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                <title level="j">La Revue de Médecine Interne</title>
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                  <biblScope unit="volume">46</biblScope>
                  <biblScope unit="issue">9</biblScope>
                  <biblScope unit="pp">509-516</biblScope>
                  <date type="datePub">2025-06</date>
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                <term xml:lang="en">internship ground</term>
                <term xml:lang="en">University Hospital</term>
                <term xml:lang="en">National College of Teachers of Internal Medicine</term>
                <term xml:lang="en">Inquiry</term>
                <term xml:lang="en">Hospital</term>
                <term xml:lang="en">Coordinator</term>
                <term xml:lang="en">Amenity</term>
                <term xml:lang="fr">Terrain de stage</term>
                <term xml:lang="fr">Formation</term>
                <term xml:lang="fr">Enquête</term>
                <term xml:lang="fr">Coordonnateur</term>
                <term xml:lang="fr">Collège National des Enseignants de Médecine interne</term>
                <term xml:lang="fr">Centre hospitalier</term>
                <term xml:lang="fr">Centre hospitalier universitaire</term>
                <term xml:lang="fr">Agrément</term>
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              <p>ObjectiveTo compile a list of approved training sites for the Residency Training Program [Diplôme d’Études Spécialisées] in Internal Medicine and Clinical Immunology (DES-MIIC) in France.MethodAll local coordinators of the DES-MIIC were contacted to establish the list of approved internship sites for the MIIC DES within their geographical subdivision.ResultsWe listed 244 approved training sites, of which 87 (35.7%) were in university hospitals. Depending on the region/subdivision, the number of approved training sites varied significantly. Internship sites within and outside of university hospitals were approved for the core-phase in 85% (74/87) and 63.7% (100/157) of cases, for the “development phase” in 94.3% (82/87) and 84.1% (132/157) of cases and for the consolidation phase 80.5% (70/87) and 52.2% (82/157) of cases, respectively. The vacancy rate for selection was lower in university hospitals than in general hospitals with ratios of 1.5 (89.3% vs. 61%), 1.8 (88.8% vs. 48.9%) and 1.6 (88,5% vs. 55.4%) - for respectively the core, development and consolidation phases.ConclusionThirty-five percent of internship sites were located in University hospitals. Depending on the region/subdivision, the number of approved training sites for the DES-MIIC varies greatly. Half of internship positions are vacant outside of University hospitals, just as nearly half of training sites in these same hospitals lack approval for the “consolidation phase”.</p>
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              <p>ObjectifRépertorier en France les terrains de stage agréés pour le diplôme d’études spécialisées (DES) de Médecine interne et Immunologie clinique (MIIC).MéthodeTous les coordonnateurs/trices locaux du DES de MIIC ont été contactés afin d’identifier les terrains de stage agréés pour le DES de MIIC dans leur subdivision.RésultatsNous avons répertorié 244 terrains de stage agréés, dont 87 (35,7 %) en centre hospitalier universitaire (CHU). En fonction des régions/subdivisions, le nombre des terrains de stage agréés pour le DES de MIIC varie beaucoup. Les terrains de stage de CHU et hors CHU ont l’agrément pour la phase socle dans 85 % (74/87) et 63,7 % (100/157) des cas, pour la phase d’approfondissement dans 94,3 % (82/87) et 84,1 % (132/157) des cas et pour la phase de consolidation dans 80,5 % (70/87) et 52,2 % (82/157) des cas, respectivement. Au cours du semestre d’hiver 2024, le nombre des postes occupés par rapport au nombre de postes ouverts au choix est plus important en CHU que hors CHU : en phase socle en CHU 133/149 (89,3 %) postes sont occupés versus 64/105 (61 %) hors CHU ; en phase d’approfondissement en CHU 150/169 (88,8 %) sont occupés versus 64/131 (48,9 %) hors CHU ; en phase de consolidation 77/87 (88,5 %) sont occupés versus 36/65 (55,4 %) hors CHU.ConclusionTrente-cinq pour cent des terrains de stage sont en CHU. En fonction des régions/subdivisions, le nombre des terrains de stage agréés pour le DES de MIIC varie beaucoup. Près de la moitié des terrains de stage hors CHU n’ont pas l’agrément pour la phase de consolidation. Au cours du semestre d’hiver 2024, près de la moitié des postes d’internes ouverts hors CHU n’étaient pas pourvus.</p>
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