EFIM continues to contribute to the discussion and debate over the role of Internal Medicine, training for the Internists of the future and to the pool of Scientific research on numerous aspects of Internal Medicine. The Federation has published a number of Reports, Position papers and surveys conducted by the Young Internists of EFIM.
The role of the hospitalist in Europe: results by EFIM multimorbidity working group survey
Author: Ombretta Paraa,b ∙ Flora Kisuulec ∙ Arántzazu Álvarez-de Arcayad ∙ Antonio Gonzalez Fernandeze ∙ Maximo Bernabeu-Wittelf
Date: 26 May 2025
The increasing prevalence of chronic diseases has led to a population with a higher level of care complexity. Multimorbidity (MM) has emerged as the most prevalent patient profile in both outpatient... more
Acute heart failure – an EFIM guideline critical appraisal and adaptation for internists
Author: Valentin A. Kokorin a, Alvaro Gonz´alez-Franco b, Antonio Cittadini c, Oskars Kalejs d, Vera N. Larina e, Alberto M. Marra c,f, Francisco J. Medrano g,*, Zdenek Monhart h,i, Laura Morbidoni j, Joana Pimenta k, Wiktoria Lesnia
Date: 18 March 2024
Over the past two decades, several studies have been conducted that have tried to answer questions on management of patients with acute heart failure (AHF) in terms of diagnosis and treatment.... more
Telemedicine in internal medicine: A statement by the European Federation of Internal Medicine
Author: Pietrantonio Filomena, Kuhn Sebastian, K ̈arberg Kati, Leung Tiffany, Said-Criado Ismael, on behalf of the EFIM Telemedicine, Innovative Technologies and Digital Health Working Group
Date: 9 March 2023
The World Health Organization defines telemedicine as “the delivery of health care services, where distance is a critical factor, by all health care professionals using information and communication... more
Competences of internal medicine specialists for the management of patients with multimorbidity. EFIM multimorbidity working group position
Author: M Bernabeu-Wittel, O Para, J Voicehovska, R Gómez-Huelgas, J Václavík, E Battegay, M Holecki, B.C. van Munster
Date: 18 January 2023
Patients with multimorbidity increasingly impact healthcare systems, both in primary care and in hospitals. This is particularly true in Internal Medicine. This population associates with higher... more
Community-acquired pneumonia – An EFIM guideline critical appraisal adaptation for internists
Author: Ahmet Gorkem Era, Alberto Antonio Romero Alonsob, Ignacio Marin- Leonc, Abdullah Sayinerd, Stefano Bassettie, Kutay Demirkanf, Patrick Lacorg, Hartmut Lodeh, Wiktoria Lesniaki, Mine Durusu Tanrioverj, Ali Fuat Kalyoncuk, Nicol ́as Merchantel, Serhat Unal
Date: 8 December 2022
In real-life settings, guidelines frequently cannot be followed since many patients are multimorbid and/or elderly or have other complicating conditions which carry an increased risk of drug-drug... more
Physicians’ responsibility toward environmental degradation and climate change: A position paper of the European Federation of Internal Medicine
Author: LuísCampos;a, VascoBarreto;b StefanoBassetti;c MonicaBivol;d AmieBurbridge;e PietroCastellino;f João AraújoCorreia;g MineDurusu-Tanriöver;h CarmenFierbinteanu-Braticevici;i ThomasHanslik;j ZbigniewHeleniak;k RadovanHojs;l LeonidLazebnic;m MariaMylona;n MatthiasRaspe;o João Queirós eMelo;p FilomenaPietrantonio;q ReinoldGans;r …DrorDicker;v
Date: 1 September 2022
The current data on climate change and environmental degradation are dramatic. The consequences of these changes are already having a significant impact on people's health. Physicians — as advocates... more
Perspectives of European internists on multimorbidity. A multinational survey
