Chalot Y, Boileau S, Vedel M, Audibert G, Mertes M-P, Bouaziz H
Département d'anesthésie-réanimation, maternité régionale A.-Pinard, 10, rue du Docteur-Heydenreich, 54042 Nancy cedex, France.
Ann Fr Anesth Reanim. 2010 Mar;29(3):209-14. doi: 10.1016/j.annfar.2009.11.011. Epub 2010 Feb 26.
The anaesthesiology and intensive care physician demography is becoming critical in most French regions; more than 56% of the residents trained in Lorraine are leaving the area after they graduate.
A descriptive and retrospective survey was carried out. The aims of the research were threefold: to ascertain firstly, why residents chose Lorraine in the first instance, secondly their experiences of the training and thirdly their expectations. The target group consisted of 76 former anaesthesia residents dating back to 1996.
The response rate was 72.4%. Choosing Lorraine was based on its well-established teaching program (64%) and also on results achieved at National Medical Examination (85%). The academic medical training and working conditions were well-rated. A position was offered to 93% of the residents. Fifty-three percent stated having had previous work experience in the hospital as a decisive factor in taking up a position. By the end of the residency program, only 43.5% of anesthesia physicians remained in Lorraine; i.e., 79% were native to Lorraine and 25% born outside. Reasons given for leaving Nancy were: family (81%), more favourable climate (51%) and to go back to their region of origin (45%).
Desired improvements would be: better performance of the Lorraine born students at the National Medical Examination, earlier and well-defined job offers, better communication within the team and consideration of the family situation as a whole.
在法国大多数地区，麻醉学与重症监护医师的人口统计学状况正变得至关重要；在洛林接受培训的住院医师中有超过56%在毕业后离开该地区。
开展了一项描述性回顾性调查。该研究的目的有三个：首先确定住院医师最初选择洛林的原因，其次了解他们的培训经历，第三了解他们的期望。目标群体包括76名可追溯至1996年的 former anaesthesia residents。
回复率为72.4%。选择洛林是基于其完善的教学计划（64%）以及国家医学考试取得的成绩（85%）。学术医学培训和工作条件得到了较高评价。93%的住院医师获得了职位。53%的人表示之前在医院的工作经历是接受职位的决定性因素。到住院医师培训项目结束时，只有43.5%的麻醉医师留在了洛林；即，79%是洛林本地人，25%出生在外地。离开南锡的原因有：家庭（81%）、更宜人的气候（51%）以及回到原籍地区（45%）。
期望的改进措施包括：洛林出生的学生在国家医学考试中取得更好成绩、更早且明确的工作 offer、团队内部更好的沟通以及综合考虑家庭情况。
