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[毕业于法国公共卫生医学住院医师培训项目的医学公共卫生专家的职业发展]

[The career of medical public health specialists graduated from the French public health medical residency].

作者信息

Guerra J, Dugué F

机构信息

Collège de liaison des Internes de santé publique (CLISP), 17, rue du Fer-à-Moulins, 75010 Paris, France.

Collège de liaison des Internes de santé publique (CLISP), 17, rue du Fer-à-Moulins, 75010 Paris, France.

出版信息

Rev Epidemiol Sante Publique. 2019 Apr;67(2):106-113. doi: 10.1016/j.respe.2018.12.064. Epub 2019 Feb 4.

Abstract

BACKGROUND

The French public health medical residency was created in 1984 to train medical public health specialists. Knowledge was lacking on the career of the trained practitioners, with the sole study dating from 1995. In this study, the French national association of medical public health residents aimed to describe the training and career of all medical public health specialists since the inception of the residency.

METHODS

An online survey took place during the first semester of 2012 to collect information on all medical public health specialists graduated from the French public health medical residency. Descriptive analysis of the collected information was performed.

RESULTS

Replies from 563 graduated medical public health residents were collected from all over the country and years since the inception of the training. Ninety-eight percent of the informants were in activity. They mostly worked in public healthcare facilities (56%) and public administration (16%). Their main areas of practice were: epidemiology, clinical research, biostatistics (37%); health management information system (19%); health policy (14%). Eighty-eight percent of the respondents held a master degree, 29% a PhD. Practical training during the medical residency was deemed as very useful or needed by 73% of the informants, theoretical training by 43%. Sixty-eight percent of informants were very or fully satisfied by their carrier, 29% rather satisfied.

CONCLUSION

This is the first study to achieve coverage of more than 45% of all medical public health specialists graduated since the inception of the public health medical residency. Full employment, wide-range activities, evolving carriers can explain the high satisfaction rates. The public health medical residency being the main access point to the public health medical specialty, the impact of the initial training on the career should lead to rethink the design of the public health medical residency to fulfil the needs in the public health sector.

摘要

背景

法国公共卫生医学住院医师培训项目始于1984年,旨在培养公共卫生医学专家。此前对于这些经过培训的从业者的职业发展情况了解不足,仅有一项始于1995年的研究。在本研究中,法国全国公共卫生医学住院医师协会旨在描述自住院医师培训项目启动以来所有公共卫生医学专家的培训及职业发展情况。

方法

2012年上半年开展了一项在线调查,以收集所有毕业于法国公共卫生医学住院医师培训项目的公共卫生医学专家的信息。对收集到的信息进行了描述性分析。

结果

从全国各地收集到了563名毕业的公共卫生医学住院医师的回复,涵盖了培训项目启动后的各个年份。98%的受访者仍在从事相关工作。他们大多在公共医疗保健机构工作(56%),以及公共行政部门(16%)。他们的主要业务领域包括:流行病学、临床研究、生物统计学(37%);健康管理信息系统(19%);卫生政策(14%)。88%的受访者拥有硕士学位,29%拥有博士学位。73%的受访者认为住院医师培训期间的实践培训非常有用或有必要,43%的受访者认为理论培训很有用。68%的受访者对自己的职业非常满意或完全满意,29%的受访者比较满意。

结论

这是第一项涵盖自公共卫生医学住院医师培训项目启动以来超过45%的所有毕业公共卫生医学专家的研究。充分就业、广泛的活动、不断发展的职业可以解释高满意度。公共卫生医学住院医师培训项目是进入公共卫生医学专业的主要途径,初始培训对职业发展的影响应促使人们重新思考公共卫生医学住院医师培训项目的设计,以满足公共卫生部门的需求。

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