The Nederlandse internisten vereniging highlights that the growing number of diagnostic and treatment options in medicine necessitates both specialisation and generalism to ensure coordinated disease management and prevent gaps in patient care. The internist plays a crucial role, bridging various medical specialties to address diverse healthcare needs from chronic to acute and across hospital settings. Despite advancements, rising healthcare demands due to aging populations and multi morbidity, coupled with labor shortages and shrinking budgets, pose significant challenges to the Dutch healthcare system and its accessibility.