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Master Thesis

Burn out des internes en médecine générale‎ : état des lieux et perspectives en France métropolitaine

Abstract : Objectives : Many surveys in France and abroad have investigated the burnout syndrome in general practitioners. It mainly appears among health care professionals, but it has also been described in other professions. Many theses have been written on this subject at the local level however no study has been done on a national scale. First goal : Study the burnout syndrome prevalence among residents in metropolitan France. Second goal : Look for BOS associated factors. Study the rate of GP trainees' adhesion to the 5 BOS prevention and management proposals. Study GP trainees' comments on their experience of internship qualitatively. Design : It's a descriptive, epidemiological, transversal study. A questionnaire was given to each trainee present at the session where they choose their placement from March to April 11. It contained demographic data, the Maslach burnout inventory test, questions about trainee health and feelings about medical internship. Participants : The studied population consisted of all the residents in metropolitan France; it represents 7949 students. 6309 students attended the session of placement choice. Results : 4050 questionnaires were analyzed (response rate: 64.2%). The percentage of trainees with high emotional exhaustion (EE) rate was 16%, 33.8% had high score of depersonalization (DP) and 38.9% had high scores of low personal accomplishment (AP). 42% of trainees had no pathological score and 7% or 283 trainees presented three high scores. Significant associations were found between BOS and workload, lack of acknowledgement, ER training or time devoted to private life. Conclusion : The study confirms the results obtained in the theses made at the regional level with an increased rate of depersonalization of GP trainees but decreased rates of EE. A few simple preventive measures could be beneficial and deserve to be tested: the creation of a job description and an employment contract for trainees, the possibility for the trainees to assume responsibilities step by step, a better consideration of training in outpatient clinics.
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Master Thesis
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Submitted on : Monday, December 12, 2011 - 9:53:13 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Tuesday, March 13, 2012 - 2:22:00 AM


  • HAL Id : dumas-00650693, version 1
  • PPN : 156989417


Antoine Le Tourneur, Valériane Komly. Burn out des internes en médecine générale‎ : état des lieux et perspectives en France métropolitaine. Médecine humaine et pathologie. 2011. ⟨dumas-00650693⟩



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