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[Understanding the paths of internists in training: the COMET study].

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  • 1Service de médecine interne, Département de médecine interne et spécialités, Université et Hôpital fribourgeois, 1700 Fribourg.

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Summary

The COMET study reveals that most physicians in general internal medicine (GIM) training in Switzerland desire part-time work and report poor work-life balance. Understanding these career choices is crucial for healthcare system needs.

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Area of Science:

  • Medical Education
  • Physician Well-being
  • Healthcare Workforce Research

Background:

  • Physician training programs are critical for healthcare system stability.
  • Understanding the factors influencing career choices of young physicians is essential.
  • The COMET study addresses the physical, mental, and professional development of general internal medicine trainees.

Purpose of the Study:

  • To assess the physical and mental health of physicians training in general internal medicine (GIM) in Switzerland.
  • To investigate the professional trajectories and career intentions of these trainees.
  • To identify factors influencing GIM physician career choices.

Main Methods:

  • Preliminary results from the ongoing COMET study are presented.
  • The study involves 245 participants from 10 Swiss centers, initiated in August 2024.
  • Data collected includes health status, career aspirations, and work-life balance perceptions.

Main Results:

  • 70.6% of participants aim to specialize in GIM.
  • 76.0% of trainees wish to work part-time, particularly women.
  • Only 39.4% have a positive view of their work-life balance.
  • Fewer than 5% plan to leave direct patient care within five years.

Conclusions:

  • Physician trainees in GIM exhibit strong interest in specialization but express concerns regarding work-life balance.
  • A significant proportion of trainees, especially women, prefer part-time work.
  • Addressing trainees' work-life balance and career preferences is vital for retaining physicians and meeting healthcare demands.