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Master Thesis

Exploration du ressenti des internes de médecine générale de la faculté de Grenoble sur leur stage de pédiatrie mixte ambulatoire et hospitalier

Abstract : Introduction: As medical demography evolves, ambulatory child medical care is given more and more frequently by the general practitioner (GP) and less and less by the pediatric specialist. Consequently GP specialty training has had to be adjusted. Initially hospital pediatrics internship was made mandatory, then ambulatory internship was developped as the knowledge acquired in the former situation proved to be inadequate when applied to ambulatory practice. At the Grenoble Faculty of Medecine these two components were coupled to create mixed hospital and ambulatory internship. Objective: To evaluate how GP interns who have had the experience of a coupled internship feel about it in order to explore advantages and disadvantages and suggest improvements to achieve maximum efficiency. Methods: A qualitative study was carried out interviewing 13 students having done a coupled internship. The interviews were semi-structured and the data analysis was done using the Nvivo software program and a triangulation of the analysis was carried out to increase its reliability. The data was then analysed following an interpretive phenomenological method with triple coding: descriptive, theme and explanatary model construction. Results: Students are satisfied with their coupled internship considering it more complete than a purely hospital or ambulatory internship. The two aspects, hospital and ambulatory, are seen as complementary, both allowing students to acquire a certain amount of knowledge specific to each aspect. Hospital is more suited to the topic of pathology and ambulatory is more suited to that of monitoring the healthy child. However, according to interns, certain aspects of the coupled internship such as the number of child patients seen in ambulatory and the respect of working hours in hospital are still not optimal. The pediatric emergency department appears to be the most instructive sector in hospital internship. The main shortcomings of this internship are adolescent healthcare, chronic pathology and gynaecology. Discussion: In light of existing literature and of the results of this study it is felt appropriate to encourage coupled ambulatory and hospital pediatric internships. To optimize this type of internship it is important to develop adaptation to pediatrics on the ambulatory aspect, allow students to spend as much as possible of their time in pediatric emergency on the hospital aspect, recrute pediatricians outside hospitals as internship supervisors and encourage internships in Mother and Child Protection Centres.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02909221
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Submitted on : Thursday, July 30, 2020 - 10:37:12 AM
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Johanna Massot, Victor Chapeau. Exploration du ressenti des internes de médecine générale de la faculté de Grenoble sur leur stage de pédiatrie mixte ambulatoire et hospitalier. Médecine humaine et pathologie. 2020. ⟨dumas-02909221⟩

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