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Master Thesis

Devenir professionnel des internes de médecine générale de la subdivision Océan Indien issus des promotions 2004 à 2012

Abstract : What happened to the interns in general medicine in the Indian Ocean who graduated from the 2004 to 2012 class? In an overall context of declining numbers of general practitioners and a critical medical density in certain territories, we studied the future of general practice residents. The main objective was to find out the proportion of former interns who had been working as freelancers.
We conducted a cross-sectional descriptive observational study by electronic questionnaire on their personal and professional situation in 2017. We collected 223 responses, for a participation rate of 86.8%. Former interns were on average 32.6 years of age and 57.8% were women. 36% were employed, 30% were liberal or in collaboration and 27% were substitutes. 57.9% of those settled were still in the Indian Ocean (IO) in 2017. Most of them worked in group practice. The substitutes still present in Reunion were planning to settle there in 62% of the cases. Of these, 92% were doctors from the IO. Eventually, 37% of former interns would remain in the OI. Their main motivations were the living environment and a valued doctor-patient relationship. The comparison between the 2004 to 2008 promotions and the 2009 to 2012 promotions showed a significantly different distribution of exercise modes (p<0.001). The most recent promotions were more often employed (36% versus 21.2%) but were also installed or in collaboration with larger numbers (21% versus 8.2%) at the expense of substitutes (32% versus 60%). Comparison of the socio-professional profiles of liberals, substitutes and salaried workers found a significant difference between these populations.
As we can see in the national data, there has been a change in the way young generalists who favour salaried employees exercise their profession. This is explained in particular by a change in the wishes of young doctors regarding their professional and personal life. If Reunion does not currently suffer from a medical deficit in general medicine, measures should be developed to ensure that the IO residents, once they graduate, remain there to practice ambulatory medicine.
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Master Thesis
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Contributor : La Réunion Université <>
Submitted on : Thursday, June 14, 2018 - 8:47:37 AM
Last modification on : Thursday, March 28, 2019 - 11:24:31 AM


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Jonathan Knittel. Devenir professionnel des internes de médecine générale de la subdivision Océan Indien issus des promotions 2004 à 2012. Sciences du Vivant [q-bio]. 2018. ⟨dumas-01815344⟩



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