{"id":18382,"date":"2026-03-23T13:00:28","date_gmt":"2026-03-23T11:00:28","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=18382"},"modified":"2026-03-23T13:01:28","modified_gmt":"2026-03-23T11:01:28","slug":"medicina-interna-ramane-fundamentul-practicii-medicale-modern","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/medicina-interna-ramane-fundamentul-practicii-medicale-modern\/","title":{"rendered":"Medicina intern\u0103 r\u0103m\u00e2ne fundamentul practicii medicale modern"},"content":{"rendered":"

Prof. univ. dr. Florin Mitu, vicepre\u0219edinte al Societ\u0103\u021bii Rom\u00e2ne de Medicin\u0103 Intern\u0103<\/strong>, este una dintre personalit\u0103\u021bile marcante ale medicinei interne rom\u00e2ne\u0219ti, cu o activitate profesional\u0103 \u0219i academic\u0103 remarcabil\u0103. Cu o vast\u0103 experien\u021b\u0103 clinic\u0103 \u0219i o implicare constant\u0103 \u00een formarea tinerilor medici, domnia sa reprezint\u0103 un sus\u021bin\u0103tor ferm al rolului central pe care medicina intern\u0103 \u00eel are \u00een arhitectura sistemului de s\u0103n\u0103tate.<\/em><\/p>\n

Format ini\u021bial ca medic internist, ulterior specializat \u0219i \u00een cardiologie \u0219i recuperare medical\u0103, prof. dr. Florin Mitu \u00eembin\u0103 perspectiva integrativ\u0103 a medicinei interne cu rigoarea supraspecializ\u0103rii. Activitatea sa reflect\u0103 convingerea c\u0103 internistul este medicul care analizeaz\u0103 pacientul \u00een ansamblu, integreaz\u0103 comorbidit\u0103\u021bile \u0219i coordoneaz\u0103 conduita terapeutic\u0103 \u00eentr-un context medical tot mai fragmentat de supraspecializ\u0103ri.<\/em><\/p>\n

\u00cen interviul de fa\u021b\u0103, discut\u0103m despre statutul actual al medicinei interne, provoc\u0103rile cu care se confrunt\u0103 specialitatea \u00een Rom\u00e2nia, rolul internistului \u00een coordonarea pacientului complex \u0219i direc\u021biile de dezvoltare ale Societ\u0103\u021bii Rom\u00e2ne de Medicin\u0103 Intern\u0103 \u00een urm\u0103torii ani.<\/em><\/p>\n

Medicina intern\u0103 este, prin defini\u021bie, o specialitate a viziunii globale asupra pacientului. Considera\u021bi c\u0103 sistemul actual de s\u0103n\u0103tate valorific\u0103 suficient acest rol?<\/strong><\/p>\n

Este bine c\u0103 sistemul actual \u00ee\u0219i dore\u0219te s\u0103 repun\u0103 medicina intern\u0103 la valoarea pe care o are aceast\u0103 specialitate. C\u00e2nd eram eu t\u00e2n\u0103r, medicina intern\u0103 era considerat\u0103 regina specialit\u0103\u021bilor medicale, pentru c\u0103 un medic internist are un rol esen\u021bial nu numai \u00een diagnostic, dar \u0219i \u00een integrarea multiplelor afec\u021biuni ale unui pacient \u0219i \u00een stabilirea unui diagnostic c\u00e2t mai complet, cu toate comorbidit\u0103\u021bile pe care le are o persoan\u0103.<\/p>\n

Medicina intern\u0103 integreaz\u0103 foarte multe cuno\u0219tin\u021be, de aceea un medic internist trebuie s\u0103 aib\u0103 o preg\u0103tire temeinic\u0103 \u00een majoritatea domeniilor din medicina intern\u0103. Trebuie s\u0103 aib\u0103 cuno\u0219tin\u021be de medicin\u0103 intern\u0103, cardiologie, neurologie, endocrinologie sau nefrologie.<\/p>\n

