There is also a third level of fragmentation – the fragmentation of education, activities, and strategies among different countries ( 2).
Even worse, the expansion of our personal subfields of interest leaves less and less space for the patient, making us forget that all our professional activities exist because of the complexity of human beings affected by diseases, influencing their whole bodies and minds. Paradoxically, measurable and accelerated widening of knowledge at the preclinical and clinical levels increases the gap between these two fields, representing the second level of fragmentation. By making more space for the personal wisdom of our galaxies and by appearing more important to ourselves, we are becoming increasingly distant from each other. Widening of our knowledge has become a phenomenon comparable to the expanding Universe. This transformation of the human body into numerous segments approached by isolated strategies represents the first level of fragmentation ( 1). Clinical specialists are becoming subspecialists who pay no attention to the body regions only a few centimeters away from their field of interest.
To be an expert nowadays usually means to focus on one molecular pathway or one isolated disease, ignoring what is happening elsewhere, even if elsewhere is the laboratory next door. This is why we have to admit that the enormous amount of data produced in the last few decades, coupled to narrow specialization, brings new types of obstacles. The famous quote says that if science creates problems, they will not be solved by ignorance.
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