10th college of physicians lecture: the challenges of reinventing medical generalism in the 21st century.

摘要

Presidents, Fellows, Members, distinguished guests I am honoured to be invited by the Singapore College of Physicians to give this 10th College of Physicians lecture titled: "The Challenges of Reinventing Medical Generalism in the 21st Century".One of the major challenges which we face in General Internal Medicine is re-inventing medical generalism. We are forced to do this now and in the years to come, because of important changes in the demographics of our patient population and the way patients present, as we age, to acute medical units. I think we can agree the cornerstones of good health care: The right thing for the patient-we must be more patient-focused not only in terms of the standards of care that we give but also in terms of the organisational aspects of care delivery. Effectiveness-with the demands on systems in which whatever healthcare system you work in, be it insured, partially-insured, not reimbursed or a United Kingdom (UK) state system, we must strive to be effective and efficient at all times.