Author: M Bernabeu-Wittela,*, M Holeckib, A Tuttolomondoc, J Chudekd, E Battegaye, Christianne Angermann1, Edouard Battegay, M ́aximo Bernabeu-Wittel, Catherine Bryant, Avishay Elis, Georg Ertl, Ricardo Gomez-Huelgas, Sabrina Grine, Michal Holecki, Annette Kürrle, Olivier Lidove, Ombretta Para, Burcin Saglam, Lelita Santos, Antonino Tuttolomondo, Jan Vaclavik, Barbara van Munster, Julija Voicehovska, on behalf of the EFIM Multimorbidity Working Group
Date: 14 February 2022
The prevalence of multimorbidity (MM) amongst aging patient populations increases across the world. Improvements in socioeconomic conditions and advances in medicine have facilitated an unprecedented... more
Pulmonary embolism – An EFIM guideline critical appraisal and adaptation for practicing clinicians
Author: Cecilia Becattini Valentin A. Kokorin Wiktoria Lesniak Ignacio Marin-Leon Francisco J. Medrano Laura Morbidoni Alberto M. Marra Ewelina Biskup Antoni Riera-Mestre Dror Dicker
Date: 13 December 2021
This EFIM guideline on pulmonary embolism adapts recommendations from existing CPGs. There were critical appraisal and adaptation of updated guidelines. It is useful to assist physicians in decision... more
Clinical practice guidelines adaptation for internists - An EFIM methodology
Author: Wiktoria Leśniak, Laura Morbidoni, Dror Dicker, Ignacio Marín-León
Date: 25 June 2020
The rising number of clinical guidelines poses a new challenge to the internists. The main problems are: 1) available documents suffer from heterogeneous methodological quality, and 2) most of... more
The challenge of implementing Less is More medicine: A European perspective
Author: Omar Kherad, Nathan Peiffer-Smadja, Lina Karlafti, Margus Lember, Nathalie Van Aerde, Orvar Gunnarsson, Cristian Baicus, Miguel Bigotte Vieira, António Vaz-Carneiro, Antonio Brucato, Ivica Lazurova, Wiktoria Leśniak, Thomas Hanslik, Stephen Hewitt, Eleni Papanicolaou, Olga Boeva, Dror Dicker, Biljana Ivanovska, Pinar Yldiz, Patrick Lacor, Mark Cranston, Frauke Weidanz, Giorgio Costantino, Nicola Montano
Date: 16 April 2020
Healthcare systems in developed countries are facing new challenges that include defining the values, objectives and tasks of sustainable medicine. Near universal access to quality health care is one... more
Medical and surgical co-management – A strategy of improving the quality and outcomes of perioperative care
Author: Carmen Fierbinţeanu-Braticevicia, Matthias Raspeb, Alin Liviu Predac, Evija Livčāned, Leonid Lazebnike, Soňa Kiňováf, Evert- Jan de Kruijfg, Radovan Hojsh, Thomas Hansliki, Mine Durusu-Tanrioverj, Francesco Dentalik, Xavier Corbellal, Pietro Castellinom, Monica Bivoln, Stefano Bassettio, Vasco Barretop, Eduardo Montero Ruizq, Luis Camposr, The Working Group on Professional Issues and Quality of Care of the European Federation of Internal Medicine (EFIM)
Date: 15 November 2018
With the increase of ageing population, rates of chronic diseases and complex medical conditions, the management of high-risk surgical patients is likely to become a great concern in most countries.... more
Hospital ambulatory medicine: A leading strategy for Internal Medicine in Europe
Author: Xavier Corbellaa, Vasco Barretob, Stefano Bassettic, Monica Bivold, Pietro Castellinoe, Evert-Jan de Kruijff, Francesco Dentalig, Mine Durusu-Tanriöverh, Carmen Fierbinţeanu-Braticevicii, Thomas Hanslikj, Radovan Hojsk, Soňa Kiňovál, Leonid Lazebnikm, Evija Livčānen, Matthias Raspeo, Luis Camposp, The Working Group on Professional Issues and Quality of Care, European Federation of Internal Medicine (EFIM)
Date: 14 April 2018
Addressing the current collision course between growing healthcare demands, rising costs and limited resources is an extremely complex challenge for most healthcare systems worldwide. Given the... more
What is the role of general internists in the tertiary or academic setting?
