Internal Medicine

About the Observatory

Internal Medicine is a specialty that considers the patient with a global and integrative vision with the ability to target any patient pathology and solve most of their health problems.

La mission of the service is to provide medical care to patients within the areas of Internal Medicine at the Moisés Broggi University Hospital Complex, to guarantee consultative medicine to patients of other medical and surgical specialties, and to co-lead the coordination with the other care levels of primary and community care and intermediate care (by way of co-responsibility and transversal) of the corresponding reference population. This is from the region of Baix Llobregat (Center and Fontsanta) and the municipality of l'Hospitalet de Llobregat (North). All this according to the requirements endorsed by scientific societies and with criteria of efficiency, quality, safety and patient experience; and aligned with the strategy of the Directorate of the Integral Health Consortium and with a territorial vision within the framework of the Health Region of Barcelona Metropolitana Sud.

La vision of the service is to grow and position itself as a point of reference for the Integral Health Consortium and territorially and to ensure assistance, teaching and research within its areas of knowledge, with a spirit of integrated care and a comprehensive approach, specialized and differentiated

  • Date of update 01.01.2024

Head of Service

Members
  • Ana Guadalupe Coloma Conde

    internal medicine hsjd

    healthcare coordinator doctor

  • Beatriz Borjabad Gonzalez

    internal medicine hsjd

    specialist doctor

  • Cristina Eve Hidalgo

    internal medicine hsjd

    specialist doctor

  • Elena Franz Lacombe

    internal medicine hsjd

    specialist doctor

  • Elena Leon Trench

    internal medicine hsjd

    specialist doctor

  • Jose Loureiro Amigo

    internal medicine hsjd

    specialist doctor

  • Julia Pareja Coca

    internal medicine hsjd

    specialist doctor

  • Luis Miguel Ceresuela Eito

    hgh internal medicine

    area coordinator doctor

  • Melanie Pestaña Fernandez

    internal medicine hsjd

    specialist doctor

In this section appear the professionals of the Integral Health Consortium who have authorized the display of their personal data.

  • Date of update 01.01.2024

Units and benefits

Scope of the hospital care area

The Service is assigned 70 beds (depending on the time of year) with a team of 10 specialists, with its own residents and other specialties. The annual volume of income is approximately 2.500 patients. The type of patients could be grouped into: patients with exacerbated or decompensated chronic pathology, patients with advanced disease (UME) in a crisis situation, infectious diseases, medical complications in the process of hemato-oncological patients (Onco-HematoMed) and any patient in need of admission for diagnoses or complex treatments that cannot be carried out in the ambulatory setting.

In the field of consultative medicine, the specialists of the Service are interconsultants of other medical and surgical specialties (infectious / infection control group and non-infectious), with more than 4.000 interconsultations per year (including those of patients hospital emergencies).

 

Scope of the continuous and urgent care area

There is the presence of an internist assigned to assess patients who may be admitted from the Emergency Department of the Sant Joan Despí Hospital and another consultant doctor in the Emergency Department of the Hospital General d'Hospitalet, from Monday to Friday , from 8.00 a.m. to 15.00 p.m. There are also physical presence guards from 15.00:8.00 p.m. to 24:XNUMX a.m. the following day, Monday to Friday, and XNUMX hours a day on weekends and public holidays. This function is carried out by two doctors

Scope of the ambulatory care area

More than 7.000 visits are made approximately per year to functional care units and integrated areas.

  • Rapid Care Unit / Rapid Diagnostic Unit.
  • Unit of Infectious / Tropical Diseases and HIV / Virology.
  • Immunothrombosis Unit: Care for patients with systemic autoimmune diseases and thromboembolic disease
  • Vascular Risk Integrated Care Unit.
  • Unit of the Complex Chronic Patient Integrated Care Area.
  • Affiliated Fibromyalgia and Chronic Fatigue Syndrome Unit.
  • Affiliated Unit of Haemostasis and Blood Bank.
  • General Internal Medicine and hospital discharge consultations (multipurpose professionals)

 

Internal Medicine Day Hospital

More than 4.000 treatment sessions are held each year.

