Le médecin généraliste, le trail et ses représentations : étude comparative des pratiques sur l’île de la Réunion

Abstract : Introduction: in view of the rapid development of the trail-running activity in recent years, we performed a comparative study of the practices of the general practitioners of Reunion Island with regard to this sport and its specificities. Method: two groups were formed, a group of untrained physicians (MNF) and a group of trained physicians (MF). Clinical cases were submitted to them and their answers evaluated on digital visual scales. According to the Delphi method, the expected answers have been discussed previously by an expert group. The averages and standard deviations were compared and allowed us an inter-group and intra-group analysis. Results: variability in practice was found significantly (p <0.05) between groups but also within groups, indicating a lack of consensus or training. The results showed a lack of information of general practitioners on some topics, resulting in restrictive practices, but also sometimes permissive practices of MF group. Discussion: like any new discipline, the fear of some and the enthusiasm of others, lead to disparate practices dictated by individual representations, in the absence of clear information or consensus. On an island where diabetes and obesity are highest in terms of impact, the promotion of sports medicine is essential. Hence the importance of continuing research in endurance and ultra-endurance sports in order to achieve more consensus and training actions.
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Master Thesis
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Marie-Laure Olivier. Le médecin généraliste, le trail et ses représentations : étude comparative des pratiques sur l’île de la Réunion. Médecine humaine et pathologie. 2018. ⟨dumas-02142287⟩

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