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Romain Clisson, Cécile Angoulvant, Aline Ramond-Roquin

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |June 20, 2022
    PubMed
    Summary
    This summary is machine-generated.

    Most general practitioners followed their initial career plans, with training and family situations being key influences. Supporting residents' professional projects during training can help ensure their realization.

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    Area of Science:

    • Medical Education
    • General Practice
    • Career Development

    Background:

    • Young general practitioners' career choices are influenced by their professional projects.
    • A 2012 study in Angers examined the professional projects of general medicine residents.
    • This 2019 study aimed to assess the continuity between residents' initial professional projects and their current practice.

    Purpose of the Study:

    • To evaluate the long-term adherence of general medicine residents to their initially stated professional projects.
    • To identify factors influencing the evolution of professional projects from residency to independent practice.
    • To explore the relationship between residency training experiences and subsequent career paths.

    Main Methods:

    • A quantitative, observational cohort study was conducted with 167 general medicine residents who participated in a 2012 study.

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  • Data were collected via an online survey between May and July 2019, covering socio-demographics, current practice, and project evolution.
  • An indicator of change in professional projects (ISPP) was developed by comparing planned versus actual practice (mode, structure, patient type).

    • Main Results:

    • The response rate was 76.6%. Over two-thirds (67.7%) of residents fully followed their initial professional project, with 17.3% partially following it.
    • Factors influencing project evolution included the Specialized Autonomous Training in General Medicine (SASPAS) (P=0.026) and increased liberal practice internships during residency (P<0.001).
    • The primary drivers for professional project development were training (77.3%) and family situation (53.1%).

    Conclusions:

    • This cohort follow-up demonstrates significant continuity between the professional projects established during residency and the actual practice of general practitioners.
    • Supporting and identifying individual professional projects during the residency period is crucial for promoting their successful implementation.
    • The findings suggest that targeted support during training can enhance career satisfaction and practice establishment for new general practitioners.