Author: Mine Durusu Tanriover a, ⁎, Shirley Rigby b , L. Harry van Hulsteijn c , Faustino Ferreira d , Narcisso Oliveira d , Petra-Maria Schumm-Draeger e , Frauke Weidanz b , Mark H.H. Kramer c , On behalf of the Working Group on Professional Issues, European Federation of Internal Medicine (EFIM)
Date: 1 December 2014
The changing demography of European populations mandates a vital role for internists in caring for patients in each level of healthcare. Internists in the tertiary or academic setting are highly... more
The changing face of internal medicine: Patient centred care
Author: M.H.H. Kramer ⁎, W. Bauer, D. Dicker, M. Durusu-Tanriover, F. Ferreira, S.P. Rigby, X. Roux, P.M. Schumm-Draeger, F. Weidanz, J.H. van Hulsteijn, On behalf of the Working Group on Professional Issues, European Federation of Internal medicine (EFIM)
Date: 25 January 2014
The changing face of internal medicine: Patient centred care Patient centred care is now considered the gold standard and there should be ‘no decision about me, without me’. Internists who treat... more
The practice of internal medicine in Europe: organisation, clinical conditions and procedures
Author: Mark Cranston, Colin Semple, Roger Duckitt, Moshe Vardi, Stefan Lindgren, Christopher Davidson, Runolfur Palsson - for the European Board of Internal Medicine Competencies Working Group
Date: 10 October 2013
Background: Current information on the role of internists in the European countries is scarce. This report describes the results of a survey of the practice of internists in Europe. Methods: Two... more
Postgraduate education in internal medicine in Europe
Author: Mark Cranston, Monique Slee-Valentijn, Christopher Davidson, Stefan Lindgren, Colin Semple, Runolfur Palsson - for the European Board of Internal Medicine Competencies Working Group
Date: 1 October 2013
Background: Limited information exists on the framework and content of postgraduate education in internal medicine in Europe. This report describes the results of a survey of postgraduate training in... more
Medical Professionalism in the New Millennium: A Physician Charter
Author: Troy Brennan, Christopher Davidson, Jordan Cohen, Harry Kimball, Neil Smelser, Daniel Sereni, Eugene Sutorius, Gunilla Brenning, Walter McDonald
Date: 5 February 2012
The charter is the product of several years of work by leaders in the ABIM Foundation, the ACP–ASIM Foundation, and the European Federation of Internal Medicine. The charter consists of a brief... more
Internal Medicine in Europe: How to cope with the future?
Author: Mark Kramer, Erdal Akalin, Melchor Alvarez, Haim Bitterman, Faustino Ferreira, Clare Higgens, Petra-Maria Schumm-Draeger, Johannes Köberling, Mine Durusu Tanriover, Werner Bauer
Date: 14 January 2010
An official EFIM strategy document from the Working Group on Professional Issues In Internal Medicine in Europe that examines the fundamental structure and role of Internal Medicine in the future of... more
INTERNAL MEDICINE IN EUROPE: How to cope with the future?
Author: Mark Kramer (The Netherlands), Erdal Akalin (Turkey), Melchor Alvarez - Mon (Spain), Haim Bitterman (Israel), Faustino Ferreira (Portugal), Clare Higgens (United Kingdom), Petra-Maria Schumm-Draeger (Germany), Johannes Köberling (GE), Mine Durusu Tanriove
Date: 1 January 2010
Peripheral arterial disease: A growing problem for the internist
Author: Coen D.A. Stehouwer, Denis Clement, Christopher Davidson, Curt Diehm, Jan Willem Elte, Marc Lambert, Daniel Sereni: for the EFIM Vascular Medicine Working Group
Date: 21 November 2008
The atherothrombotic conditions, coronary artery disease, cerebrovascular disease and peripheral arterial disease (PAD), together account for almost one-half of all deaths in Europe each year;... more
Peripheral Arterial Disease Management. A Practical Guide for Internists
Author: Coen Stehouwer, Denis Clement, Chris Davidson, Curt Diehm, Jan Willem Elte, Marc Lambert, Daniel Sereni - for the EFIM Vascular Workign Group
Date: 15 May 2008
This Practical Guide has been written specifically for Internists by the EFIM Vascular Working Group to provide clear and relevant advice on best practice in the diagnosis and management of PAD,... more
Core competencies of the European internist: A discussion paper
Author: Runolfur Palsson, John Kellett, Stefan Lindgren, Jamie Merino, Colin Semple, Daniel Sereni
Date: 12 October 2006
In order to enhance the quality of internal medicine practice and to reform the education of internists across Europe, the European Board of Internal Medicine (formed by the European Federation of... more
The history of the (Young) AEMI(E) and the EFIM
Author: Ugo E.F. Carcassi, Jan Willem F. Elte, Christopher Davidson
Date: 19 September 2006
The European Federation of Internal Medicine (EFIM) was formed in 1996 through a merger between the Association Européenne de Médicine Interne (d' Ensemble) (AEMI(E)) and the Forum of Presidents of... more
Political issues in internal medicine in Europe. A position paper
Author: Werner Bauer*, Petra-Maria Schumm-Draeger, Johannes Koebberling, Thomas Gjoerup, Jose Javier Garcia Alegria, Faustino Ferreira, Clare Higgens, Mark Kramer, Giuseppe Licata, Moshe Mittelman, James O’Hare, Serhat Unal
Date: 1 February 2005
What will be the future of internal medicine in Europe? Because of rapidly growing concerns regarding the position of internal medicine in many European countries, the European Federation of Internal... more
Charter on Medical Professionalism Where do we go from here?
Author: Chris Davidson
Date: 1 May 2002
Editorial on the Charter on Medical Professionalism