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Around the same time, it was recognised that care for acutely admitted patients should ideally be concentrated in "medical assessment units" (MAUs), later named "acute medical units" (AMUs). A physician experienced in the management of acute medical problems could assess and treat these patients in
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published a joint report in 1998 emphasising the importance of appropriate care for people with acute medical problems. Further reports led to the development of acute medicine as a dedicated specialty, and in 2003 it was recognised by the
Specialist Training Authority as a subspecialty of General
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The
Society for Acute Medicine was founded in 2000. It is "the national representative body for staff caring for medical patients in the acute hospital setting. In the Netherlands, the Dutch Acute Medicine (DAM) society was formed in 2012 and held its first Congress on 28 September 2012 in the
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the most appropriate fashion for the first 48 hours of their admission, aiming either for an early discharge with appropriate outpatient follow-up or transfer to a specialist ward. Severely ill patients who need close observation but do not require
98:. Where patients were previously admitted to hospital, it may now be possible for them to attend a clinic or an assessment area a number of times while their progress is monitored. This is now a very common approach to suspected
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has stated that acute medical units "have been associated with lower inpatient mortality, improved patient and staff satisfaction, reduced hospital stays, and increased throughput."
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In 2007, some questioned whether the specialty would have a long-term future, if at some point UK government ED targets ceased to exist. However,
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concerned with the immediate and early specialist management of adult patients with a wide range of medical conditions who present in hospital as
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approved acute medicine as a distinct specialty, allowing doctors to specialise in it in order to receive their
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266:"Acute medicine: do we need 'medical traffic wardens' to make us interested in general medical patients?"
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has identified a number of other conditions that can be managed in an ambulatory emergency care setting.
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in
Amsterdam. Its curriculum aimed to ensure 12 training posts throughout the Netherlands.
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in the early 2000s as a dedicated field of medicine, together with the establishment of
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350:"Procedures for the outpatient management of patients with deep venous thrombosis"
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in numerous hospitals. Acute medicine is distinct from the broader field of
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Winter M, Keeling D, Sharpen F, Cohen H, Vallance P (February 2005).
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47:, which is concerned with the management of all people attending the
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432:"Acute Internal Medicine (AIM) and sub-specialty of Acute Medicine"
434:. Joint Royal Colleges Postgraduate Training Board. Archived from
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Wachter RM; Bell D (2012). "Renaissance of hospital generalists".
225:. Edinburgh and Glasgow: Scottish Intercollegiate Working party.
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Acute
Medical Admissions and the Future of General Medicine
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may be treated in a dedicated area such as a physician-run
51:, not just those with internal medicine diagnoses.
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Royal
College of Physicians and Surgeons of Glasgow
243:. London: Royal College of Physicians of London.
94:A further development has been the increase of
392:. NHS Institute for Innovation and Improvement
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104:NHS Institute for Innovation and Improvement
174:"Acute medicine: past, present, and future"
221:Royal College of Physicians (April 1998).
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390:"Ambulatory emergency care homepage"
239:Royal College of Physicians (2007).
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525:Healthcare in the United Kingdom
367:10.1111/j.1365-2257.2004.00660.x
264:Stein A, Henley J (May 2007).
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413:. Royal College of Physicians
128:VU University Medical Center
172:Dowdle JR (November 2004).
59:The field developed in the
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505:Society for Acute Medicine
461:Society for Acute Medicine
27:), is a specialty within
190:10.1136/emj.2003.012211
111:General Medical Council
21:acute internal medicine
482:"Dutch Acute Medicine"
35:. It developed in the
283:10.1093/qjmed/hcm037
100:deep vein thrombosis
82:high-dependency unit
49:emergency department
72:Internal Medicine.
41:acute medical units
241:Acute Medical Care
45:emergency medicine
250:978-1-86016-321-0
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485:. Retrieved
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146:References
102:, but the
63:after the
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134:See also
67:and the
457:"About"
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331:S2CID
468:2021
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