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Master Thesis

La formation des internes de médecine générale en pédiatrie aux Antilles-Guyane

Abstract : Introduction: Faced with a shortage of paediatricians, more and more general practitioners find themselves responsible for nursing children. Are general practitioners-to-be prepared for this? The main objective of this thesis is to assess whether General Medicine students feel prepared about nursing children and whether the paediatrics training received in the General Medicine programme is sufficient. The secondary objective is to review the training they received, both theoretical and practical. Tools and methods: Descriptive, prospective, qualitative, and multicentric study conducted in the Antilles-Guiana, using a questionnaire aiming General Medicine students, currently in their fifth and sixth semester of studies. Data collection took place between 7th and 20th May 2017, via an online survey. The main criteria assessed was General Medicine students’ satisfaction towards the paediatrics training received. An additional survey was conducted amongst self-employed paediatricians to assess their ability to train General Medicine students. Results: Sixty-five medical students in their third cycle of medical studies in 2016–2017 answered the survey. Sixty-nine percent of General Medicine students declare they feel ready to practise paediatrics activities in a surgery. The survey shows that the six months internship in paediatrics, outpatient care internship with supervised autonomy (SASPAS in French) and the self-employed General Medicine professional project allow for a significantly higher students’ satisfaction about the training they received, with respectively p=0.012, p=0.043, p=0.008. Increasing the number of classes for General Medicine students would help improve the theoretical training received. As far as the practical training is concerned, the options suggested are: a more supervised internship, consultations and self-employed or emergency paediatrics activities over a period of six months. One-third of the self-employed paediatricians in the Antilles-Guiana area declare they would be keen on training General Medicine students. Discussion: Two-thirds of the medical students feel ready to practise paediatrics activities in a surgery. Outpatient care internships with supervised autonomy (SASPAS in French), a six months internship in paediatrics and the self-employed General Medicine professional project are significantly more valuable trainings. But students feel a lot of challenges, both on the theoretical and practical sides. A redefinition of training by establishing educational objectives, diversifying internships while personalizing paediatrics and gynaecological internships would improve medical students’ training. Some potential solutions are currently being explored.
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Master Thesis
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Submitted on : Monday, May 31, 2021 - 2:58:49 PM
Last modification on : Friday, September 3, 2021 - 11:13:16 PM


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  • HAL Id : dumas-03204898, version 1



Morgane de Oliviera. La formation des internes de médecine générale en pédiatrie aux Antilles-Guyane. Médecine humaine et pathologie. 2018. ⟨dumas-03204898⟩



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