La mayor edad y creciente complejidad de los pacientes neuroquirúrgicos ingresados ha supuesto un incremento en las interconsultas con Medicina Interna. Esta colaboración presenta inconvenientes debido a la falta de continuidad asistencial y a la discrecionalidad de su uso. La adscripción de un internista al servicio de Neurocirugía a tiempo completo y con atribuciones asistenciales completas, salvo las estrictamente quirúrgicas, es una opción organizativa factible. Este sistema minimiza la necesidad de interconsultas, mejora la calidad asistencial percibida, permite que el cirujano se centre en tareas puramente quirúrgicas, aporta una visión global del paciente y de su enfermedad, enriquece al grupo con conocimientos especializados no neuroquirúrgicos y eleva el nivel científico del equipo. En nuestro servicio se dispone de una internista en plantilla desde hace 14 años. Describimos sus atribuciones de trabajo diarias, las ventajas asistenciales que proporciona al servicio y las implicaciones profesionales y laborales derivadas.
The increasing age and complexity of in-hospital neurosurgery patients have raised the number of consultations with Internal Medicine. This type of collaboration is discretional and lacks temporal continuity. The full-time appointment of an internal medicine practitioner to a Neurosurgery Department, with complete care attributions except for strict surgical work, is a feasible organizational option. This method minimizes the need for medical consultation, improves the perceived quality of care, allows neurosurgeons to focus on purely surgical tasks, provides an integral vision of the patient's condition, enriches the group with specialized non-neurosurgical knowledge, and raises the scientific level of the team. In our Neurosurgery Department, an internal medicine practitioner has been working as part of the staff for 14 years. We describe her medical activity duties, the advantages our department gains from her daily work, and the professional and working implications derived.
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