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ThursdayJuly 2nd11:30 - 12:30252 A

Attitudes and Expectations on practice-based Digitisation of Young XXX Primary Care Workforce: Reflections from a Survey Development

Hanno ULLRICH

Attracting and retaining young professionals is a key challenge for primary care in Germany and across Europe. While numerous studies address digitisation, workload, and professional satisfaction, they mainly focus on established or older General Practitioners (GPs). The perspectives of young general practitioners and practice staff remain largely unexplored. Understanding their expectations, concerns, and experiences is essential to shape the future of family medicine.Within the German network of the German Society of General Practice and Family Medicine, we as early career researchers initiated a collaborative project to develop a national survey on the experiences and visions of young professionals for digitisation of general practice. We conducted a scoping literature review, identified key themes, and examined prior surveys mainly conducted among older GPs. The questionnaire was iteratively developed using cognitive testing, expert consultations, a focus-group workshop and input from open-access large language models (LLMs). Challenges included balancing scientific rigour with practical feasibility, defining “young general practice” as a target group, and ensuring inter-professional inclusivity across different professions including physicians, medical assistants, and physician assistants.This initiative is among the first in Germany to systematically examine the perspectives of the next generation of primary care professionals regarding digitisation. Unlike prior studies, it emphasises early-career voices and their expectations for digital tools in practice.Collaborative work among early-career researchers helped navigate conceptual and methodological challenges. Capturing young professionals’ diverse attitudes – whether enthusiastic or cautious – is crucial for informing digital tool implementation, workflow design, and workforce planning in primary care.Engaging young professionals early may reveal insights that differ from older practitioners’ perspectives, highlighting opportunities, concerns, and barriers in digital adoption. Reflection on the development process can guide future initiatives, support inter-professional collaboration, and identify priorities for training, policy, and practice transformation.Reflecting on survey development shows the value of engaging young professionals in shaping research agendas and workforce strategies. Understanding their perspectives on digitisation is key to designing primary care practices that are motivating, sustainable, and capable of delivering high-quality patient care.

Challenges and Opportunities in Supervising EU-Trained General Practice Residents: A Qualitative Exploration

Delphine RUBÉ

In France, an increasing number of general practice residents completed their second cycle of medical studies in another European Union country before entering residency. This situation affects both learners adapting to a new healthcare and training environment, and general practice supervisors (MSUs) responsible for accompanying them. Understanding the experiences, difficulties, and strengths perceived by both groups is essential to improving integration and training quality. To explore the experiences of EU-trained general practice residents and the supervisors hosting them in the Centre-Val de Loire region, and to identify barriers, facilitators, and improvement strategies supporting successful integration.

From symptom to precise diagnosis: the utility of echocardiography in transforming cardiovascular practice within primary care.

Daniela SILVA CHACON

Echocardiography is a diagnostic tool increasingly used in European primary care to assess symptomatic patients with suspected cardiovascular disease. However, real-world evidence regarding its clinical impact is limited. To evaluate the clinical usefulness and impact of echocardiography on case management in primary care, describing indications, main findings, and resulting clinical actions.

Reproductive challenges and gender inequities during medical training: a national study among Tunisian medical trainees

Maryam HAJJI

Medical training overlaps with peak reproductive years and is characterized by heavy workload, unpredictable schedules, and limited institutional support. These constraints may interfere with medical trainees’ ability to pursue a parental project (PP).This study aimed to (1) assess gender differences in perceptions of PP feasibility, (2) describe reproductive health challenges and pregnancy-related experiences among medical trainees, and (3) identify gender-specific predictors of perceived PP difficultyA national cross-sectional survey was conducted between July and December 2024 among interns and residents from the four medical faculties in Tunisia. An anonymous online questionnaire collected sociodemographic data, reproductive history, perceived barriers to PP, work-related quality of life (WRQoL), and job satisfaction (PJS). Gender-based comparisons were performed using appropriate statistical tests. Predictors of perceived PP difficulty were explored through multivariate logistic regression.Among the 1,230 respondents, 68% were women. More than half of married female trainees (53%) had experienced at least one pregnancy during training, frequently complicated by preterm labor (31%), hypertensive disorders, or early pregnancy losses. Dissatisfaction with maternity leave duration was reported by 51.7%. Perceived PP difficulty was significantly higher among women (57%) than men (36%) (p < 0.001). Gender disparities were also noted in perceived obstacles: women frequently cited academic penalties, stigma related to pregnancy, and insufficient support from supervisors or institutions, whereas men more often referred to financial and organizational barriers.Findings highlight substantial reproductive challenges among medical trainees, particularly women, who face both biological and structural disadvantages. High rates of pregnancy complications and dissatisfaction with maternity leave suggest insufficient adaptation of working conditions to reproductive needs. Persistent stigma and fear of academic repercussions further reinforce gender inequities.Medical training in Tunisia is associated with considerable gender-specific constraints affecting reproductive health and PP feasibility. Implementing gender-responsive measures—including protected rotations, extended maternity leave, supportive supervision, and anti-stigma policies—is critical to promoting equity and enabling trainees to reconcile medical training with reproductive choices.

