Type References

A well-trained family physician can respond perfectly to 80-90 of consultations. Those consulting in general have undifferentiated clinical conditions up to 60 of cases. The reason is this type of clinical lies in the fact that as being the first contact with the health system, the problems are in early stages, with clinical forms totally different from what the medical books concern, since they generally have been written by doctors at the hospital setting. As clinical studies and most of the literature that comes from higher levels of clinical severity. What does not necessarily imply greater complexity. As the complex lies just on the expertise of working in a field of uncertainty, where reductive paradigms are not valid, the present becomes more random, and the complexity of the relationship between people and family-society becomes more evident.References generally performs collateral type or interval according to Ian McWhinney, in which the patient is sent to a specific problem that warrants monitoring, but it remains the responsibility, so instead made reference interconsultations, thus avoiding The “Galaxy of Speakers” in the management according to Michael Balint. Know how, when and who to send it to require other specialist. With this vision in the expert / specialist occupies its rightful place: a consultant willing adviser in difficult cases or cases requiring special care with appliances or tertiary. In this way the expert is nested more and work with patients episodically, but with those who really need them.