Les internes en anesthésie-réanimation — une enquête nationale

Gautier, J.-F.; Nguyen, Juliette; Soltner, C.; Beydon, L.

doi:10.1016/j.annfar.2004.05.016

Cited by 16 publications

(8 citation statements)

References 18 publications

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“…Surveys conducted with anesthesia and critical care residents had varying response rates from 40% (national survey) 2 to 61% (interregional survey). 1 There were also large variations between residents starting their residency and those completing them (44% for the first year versus 77% for the fourth year) 5 . Two other points raised us in the analysis of our population.…”

Section: Discussionmentioning

confidence: 99%

“…In 2008, 80% of the medical students chose this specialty in first intention in comparison with 47% in 2002. 2,5 Only very small number of residents is not satisfied about their orientation at the end of their residency. 2,6 The attractive conditions involve several points: versatility, access to different areas of activity between anesthesia and critical care residency associated with a high level of training and supervision by senior doctor.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 As reported by Gautier et al, 96% of the anaesthesia and critical care residents were satisfied with their choice. 5 Theoretical education and clinical teaching are considered as excellent in 67% of the cases or good in 89% of the cases. 6 The key issue at the new curriculum is to ensure safe and excellence training especially during this last phase of residency.…”

Section: Introductionmentioning

confidence: 99%

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Implementation of autonomy phase during the anaesthesia and critical care residency: Monocentric University Hospital experience

Dehaen-Rougelin

Grognu

Besnier

et al. 2020

Journal of Clinical Anesthesia

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Background: A new French curriculum about anaesthesiology and critical care residency has started in November 2017 involving an autonomy phase supervised by seniors with main objective to prepare for the professional exercise. Since 10 years, Anaesthesia and Critical Care Department of Rouen University Hospital has established a similar process with autonomy practice supervised by senior doctor during the last year of residency. Our 5 th year training local program is therefore very closed from the new French anaesthesiology and intensive care residency curriculum. In our hospital, In order to project this supervised autonomy phase, the aim of this study was to assess the opinion of our former residents who benefited from our supervised autonomy phase during their last year of training. Methods: A standardized questionnaire was sent to all the residents trained in Rouen between 2004 and 2016 and who have been involved in supervised autonomy phase. Three areas were studied: the profile of responders, the practical and theoretical training received and the supervised autonomy phase. Results: The response rate was 84.1% (95/113). Theoretical and practical training was rated good or excellent for 93.7% of responders. The supervised autonomy status was noted to be positive by 94.2% of the respondents. The highlighted skills were autonomy, learning the organization of working time and preanaesthesia clinic. A majority (85%) of the residents reported having had little or no difficulty and 97% said that this status facilitated their position as a senior physician. This phase of

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Implementation of autonomy phase during the anaesthesia and critical care residency: Monocentric University Hospital experience

Dehaen-Rougelin

Grognu

Besnier

et al. 2020

Journal of Clinical Anesthesia

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show abstract

Section: Introductionmentioning

confidence: 99%

Implementation of autonomy phase during the Anaesthesia and Critical Care residency: Monocentric University Hospital experience

Dehaen-Rougelin

grognu

Besnier

et al. 2019

Preprint

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Background: A new French curriculum about anaesthesiology and critical care residency has started in November 2017 involving an autonomy phase supervised by seniors with main objective to prepare for the professional exercise. Since 10 years, Anaesthesia and Critical Care Department of Rouen University Hospital has established a similar process with autonomy practice supervised by senior doctor during the last year of residency. Our 5th year training local program is therefore very closed from the new French anaesthesiology and intensive care residency curriculum. In our hospital, In order to project this supervised autonomy phase, the aim of this study was to assess the opinion of our former residents who benefited from our supervised autonomy phase during their last year of training.Methods: A standardized questionnaire was sent to all the residents trained in Rouen between 2004 and 2016 and who have been involved in supervised autonomy phase. Three areas were studied: the profile of responders, the practical and theoretical training received and the supervised autonomy phase.Results: The response rate was 84.1% (95/113). Theoretical and practical training was rated good or excellent for 93.7% of responders. The supervised autonomy status was noted to be positive by 94.2% of the respondents. The highlighted skills were autonomy, learning the organization of working time and preanaesthesia clinic. A majority (85%) of the residents reported having had little or no difficulty and 97% said that this status facilitated their position as a senior physician. This phase of autonomy should be included systematically in the residency for 93% of them. Conclusions: Supervised autonomy status would enable empowerment under secured supervision conditions. The majority of residents felt that this supervised autonomy phase should be systematically included in our training as proposed now by the new French curriculum.

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“…Such limitations to skilled workers mobility may have detrimental effects on the overall size of the physician healthcare workforce, particularly in countries that highly rely on foreign immigration. The true impact of such policies is however currently unknown, particularly in specialties like anaesthesia known to be sensitive to workforce containment policies [ 8 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of policies regulating foreign physician migration to Switzerland: a modelling case study in anaesthesia

Haller

Combescure

Mamie

et al. 2015

BMC Health Serv Res

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BackgroundSeveral countries have developed policies that restrict or limit duration of stay, clinical privileges or the number of residency permits allocated to migrating physicians. Switzerland is currently preparing a new law limiting overall foreign immigration. The impact of such restrictive policies is currently unknown. In a case study of anaesthesia care in Switzerland we modelled, trends in the size of physicians’ workforce until 2024, following the implementation of a strict quota policy for foreign medical trainees.MethodsWe developed a computer-based Markov model with Monte-Carlo simulations to project, in the context of a strict quota policy for foreign trainees, supply and demand for anaesthesia positions until 2024. We used data from a cross-sectional study performed in the French- and Italian-speaking cantons of Switzerland and the Health dataset from the OECD.ResultsWith 8 to 12 (95 % CI 4–20) anaesthetists retiring per year, the implementation of strict quotas of foreign graduates would result in a 38 % decrease in the number of anaesthetists in intermediary (senior registrars) positions by 2024. This decrease would be particularly important in district hospitals where nearly half (49 %) of the non-Swiss anaesthetists are practising. Swiss graduates are unlikely to balance the shortage. Despite efforts by Swiss universities to increase the number of medical graduates, their number has dropped from 10.5 to 9.7/100 000 inhabitants between 2000 and 2012, due to the growth of the population.ConclusionsThis case study in Latin Switzerland shows that a restrictive policy limiting foreign immigration of trainees would result in a major deficit in the number of anaesthetists available to meet population needs. These aspects should be carefully considered when countries develop restrictions and limitations of foreign immigration.

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Les internes en anesthésie-réanimation — une enquête nationale

Cited by 16 publications

References 18 publications

Implementation of autonomy phase during the anaesthesia and critical care residency: Monocentric University Hospital experience

Implementation of autonomy phase during the anaesthesia and critical care residency: Monocentric University Hospital experience

Implementation of autonomy phase during the Anaesthesia and Critical Care residency: Monocentric University Hospital experience

Impact of policies regulating foreign physician migration to Switzerland: a modelling case study in anaesthesia

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