Determinants of Health Information Fidelity: The Role of Health Locus of Control in Rental-Flat Seniors

Zi Xuan NG

Preventive care engagement in Singapore remains uneven despite extensive national efforts to promote screening and early intervention. In 2023, over 40% of eligible seniors falling short of screening recommendations, reflecting persistent uptake gaps even within a well-resourced primary care system. Health perceptions, specifically Health locus of control (HLOC) - beliefs on forces shaping one’s health and the value placed on health, can influence how effectively individuals navigate health systems. Information fidelity, defined here as accurate recall of health programme information and correct understanding of required procedures, represents an essential but understudied mechanism linking health beliefs to actual engagement. However, the interaction between HLOC domains and information processing capacities in Asian older adults, particularly those experiencing socioeconomic vulnerability, has not been clearly delineated.This study evaluates associations between HLOC dimensions and health-programme information fidelity among older residents of public rental housing.A cross-sectional survey was carried out among Toa Payoh rental-flat residents in 2025. Participants completed Multidimensional HLOC-adapted questionnaires (Likert 1-5 scales) on 3 domains: Internal control, external control and health prioritization. Information fidelity was assessed across 2 components: declarative recall and procedural understanding, each coded on a binary scale. Linear regression models evaluated associations between HLOC dimensions and information fidelity as continuous variables, adjusting for age, gender and Community Health Assist Scheme (CHAS) card status. Significance was set at p<0.05.Of 116 participants (50.9% female; mean age 64.0±10.8; 72.4% CHAS Blue), external HLOC (mean=2.79±0.71) showed no significant association with declarative (p=0.268) or procedural information (p=0.970). Internal HLOC (mean=3.75±0.46) correlated positively with declarative information only (β=0.193,p=0.025). Unexpectedly, stronger health prioritisation beliefs (mean=3.25±0.46) were negatively associated with procedural understanding (β=-0.156,p=0.041).Findings suggest strong internal control beliefs or stated health prioritisation do not reliably translate into accurate health programme understanding. The observed intention-behaviour gaps may reflect structural, cognitive or contextual barriers which can interfere with information processing in preventative efforts.Thus, integrating patient-empowerment approaches with simplified and consistent communication strategies within primary care may support more equitable personalised care provision.

Evaluation of family medicine residency training in xxx: perspectives of academicians, specialists, and residents”

Şevval Dilan YAĞMUR

Family medicine (FM) constitutes the backbone of primary health care systems and requires residency training programs that are responsive to changing population needs and health system demands.In XXX, major regulatory reforms over the past decade have reshaped FM residency training, including the balance between hospital and community-based training, elective rotations, and contracted residency pathways. However, contemporary stakeholder-informed evaluations remain scarce. This study aims to assess the current status of FM residency training in XXX and to develop evidence-based recommendations.This is an ongoing cross-sectional quantitative study conducted among family medicine academics, specialists, and residents in XXX, XXX. A structured questionnaire developed by the research team collects sociodemographic data and participants’ views on training duration, rotations, field training, additional practice areas, and career expectations. The planned sample size is 275 participants. The results presented here reflect an interim analysis based on data from the first 90 respondents. Descriptive and inferential statistical analyses are being performed with a significance level of p<0.05.Interim findings indicate that most participants consider the current 3-year training model (18 months hospital rotations and 18 months field training) appropriate in structure; however, satisfaction with the quality of theoretical and practical training, particularly among full-time residents, is moderate. There is strong demand for additional rotations in ophthalmology, otorhinolaryngology, geriatrics, orthopedics and traumatology, child and adolescent psychiatry, and radiology. Participants also emphasize the need to strengthen structured field practice in obesity, hypertension, diabetes, chronic wound care, and geriatric care. Furthermore, 74.0% support the development of structured post-residency subspecialty programs, especially in geriatrics, public health, and sports medicine. Approximately one quarter report considering training in another specialty, mainly due to perceived limitations in training quality and employment conditions.Preliminary results suggest that, while FM residency training in XXX is generally perceived as adequate, important areas for improvement exist, particularly in educational quality, standardization of rotations, and reinforcement of community-based training. The study is ongoing, and final analyses based on the complete sample will be presented at the congress.These findings are expected to provide robust evidence to inform curriculum development and policy decisions aligned with European training standards.

Parents’ knowledge, attitudes and practices regarding nasal irrigation in infants: a cross-sectional study in primary care

Linda BELMELIANI

Nasal irrigation is a first-line recommended intervention for upper respiratory tract infections in infants. In daily practice, this care is mainly performed by parents at home, often without direct supervision. Despite its frequent recommendation in primary care, little is known in France about parents’ knowledge, attitudes and practices (KAP) regarding nasal irrigation and the difficulties they experience when performing this procedure.To describe parents’ knowledge, attitudes and practices regarding nasal irrigation in infants, and to identify factors associated with the perceived difficulty of this procedure.We conducted a quantitative cross-sectional descriptive study among parents of infants aged 2 to 6 months. Participants were recruited in a maternity ward in the Paris metropolitan area between October and December 2024. Data were collected using a structured questionnaire exploring parental practices, sources of information, perceived difficulty (rated on a 1–10 scale), and the child’s behaviour during nasal irrigation. Descriptive and bivariate analyses were performed using non-parametric statistical tests.A total of 120 parents completed the questionnaire. Most participants reported using saline solution for nasal irrigation and demonstrated good theoretical knowledge of recommended practices. However, 71.7% of parents reported significant infant agitation during the procedure. Infant agitation was significantly associated with higher perceived difficulty (median score 4 vs 2; p < 0.001). Parents benefiting from follow-up by primary care professionals within maternal and child health services (PMI) reported a trend toward lower perceived difficulty, although this difference did not reach statistical significance. Educational videos were frequently used as a source of information, regardless of parental educational level.Although parental knowledge regarding nasal irrigation appears satisfactory, the procedure remains emotionally challenging for many families. Infant agitation strongly influences parents’ perception of difficulty and may affect adherence to recommended practices. The widespread use of heterogeneous online educational resources highlights the need for validated and standardized educational tools.Nasal irrigation in infants, while simple, is frequently experienced as difficult by parents in primary care. Standardized parental education involving general practitioners and maternal and child health professionals could improve parents’ confidence and promote safer practices. Developing educational resources tailored to primary care may strengthen preventive care and partnerships.