Boughzala Wafa, Hariz Anis, Badri Talel, Ben Hassine Lamia, Azzabi Samira, Khalfallah Narjes
Tunis Med. 2019 Jul;97(7):904-909.
Medical studies reform in Tunisia was conducted to upgrade general medicine, depreciated by the population and experienced by practitioners as a path of failure, thus elevated to the rank of family medicine (FM).
To determine the factors of attractiveness of the FM, the prospects and career aspirations of future family physicians.
We conducted a cross-sectional survey by an anonymous questionnaire distributed via an online questionnaire platform from February 11th to April 13th, 2018 that targeted students in the 2nd year of FM at the Faculty of Medicine of Tunis.
We included 68 students. The median age was 26 years. The sex ratio was 0.4. The initial reason for choosing FM was the short course leading up to doctoral degree in medicine in 81% of students. The main factors of attractiveness of the FM were the overall approach of the patient (59%), the richness and the variety of the discipline (57%) and the rich human contact (37%). The main training constraints were the imprecise status (85%), the absence of a college of FM (59%) and the insufficient training (50%). Forty-three students (63%) wanted to continue their career abroad. The main reasons for this exodus were the search for a better quality of life (98%), better working conditions (81%), better training and supervision (67%) and acceptable remuneration (41%). The main expectations of the students were personal and family development (69%), the possibility of exercising at best their job (66%) and acceptable remuneration (59%).
Family medicine must have a defined status, an adapted curriculum, an should be attractive financially and scientifically.
突尼斯开展医学研究改革是为了提升普通医学水平，此前普通医学因民众评价不高且从业者认为是一条失败之路而地位下降，如今已提升至家庭医学（FM）的地位。
确定家庭医学的吸引力因素、未来家庭医生的前景和职业抱负。
我们于2018年2月11日至4月13日通过在线问卷平台分发匿名问卷进行了一项横断面调查，目标是突尼斯医学院家庭医学专业二年级的学生。
我们纳入了68名学生。年龄中位数为26岁。性别比为0.4。81%的学生选择家庭医学的最初原因是通往医学博士学位的课程较短。家庭医学的主要吸引力因素是对患者的整体治疗方法（59%）、学科的丰富性和多样性（57%）以及丰富的人际接触（37%）。主要的培训限制是地位不明确（85%）、缺乏家庭医学学院（59%）和培训不足（50%）。43名学生（63%）希望在国外继续他们的职业生涯。这种外流的主要原因是寻求更好的生活质量（98%）、更好的工作条件（81%）、更好的培训和监督（67%）以及可接受的薪酬（41%）。学生的主要期望是个人和家庭发展（69%）、能够充分发挥其工作能力的可能性（66%）以及可接受的薪酬（59%）。
家庭医学必须有明确的地位、合适的课程设置，并且在经济和学术方面具有吸引力。
