{"title":"母婴保护服务实习：全科医生、儿科医生和医学院的观点","authors":"Marie-Alice Geant, Corinne Bois","doi":"10.3917/spub.234.0383","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>General practitioners (GP) play a key role in children’s medical care in France. Maternal and Child Protection Services (MCP) provide preventive pediatric care and may host GP interns during their curriculum. The purpose of this research is to cross stakeholders’ viewpoints on MCP internships.</p><p><strong>Method: </strong>In 2019, a declarative cross-sectional survey was conducted in metropolitan France among GP, MCP and departments of general practice (DGP) in medical schools. Data was collected concerning the organization, contents and pediatric expected results of GP internships in MCP.</p><p><strong>Results: </strong>Questionnaires completed by 286 GP, 77 MCP and 16 DGP were collected. GP describe a non-standardized internship practice in terms of duration, the type of supervision, the medical acts carried out and the tools provided. Their answers, however, show a clear consensus on the skill in screening/prevention acts development (significantly higher for internships based on four-day weeks), on the support for parenthood, and on the awareness of the child’s living environment and of the various professionals in the health, psychological and educational field. These skill acquisitions are incomplete in child protection, and insufficient in the management of acute pathologies. Links between DCP and MCP appear poor.</p><p><strong>Conclusion: </strong>Internships in MCP provide GPs with significant experience in prevention and daily pediatrics, but they require a better coordination between DGP and MCP and the construction of joint internships especially with hospital pediatrics.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":null,"pages":null},"PeriodicalIF":0.3000,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Internships in Maternal and Child Protection services: Perspectives of generalists, pediatricians, and medical schools\",\"authors\":\"Marie-Alice Geant, Corinne Bois\",\"doi\":\"10.3917/spub.234.0383\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>General practitioners (GP) play a key role in children’s medical care in France. Maternal and Child Protection Services (MCP) provide preventive pediatric care and may host GP interns during their curriculum. The purpose of this research is to cross stakeholders’ viewpoints on MCP internships.</p><p><strong>Method: </strong>In 2019, a declarative cross-sectional survey was conducted in metropolitan France among GP, MCP and departments of general practice (DGP) in medical schools. Data was collected concerning the organization, contents and pediatric expected results of GP internships in MCP.</p><p><strong>Results: </strong>Questionnaires completed by 286 GP, 77 MCP and 16 DGP were collected. GP describe a non-standardized internship practice in terms of duration, the type of supervision, the medical acts carried out and the tools provided. Their answers, however, show a clear consensus on the skill in screening/prevention acts development (significantly higher for internships based on four-day weeks), on the support for parenthood, and on the awareness of the child’s living environment and of the various professionals in the health, psychological and educational field. These skill acquisitions are incomplete in child protection, and insufficient in the management of acute pathologies. Links between DCP and MCP appear poor.</p><p><strong>Conclusion: </strong>Internships in MCP provide GPs with significant experience in prevention and daily pediatrics, but they require a better coordination between DGP and MCP and the construction of joint internships especially with hospital pediatrics.</p>\",\"PeriodicalId\":49575,\"journal\":{\"name\":\"Sante Publique\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2023-12-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sante Publique\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3917/spub.234.0383\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sante Publique","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3917/spub.234.0383","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Internships in Maternal and Child Protection services: Perspectives of generalists, pediatricians, and medical schools
Introduction: General practitioners (GP) play a key role in children’s medical care in France. Maternal and Child Protection Services (MCP) provide preventive pediatric care and may host GP interns during their curriculum. The purpose of this research is to cross stakeholders’ viewpoints on MCP internships.
Method: In 2019, a declarative cross-sectional survey was conducted in metropolitan France among GP, MCP and departments of general practice (DGP) in medical schools. Data was collected concerning the organization, contents and pediatric expected results of GP internships in MCP.
Results: Questionnaires completed by 286 GP, 77 MCP and 16 DGP were collected. GP describe a non-standardized internship practice in terms of duration, the type of supervision, the medical acts carried out and the tools provided. Their answers, however, show a clear consensus on the skill in screening/prevention acts development (significantly higher for internships based on four-day weeks), on the support for parenthood, and on the awareness of the child’s living environment and of the various professionals in the health, psychological and educational field. These skill acquisitions are incomplete in child protection, and insufficient in the management of acute pathologies. Links between DCP and MCP appear poor.
Conclusion: Internships in MCP provide GPs with significant experience in prevention and daily pediatrics, but they require a better coordination between DGP and MCP and the construction of joint internships especially with hospital pediatrics.
期刊介绍：
La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs,
professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie
des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions
de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de
soins, des sciences sociales et de l’action sociale.
Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur
l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants
et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé,
organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques
de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation
et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille
sanitaire, déterminants de la consommation de soins, organisation et économie des différents
secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique
d’activités de soins ou de prévention et de programmes de santé, planification des ressources,
politiques de régulation et de financement, etc
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