%0 Journal Article
%T Internal medicine, art and science in the third millennium Medicina interna, arte y ciencia en el tercer milenio
%A F¨¦lix Mu£¿oz C
%J Revista m¨¦dica de Chile
%D 2013
%I Sociedad M¨¦dica de Santiago
%X Internal medicine, art and science in the third millennium is a statement that Medicine is not only science. It acts on the sick individual to reestablish a natural state as a curative art. Medical art, commissioned by an individual or a society, is service. It requires vocation to obtain satisfaction. However due to the incidence of value changes, market globalization, technological and industrial development, the patient/physician relationship is becoming a user/provider relationship. Physician-related factors such as a higher health care demand, resource shortage and a progressive specialization have also influenced this change of paradigm. This is causing dissatisfaction, loss of self-esteem and a lower ethical commitment among professionals. We need to recover a professional repertoire of ideas in the context of a global ethics. Responsibility and co-responsibility are ethical principles addressed to technological civilizations and their collateral effects on people and environment that lead to a "responsible globalization". We also need a scientific futurology to define risks and avoid errors. In this era of progressive specialization, Internal Medicine, with its holistic vision of mankind, may play a fundamental role in the field of bioethics. Medicina Interna, Arte y Ciencia en el Tercer Milenio", expresa que la medicina no es exclusivamente ciencia. Tiene de s¨ª actuar h¨¢bilmente sobre el hombre enfermo, (arte curativo), buscando restablecer un estado natural. El arte m¨¦dico, comisionado por el enfermo o por la sociedad, es servicio. Requiere vocaci¨®n, obteniendo su propia satisfacci¨®n. Sin embargo, la relaci¨®n "paciente / m¨¦dico", se ha visto transformada actualmente en "usuario /prestador", Incidiendo factores generales, tales como cambios val¨®ricos, preeminencia del mercado (globalizaci¨®n), desarrollo de la tecnolog¨ªa e industria, y adem¨¢s factores propiamente m¨¦dicos: mayor demanda asistencial, escasez de recursos, progresiva especializaci¨®n, presencia de gestores no m¨¦dicos, y otros. Ello ha provocado en los m¨¦dicos insatisfacci¨®n, p¨¦rdida de autoestima y menor compromiso ¨¦tico. Necesitamos recuperar un ideario profesional, en el contexto de una "¨¦tica global". El "principio de la responsabilidad" (Jonas) o la "corresponsabilidad" (Apel), son ¨¦ticas destinadas a la civilizaci¨®n tecnol¨®gica y a sus efectos colaterales sobre las personas y el medio ambiente, conducentes a una "globalizaci¨®n responsable". Necesitamos, adem¨¢s, estimular el desarrollo de una "futurolog¨ªa cient¨ªfica" que permita definir los riesgos a evitar o los errores a correg
%K Congresses as Topic
%K History
%K 21st Century
%K Internal Medicine
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000200011