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The paper discusses current approaches to diagnosing in an internal medicine clinic and to improving diagnostic tactics. It gives prospects for training physicians in current diagnostic approaches in the framework of the continuing medical education system.

This communication outlines basic principles of Galen's therapeutic and diagnostic conception which dominated in medicine for 15 centuries, shows changes in the attitude of medical professionals to this conception as a result of discoveries of the first scientific revolution. Two leading trends in reforms of practical medicine in the XVII century are described.

The first stage of clinical medicine development is analysed which covers the period from early 1800s to middle 1870s. Considered are basic research achievements associated with introduction of the method of clinico-anatomic correlations into practical medicine.

Reforms in practical medicine in the course of the first scientific revolution are described. This period indicates a rise of a principally novel therapeutic-diagnostic conception. Main lines of this conception are presented and consequences of its introduction are analysed.

This communication deals with problems in health care which existed in the end of the XVIII century--first half of the XIX century.

This communication is devoted to appearance of a qualitatively different methodological approach to problems of practical medicine in 1890s. This approach gave rise to formation of a new style of medical thinking (clinical thinking) and development of clinical medicine.