\u00cen prezent, bibliografia se schimb\u0103. Asist\u0103m la o actualizare a acesteia. Sunt dou\u0103 tratate acceptate \u0219i care vor intra \u00een bibliografia obligatorie pentru specialitatea de medicin\u0103 intern\u0103: tratatul realizat de colectivul coordonat de domnul profesor Brugner, pre\u0219edintele Societ\u0103\u021bii Rom\u00e2ne de Medicin\u0103 Intern\u0103, \u0219i tratatul realizat de doamna profesoar\u0103 Camelia Diaconu \u00eempreun\u0103 cu numero\u0219i colegi interni\u0219ti din toate centrele universitare din \u021bar\u0103. Din aceste dou\u0103 tratate au fost selectate capitolele pentru bibliografia de specialitate.<\/p>\n

Lucrurile \u00eencep s\u0103 se a\u0219eze \u0219i am observat \u00een ultimii ani o cre\u0219tere a num\u0103rului de locuri la reziden\u021biat pe medicin\u0103 intern\u0103. \u00cen multe \u021b\u0103ri din Europa \u0219i din lume, medicina intern\u0103 este privit\u0103 ca specialitatea principal\u0103, din care ulterior un medic poate urma supraspecializ\u0103ri precum cardiologie, neurologie sau nefrologie. Dar baza r\u0103m\u00e2ne medicina intern\u0103.<\/p>\n

M-am preg\u0103tit ini\u021bial \u00een medicin\u0103 intern\u0103, apoi am f\u0103cut a doua specialitate, cardiologie, \u0219i ulterior recuperare medical\u0103, deoarece lucrez \u00eentr-o clinic\u0103 de recuperare medical\u0103 cardiovascular\u0103 din Ia\u0219i. Totu\u0219i, insist c\u0103 medicina intern\u0103 r\u0103m\u00e2ne specialitatea de baz\u0103.<\/p>\n

Treptat, au ap\u0103rut specialit\u0103\u021bi mai \u00eenguste, c\u0103utate de tineri pentru caracterul lor specific. \u00cens\u0103 integrarea cazurilor complexe trebuie realizat\u0103 de medicul internist. Consider c\u0103 suntem pe drumul cel bun \u0219i sper ca viitorii medici interni\u0219ti s\u0103 aduc\u0103 un plus de valoare serviciilor de s\u0103n\u0103tate din Rom\u00e2nia.<\/p>\n

Care sunt cele mai mari provoc\u0103ri cu care se confrunt\u0103 medicina intern\u0103 \u00een Rom\u00e2nia ast\u0103zi?<\/strong><\/p>\n

Provoc\u0103rile \u021bin, \u00een primul r\u00e2nd, de preg\u0103tirea practic\u0103. Abilit\u0103\u021bile trebuie nu doar bifate, ci efectuate corect, \u00een centre unde exist\u0103 speciali\u0219ti pe fiecare domeniu. La finalul specialit\u0103\u021bii, medicul internist trebuie s\u0103 poat\u0103 efectua investiga\u021biile necesare pentru a pune un diagnostic c\u00e2t mai bun.<\/p>\n

O alt\u0103 provocare este tematica, care trebuie actualizat\u0103 periodic, deoarece ghidurile \u00een medicin\u0103 se schimb\u0103. Este important s\u0103 folosim informa\u021biile cele mai noi \u00een preg\u0103tirea medicilor.<\/p>\n

De asemenea, organizarea sistemului de s\u0103n\u0103tate ar trebui s\u0103 plaseze medicul internist \u00een centrul evalu\u0103rii pacientului, cu rol de coordonare \u0219i de leg\u0103tur\u0103 \u00eentre specialit\u0103\u021bi.<\/p>\n

\u00cen viitor, un rol important \u00eel vor avea algoritmii de inteligen\u021b\u0103 artificial\u0103. Ace\u0219tia trebuie utiliza\u021bi ra\u021bional \u0219i critic. Pot ajuta, dar nu vor \u00eenlocui medicul. Ra\u021bionamentul clinic \u0219i empatia r\u0103m\u00e2n esen\u021biale \u0219i nu pot fi substituite de tehnologie.<\/p>\n

Din pozi\u021bia de vicepre\u0219edinte al Societ\u0103\u021bii Rom\u00e2ne de Medicin\u0103 Intern\u0103 care sunt priorit\u0103\u021bile actuale ale societ\u0103\u021bii?<\/strong><\/p>\n

