RESIDENTS PERCEPTIONS AND ATTITUDES TOWARD THE CARE OF PERSONS WITH AIDS IN 3 FRENCH AREAS

This study has been conducted to clarify certain issues regarding residency training with regard to acquired immunodeficiency syndrome (AIDS). The objective was to evaluate resident physicians' experiences in, and attitudes toward, the care of persons with AIDS in France, The design was a cross sectional study, using a self administered mailed questionnary to 627 residents in 3 French areas: Ile-de-France, Nord-Pas de Calais and Provence-Cote d'Azur, with a follow up of non responders. The subjects of this study were a random sample of residents in the second year of speciality medicine or family, medicine residencies (biological residents, surgeons, public health residents and research residents were excluded). The response rate was 56%. More than half of residents indicated that their training was deficient in AIDS ambulatory care and less of 40% felt competent to provide usual and primary care for AIDS patients. The social and psychosocial aspect of care seems to be the greatest difficulties for them. About the half of residents reported at least one needle stock contaminated by a patient's blood. Needle stick injuries from patients known to have HIV infection were reported by 8% of them. About 25% expressed great concern about the professional risk of HIV contamination and 24% indicated it is dangerous to provide care for AIDS patients. It appears that an important component of future education in medical residency programs should emphasize strategies to address social and psychosocial issues in the medical care of AIDS patients and to decrease the risk of needle stick injuries.