Challenges to generalism

Focusing on generalism.

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

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 year...

Developing generalism in the South African context.

The largest impact on the South African burden of disease will be made in community-based and primary healthcare (PHC) settings and not in referral hospitals. Medical generalism is an approach to the delivery of healthcare that routinely applies a broad and holistic perspective to the patient's problems and is a feature of PHC. A multi-professional team of generalists, who share similar values ...

Fluctuating temperature leads to evolution of thermal generalism and preadaptation to novel environments.

Environmental fluctuations can select for generalism, which is also hypothesized to increase organisms' ability to invade novel environments. Here, we show that across a range of temperatures, opportunistic bacterial pathogen Serratia marcescens that evolved in fluctuating temperature (daily variation between 24°C and 38°C, mean 31°C) outperforms the strains that evolved in constant temperature...

British Romantic Generalism in the Age of Specialism, 1870-1990.

This essay explores the impact of 'generalism' and 'general practice' on the specialisation of British medicine using the case of neurology in Britain to reveal characteristics of British 'generalist medical culture' from 1870 to 1990. It argues that 'generalism' represented a particular epistemological position in Victorian medicine, one that then created a natural bridge between science and m...