Objectives The perspective of general practitioners’ (GPs) on retirement and the factors influencing their attitude towards retirement have been previously investigated. However, while the number of GPs has been declining for many years in France, leading to the emergence of medical deserts, the impact on their patients remains to be explored. The aim of this study was to understand patients’ perceptions of their GP’s retirement.Design A semistructured interview-based qualitative study was conducted, using Interpretative Phenomenological Analysis.Setting Interviews were conducted in two general practices located in Essonne, Ile-de-France, France, between January and April 2014.Participants Thirteen women and five men, aged 21–94 years, were included in this study. Exclusion criteria were the non-declaration of the physician as the declared doctor and being under 18 years of age.Results The GP–patient relationship is a link that is built up over time, over the course of several consultations. Patients choose their GP based on qualities or skills they value. In this way, the physician chosen is unique for their patients; this choice reflects a certain loyalty to their physician. The interaction with the family sphere reinforces this relationship through the multiple links created during care. When a GP retires, this link is broken. Patients’ reactions can range from indifference to real grief.Conclusion This study confirms the importance of the link between the GPs and their patients and highlights the need to prepare patients for their GP’s retirement.

Context: General practice has been introduced recently in undergraduate medical education.Objective: To explore students' experiences and expectations about teaching general practice during the undergraduate curriculum.Method: Qualitative study, with semi-directed interviews, conducted between August and December 2015 among students completing the undergraduate curriculum. Interviews were conducted until enough data were available. After transcription, a descriptive and thematic analysis was performed.Results: Twelve students were involved in the study. Several objectives were suggested for the teaching of general practice: preparation for French pre-residency program examination, the discovery of general practice and the opportunity to fill a perceived gap in medical education. These different opinions are the results of many factors: the stressful experience of curriculum, with students' emotional tension evident in the interviews; exhaustive teaching, which is paradoxically perceived as inadequate for practice; a confused perception of general practice; an undefined place for the teaching of general practice within medical education.Conclusion: There is no theoretical teaching of general practice recognised in the second cycle. Other studies could further analyse the potential objectives to build a harmonious teaching of general practice during the undergraduate curriculum on a national scale.

Covid-19 literature follows an exponential curve similar as the pandemic. General practice is not often quoted in science. It seems that countries with a strong public health and primary care background tend to organize mass screening and selective quarantine rather than a total quarantine, with better results. This narrative review enlightened the scientific aspects of this specific method, with a selective contact tracing of asymptomatic cases that are known to be contagious, involving General practitioners.

BACKGROUND:Pregnancy is a period of transition with important physical and emotional changes. Even in uncomplicated pregnancies, these changes can affect the quality of life (QOL) of pregnant women, affecting both maternal and infant health. The objectives of this study were to describe the quality of life during uncomplicated pregnancy and to assess its associated socio-demographic, physical and psychological factors in developed countries.METHODS:A systematic review was performed according to the PRISMA guidelines. Searches were made in PubMed, EMBASE and BDSP (Public Health Database). Two independent reviewers extracted the data. Countries with a human development index over 0.7 were selected. The quality of the articles was evaluated on the basis of the STROBE criteria.RESULTS:In total, thirty-seven articles were included. While the physical component of QOL decreased throughout pregnancy, the mental component was stable and even showed an improvement during pregnancy. Main factors associated with better QOL were mean maternal age, primiparity, early gestational age, the absence of social and economic problems, having family and friends, doing physical exercise, feeling happiness at being pregnant and being optimistic. Main factors associated with poorer QOL were medically assisted reproduction, complications before or during pregnancy, obesity, nausea and vomiting, epigastralgia, back pain, smoking during the months prior to conception, a history of alcohol dependence, sleep difficulties, stress, anxiety, depression during pregnancy and sexual or domestic violence.CONCLUSIONS:Health-related quality of life refers to the subjective assessment of patients regarding the physical, mental and social dimensions of well-being. Improving the quality of life of pregnant women requires better identification of their difficulties and guidance which offers assistance whenever possible.