[Trends in the choice of internal medicine (and clinical immunology) at the end of the national ranking examination since 2010].

The 2017 reform of the third cycle of medical studies (R3C) was accompanied by modifications in the formats and number of specialty diplomas. The aim of this study was to investigate the evolution of the choice of the internal medicine and clinical immunology specialty before and after 2017. We used the median ranking and its evolution, as well as incoming and outgoing remorse rights, as markers of attractiveness. Data on the number of position offered, rankings and affectation were collected from decrees published in the French "Journal Officiel" each year. A survey conducted by the "Amicale des Jeunes Internistes" investigated the reasons for the outgoing or incoming rights to remorse. Before 2017, internal medicine was accessible to 52% of students on average, with a median rank of 1118 [339-2640]. From 2017 onwards, the internal medicine specialty was accessible to an average of 76.6% of students, with a median rank of 2772 [1039-5155]. The balance of incoming and outgoing remorse rights was -4.7% before 2017 and varied between -4.1 and -12.4% from 2017. Since 2017, the median and cut-off ranks of students choosing internal medicine specialty have increased, and balance of incoming and outgoing remorse rights was increasingly negative. A reflection on the attractiveness of the internal medicine specialty is undertaken by the National College of Internal Medicine Teachers in order to make the richness of the specialty and its different modes of practice known to future residents.

Chevalier K ，Lee R ，Azoyan L ，Roeser A ，Mettler C ，Grange L ，Sève P ，Rauzy O ，Mouthon L ... -  《-》

[Role of university hospital doctors specialized in internal medicine in health professions training and institutions in France: Survey of the National College of Teachers of Internal Medicine (CEMI)].

On the occasion of the General stage meeting of Internal Medicine, the National College of Internal Medicine Teachers (CEMI) conducted a survey on teaching activity among all French university hospital (HU) internal medicine specialists. The survey was carried out in September 2023 by sending an email to 101 hospital practitioners university professors (PU-PH) and 18 hospital practitioners assistant professors (MCU-PH) of internal medicine in subsection 53-01 of the National council of universities (CNU), as well as to the 11 HU internists working in immunology (subsection 47-01) or therapeutics (subsection 48-04). Seventy-three HUs (56.1%) responded to the survey, including 65 PU-PH, 7 MCU-PH and 1 university hospital practitioner (PHU). Internal medicine HUs participate in faculty teaching: 80% are responsible for teaching, 30% are responsible for the year or cycle or lead committees and 40% have had or have an elected mandate at the faculty or at university. Internal medicine HU are involved in the teaching of semiology during the first cycle of medical studies, but also in pharmaceutical sciences, dentistry, midwifery and in paramedical training. They are very invested in the implementation of the second cycle reform and 80% are involved in the preparation of Objective Structured Clinical Examinations (ECOS), mainly as examiners (90%). They also participate in teaching using simulation (60%), teaching advanced practice nurses (IPA) (25%), and writing CEMI books (75%). For ECOS, 90% participate as examiners, 60% participate in teaching using simulation, 25% are involved in teaching advanced practice nurses (IPA), 75% participated in the writing of CEMI works. Eight (12%) internal medicine HUs co-facilitate training with patients and 26 (38%) participate in master's courses at the Faculty of Sciences. Finally, 94% are affiliated with a research unit and 48% supervise university theses students. Internal medicine universities teachers have a strong educational commitment, particularly in semiology and in the reform of the second cycle of medical studies with ECOS and simulation.

Rauzy O ，Bouillet L ，Chevalier K ，Cohen-Aubart F ，Delacroix I ，Hanslik T ，Kaplanski G ，Lazaro E ，Le Moigne E ，Pottier P ，Riviere E ，Mouthon L ... -  《-》

[Choice of career by French medical students after the national ranking exam in 2012].

Since 2011, the French medical students ranked after a national ranking exam (NRE) are making their career choice among 11 disciplines detailing the chosen one. Before 2011, this precise choice was unknown. Our work is the first descriptive study of French medical students choice of career after the NRE, precising the medical specialty chosen and the city of practical formation. We analyzed the Excel(®) file transmitted by the 'Agence régionale de santé d'Aquitaine' once students choice done after the 2012 NRE. A median range analysis was made for disciplines and city formation choices. For medical and surgery specialties, the analysis was compared to regional medical densities. According to the median national choice, the first sixth disciplines chosen are ophthalmology, nephrology, internal medicine, radiology, cardiology and dermatology. Women are more attracted by medical gynecology, obstetrics, pediatrics, or dermatology; men mostly by neurosurgery, general surgery, nuclear medicine or cardiology. The most rated cities of formation according to their national median range of choice are Lyon, Montpellier and Paris. A majority of students (59 %) moved to another city to obtain the desired specialty. Among general practitioners, 56 % of students stayed in the city where they had been trained. Our study may provide concrete objectives for French medical students accomplishing their second cycle of medical studies, as well as supplemental data for French medical demographic management.

Rivière E ，Quinton A ，Roux X ，Boyer A ，Delas H ，Bernard C ，Pélissier P ，Pellegrin JL ，Gruson D ... -  《-》

[Place of internal medicine specialists in inpatient unprogrammed care of adult patients in France: A survey of in training and senior internal medicine specialists].

French internal medicine specialists are trained in clinical immunology and rare diseases as well as frequent ones. The latest activity is rarely highlighted by practitioners themselves and their representative authorities. Frequent diseases care in French hospitals are also the tasks of physicians without internal medicine specialty, mostly trained in general medicine, who practice in departments carrying various names. We conducted a survey to estimate the part of frequent diseases' care and unplanned hospital medicine in the practice of specialists and residents in internal medicine in France, and its designation, through two surveys released by the "Collège National Professionnel de Médecine Interne" (for the internal medicine specialists), and the "Amicale des Jeunes Internists" (for the internal medicine residents). A total of 180 and 247 responses were obtained among the residents and the specialists, respectively, representing 31.3% and 24.8% of the internal medicine specialist's workforce. The most suitable qualifier for frequent diseases' care and unplanned hospital medicine, primarily post-emergency, was "general hospital medicine" for 48.9% of the residents and "general internal medicine" for 35.6% of the specialists. Unplanned hospital medicine was considered to represent a large part of the internal medicine activity by 66.7% and 64.7% of residents and specialists, respectively. A 50% and more hourly part of the activity devoted to it was reported by 71.4% of the residents and 76.1% of the specialists. General hospital medicine was reported to be distinct from internal medicine-clinical immunology by 46.1% of the residents and 47.4% of the specialists. French internists devote a large part of their activities to frequent diseases' care and unscheduled medicine, the name of which was not consensual. However, their work could not be summarized to it, often involving a specific activity named internal medicine - clinical immunology.

Roeser A ，Vanjak A ，Mettler C ，Gramont B ，Azoyan L ，Oziol E ，Le Moigne E ，Bouillet L ，Durieu I ，Bourgarit A ... -  《-》

Family medicine: attractiveness, constraints and prospects as perceived by residents of the specialty.

Boughzala W ，Hariz A ，Badri T ，Ben Hassine L ，Azzabi S ，Khalfallah N ... -  《-》