  • Chronic and perisurgical anemia (Blood Management Program - PBM).
  • Heart Failure Unit (UIC – Internal Medicine).
  • Complex infectious diseases and diabetic foot.
  • Complex chronic patient
  • Palliative patient
  • Comprehensive geriatric assessment.
Participation in Commissions and working groups
  • Committee on Infectious Diseases and Hospital Hygiene
  • Emerging Commission
  • Clinical Practice Improvement Commission
  • Cardio Pulmonary Resuscitation Commission
  • Mortality Commission
  • Hemotherapy Commission
  • Teaching Committee
  • Dysphagia Committee
  • Care Ethics Committee
  • New Therapies Committee for high risk and very high vascular risk patients
  • Committee on Cancer of Unknown Origin
  • Interstitial Committee
  • Working Group COT – Infectious Diseases
  • Territorial Community and Sociosanitary PROA working group
  • Heart Failure Working Group
  • PBM working group
  • Hemovigilance working group
  • Working group for the application of RICA measures
  • Working group Mycobacteria
  • HIV Working Group
  • Working group protocol COVID19
  • Working Group Monocolonal Gammopathy of Uncertain Significance
  • High-flow cannula protocol working group in the hospital
  • Diabetic Foot Working Group
  • Complex Surgical Patient Care Area
  • AH-APiC chronicity territorial meeting
  • Discussion meeting of cases of bleeding of hidden origin
  • UIC meeting
  • OncoMed meeting
  • VinCat program
  • Congenital Chagas Disease Prevention and Control Program of the Department of Health
  • Endocarditis Team HUB-CHUMB.
  • Date of update 01.01.2024

Diseases and procedures

  • Infectious diseases:

    The most common are respiratory such as bacterial or viral pneumonia (COVID, flu...), urinary tract (pyelonephritis prostatis), digestive tract infections, skin infections, central nervous system infections (meningitis), infections without foci in immunocompromised patients undergoing chemotherapy ... These processes usually respond well to antibiotic treatment, but sometimes require intensive care support, complex diagnostic techniques.

  • Chronic diseases:

    Our aging population and lifestyles have significantly increased medical risk factors such as diabetes, high blood pressure, obesity. All together, it produces an affectation of the organs (heart, kidney, lung) that evolves chronically, causing organ failure (cardiac and cardiac arrhythmias, renal, anemia, respiratory....). The result is chronic and complex patients who often present simultaneously several of these insufficiencies. Due to his holistic training, the internist is ideal for treating these patients both in the initial stages and in more advanced stages.

  • Study of complex processes

    At the present time, technologies allow clinical studies of patients, with potentially serious clinical conditions, without requiring admission to hospital in a large part of the cases, doing the study in quick care consultations. Sometimes, patients need invasive techniques or present social functional clinical situations, which make it necessary to admit the patient to study their process. In this group we would have, among other things, studies of anemia, constitutional syndromes, confessional...

  • Systemic, inflammatory and thrombotic diseases

    It is a group of less frequent diseases, but very specific to internal medicine, such as the study, diagnosis, treatment and follow-up of systemic diseases and treatment of thromboembolic diseases. These pathologies work in teams with other medical specialties in the hospital and even in other centers.

  • Medical complications of the oncological-hematological patient

    In our centre, internal medicine supports the oncology and hematology services, taking care of oncology or hematology patients who are admitted for medical complications associated with the evolution or treatment of the oncological disease.

  • Interconsultation of other services

    The versatility of internists allows us to support patients admitted to other services with infectious complications or exacerbations of chronic diseases that are not specific to the specialty where the patient is admitted.

  • Date of update 01.01.2024

Research

Lines of research
  • Unified Research Group of Microbiology and Infectious Diseases
  • Clinical Research Group and Cardiovascular Epidemiology
Promotion of doctoral theses
  • There are currently three internists with completed thesis (Isabel Mur, José Loureiro and Melani Pestaña).
  • And four internists with the thesis in the reading phase (Beatriz Borjabad, Carlos Jericó, Laura Soldevila and Teresa Casanova.
Collaborations:
  • Collaboration agreement with the IDIBELL Foundation (affiliated member: Rami Qanneta).
  • Working groups with different societies according to our areas of knowledge.
  • Date of update 01.01.2024

Teaching

The Internal Medicine Service carries out the following teaching activities:

Postgraduate Training

The Service has been accredited for the training of specialists in Internal Medicine since 1991. The training lasts five years. Since 1997 there have been two resident places per year. The resident tutors are Dra. Beatriz Borjabad, Dr. Gema Calvo and Dr. Teresa Casanova Residents from other specialties also rotate through Internal Medicine. Residents gradually achieve care responsibility according to their year of residence. Dr. Sara Pintado is the designated person responsible for coordinating the resident doctors in the Family and Community Medicine specialty.

Undergraduate Education

The practices of 6th year Medicine students at the University of Barcelona are coordinated. The professors responsible are Dr. José Loureiro and Dr. Melanie Pestaña

Continuing Education

Scheduled and standardized continuing education sessions are held on clinical cases, review of scientific publications, systemic autoimmune diseases, infectious diseases and vascular risk, as well as the annual refresher course in Internal Medicine.

  • Date of update 01.01.2024