RESUMO
INTRODUCTION: The installation of young general practitioners is determined by several factors, including their professional project. In 2012, a quantitative observational study examined the professional projects of general medicine residents in Angers. In 2019, the objective of this study was to highlight a continuity between professional projects and current exercise. METHOD: Quantitative declarative study by online form carried out from May to July 2019, about socio-demographic data, current exercise, and factors of evolution of the professional projects. The inclusion criteria were to have responded to the 2012 study and to have agreed to be contacted (N = 167). Construction of a change indicator (ISPP) based on a comparison of the mode of practice, the structure of practice and the type of patient envisaged, envisaged in 2012 and actual in 2019. RESULTS: The response rate was 76.6%. 48.4% worked exclusively in liberal practice, 31.3% were salaried, 11.7% had a mixed exercise. The professional plan envisaged during the internship (ISPP) was followed completely by 67.7% of interns and partially by 17.3%. The SASPAS influenced the evolution of the professional project (P = 0.026). The multiplication of liberal practice internships during residency favored subsequent liberal practice (P < 0.001). The main factors declared in the development of professional projects were training (77.3%) and family situation (53.1%). CONCLUSION: This cohort follow-up showed that more than two thirds of the residents followed their initial project. Identification and support of these individual projects during residency could be a way to promote their realization.
Assuntos
Medicina Geral , Clínicos Gerais , Internato e Residência , Ira , Humanos , Inquéritos e QuestionáriosRESUMO
INTRODUCTION: The installation of young general practitioners is determined by several factors, including their professional project. In 2012, a quantitative observational study examined the professional projects of general medicine residents in Angers. In 2019, the objective of this study was to highlight a continuity between professional projects and current exercise. METHOD: Quantitative declarative study by online form carried out from May to July 2019, about socio-demographic data, current exercise, and factors of evolution of the professional projects. The inclusion criteria were to have responded to the 2012 study and to have agreed to be contacted (N = 167). Construction of a change indicator (ISPP) based on a comparison of the mode of practice, the structure of practice and the type of patient envisaged, envisaged in 2012 and actual in 2019. RESULTS: The response rate was 76.6%. 48.4% worked exclusively in liberal practice, 31.3% were salaried, 11.7% had a mixed exercise. The professional plan envisaged during the internship (ISPP) was followed completely by 67.7% of interns and partially by 17.3%. The SASPAS influenced the evolution of the professional project (P = 0.026). The multiplication of liberal practice internships during residency favored subsequent liberal practice (P < 0.001). The main factors declared in the development of professional projects were training (77.3%) and family situation (53.1%). CONCLUSION: This cohort follow-up showed that more than two thirds of the residents followed their initial project. Identification and support of these individual projects during residency could be a way to promote their realization.
Assuntos
Medicina Geral , Clínicos Gerais , Internato e Residência , Humanos , Capacitação em Serviço , Inquéritos e QuestionáriosRESUMO
OBJECTIVE: Medical demography and the geographical distribution of general practitioners (GPs) in the Pays de la Loire Region constitute a challenge to equitable primary care access. The objective of this study was to describe the career projects of Angers general practice residents in 2012 and to assess their knowledge of installation aids and their impact on practice choices. METHOD: A questionnaire-based declarative study was conducted in April 2012. RESULTS: 204 out of 243 residents (84%) returned the questionnaire. Women represented 62% of responding residents. 56% of residents expressed their desire for predominantly outpatient general practice. A significant determinant in the choice of this type of practice was the voluntary choice of general practice during residency. Group practice was predominantly considered (86%), in semirural areas (60%). The administrative formalities to set up a general practice and the available aids were underestimated by 82% and 83% of residents, respectively. 91% of residents wanted to receive more information about administrative formalities and 82% considered that these aids could encourage their decision in favour of general practice. Anjou general practice residents appeared to be very attracted by outpatient general practice. CONCLUSION: This study shows that strategy of early contact with general practice in medical training should be continued. Information concerning the administrative formalities and aids available must be provided during medical training.
