• Emile Escourrou, Marion Bergeaut, Laetitia Gimenez, Igor Durliat, André Stillmunkés, Stéphane Oustric, and Julie Dupouy.
• Département Universitaire de Médecine Générale, Faculté de Médecine Rangueil - Université Paul Sabatier Toulouse III, Toulouse, France.
• Fam Med. 2020 May 1; 52 (5): 339-345.

Background And ObjectivesFor residents, uncertainty can be a source of motivation, interest, and stimulation, but it can also cause fear and anxiety that can lead to burn-out. Considering the prevalence of uncertainty in family medicine and the potential reactions from residents, reactions to uncertainty constitute an important research topic. This study sought to measure the evolution of reactions to uncertainty of family medicine residents in their first and second year, during a 6-month clinical rotation in a family physician's office.MethodsThis study utilized a prospective epidemiological cohort design of first- and second-year family medicine residents during a 6-month clinical rotation in a family physician's office during the 2018-2019 academic year. Data were collected at the beginning and end of the clinical rotation for the entire student population using the Physicians' Reactions to Uncertainty (PRU) questionnaire.ResultsOne hundred-two respondents were matched at the end of the clinical rotation and were included in the analysis. At baseline, there were no significant differences between first- and second-year residents in each dimension of the PRU. Anxiety due to uncertainty decreased significantly in residents of both years. Concern about bad outcomes decreased, but not significantly, in both years. Reluctance to disclose uncertainty to patients decreased in first-year residents.ConclusionsDuring a 6-month clinical rotation, anxiety due to uncertainty decreased in first- and second-year residents. The frequency and the type of uncertain situations residents encountered could be investigated in future studies to better understand residents' reactions to uncertainty.

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