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Days 3 and 4 March is held in Málaga IV Congress PAIME, under the slogan: “Doctors health, quality of service”.

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The days 3 and 4 March held in Málaga IV Congress PAIME, under the theme: “ of physicians health, quality of service ”.

-the main objectives of this Conference are to assess the impact this program has had on the politics of health care of the sick physician health organizations. On the other hand, reflect and evaluate the problems in relation to confidentiality and ethics in the care of the sick professional. And finally, promote the leadership of the schools in the comprehensive health of medical care

-PAIME (programme of comprehensive care for the sick physician) program of the official medical schools, and he developed in collaboration with the health authorities is a pioneer in Spain and Europe, which is oriented to health care and to the recovery of the doctors so that they can return to practice medicine in optimal conditions

Madrid, 2011-February remains a concern for the College medical organization (WTO), the attention of health professionals of the medicine. Therefore, the Foundation Board of Trustees of orphans and Social protection of doctors Prince of Asturias and the WTO, with the collaboration of the College of physicians of Malaga, has organized IV Congress PAIME, under the motto “ medical health, quality of service ”to be held in the city of Malaga, on 3 and 4 March 2011.

After two years since the last Congress, we have organized this 4th Congress PAIME has three main objectives. The first evaluation of the impact this program has had on the politics of health care of the sick physician health organizations. Secondly, reflect and evaluate the problems in relation to confidentiality and ethics in the medical care. And finally, promote the leadership of the schools in the attention to the comprehensive health of these professionals.

PAIME program of the official medical schools, it was launched 12 years ago in Barcelona and is developed in collaboration with the health authorities, constitutes a guarantee of the quality of care.

All patients have the right to that met them some medical professionals in a perfect state of health. Medical College organization, aware of the medical patient presenting psychiatric problems and/or addictive behaviours and problems with the desire to ensure the people care as correct as possible, has proposed boosting the PAIME is oriented to health care and to the recovery of the doctors so that they can return to exercise medicine in optimal conditions.

This program, pioneer in Spain and Europe, has demonstrated its effectiveness over 12 years of experience because 90% of the aided doctors have joined their professional practice. Hence, the need for further implementation and extension to all the autonomous communities.

Content

The Congress, which will feature leading experts in the field, is structured in different round tables where will address, inter alia, the criteria enabling a consensus standardization activity and its quality, the impact on the health of the doctor of health organizations, as well as confidentiality and ethics of the practice in caring for the sick physician.

Also, are also scheduled workshops for the exchange of information and experiences to help extend and improve this program, and encourage the development of training, preventive actions and new lines of research.

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Internal medicine residents defend infectious diseases as part of his map of competencies.

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Internal medicine residents defend infectious diseases as part of his map of competences.


Madrid, 2011-February before the debate that is taking place in recent times in relation to the creation of areas of specific training (ACE) professional management (I) Act that raised already 7 years ago, the resident doctors of internal medicine, through their representatives in the national society of internal medicine, autonomous societies and the National Commission of specialty, have wanted to make public its position before the future formalization and regulation of a number of activities that fall directly within their profession.

The internists indicate character Coordinator and versatile of his specialty, high training gained during its formative period and essentials of comprehensive care for the patient, as the main reasons why the internists, already today, lead care units for prevention of Cardiovascular riskInfectious diseases, thromboembolic disease, autoimmune diseases, er, Tropical Medicine, pulmonary hypertension, cardiac insufficiency, palliative care and hospitalization home, areas where they sometimes work with other specialists in conjunction.

The internists recognizes the derivation of competences, which so far has been in a natural way, currently requires specific regulation and expect the creation of the ACE is carried out according to the needs and logical health skills, taking into account the confluence of specific specialties in multidisciplinary teams around areas of knowledge, while respecting the areas of expertise currently play the internist and for which there is already a high level of training in the specialty program. It is undeniable that the rigidity of the system is pernicious, is desirable is to provide a more flexible structures, and to establish walkways between plots of knowledge.

The comprehensive treatment of patients, main lack of current according to community residents healthcare

To level of care, more than 1,500 training in internal medicine specialists support comparatively greater burden in the teaching hospitals of the country, the largest number of attended beds and most of the medical guards. In addition, the specialty of internal medicine is that most places offer, more than 3,500 in the last 15 years; last call for MIR, more than 10% of the first 100 voters chose the specialty, making it the fourth most selected option.

