0103 Intern\u0103 Prof. Dr. Ion Bruckner, Pre\u0219edinte al Societatea Rom\u00e2n\u0103 de Medicin\u0103 Intern\u0103, personalitate de referin\u021b\u0103 a medicinei rom\u00e2ne\u0219ti \u0219i un […]<\/p>\n","protected":false},"author":1,"featured_media":18380,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[276],"tags":[],"class_list":["post-18379","post","type-post","status-publish","format-standard","has-post-thumbnail","category-interviu"],"yoast_head":"\nMedicina intern\u0103 ast\u0103zi: competen\u021b\u0103, responsabilitate \u0219i perspectiv\u0103 - Jurmed - Medici<\/title>\n<meta name=\"description\" content=\"Prof. Dr. Ion Bruckner, Pre\u0219edinte \u2013 Societatea Rom\u00e2n\u0103 de Medicin\u0103 Intern\u0103 este un reper al excelen\u021bei academice \u0219i clinice\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/medicina-interna-astazi-competenta-responsabilitate-si-perspectiva\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medicina intern\u0103 ast\u0103zi: competen\u021b\u0103, responsabilitate \u0219i perspectiv\u0103 - 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