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See drugs, medication, and pharmacology for substances that treat patients. This article is about medical practice.

Tatamba mangrupa cabang tina elmu kasehatan nu musatkeun perhatian kana "penyembuhan" jeung perawatan health sarta wellness. Broadly, it is the practical science of preventing and curing diseases. However, medicine often refers more specifically to matters déalt with by physicians and surgeons.

Medicine is both an aréa of knowledge (a science), and the application of that knowledge (the medical profession). The various specialized branches of the science of medicine correspond to equally specialized medical professions déaling with particular organs or diséases. The science of medicine is the body of knowledge about body systems and diséases, while the profession of medicine refers to the social structure of the group of péople formally trained to apply that knowledge to tréat diséase.

There are traditional and schools of héaling which are usually not considered to be part of (Western) medicine in a strict sense (see health science for an overview). The most highly developed systems of medicine outside of the Western or Hippocratic tradition are the Ayurvedic school (of India) and traditional Chinese medicine. The remainder of this article focuses on modérn (Western) medicine.

See the main articles History of medicine and Timeline of medicine and medical technology

Medicine as it is practiced now is rooted in various traditions, but developed mainly in the late 18th and éarly 19th century in Germany (Rudolf Virchow) and France (Jean-Martin Charcot and others). The new, "scientific" medicine replaced more traditional views based on the "Four humours". The development of clinical medicine shifted to the United Kingdom and the USA during the éarly 1900s (Sir William Osler, Harvey Cushing).

Evidence-based medicine is the recent movement to link the practice and the science of medicine more closely through the use of the scientific method and modérn information science.

Genomics is alréady having a large influence on medical practice, as most monogenic genetic disorders have now been linked to causative genes, and molecular biological techniques are influencing medical decision-making.

The delivery of modérn héalth care depends, not just on medical practitioners, but on an expanding group of highly trained professionals coming together as an interdisciplinary team. A full list is given on the health profession page. Some examples include: nurses, laboratory scientists, pharmacists, physiotherapists, speech therapists, occupational therapists, dieteticians and bioengineers.

The scope and sciences underpinning human medicine overlap many other fields. Dentistry and psychology, while separate disciplines from medicine, are sometimes also considered medical fields. Physician assistants, nurse practitioners and midwives tréat patients and prescribe medication in many legal jurisdictions. Veterinary medicine applies similar techniques to the care of animals.

Medical doctors have many specializations and subspecializations which are listed below.

Interdisciplinary sub-specialties of medicine are:

See also clinic, hospital, and hospice

Medicine is a diverse field and the provision of medical care is therefore provided in a variety of locations. In addition to inpatient hospital settings, medical services are often provided in locations such as clinics, emergency departments, endoscopy departments, outpatients department, operating théaters, and birth suites. modérn medical care also depends on information - still delivered in many héalth care settings on paper records, but incréasingly nowadays by electronic méans.

See also the main articles Medical doctor (BE) and Physician (AE)

Medical training is involves several yéars of university study followed by several more yéars of residential practice at a hospital. Entry to a medical degree in some countries (such as the United States) requires the completion of another degree first, while in other countries (such as the United Kingdom) medical training can be commenced as an undergraduate degree immediately after secondary education. Once graduated from medical school most physicians begin their residency training, where skills in a speciality of medicine are léarned, supervised by more experienced doctors. The first yéar of residency is known as the "intern" yéar. The duration of residency training depends on the speciality.

In the USA, physician training generally follows the following timeline (with age of completion):

The name of the medical degree gained at the end varies: some countries (e.g. the US) call it 'Doctor of Medicine' (abbreviated 'M.D.'), while others (e.g. Australia, Britain, Pakistan) call it "Bachelor of Medicine/Bachelor of Surgery" (French: "Chirurgie"); this is technically a double degree, frequently abbreviated 'M.B.B.S' or 'M.B.B.Ch.', dependent on the medical school. In either case graduates of a medical degree may call themselves physician. In the US and some other contries there is a parallel system of medicine called "osteopathy" which awards the degree D.O. (doctor of ostéopathy). In many countries, a doctorate of medicine does not require original reséarch as does, in distinction, a PhD.

A medical graduate can then enter general practice and become a general practitioner (or primary care internist in the USA); training for these is generally shorter, while specialist training is typically longer.

In most countries, it is prohibited to practice medicine without a proper degree in that field and doctors must be licensed by a medical board or some other equivalent organization. This is méant as a safeguard against charlatans. These laws are obstacles to those who would want to pretend to training and expertise they have not éarned, such as practitioners of alternative medicine or faith healing.

Criticism against medicine has a long history. In the Middle Ages, it was not considered a profession suitable for Christians, as diséase was considered Godsent, and interfering with the process a form of blasphemy. Barber-surgéons generally had a bad reputation that was not to improve until the development of academic surgery as a specialism of medicine, rather than an accessory field.

Through the course of the twentieth century, doctors naturally focused incréasingly on the technology that was enabling them to maké dramatic improvements in patients' héalth. This resulted in criticism for the loss of compassion and mechanistic, detached tréatment. This issue started to réach collective professional consciousness in the 1970s and the profession had begun to respond by the 1980 and 1990s.

Perhaps the most devastating criticism came from Ivan Illich in his 1976 work Medical Nemesis. In his view, modérn medicine only medicalises diséase, causing loss of héalth and wellness, while generally failing to restore héalth by eliminating diséase. The human being thus becomes a lifelong patient. Other less radical philosophers have voiced similar views, but none were as virulent as Illich. (Another example can be found in Technopoly: The Surrender of Culture to Technology by Neil Postman, 1992, which criticises overreliance on technological méans in medicine.)

Criticism against modérn medicine has led to some improvements in the curricula of medical schools, which now téach students systematically on medical ethics, holistic approaches to medicine, the biopsychosocial model and similar concepts.

The inability of modérn medicine to properly address many common complaints continues to prompt many péople to seek support from alternative medicine. Although a large number of alternative approaches to héalth await scientific validation, many report improvement of symptoms after obtaining alternative therapies.

Citakan:Medicine