Évolution du burnout chez les internes de médecine générale d'Île-de-France durant leurs trois années d’internat

Abstract : Introduction: more than half of general practice residents (GPR) suffer from burnout syndrome, with important consequences to their health, their professional future and healthcare quality. This work aims at studying the evolution of burnout during the general practice residency and its associated factors. Methods: we realized a longitudinal study involving a cohort of 577 GPR from the Parisians universities, during the full length of their residency from November 2012 to November 2015. A self-reported questionnaire was sent every six month, when they changed of training course. We collected sociodemographic, professional and burnout syndrome and associated factors data. Results: 472 residents answered at least once. 46.2% of the residents had at least once a high emotional exhaustion (EE) score, 61.8% had at least once a high score of depersonalization (Dp) and 53.6% had at least once a high score of low professional accomplishment (LPA). The scores of EE and Dp increased during the 1st year of residency, stagnated and then decreased during the 3rd year. The scores of LPA decreased during all of the study. The lack of professional support, aggression, stress, anxiety, the absence of doctor-patient relationship training and of positive medical model, emotion-focused coping, workload, and some kinds of training courses increased the risk of burnout. Protective factors of burnout were spare time, sport, social support, empathy, work satisfaction and the absence of negative medical models. Conclusion: training residents to doctor-patient relationship and backing them better during their course could decrease their burnout rate in order to improve their health and patients'cares.
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Master Thesis
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Camille Boisard. Évolution du burnout chez les internes de médecine générale d'Île-de-France durant leurs trois années d’internat. Médecine humaine et pathologie. 2018. ⟨dumas-01927154⟩

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