title: [Perspectives and challenges to guarantee training and renewal in general internal medicine].
abstract: Training new doctors in general internal medicine represents a challenge. This requires to define future needs, which result from interest that are not necessarily convergent between patients, doctors, insurers and politicians. Problems related to medical demography in Switzerland, with the ageing of the population, the increase in health care costs and the place of Switzerland within the European Community require the implementation of specific objectives to train new physicians in general internal medicine. The success of these opportunities depends on social factors, political choices and choices from physician's association. In this article we will approach these challenges by formulating some proposals--nonexhaustive--in order to guarantee sufficient renewal in general internal medicine.
authors.affiliation: Service de médecine Interne, Département de médecine Interne, CHUV, Lausanne. Gerard.Waeber@chuv.ch
authors.forename: G
authors.initials: G
authors.lastname: Waeber
authors.forename: J
authors.initials: J
authors.lastname: Cornuz
authors.forename: J-M
authors.initials: JM
authors.lastname: Gaspoz
authors.forename: A
authors.initials: A
authors.lastname: Pécoud
authors.forename: A
authors.initials: A
authors.lastname: Perrier
mesh_terms: D000368:Aged; D002321:Career Choice; D005062:European Union; D005260:Female; D005544:Forecasting; D017048:Health Care Costs; D006801:Humans; D007348:Insurance, Health / Q000639:trends; D007388:Internal Medicine / Q000191:economics / Q000193:education / Q000639:trends*; D008297:Male; D011057:Politics; D012955:Societies, Medical; D013557:Switzerland; D000078329:Workforce