Statistique mdicale 2019 de la FMH: forte dpendance de ltranger

Hostettler, Stefanie; Kraft, Esther

doi:10.4414/bms.2020.18725

Cited by 8 publications

(15 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The gender equity is also important. Despite the fact that the percentage of women in medical school is currently higher than men, 1 this ratio is reversed in research programs and in academic positions. 35 In the Swiss MD–PhD program, there are only 35.1% of women among the students.…”

Section: Discussionmentioning

confidence: 99%

“…With 43.4% of Swiss specialist titles (FMH) awarded to foreign doctors, there is a significant proportion of working physicians who do not come to Switzerland equipped with a network of contacts or through a mentoring program. 1 This entails that these candidates would likely need to spend a significant amount of time developing a new network and therefore could miss opportunities to pursue a university career. To give a more concrete example, in the Swiss MD-PhD program, which starts after completing the medical studies, less than one-third of the students are foreigners.…”

Section: Limitations and Challengesmentioning

confidence: 99%

“…With more than 37,000 practitioners, Switzerland is one of the countries with the highest medical density per inhabitant, 1 arguably ensuring that our health care system is one of the most developed in the Western world. Academically speaking, Switzerland also performs well in the rankings of the number of research articles published compared to the size of its population.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Reflection on career choices in clinical neurosciences

Restellini

Piguet

2020

Clinical and Translational Neuroscience

View full text Add to dashboard Cite

Medical faculties are responsible for high-level training, not only on clinical skills but also on scientific research and medical advances. There is an evident need to promote academic careers to ensure the continuity and improvement of top-notch health care. Even if Switzerland is one of the countries with the highest medical density per inhabitant, the lack of interest for academic careers has increased, resulting in difficulties to form clinician-scientists and ensure succession. In this article, we reflect on the challenges and the potential solutions in the training of an academic career.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Limitations and Challengesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Reflection on career choices in clinical neurosciences

Restellini

Piguet

2020

Clinical and Translational Neuroscience

View full text Add to dashboard Cite

show abstract

“…This insurance covers multiple medical treatments, including psychiatric care, whether it is an outpatient clinic, a day hospital or an inpatient treatment. With 578 adults psychiatrists and child psychiatrists registered in 2019 [ 35 ], Geneva has one of the highest density of psychiatrists per capita in the world [ 36 ]. In addition to the numerous private practices in the canton, several private and public outpatient care centers are available.…”

Section: Methodsmentioning

confidence: 99%

The impact of implementing a psychiatric emergency hotline on the reduction of acute hospitalizations in a Swiss tertiary hospital

2021

View full text Add to dashboard Cite

Background Inpatient treatment is not the most beneficial treatment setting for many patients with psychiatric disorders and overcrowding is a recurrent problem for psychiatric hospitals. Therefore, it is important to develop strategies to limit avoidable inpatient treatment. This study sought to evaluate the impact of an emergency hotline that was developed to better manage psychiatric patients, particularly for identifying those requiring a hospital admission. Methods This pre-post intervention quality improvement study compared changes in the management of psychiatric patients’ admission before and after the introduction of an emergency hotline where a specialist in psychiatry examines all inpatient referral from private practitioners. Main outcomes were the change in proportion of hospital admissions after referral from a private practitioner before and within 3 months after the intervention. Secondary outcomes were the average length of hospital stay, proportion of non-voluntary admission, the time required for triage and the impact of the intervention on treatments’ costs. Fisher’s Exact test was used to test the primary hypothesis of difference in the proportion of hospitalized patients before and after introduction of the emergency hotline. Secondary outcomes were tested with Student’s t-test for continuous variables and Fishers’s Exact test for proportions. Results Among 45 admission requests from private practitioners during the 3 months after introduction of the new emergency hotline, 25 (55.6%) were accepted as inpatient treatment, while 20 (44%) were redirected to more appropriate outpatient treatments. There was a highly significant difference from the baseline period during which all 34 requests were accepted (44% vs 100%, p < 0.001). In addition, for the patients hospitalized after the introduction of the emergency hotline there was a trend-level reduction of the average length of stay (9.32 days vs 17.35 days). Conclusion Implementation of an emergency hotline manage by a specialist in psychiatry for admissions to acute psychiatric wards is feasible and simple to use. Importantly, it allows to significantly decrease the proportion of hospitalizations. Additional studies are needed to assess the generalizability of these exploratory results to other health care settings.

show abstract

“…According to a very recent article in the Bulletin des médecins suisses of March 25th, 2020 [6], the number of students in master training in 2019 (3 years of training) is 3322. By year, this represents approximately 1100 new physicians available for all Switzerland.…”

Section: Note Added In Proofmentioning

confidence: 99%