Return to clinical in contrast to serologically-based diagnoses  

作　　者：Bruce M Rothschild 

机构地区：[1]Department of Medicine,Ohio Medical University

出　　处：《World Journal of Rheumatology》2016年第1期1-8,共8页世界风湿病学杂志

摘　　要：The future of rheumatology is predicated upon a return to basics.The advent and facile availability of laboratory testing led to reduction of emphasis on clinical skills.Recognition that immunologic abnormalities are not limited to individuals who clearly have related pathologyprovides new motivation for reorientation of training programs to assure that graduates have appropriate information gathering,diagnostic and procedural skills.Inadequate accessibility to rheumatologic care requires innovative approaches and especially training and educating those individuals who provide primary care.While the rheumatologist can elicit the patient's history remotely,telerheumatology will be feasible only when the individual interacting physically with the patient has confidence in their examination skills and when those skills have been validated.Named syndromes or diseases will be modified to avoid impugning the individual or compromising their future access to health,disability and life insurance.Interventions will be pursued in a more cost-effective,evidence-based manner.The future of rheumatology is dependent upon the rheumatologist's ability to amortize the inadequate reimbursement for direct patient interaction,depending on skills of interpretation of standard X-rays,ultrasound performance and results.The future of rheumatology is predicated upon a return to basics.The advent and facile availability of laboratory testing led to reduction of emphasis on clinical skills.Recognition that immunologic abnormalities are not limited to individuals who clearly have related pathologyprovides new motivation for reorientation of training programs to assure that graduates have appropriate information gathering,diagnostic and procedural skills.Inadequate accessibility to rheumatologic care requires innovative approaches and especially training and educating those individuals who provide primary care.While the rheumatologist can elicit the patient's history remotely,telerheumatology will be feasible only when the individual interacting physically with the patient has confidence in their examination skills and when those skills have been validated.Named syndromes or diseases will be modified to avoid impugning the individual or compromising their future access to health,disability and life insurance.Interventions will be pursued in a more cost-effective,evidence-based manner.The future of rheumatology is dependent upon the rheumatologist's ability to amortize the inadequate reimbursement for direct patient interaction,depending on skills of interpretation of standard X-rays,ultrasound performance and results.

关 键 词：Laboratory test IMMUNOLOGY Procedure Telerheumatology NOMENCLATURE RADIOLOGY Ultrasound 

分 类 号：R[医药卫生]