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10 pillars of knowledge: map of human knowledge
Medicine
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Medicine is the science and art aimed at promoting health, preventing illness, treating diseases, and relieving pain (C. Zins, 2011)..
Medicine
Medicine. The image: ourtesy of US Army image gallery.©
Medicine
1. Theory (metaknowledge)
      Philosophy of medicine
      History of medicine
      Medical ethics
      Medical research & evaluation
      Medical education,
2. Medical Fields (diagnostic, clinical...)
      Internal medicine
         Allergy & Clinical Immunology
         Cardiology
         Critical Care Medicine
         Endocrinology
         Gastroenterology
         Geriatrics
         Hematology
         Hepatology
         Infectious Disease
         Nephrology
         Oncology
         Pulmonology
         Rheumatology
         Sleep medicine
      Neurology*
      Pediatrics
      Surgery
         General surgery
         Cardiothoracic Surgery
         Vascular Surgery
         Pediatric Surgery
         Neurosurgery
         Orthopedic Surgery
         Ophthalmology
         Otolaryngology
         Oral and Maxillofacial Surgery
         Plastic Surgery
         Urology
      Gynecology and Obstetrics
      Psychiatry
      Pathology...
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Rationale
Medicine embraces a wide range of sub-fields, which are grouped  in two main fields: foundational fields, and medical fields.

The foundational fields study the philosophical, historical, social, and methodological foundations of medicine. They are concerned with the metaknowledge (knowledge about knowledge) of medicine; among them philosophy of medicine, history of medicine, medical ethics (study of ethical issues that arise in medical settings). medical research and evaluation, medical education (study of medical training and medical schools), and medical informatics (study of handling medical information systems), which is part of information science (see cat. 1.4).

The medical fields explore the medical conditions (i.e., diseases, disorders, injuries, and health-based situations (e.g., pregnancy, delivery)), and medical treatments and practices. They cover the broad spectrums of known conditions, organs and body systems, treatments and technologies, groups, and interests.

Mapping medicine. There are hundreds of medical fields and sub-fields. Mapping them is indefinite. The medical knowledge is constantly growing. New fields emerge, scientists conquer new horizons, and practitioners implement innovative treatments and technologies. The structure of medicine varies from country to country. We live in ‘a global village’. Still, national healthcare systems are based on different medical traditions, social needs, and cultural boundaries.

Main fields. Internal medicine, neurology, pediatrics, surgery, gynecology and obstetrics, psychiatry, and pathology are the backbone of medicine.

Internal medicine. Based on the European Federation of Internal Medicine internal medicine explores diseases of internal organs of the body – the heart, the lungs, the liver and gastro-intestinal tract (system), the kidneys and urinary tract, the brain, spinal column, nerves, and muscles. Internal medicine is focused on the diagnosis, treatment, and prevention of “non-surgical” conditions in adults.

Sub-fields. Based on the American Board of Internal Medicine internal medicine’s main sub-fields are allergy and clinical immunology (immune system), cardiology (cardiovascular system – heart and blood vessels), critical care medicine (life support for critically ill patients), endocrinology (disorders of the endocrine system, including diabetes), gastroenterology (digestive system), geriatrics (care of the elderly), hematology (blood and blood-forming organs), hepatology (liver diseases), infectious disease (caused by microbiological organisms, e.g., viruses, bacteria, parasites), nephrology (kidneys), oncology (cancer), pulmonology (lungs and respiratory tract), rheumatology (rheumatic diseases), sleep medicine (sleep disorders).

Neurology focuses on the nervous system and its functional or organic disorders. Essentially it is part of internal medicine since it deals with an internal system of the body, but practically it has gained the status of an independent field of medical expertise (see also neurosurgery, which is also a sub-field of surgery).

Pediatrics is the counterpart of internal medicine, which is concerned with the development and care of infants, children, and adolescents. The age limit varies from 12 to 21, depending on the country, the medical system, or the medical school.

Surgery explores interventional techniques that are designed to cut, combine, remove, or replace tissues and organs for diagnosis
or treatment of injuries, diseases, and disorders, or for aesthetic purposes.

Sub-fields. Surgery’s main sub-fields are general surgery (mainly the abdominal organs, e.g., liver, stomach, colon, breast, endocrine system – glands, the skin, trauma surgery, and surgical oncology – cancer); cardiothoracic surgery (chest: heart and lungs); vascular surgery (blood vessels); pediatric surgery (treating the fetus, the newborn, the infant, the child, and the adolescent); neurosurgery (nervous system); orthopedic surgery (the musculoskeletal system – muscles and bones); ophthalmology (eyes); otolaryngology (ear, nose and throat); oral and maxillofacial surgery (head, neck, face, and jaws); plastic surgery (restoration of form and function); and urology (urinary system and male reproductive system).

Gynecology and obstetrics are combined medical/surgical specialties. They concern diseases and disorders of the female reproductive system (gynecology) and the health of the woman and her fetus from pregnancy until after delivery (obstetrics). Both fields deal with the diagnosis and treatment of infertility.

Psychiatry is the study and practice of diagnosing, treating, and preventing mental illness.

Pathology is the study and diagnosis of disease and abnormal conditions through examination of organs, tissues, bodily fluids, and whole bodies (autopsies)
(C. Zins, 2011)..
Reflections
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February 2013  © Copyright Dr. Chaim Zins, Jerusalem, 2002-2013. All rights reserved. 
Chaim Zins, Knowledge Mapping Research, 26 Hahaganah St. Jerusalem, 97852 tel: 972-2-5816705 chaim.zins@gmail.com