Enquête sur les terrains de stage du diplôme d’études spécialisées (DES) de Médecine interne et Immunologie clinique : état des lieux fin 2024, sept ans après la mise en place de la réforme du troisième cycle des études médicales en France

Objective

To 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.

Method

All local coordinators of the DES-MIIC were contacted to establish the list of approved internship sites for the MIIC DES within their geographical subdivision.

Results

We 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.

Conclusion

Thirty-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”.