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Master Thesis

Mobilité géographique des étudiants en médecine ayant choisi la médecine générale à l'issue des épreuves classantes nationales : description et déterminants du choix de la subdivision

Abstract : After the national ranking exam, medical students have the possibility to move geographically with the choice of subdivision. The objective was to analyze the future general practitioner trainees’ geographic mobility depending on the characteristics of the students on one hand and of the subdivisions on the other. Specifying the logic governing these choices seemed important in the current demographic context of general practice. The studied population (n=9274) consisted of all students (ministry’s database) who have chosen general practice discipline from the national ranking exams from 2004 to 2009. Several groups were defined according to the type of migration: the groups "chosen migration" and "forced migration" depending on the student’s ranking position, if it allows him to stay within his initial subdivision or not ; and the group "no migration". These groups have been compared for each year, according to 15 variables characterizing students (gender, adjacency with the new subdivision...) and subdivisions (hours of sunshine, density of general practitioners, migration, economic indicators...) using mixed models with a random intercept. Mobility affected 38% of students. The most attractive subdivisions were those in southern of France and Paris. Every year, two variables have significantly impacted the two migrations "chosen" and "forced": sunshine and density of GPs. In choosing their subdivision, future GPs favored an heliotropic logic that accentuates the current imbalances in medical demography.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01145841
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Submitted on : Monday, April 27, 2015 - 10:42:32 AM
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  • HAL Id : dumas-01145841, version 1

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Solara Chhim. Mobilité géographique des étudiants en médecine ayant choisi la médecine générale à l'issue des épreuves classantes nationales : description et déterminants du choix de la subdivision . Médecine humaine et pathologie. 2014. ⟨dumas-01145841⟩

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