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Laune Q, Varnier R, Rousseau A, Larnaudie A, Ghannam Y, Huguet F, Delaye M. [Last year of residency for oncologists: Overview and perspectives]. Bull Cancer 2024; 111:142-152. [PMID: 37845094 DOI: 10.1016/j.bulcan.2023.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 05/22/2023] [Accepted: 08/11/2023] [Indexed: 10/18/2023]
Abstract
CONTEXT The reform of the third cycle of medical studies in France has introduced of the "Junior Doctor" status during the concluding year of residency. We wish to evaluate its implementation for the first promotion of medical oncology residents during 2021-2022 in correlation with the published guidelines. METHOD AERIO conducted a cross-sectional study among French medical oncology residents. The survey was released via social networks and emails. RESULTS Twenty-eight of 47 residents responded. The typical week involved one to two half-days of consultation, one dedicated to clinical research, one multidisciplinary team meetings, with the rest of time being occupied by day care (mostly) and hospitalization. Teaching and quality management activities were infrequent (monthly or less). The Junior Doctors rated their overall satisfaction at 8/10. A large majority (92.5 %) felt equipped to handle most of the situations they encountered. Almost all residents (92.9 %) had negotiated with their placement supervisor prior to the selection procedure. In one third of the cases (35.7 %), the principle of mismatch between the number of residents and the number of training sites was not respected. Only 42.9 % received training in scientific writing and 82.2 % of the residents agreed on the relevance of the post-internship training modules developed in other specialties. CONCLUSIONS Junior doctors in medical oncology express overall satisfaction with this reform, which aligns with the recommendations. Nevertheless, certain concerns, such as selection procedure and inadequacy, along with areas requiring improvement, such as post-internship training and scientific writing, are clearly established.
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Affiliation(s)
- Quentin Laune
- Association d'enseignement et de recherche des internes en oncologie (AERIO), 149, avenue du Maine, 75014 Paris, France; Hôpital Morvan, centre hospitalier universitaire de Brest, service oncologie, 2, avenue Maréchal-Foch, Brest, Finistère, 29200 Bretagne, France.
| | - Romain Varnier
- Centre Léon-Bérard, association des jeunes oncologues de Rhône-Alpes (AJORA), 28, rue Laennec, 69008 Lyon, France; Inserm U1290, université Claude-Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), Lyon, France
| | - Adrien Rousseau
- Association d'enseignement et de recherche des internes en oncologie (AERIO), 149, avenue du Maine, 75014 Paris, France; Gustave-Roussy Cancer Campus, Departement of Cancer Medecine, Villejuif, France
| | - Audrey Larnaudie
- Centre François-Baclesse, service de radiothérapie, 3, avenue du Général-Harris, Caen, France; Société française des jeunes radiothérapeutes oncologues (SfjRO), 47, rue de la colonie, 75013 Paris, France
| | - Youssef Ghannam
- Société française des jeunes radiothérapeutes oncologues (SfjRO), 47, rue de la colonie, 75013 Paris, France; Institut de cancérologie de l'Ouest, service de radiothérapie, 15, rue André-Boquel, Angers, France
| | - Florence Huguet
- Assistance publique-Hôpitaux de Paris, hôpital Tenon, service d'oncologie-radiothérapie, 75020 Paris, France; Collège national des enseignants en cancérologie (CNEC), Paris, France
| | - Matthieu Delaye
- Association d'enseignement et de recherche des internes en oncologie (AERIO), 149, avenue du Maine, 75014 Paris, France; Université Versailles-Saint-Quentin (UVSQ), institut Curie, département d'oncologie médicale, Saint-Cloud, France
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Grange L, Chevalier K, Azoyan L. [First junior doctors: State of play one year after the implementation of the consolidation phase within the diploma of specialized studies in internal medicine and clinical immunology]. Rev Med Interne 2024; 45:65-68. [PMID: 37993296 DOI: 10.1016/j.revmed.2023.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2023] [Revised: 11/01/2023] [Accepted: 11/04/2023] [Indexed: 11/24/2023]
Abstract
INTRODUCTION The 2017 reform of the 3rd cycle of medical studies introduced the concept of supervised autonomy with the creation of a new junior doctor (JD) status. The aim of this work was to interview the first class of JDs in internal medicine and clinical immunology (IMCI) regarding the progress and implementation of this final year of internship. METHODS The IMCI JDs were invited to complete an anonymous online survey, contacted by email and social networks. RESULTS The questionnaire received 36 responses out of an estimated fifty JDs. The majority of JDs spent more than 70% of their time on conventional hospitalisation and less than 20% on scheduled hospitalisation. Most of them would have preferred to do more consultations and provide expert counsels. Weekly working hours were not respected for the majority of JDs. Personal education and academic formation were not respected for 77.8% of JDs. Overall, 75% were satisfied with their empowerment and 88.6% felt that the transition to post residency would be easier with the consolidation phase. A third reported that their residency had confirmed their apprehension about practising as an internist, and even that this apprehension might call into question their future practice. CONCLUSION This survey is an initial assessment of the implementation of the JD year in the IMCI residency. A collective effort around this last year of internship seems to be essential to ensure the personal and professional development of young internists.