In this sense, residents believe that internal medicine is versatile and highly trained specialists with pillars of knowledge solids which settle knowledge plots involving the future ACE.

Areas of specific training (ACE) fit in with the spirit of the core subjects, in the sense of favouring the deepening in areas of expertise with multidisciplinary approach. In this context, the internist in training want to express its concern at the positions of some scientific societies, advocating the creation of a specialty in infectious diseases, arguing that there may not be generational in a subspecialty that emerged in the years of the HIV epidemic. Leaving aside work or corporatist motivations that could underpin this demand, future specialists in internal medicine consider that during its formative period, those residents who want to polarize your resume to infectious diseases have opportunity to do so with great care, training and scientific quality. In fact, they argue that generational is taking place already nowadays, by 2025 75 per cent of the specialists in Spain will be less than 50 years and remember as internal medicine took over and solved the problem of the epidemic in our country, with the present educational structure, and with very high quality scientific and health care, providing with infectious diseases physicians at the forefront at international level.

Community Futures therefore believe that the demand for a specialty in infectious diseases was due more to the need to regulate the work of the infectólogos that framework to training needs, believing also that the formation of the infectologist only will be integrated within a specialty in internal medicine. From the educational point of view, they believe, subspecialty in infectious diseases must be derived from internal medicine, and the regulation of the labour context consideration should be in the definition of the ACE that is taking place at the present time.

Firmante:

Ana Torres do Rego
Vocal MIR in the Board of Directors of the SEMI

Cristian Gomez Torrijos
Vocal MIR in the National Commission for internal medicine specialty

Sergio Serrano Villar
Vocal MIR in the National Commission for internal medicine specialty

Elisa Rodriguez Avila
representative of residents of the Asturian society of internal medicine

Monica Abdillas Bonías
representative of residents of the Valencian society of internal medicine

Bethlehem Garrido Bernet
representative of residents of the Canary Island society of internal medicine

David Bernal Bello
representative of residents of the society of internal medicine of Castilla la Mancha

Ivan Moreno Muñoz
Subcommitee member of the Young Internists in the European Federation of internal medicine

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Male, 40 years and smoker or ex smoker, the profile of the patient with COPD in Spain.

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Male, more than 40 years and smoker and former smoker, the profile of the patient with COPD Spain.

around 150 experts gather at the sixth meeting of COPD (disease pulmonary obstructive chronic), organized by the Working Group of COPD in the Spanish society of internal medicine (SEMI) in Barcelona.

-Up to 10% of the population between 40 and 80 years suffers from the disease, which would add a significant percentage of people not diagnosed

– according to who data, provides that, if no interventions are made to reduce the risks, deaths from COPD will increase by more than 30% in the next 10 years

-the main causes of disease mortality due to respiratory failure, cardiovascular diseases and neoplasms

-in Spain, approximately 50% of hospital admissions for acute problems are carried out in the service of internal medicine

– according to the Coordinator of the Group of COPD in the SEMI, Spain is one of the leading countries in research in COPD

Barcelona, 2011-March the obstructive pulmonary disease chronic (COPD) is one of the major causes of mortality and health care burden in our country. Up to 10% of the population between 40 and 80 years afflicted, with a high percentage of under-diagnosis, i.e. people not diagnosed and therefore not treated correctly.

In addition, according to who data, estimated that if not carried out interventions (mainly on the smoke of tobacco) for reducing the risks, the COPD Deaths increased by more than 30% in the next 10 years.

The profile of these patients in Spain is one man of 40 years that he is or has been smoking, although, as pointed out the doctor Pere Almagro Mena, Coordinator of the Working Group of the Spanish society of internal medicine (SEMI) COPD “ there is an increasing number of women who suffer, as a result of the increase in smoking in this population ”.

This is one of the conclusions of the sixth meeting of COPD organized by the Working Group of COPD in the SEMI in Barcelona on 17 and 18 March, which will meet approximately 150 specialists in internal medicine, members of this group, pulmonologists, primary care physicians, hospitalization at home and intensivistas, with the objectives of deepening in poorly understood aspects of the disease and treat, among other topics, the comorbidity of these patients, their prognosis and palliative care at more advanced stages of the disease.

