{"title":"Politique de la santé: un champ en jachère?","authors":"Yannis Papadaniel","doi":"10.53738/REVMED.2025.21.925.47560","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.925.47560","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 925","pages":"1396"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Olivia Hagon-Nicod, Marco Mancinetti, Raphaël Bonvin, Gaël Grandmaison
{"title":"[Receiving feedback: becoming an actor in your professional development].","authors":"Olivia Hagon-Nicod, Marco Mancinetti, Raphaël Bonvin, Gaël Grandmaison","doi":"10.53738/REVMED.2025.21.924.47375","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.924.47375","url":null,"abstract":"<p><p>Feedback is a key learning tool in medical education, but it is often perceived as unsatisfactory by learners. While it was long seen as a simple transfer of information, it is now recognized as an interactive process in which the learner plays an active role. To fully benefit from feedback, learners must understand its value and potential for their professional development and adopt a proactive approach to the exchange. This involves developing key skills such as managing emotions, analyzing content, and creating a learning plan. Supervisors, in turn, must provide high-quality feedback, support learners in this process, and foster a learning-conducive environment.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 924","pages":"1328-1331"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charlotte Souchet, Simone Canonica, Yannick Cerantola, Julien Vaucher, Gaël Grandmaison
{"title":"[Acute urinary retention in hospital: from diagnosis to voiding trial].","authors":"Charlotte Souchet, Simone Canonica, Yannick Cerantola, Julien Vaucher, Gaël Grandmaison","doi":"10.53738/REVMED.2025.21.924.47275","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.924.47275","url":null,"abstract":"<p><p>Approximately 10% of hospitalized patients in internal medicine will require urinary catheterization, and in 20% of cases, this procedure is justified by acute urinary retention. Given the complications associated with urinary catheterization, it is crucial that the diagnosis is made correctly, and that the duration of catheterization is kept as short as possible. The diagnostic approach to acute urinary retention relies on clinical suspicion and ultrasound confirmation to minimize unnecessary catheterization. It is also important to distinguish acute urinary retention from chronic retention. In many cases, a voiding trial after urinary catheter removal should be made within the first three days. Correcting precipitating factors, prescribing a-blockers, and instilling NaCl before catheter removal increase the success rate of voiding.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 924","pages":"1332-1337"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mathilde Camey, Gwaenaelle Aellen, Antoine Garnier
{"title":"[Shorter stays, greater pressure? Insights into the acceleration of inpatient care].","authors":"Mathilde Camey, Gwaenaelle Aellen, Antoine Garnier","doi":"10.53738/REVMED.2025.21.924.47365","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.924.47365","url":null,"abstract":"<p><p>In a context of economic pressure on hospitals, reducing the average length of stay has become essential in internal medicine. 37,218 hospitalizations at the Fribourg Hospital (2019-2024) were analyzed retrospectively using three exploratory non-validated indicators: daytime blood sampling, CT-scans performed within six hours, and admissions after 4:00 pm. All showed a significant increase, reflecting an acceleration of the clinical decision-making and care process. This evolution raises questions about organizational consequences, workload, and the meaning of the medical profession.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 924","pages":"1313-1317"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Un nouvel espoir dans la prise en charge de la cachexie cancéreuse.","authors":"Denis Comte","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 924","pages":"1350"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gwaenaelle Aellen, Marco Mancinetti, Julien Vaucher
{"title":"[Professional fulfillment among hospital-based internal medicine physicians].","authors":"Gwaenaelle Aellen, Marco Mancinetti, Julien Vaucher","doi":"10.53738/REVMED.2025.21.924.47369","DOIUrl":"10.53738/REVMED.2025.21.924.47369","url":null,"abstract":"<p><p>The mental and physical health of healthcare professionals is crucial to their professional fulfillment and the quality of care they provide. Tools such as the Professional Fulfillment Index help assess well-being and detect early signs of physician burnout. In Switzerland, the multicenter COMET study is monitoring the trajectories of a cohort of resident physicians in general internal medicine. Preliminary results indicate low levels of professional fulfillment and high levels of occupational burnout among the respondents. Wellness programs offer multi-level solutions aimed at fostering a healthy work environment. It is essential to continue implementing strategies that promote physician well-being, as this also positively impacts the quality of patient care.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 924","pages":"1323-1327"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}