Priorit\u0103\u021bile sunt reglementarea \u0219i armonizarea preg\u0103tirii medicilor interni\u0219ti, \u00een acord cu tematica aprobat\u0103. Se urm\u0103re\u0219te dezvoltarea abilit\u0103\u021bilor practice \u0219i consolidarea grupurilor de lucru, precum cele de ecografie sau alte domenii specifice.<\/p>\n

Societatea \u00ee\u0219i propune s\u0103 fie aproape de colegii din \u021bar\u0103 \u0219i s\u0103 dezvolte colabor\u0103ri interna\u021bionale. Congresele anuale reunesc medici din multiple specialit\u0103\u021bi \u0219i promoveaz\u0103 o abordare interdisciplinar\u0103.<\/p>\n

Promovarea tinerilor este o direc\u021bie important\u0103, prin sesiuni dedicate la congrese \u0219i implicarea lor \u00een structurile de conducere. Societatea Rom\u00e2n\u0103 de Medicin\u0103 Intern\u0103 a fost mereu un reper \u00een medicina rom\u00e2neasc\u0103, prin organizare, lideri \u0219i participarea numeroas\u0103 la manifest\u0103rile \u0219tiin\u021bifice.<\/p>\n

Cum se schimb\u0103 rolul cardiologului atunci c\u00e2nd prive\u0219te pacientul prin lentila medicinei interne?<\/strong><\/p>\n

Dup\u0103 formarea \u00een medicin\u0103 intern\u0103, viziunea asupra pacientului devine mai complex\u0103. Atunci c\u00e2nd tratezi o afec\u021biune cardiac\u0103, este mai u\u0219or s\u0103 integrezi comorbidit\u0103\u021bile \u0219i s\u0103 stabile\u0219ti un diagnostic \u0219i un tratament adecvat \u00eentregului context clinic.<\/p>\n

Supraspecializarea \u00een cardiologie aduce informa\u021bii \u021bintite, dar fundamentul oferit de medicina intern\u0103 permite o abordare mai ampl\u0103 \u0219i mai echilibrat\u0103 a pacientului.<\/p>\n

Cum vede\u021bi evolu\u021bia medicinei interne \u00een urm\u0103torul deceniu?<\/strong><\/p>\n

Este dificil de anticipat exact evolu\u021bia, dar utilizarea algoritmilor de inteligen\u021b\u0103 artificial\u0103 va cre\u0219te. Ace\u0219tia vor fi tot mai folosi\u021bi \u00een medicin\u0103, inclusiv \u00een medicina intern\u0103.<\/p>\n

Medicul va trebui s\u0103 \u0219tie s\u0103 utilizeze aceste instrumente \u00een mod critic \u0219i util. De asemenea, dup\u0103 formarea de baz\u0103, mul\u021bi vor opta pentru supraspecializ\u0103ri sau competen\u021be suplimentare \u00eentr-un domeniu preferat.<\/p>\n

Care este mesajul dvs. pentru medicii tineri care aleg medicina intern\u0103<\/strong><\/p>\n

Le transmit c\u0103 au ales cea mai frumoas\u0103 \u0219i cea mai ampl\u0103 specialitate medical\u0103. Medicina intern\u0103 r\u0103m\u00e2ne regina specialit\u0103\u021bilor.<\/p>\n

Medicul internist este cel care integreaz\u0103, analizeaz\u0103 critic \u0219i g\u0103se\u0219te cele mai bune solu\u021bii pentru un tratament adecvat pacientului.<\/p>\n","protected":false},"excerpt":{"rendered":"

Prof. univ. dr. Florin Mitu, vicepre\u0219edinte al Societ\u0103\u021bii Rom\u00e2ne de Medicin\u0103 Intern\u0103, este una dintre personalit\u0103\u021bile marcante ale medicinei interne rom\u00e2ne\u0219ti, cu o activitate profesional\u0103 \u0219i academic\u0103 remarcabil\u0103. Cu o […]<\/p>\n","protected":false},"author":1,"featured_media":18385,"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-18382","post","type-post","status-publish","format-standard","has-post-thumbnail","category-interviu"],"yoast_head":"\nMedicina intern\u0103 r\u0103m\u00e2ne fundamentul practicii medicale modern - Jurmed - Medici<\/title>\n<meta name=\"description\" content=\"Prof. univ. dr. 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