title: [Inventory of training of internal medicine in France: Results of a national survey].
abstract: OBJECTIVE
  To make an inventory of training of Internal Medicine in France.
  
  
  METHODS
  This study was conducted between May and September 2015 with coordinators (interviews of 45minutes) of local Internal Medicine training and fellows (online questionnaire).
  
  
  RESULTS
  All coordinators (n=28) responded to the interviews. Local training of Internal Medicine exists in 86% of regions (3.1±3.1hours/month) and an interregional training in all interregions (34.7±13.9hours/year). When excluding Île-de-France, no correlation between the number of teachers and the amount of lessons was noted (P=0.61). Of the 550 fellows in Internal Medicine in 2014-2015, 223 (41%) responded to the online questionnaire. Mean level was 5.5±2.7 semesters. The rate of satisfaction (1=very dissatisfied and 5=very satisfied) was 3.0±1.0 and 3.8±0.8 for regional and interregional teaching, respectively (P<0.0001). Regional teaching satisfaction was correlated with the perceived expanse of diseases covered into the program (P<0.0001). In addition, 89% of fellows wish to evaluate themselves online, 66% wish to have a practical evaluation at the bedside and 70% in simulation centers. Finally, 91% of fellows support the establishment of a national program for the training of Internal Medicine.
  
  
  CONCLUSIONS
  This survey states for the first time an inventory of training of Internal Medicine dedicated to fellows in France. This report highlights that fellows wish to have a national program, be further evaluated and have access to more interactive approach of teaching.
authors.affiliation: Service de médecine interne et immunologie clinique, hôpital François-Mitterrand, CHU de Dijon, Dijon, France.
authors.forename: M
authors.initials: M
authors.lastname: Samson
authors.affiliation: Service de médecine interne, hôpital Cochin, Assistance publique-Hôpitaux de Paris, université Paris-Descartes, faculté de médecine, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Terrier
authors.affiliation: Service de médecine interne, hôpital Cochin, Assistance publique-Hôpitaux de Paris, université Paris-Descartes, faculté de médecine, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France.
authors.forename: O
authors.initials: O
authors.lastname: Mangin
authors.affiliation: Service de médecine interne, hôpital Cochin, Assistance publique-Hôpitaux de Paris, université Paris-Descartes, faculté de médecine, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France. Electronic address: luc.mouthon@aphp.fr.
authors.forename: L
authors.initials: L
authors.lastname: Mouthon
mesh_terms: D035843:Biomedical Research / Q000191:economics / Q000193:education / Q000592:standards; D004503:Education, Medical, Graduate / Q000191:economics / Q000592:standards / Q000706:statistics & numerical data*; D005257:Fellowships and Scholarships / Q000706:statistics & numerical data; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D007388:Internal Medicine / Q000193:education* / Q000592:standards / Q000706:statistics & numerical data; D007396:Internship and Residency / Q000191:economics / Q000592:standards / Q000706:statistics & numerical data*; D008297:Male; D010549:Personal Satisfaction; D013337:Students, Medical / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D000078329:Workforce
keywords: 3(e) cycle; Coordonnateurs; Diplôme d’études spécialisées; Fellows; Internal medicine; Internes; Médecine interne; Postgraduate level; Specialist diploma