title: [Working conditions of dermatologists in Brittany (France) and demographic projection: A cross-sectional survey].
abstract: BACKGROUND
  The number of dermatologists in Brittany is currently decreasing (-4.5% from 2010 to 2014) while waiting times for medical appointments are increasing. Our objective was to evaluate the practice activities of dermatologists and to establish a 5-year demographic projection.
  
  
  METHODS
  We conducted a cross-sectional survey in Brittany (France) from November 2014 to January 2015. We also interviewed dermatology residents (incoming years: 2010 to 2015), and collected information about their hometown and their career plans in 5years.
  
  
  RESULTS
  Response rates were 98% for dermatologists and 100% for residents. Waiting times for appointments increased from 2010 to 2015 (P<0.01). Eighty-seven percent of dermatologists under 50 were women vs. 62% of dermatologists aged 50 and over (P<0.01). The proportion of dermatologists working fewer than 7 half-days per week was higher in women (33% vs. 13%, P=0.02). The number of retirements foreseen in 5years was 33 (52%) among the 63 dermatologists aged 55 and over. Among the 26 residents, 58% were planning to practice in Brittany and 42% were considering part-time work. We estimate that the number of newly graduated dermatologists exercising in Brittany in 5years will be 25.
  
  
  CONCLUSIONS
  Our results suggest that the number of dermatologists will continue to decrease by 6% between 2015 and 2020.
authors.affiliation: Service de dermatologie, CHU Pontchaillou, 2, rue Henri-le-Guilloux, 35000 Rennes, France.
authors.forename: K
authors.initials: K
authors.lastname: Luce
authors.affiliation: Service de dermatologie, CHU Pontchaillou, 2, rue Henri-le-Guilloux, 35000 Rennes, France.
authors.forename: C
authors.initials: C
authors.lastname: Saillard
authors.affiliation: Service de dermatologie, CHRU Morvan, 2, avenue Foch, 29000 Brest, France.
authors.forename: C
authors.initials: C
authors.lastname: Nizery-Guermeur
authors.affiliation: Service de dermatologie, CHRU Morvan, 2, avenue Foch, 29000 Brest, France.
authors.forename: E
authors.initials: E
authors.lastname: Brenaut
authors.affiliation: Service de pharmacologie clinique-CIC Inserm 1414, CHU Pontchaillou, 2, rue Henri-le-Guilloux, 35000 Rennes, France.
authors.forename: C
authors.initials: C
authors.lastname: Rousseau
authors.affiliation: Cabinet de dermatologie, 2, boulevard de la Tour-d'Auvergne, 35000 Rennes, France.
authors.forename: M
authors.initials: M
authors.lastname: Henry
authors.affiliation: Service de dermatologie, CHRU Morvan, 2, avenue Foch, 29000 Brest, France.
authors.forename: L
authors.initials: L
authors.lastname: Misery
authors.affiliation: Service de dermatologie, CHU Pontchaillou, 2, rue Henri-le-Guilloux, 35000 Rennes, France. Electronic address: alain.dupuy@chu-rennes.fr.
authors.forename: A
authors.initials: A
authors.lastname: Dupuy
mesh_terms: D000328:Adult; D000368:Aged; D002321:Career Choice; D003430:Cross-Sectional Studies; D003880:Dermatology; D005260:Female; D005544:Forecasting; D005602:France / Q000453:epidemiology; D058005:General Practitioners / Q000706:statistics & numerical data; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008875:Middle Aged; D010820:Physicians / Q000706:statistics & numerical data; D012179:Retirement; D011795:Surveys and Questionnaires; D000078329:Workforce
keywords: Bretagne; Brittany; Demography; Dermatologists; Dermatologues; Démographie