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Publications

Journal Article Ahead of print

PubMed: 40187984 DOI: 10.1016/j.encep.2025.01.006

New cross-disciplinary sleep medicine residency in France: Results after five years.

Encephale

Authors: Julie Garrivet, Alix Romier, Isabelle Arnulf, Émilie Bequignon, Georges Bettega, Plamen Bokov, Sylvie Bonin-Guillaume, Patrice Bourgin, Xavier Dufour, Yolande Esquirol, Patricia Franco, Rodrigue Garcia, Kiyoka Kinugawa, Claire Launois, Damien Leger, Benoît Lequeux, Jean-Claude Meurice, Jean-Arthur Micoulaud-Franchi, Pierre Philip, Marie Pia d'Ortho, Thomas Schouman, Carmen Schröder, Wojciech Trzepizur, Pierre A Geoffroy

Affiliations

  • Département de Psychiatrie et Addictologie, CHU d'Angers, Angers, France; Service de Médecine Respiratoire et du Sommeil, CHU d'Angers, Angers, France; Inserm, CNRS, MITOVASC, Université d'Angers, Angers, France.
  • Département de Psychiatrie et Addictologie, Hôpital Bichat - Claude-Bernard, AP-HP, Paris, France; Centre ChronoS, GHU Paris Nord, DMU Neurosciences, Secteur G22, Hôpital Bichat - Claude Bernard, Paris, France.
  • Clinique des troubles du sommeil, Service R3S, Hôpital de la Pitié-Salpêtrière, AP-HP-Sorbonne, Paris, France; Université de la Sorbonne, Paris, France; Institut du Cerveau - Paris Brain Institute - ICM, Inserm, CNRS, Paris, France.
  • Service d'ORL et chirurgie cervico-faciale, Centre Hospitalier Intercommunal de Créteil, Créteil, France; CNRS EMR 7000, Créteil, France; Inserm, IMRB, Faculté de Santé, Université Paris Est Créteil, Créteil, France.
  • Service de chirurgie maxillo-faciale, Hôpital Annecy Genevois, Annecy, France.
  • Service de Physiologie Pédiatrique-Centre du Sommeil, Université de Paris-Cité, Hôpital Robert-Debré, AP-HP, CRMR Maladies respiratoires rares - Hypoventilations alvéolaires rares - Syndrome d'Ondine, Paris, France.
  • Service de médecine interne gériatrie, Hôpitaux Universitaires de Marseille, Marseille, France.
  • Service de médecine interne gériatrie, Hôpitaux Universitaires de Marseille, Marseille, France; CNRS UPR 3212, Institut des Neurosciences Cellulaires et Intégratives, 67000 Strasbourg, France.
  • Service d'ORL, de Chirurgie Cervico-Faciale et d'Audiophonologie - CHU de Poitiers - Laboratoire Inflammation, Tissus Epithéliaux et Cytokines, LITEC UR 15560 - Université de Poitiers, Poitiers, France.
  • UMR1295, Université Paul Sabatier III - INSERM CERPOP : Centre d'épidémiologie et de recherche sur la santé des populations, Toulouse, Service de santé au travail, CHU de Toulouse, Toulouse, France.
  • Service d'Épileptologie Clinique, des Troubles du Sommeil et de Neurologie Fonctionnelle de l'Enfant, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France; U1028, CNRL, Université de Lyon 1, Lyon, France.
  • Service de cardiologie, Hôpital Universitaire de Poitiers, Poitiers, France.
  • Sorbonne Université, CNRS-SU, UMR Adaptation biologique et vieillissement, 75252 Paris, France; Unité d'exploration fonctionnelle du sujet âgé, AP-HP, Hôpital Charles-Foix, 94200 Ivry-sur-Seine, France.
  • Service des maladies respiratoires, CHU de Reims, Reims, France Université de Reims Champagne-Ardenne (URCA), Inserm UMR-S 1250, SFR Cap-Santé, Reims, France.
  • Université Paris Cité, VIFASOM (Vigilance, Fatigue, Sleep and Public Health), ERC 7330, AP-HP, Hôtel-Dieu, Centre du Sommeil et de la Vigilance, 1, place Parvis-Notre-Dame, 75004 Paris, France.
  • Service de pneumologie, CHU de Poitiers, Faculté de médecine et de pharmacie, Université de Poitiers, Poitiers, France.
  • Unité de médecine du sommeil, UMR CNRS 6033 SANPSY, CHU de Bordeaux, 33076 Bordeaux, France.
  • Département de Physiologie-Explorations fonctionnelles-Centre du Sommeil, Hôpital Bichat-Claude-Bernard, AP-HP, 75018, Paris, France; Université Paris Cité, NeuroDiderot, Inserm, 75019 Paris, France.
  • Sorbonne Université, AP-HP, Hôpital Pitié-Salpêtrière, Service de chirurgie maxillo-faciale et stomatologie, Paris, France; Arts et Métiers - Institute of Technology, Paris, France.
  • Centre des troubles du sommeil - CIRCOM (Centre international de recherche en chrono-somnologie), CHRU Strasbourg - Hôpital Civil, Strasbourg, France; CNRS UPR 3212, Institut des Neurosciences Cellulaires et Intégratives, 67000 Strasbourg, France; Département de psychiatrie de l'enfant et de l'adolescent, Hôpitaux universitaires de Strasbourg, Strasbourg, France.
  • Service de Médecine Respiratoire et du Sommeil, CHU d'Angers, Angers, France; Inserm, CNRS, MITOVASC, Université d'Angers, Angers, France.
  • Département de Psychiatrie et Addictologie, Hôpital Bichat - Claude-Bernard, AP-HP, Paris, France; CNRS UPR 3212, Institut des Neurosciences Cellulaires et Intégratives, 67000 Strasbourg, France; Université Paris Cité, NeuroDiderot, Inserm, 75019 Paris, France; Centre ChronoS, GHU Paris Nord, DMU Neurosciences, Secteur G22, Hôpital Bichat - Claude Bernard, Paris, France.

