Notice bibliographique
Résumé
OBJECTIVES: The interest is focused on today's interns who will soon become an essential part of the health care system. Obstacles they perceive at the beginning of the career may encourage them or, inversely, impede their professional development, enhance professional burnout or even lead to change of the profession. International literature, comprising publications on the situation in ten European countries, Canada and the USA, is reviewed. Numerous considerations have encouraged some attempts to measure "anxiety about professional future" (AAF). MATERIALS AND METHODS: Seven factors that induce anxiety about professional future among students and young doctors are listed and briefly discussed: 1) Difficulties in getting a job and growing anxiety for maintaining the job; 2) Low wages; 3) Negative impact of work on private and family life, in particular, a conflict between the professional role and mother's role; 4) Excessive level of organizational stress; 5) Lack of (individual) resources to cope with stress; 6) Institutional and financial limitations for professional development; and 7) Worldwide evolution of the professional role and the status of doctor. A questionnaire was developed by the author and answers were collected from a representative sample of Polish interns (about 1000) and a small sample of French interns. A scale for measuring the anxiety was built with use of factor analysis. RESULTS: The resulting scale called AAF has proved to have good statistical properties. The mean value of the anxiety indicator proved to be high in Poland. Interns who are familiar with the doctor's daily duties, who feel economically independent and who have good self-valuation of the practical skills are characterized by a lower level of anxiety. AAF values in a sample of French interns was dramatically lower than those characteristic of Polish interns. CONCLUSIONS: The values of AAF for the interns can be related to the intensity of stress-inducing factors in the professional environment. Very high AAF values can stem from an excessive professional stress that may have a negative impact on individual careers and the whole health care system in Poland. Appropriate changes in the curriculum of medical studies (accompanied by legal regulations) might reduce excessive anxiety about future in graduating doctors in Poland. Such changes could include: (a) a greater involvement of students in the examination and treatment of patients and in "daily life" in health care institutions; (b) making more practice (or performing medical procedures) obligatory; (c) creating better opportunities to earn living in the medical professions (by performing procedures or by assisting professionals); and (d) making efforts in the field of practical education more rewarding (e.g., introducing rating for practice and incorporating it into fellowship schemes).
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».