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Affiliation(s)
- L Grange
- Amicale des Jeunes Internistes, 15, rue de l'École-de-Médecine, 75005 Paris, France; Service de médecine interne, CHU de Saint-Étienne, Saint-Étienne, France.
| | - K Chevalier
- Amicale des Jeunes Internistes, 15, rue de l'École-de-Médecine, 75005 Paris, France; Service de médecine interne, CHU Cochin, AP-HP, Paris, France
| | - L Azoyan
- Amicale des Jeunes Internistes, 15, rue de l'École-de-Médecine, 75005 Paris, France; Inserm, Institut Pierre-Louis d'épidémiologie et de santé publique, équipe SUMO, réseau Sentinelles, Sorbonne université, 75012 Paris, France
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Thuau F, Aubrit J, Duteille F, Lancien U, Perrot P. ["Junior Doctor" in Plastic Surgery, a new status. Evaluation of the practices after one semester of application of the reform]. ANN CHIR PLAST ESTH 2023; 68:14-18. [PMID: 36096851 DOI: 10.1016/j.anplas.2022.07.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 07/25/2022] [Indexed: 01/18/2023]
Abstract
INTRODUCTION 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. MATERIAL AND METHODS 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. RESULTS 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. CONCLUSION 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.
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Affiliation(s)
- F Thuau
- 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.
| | - J Aubrit
- 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
| | - F Duteille
- 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
| | - U Lancien
- 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
| | - P Perrot
- 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
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Rousseau A, Laune Q, Ollivier L, Naoun N, Alexandre J, Giraud P, Azria D, Delaye M. État des lieux de la formation initiale de l’internat d’oncologie après la quatrième vague pandémie de la COVID-19 : une enquête AERIO-SFJRO. Bull Cancer 2022; 109:834-843. [PMID: 35672186 PMCID: PMC9167032 DOI: 10.1016/j.bulcan.2022.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 03/25/2022] [Accepted: 04/03/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Adrien Rousseau
- Association d'enseignement et de recherche des internes en oncologie (AERIO), 149, avenue du Maine, 75014 Paris, France.
| | - Quentin Laune
- Association d'enseignement et de recherche des internes en oncologie (AERIO), 149, avenue du Maine, 75014 Paris, France
| | - Luc Ollivier
- Société française des jeunes radiothérapeutes oncologues (SFJRO), 75013 Paris, France
| | - Natacha Naoun
- Association d'enseignement et de recherche des internes en oncologie (AERIO), 149, avenue du Maine, 75014 Paris, France
| | - Jérôme Alexandre
- AP-HP, université de Paris, Cochin-hospital, service d'oncologie médicale, CARPEM, 75014 Paris, France; Collège national des enseignants en cancérologie (CNEC), Paris, France
| | - Philippe Giraud
- Hôpital européen Georges-Pompidou, université de Paris, service d'oncologie radiothérapie, 20, rue Leblanc, 75015 Paris, France; Société française de radiothérapie oncologique (SFRO), Paris, France
| | - David Azria
- Société française de radiothérapie oncologique (SFRO), Paris, France; Institut du cancer de Montpellier, fédération universitaire d'oncologie radiothérapie d'Occitanie Méditerranée, département d'oncologie radiothérapie, 298, avenue des Apothicaires, Montpellier cedex 05, France
| | - Matthieu Delaye
- Association d'enseignement et de recherche des internes en oncologie (AERIO), 149, avenue du Maine, 75014 Paris, France
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Challine A, Soubrane O, Lefèvre J. The first year of Junior Doctors in visceral and digestive surgery in France: For what position and with which function? J Visc Surg 2022; 159:179-180. [DOI: 10.1016/j.jviscsurg.2022.01.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Issoufaly I, Andraud M, Lonca L, Gignoux P, Nourrit M, Bougas S, Escarmant P, Ducreux M, Encaoua J, Delaye M, Khettab M. L’internat d’oncologie en outre-mer français. Bull Cancer 2022; 109:232-240. [DOI: 10.1016/j.bulcan.2022.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 12/24/2021] [Accepted: 01/03/2022] [Indexed: 10/19/2022]
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