Abstract

The new cross-disciplinary sleep medicine residency program (SMR) was created in 2017 in France and effectively implemented beginning in 2019. This first French specific sleep medicine residency program aims to train specialists in sleep medicine by complementing the knowledge from their original Specialized Studies Diplomas (SSD). The SMR lasts one year, offering comprehensive theoretical cross-disciplinary training and two practical internships of six months each. This study, based on a standardized questionnaire, aims to provide an initial assessment of this training and its impact on the professional careers of physicians who completed the SMR, five years after its implementation. The 42 participants in this study, with an average age of 30.3 years, primarily came from Paris (21.4%) and Strasbourg (16.7%), followed by Bordeaux, Dijon, Lille, and Marseille (7.1%), Besançon, Caen, and Toulouse (4.8%), and Angers, Grenoble, Lyon, Martinique, Montpellier, Nancy, Poitiers, and Reims (2.4%). Psychiatry and pulmonology were the most represented specialties among nine specialties, with the other seven being general medicine, neurology, geriatrics, otolaryngology, cardiology, occupational medicine, and public health. Regarding practical training, combined internships (paired with SSD internship) and internships outside the subdivision were popular, highlighting the importance of diversified training. The majority of participants (76.2%) had defended their medical thesis, with 66.7% of them related to sleep medicine. Additionally, 52.4% worked in a sleep center, and 81% had activities related to sleep medicine. For participants who did not have a permanent position (residents, junior doctors, chief residents, assistants), 72.5% considered a hospital career, and 45% considered an academic career. Regarding research trajectories, 69% of participants had already published at least one scientific article, and 38.1% held or were enrolled in a master's degree in research. The survey revealed a high level of satisfaction among participants (97.6%). In conclusion, the SMR is perceived as enriching and has a direct impact on the academic and professional career paths of its participants. These results highlight the significant role of this new innovating transversal training in the development of sleep medicine in France.

MeSH

Psychosomatic Medicine, Sleep, Psychopharmacology, Research, Neurology, Psychiatry