A disease that is almost always associated with other diseases

One of the main features of COPD is the high degree of comorbidity with other diseases, because of its inflammatory basis and systemic involvement which causes, in such a way that, as notes Dr. Almagro, “ the main causes of mortality by disease due to respiratory failure, cardiovascular diseases and neoplasms ”.

Thus, COPD worsens the prognosis of other pathologies as cardiovascular more than other traditional risk factors such as Dyslipidemia – alteration in lipids, mainly cholesterol and triglyceride levels. On the other hand, the greater the degree of disease is, the greater the number of deaths caused by respiratory failure.

Its main cause is the smoke, in active and passive smokers, but pollution of indoor and outdoor air and occupational exposure to chemicals and powders are also risk factors.

It joins the clinical manifestations and functional alterations of COPD to appear in the advanced stage of the disease, detection may be delayed. In fact, “ while the patient remains stable, its deterioration is very slow, by which it accustomed to limitations it causes for years ”, as pointed out by Dr. Almagro.

Throughout this, prevention and diagnosis play in their treatment a fundamental role, since, according to the expert, “ there are many occasions that the patient does not know that you have the disease until this interferes with their normal activities ”.

Spain, one of the countries leading in research in COPD

According to Dr. Almagro, “ Spain is located between countries with a greater degree of research on this respiratory disease worldwide and boasts specialists of reference in the study and treatment ”. In recent years have carried out several studies on genetic bases, inflammation, phenotypes, prognosis or Comorbidities which features, among other issues.

Thus, there have recently been profound changes in the knowledge of the origin of the disease, its clinical manifestations, prognosis and treatment and becoming is subject of further research and generation of new knowledge.

The role of the internist in the care of the patient with COPD

The internists, the chest or family physicians have a key role and not exclusionary in diagnosis and treatment of disease. Spain, approximately 50% of revenue by acute problems related to the disease carried in the service of internal medicine.

In that regard, the Group of COPD in the SEMI is making several training activities to raise awareness of the disease in the service of internal medicine. Proof of this is that in the past two years the Group has published several works in national and international journals and currently being analysed data from the study ESMI (COPD in the service of internal medicine), performed in approximately 60 services for the specialty in all Spain with more than 600 patients, which will make it possible to better define the profile of patients treated for this disease in our country.

On the other hand, the Group of the SEMI keeps avenues of collaboration with the Spanish society of respiratory pathology (SEPAR) and the Spanish society of hospitalization at home (SEHAD), which collaborates in the preparation of guidelines for the diagnosis and treatment of disease.

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Surah Al-Rehman – The Ultimate Free Remedy for Incurable Diseases

(By Listening Only- 20 Minutes Only)

Kindly download the Surah “AL-REHMAN” (recited by Qari Abdul Basit without translation) from here.


Treatment Plan

Just Listen to it three times a day (morning, afternoon, evening) for seven consecutive days using following procedure:-


    Before listening:

  • Close your eyes
  • Feel your self in front of ALLAH Almighty/ God
  • Then listen to it with greater concentration and closed eyes

    When the recitation/ AUDIO is finished:

  • Open your eyes and take half glass of water
  • Close your eyes again and say “ALLAH” three times in your heart with deep affection/ love
  • Then drink the water with closed eyes in three sips

Surah Al-Rehman – The Ultimate Free Remedy for Incurable Diseases

(By Listening Only- 20 Minutes Only)

Kindly download the Surah “AL-REHMAN” (recited by Qari Abdul Basit without translation) from here.


Treatment Plan

Just Listen to it three times a day (morning, afternoon, evening) for seven consecutive days using following procedure:-


    Before listening:

  • Close your eyes
  • Feel your self in front of ALLAH Almighty/ God
  • Then listen to it with greater concentration and closed eyes

    When the recitation/ AUDIO is finished:

  • Open your eyes and take half glass of water
  • Close your eyes again and say “ALLAH” three times in your heart with deep affection/ love
  • Then drink the water with closed eyes in three sips