Thuau F, Aubrit J, Duteille F, Lancien U, Perrot P
Service de chirurgie plastique, reconstructrice et esthétique, centre de traitement des brûlés adultes et enfants, CHU de Nantes, 1, place Alexis Ricordeau, 44000 Nantes, France.
Service de chirurgie plastique, reconstructrice et esthétique, centre de traitement des brûlés adultes et enfants, CHU de Nantes, 1, place Alexis Ricordeau, 44000 Nantes, France.
Ann Chir Plast Esthet. 2023 Jan;68(1):14-18. doi: 10.1016/j.anplas.2022.07.014. Epub 2022 Sep 10.
The reform of the third cycle of medical studies in 2017 led to the creation of the status of "Junior Doctor", corresponding to the consolidation phase and allowing increasing autonomy and supervision from the intern. In plastic surgery, this status appeared for the first time in November 2021 in French hospitals; it lasts two years and succeeds the first four years of internship.
We sent a self-questionnaire by email in May 2022 to the 21 French Junior Doctors. This was interested in their training ground, formation program, consultation activity, operating program, integration into the on-call list, the existence of half-days of availability, and their general opinion on this reform and its implementation.
We collected 20 questionnaires with a sex ratio of twelve men for eight women. The majority of respondents worked in a university hospital (85 %). 45 % had their consultations, 60 % had their own operating sessions under general anesthesia, and 35 % under local anesthesia. Only 25 % of them considered this reform to be a step forward in terms of training.
The introduction of the status of Junior Doctor is contrasted within the various hospitals. Despite the progressive and supervised autonomy provided by this reform, it is generally perceived neutrally or negatively by Junior Doctors. The establishment of own consultations and operating sessions stands out as a key positive element allowing better application of the reform.
2017年医学学习第三周期的改革催生了“初级医生”这一身份,这一阶段对应巩固期,实习医生的自主权增加且受到更多监督。在整形手术领域,这一身份于2021年11月首次在法国医院出现;为期两年,接续最初的四年实习阶段。
2022年5月,我们通过电子邮件向21位法国初级医生发送了一份自填式问卷。问卷涉及他们的培训场所、培训计划、门诊活动、手术计划、加入值班表的情况、是否有半天的待命时间,以及他们对这项改革及其实施情况的总体看法。
我们共收集到20份问卷,男女比例为12名男性对8名女性。大多数受访者在大学医院工作(85%)。45%的人有自己的门诊,60%的人有自己在全身麻醉下的手术时段,35%的人有局部麻醉下的手术时段。只有25%的人认为这项改革在培训方面是一种进步。
初级医生这一身份在各医院的反响不一。尽管这项改革提供了渐进式且受监督的自主权,但初级医生总体上对其看法中性或负面。设立自己的门诊和手术时段是一个关键的积极因素,有助于更好地实施这项改革。