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Master Thesis

Les addictions dans les portfolios des internes de médecine générale de l’Université de Bordeaux : à propos des 131 portfolios de la session de septembre 2013

Abstract : Background: Practitioners are frequently confronted with addictive behaviors of their patients. The portfolio is the current means of validating the general medical status of specialty diploma in Bordeaux 2. It is composed of 12 long clinical cases (scripts) experienced by residents, complex and suitable to primary care and 10 short clinical cases (specific cases). Objective: To describe the management of addictions by general medicine residents and their perceptions through their portfolio. Method: Retrospective descriptive study from portfolios collected in the Department of General Medicine of the University of Bordeaux. The scripts and specific cases considered as addiction situations were analyzed on the NVIVO software. Results: the portfolios of 99% of the 132 residents (including 67% of women) were analyzed, 1571 scripts and 1310 specific cases. 92% have described at least 2 addiction scripts (total of 518 scripts (33%). The status of the 3 main substance use in all of the scripts is often stated but unsystematic: 27% for tobacco, 14% for alcohol and 4% for cannabis. 64% of 520 patients in selected scripts, are dependent or abusers. Residents use the terms dependence and abuse in 13% and 14% of the stories involved. They take into account at least partially 59% of addictive behaviors. For patients with dependence or abuse without withdrawal request, the resident has an educational approach in 22% of 132 patients without somatic complication and in 34% of the 119 patients with a complication. In 76% of the 80 patients in withdrawal, it offers medical treatment. Felt them more expressed by residents on management of addictive behaviors, are a lack of personal resources (43%), empathy (27%) and called into question (24%). Conclusion: The residents are a priori sensitized to addictive behaviors but seem to miss training. An action plan should be implemented.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01272169
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Submitted on : Wednesday, February 10, 2016 - 12:46:54 PM
Last modification on : Wednesday, August 23, 2017 - 4:33:10 PM
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Mathilde Le Monies de Sagazan. Les addictions dans les portfolios des internes de médecine générale de l’Université de Bordeaux : à propos des 131 portfolios de la session de septembre 2013. Médecine humaine et pathologie. 2016. ⟨dumas-01272169⟩

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