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Master Thesis

Vécu des internes en médecine générale de première année en stage au sein d'un service d'urgences adultes de CHU

Abstract : Background: interns represent a fundamental component of the French health care system, especially in the context of non-scheduled primary care. Each year, a growing and record number of job openings is assigned to general practices, around 3700 in 2023/2024. The recent reform of the third cycle of medical school made it mandatory to be an intern in the emergency department during the first year of the general medicine internship. Simultaneously, all the emergency structures are facing a rising number of walk-ins each year. Because of their position on the front line, interns are particularly required to cope with the increase of workload. Methods: we wanted to assess the experience of first-year interns in general practice at the emergency department of a University Hospital. We made a qualitative study using a thematic approach, where we asked eleven first-year interns in general medicine. The interviews were semi-structured and carried out individually during the winter semester of 2019-2020 at the emergency department of the University Hospital of Montpellier. Results: all the interns interviewed felt they had a positive experience. Because of the variety of illnesses encountered, the interns declared it brought them a satisfying autonomy and a frame. They felt their improve, and it was rewarding. However, they did also experience some difficulties. This tough and dense internship challenged their adaptability. It also triggered stress, fear and panic for a large majority of the interns, especially during the very firsts shifts on duty. Although interns felt they were well assisted on the whole by various actors around them, including young medical assistants, most of them highlighted the absence of feedback on their daily work, a lack of lectures or bedside teaching, and an occasional feeling of lack of support in some situations. Conclusion: thanks to our study and to the feedback from the interns about their experiences, we set up a mentoring system between interns and assistant doctors at the emergency department of the University Hospital of Montpellier. The goal is to strengthen their support, to improve their experience and as a consequence, to maximize the care of the patients.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03155353
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Submitted on : Monday, March 1, 2021 - 5:33:54 PM
Last modification on : Monday, October 11, 2021 - 1:25:02 PM
Long-term archiving on: : Sunday, May 30, 2021 - 8:28:22 PM

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  • HAL Id : dumas-03155353, version 1

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Jordi Tabaras. Vécu des internes en médecine générale de première année en stage au sein d'un service d'urgences adultes de CHU. Médecine humaine et pathologie. 2020. ⟨dumas-03155353⟩

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