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Necessity for postgraduate
training in Psychosomatic Medicine
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Traditional medicine incorporated more
doctor-patient-centred “art of healing”
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The
advent of drugs and technical medicine created a
gap between doctor and patients
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In
medical training (medical school, postgraduate),
psycho-social aspects were neglected against
“hard natural science” — being the only real
science
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Several
countries (Germany, Austria, Hungary, Latvia)
already have fixed diplomas (even subspecialties
like Germany); while others need support.
The
necessity of bio-psycho-social (psychosomatic)
training has been acknowledged in different European
countries since several years in order to improve a
holistic health care and to foster the treatment of
psychosomatic disorders.
Synonyms are bio-psycho-social, bio-behavioural,
psychosomatic, psycho-oncology, psycho-cardiology
et al., all indicating the bidirectional
body-mind interaction and the importance of the
doctor-patient-relationship
In a first meeting in 2004 a working group of
several European countries started a
European
Network of Psychosomatic Medicine [http://www.enpm.eu/]
One first
decision in order to promote Psychosomatic Medicine
within EU health care has been, among others, to
achieve an European core curriculum in
bio-psycho-social medicine (Psychosomatic Medicine)
for a diploma accessible to all doctors (not only
psychiatrists).
In July 2005 a task force was established with the
goal of achieving such curriculum -- knowledge,
skills and attitude -- in postgraduate psychosomatic
(bio-psycho-social) training; as well as to sketch
the general guidelines to credit a Psychosomatic
Service on idoneousness and suitability for
training.
Further
meetings should lead to the passing of a common
resolution and European curriculum to be implemented
in European medical training and health care.
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