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Master Thesis

Déterminants à l'installation en cabinet de médecine de montagne chez les jeunes installés et les internes en médecine générale du secteur alpin

Abstract : Introduction : Mountain medicine (MM) is a particular practice of general medicine. Mountain doctors’ density is recognized in deficit during tourists influx periods. The average age of mountain doctors is 53 years old and new installations are rare. The objective is to highlight obstacles and contributing factors for MM installation of young doctors. Methodology : Qualitative study using semi-structured individual interviews in the Alps region. The study included residents, replacements doctors -wishing or not to install in MM- and less than 5 years established doctors -in MM or in valley. Results : 25 interviews were conducted between august 2015 and april 2016. Eight themes were highlighted : mountain connection, education, pathway, practical exercise, workload, financial aspect, private life, quality of life. The main obstacles were the lack of MM knowledge and the lack of specific traumatology training, the absence of work experience in MM, the difficulty to find work for the partner, seasonal work, office charges and expensive property rent in ski resort. Contributing factors were mountain surroundings, varied activity including traumatology and primary care, varied patients, replacements or beforehand MM work experiences and group practice which can allow spare time. Conclusion : To attract young doctors, it seems important to put the accent on traumatology training, in particular during MM work experiences, and to carry on with installation subsidies.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01341213
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Submitted on : Monday, July 4, 2016 - 1:18:07 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
Long-term archiving on: : Wednesday, October 5, 2016 - 10:31:40 AM

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  • HAL Id : dumas-01341213, version 1

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Nathalie Brizard, Marine Durand. Déterminants à l'installation en cabinet de médecine de montagne chez les jeunes installés et les internes en médecine générale du secteur alpin. Médecine humaine et pathologie. 2016. ⟨dumas-01341213⟩

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