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Workload, well-being and career satisfaction among French internal medicine physicians and residents in 2018
  1. Fleur Cohen Aubart1,
  2. Raphael Lhote1,
  3. Olivier Steichen2,
  4. Anaïs Roeser1,3,
  5. Nguekap Otriv3,
  6. Hervé Levesque4,
  7. Philippe Morlat5,
  8. Zahir Amoura1,
  9. Luc Mouthon6
  1. 1 Hôpital de la Pitié-Salpêtrière, Service de Médecine Interne 2, Sorbonne Université, Paris, France
  2. 2 Hôpital Tenon, Service de Médecine Interne, Sorbonne Université, Paris, France
  3. 3 Amicale des Jeunes Internistes, Université Paris Descartes, Paris, France
  4. 4 CHU de Rouen, Service de Médecine Interne, Rouen University, Mont-Saint-Aignan, France
  5. 5 CHU de Bordeaux, Service de Médecine Interne, Bordeaux 1 University, Talence, France
  6. 6 Hôpital Cochin, Service de Médecine Interne, Université Paris Descartes, Paris, France
  1. Correspondence to Dr Fleur Cohen Aubart, Hôpital de la Pitié-Salpêtrière, Service de Médecine Interne 2, Sorbonne Université, Paris 75006, France; fleur.cohen{at}


Objectives This work aimed to study the prevalence and risk factors associated with well-being and career satisfaction among French internal medicine physicians and residents.

Methods A total of 1689 French internal medicine physicians or trainees were surveyed to evaluate their workload, well-being and career satisfaction during February 2018.

Results The response rate was 620/1689 (37%). The mean age of the participants was 37 years (±12); 49% of the participants were female, 27% worked in the Paris area, 74% worked in a university hospital and 49% were residents. Sixty-six per cent of the responders were satisfied with their work, and 66% would choose the internal medicine specialty again. However, 71% of the responders worked more than 50 hours a week, 21% worked more than 60 hours a week and 70% believed that they did not have enough time for personal/family activities. Twenty-five per cent of the responders had at least one sign of burnout (19% of the physicians in practice and 32% of the residents). Compared with the graduate physicians in practice, the residents worked more hours a week, had more activities at night, spent more time on administrative tasks, had a worse global appreciation of their work and felt that their work was less meaningful. In multivariate analysis, the factors associated with global satisfaction at work were autonomy and meaningful work.

Conclusions French internal medicine physicians have a high rate of career satisfaction. However, residents have a higher workload, less time for personal/family activities and feel that their work is less meaningful.

  • well-being
  • career
  • internal medicine
  • residents
  • burnout
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  • Contributors FCA, OS, HL, PhM and LM designed the study. FCA, RL, OS and LM collected the data. FCA, RL and OS conducted the statistical analysis. FC-A, RL, OS, AR, NO, ZA and LM analysed and interpreted the data. FCA, OS and LM wrote the manuscript. All authors critically reviewed and approved the final version of the manuscript.

  • Funding statement The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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