The government takes action on the training of general practitioners

Posted Nov 8, 2022, 5:35 PMUpdated Nov. 8, 2022, 6:28 p.m.

Prospective GP students should have more choices than expected for on-the-job training. The government intends to allow them to carry out, “exceptionally”, an internship “in a hospital environment” as part of the fourth year of specialization in general medicine which it is about to create despite protests.

“I listened to the student representatives who told me: ‘We still have very particular paths with people who do general medicine but who want to go on public health, on things like that'”, explained the Minister of Health, François Braun, invited by the Association of Social Information Journalists (Ajis) on Tuesday.

Concretely, the executive has tabled an amendment to the Social Security draft budget, under discussion in the Senate this week, which plans to create this new year of training for general practitioners to bring their studies into line with those planned for other specialties.

Priority to medical deserts

This new postgraduate year should familiarize students with city medicine and thus encourage them to settle in when they leave their studies. Pressed to respond to the problem of medical deserts, the government also proposed that these courses carried out “exclusively in outpatient practice” be offered “as a priority in areas where the medical demography is under-dense”.

What arouse protests in the camp of interns, worried about being able to do their internship where they want and close to their family. The National Intersyndicale des Interns (Isni) called for demonstrations on November 17 to “say no to coercion”. She continues to ask for the withdrawal of the fourth year of the bill but the fact that this year “is not done only on an outpatient basis” is one of her requests to “truly respond to professional projects”, recognizes its president, Olivia Fraigneau. .

“The objective is not for hospitals to aspire these general medicine doctors, it is first and foremost an outpatient exercise”, insisted François Braun on Tuesday. “This remains exceptional, depending on the opinion of the coordinator of the specialty, it remains the possibility of not doing the two internships [NDLR de six mois] on an outpatient basis”.

From the start of the 2023 school year

The amendment specifies that students will notably be able to complete an internship “within local hospitals, hospitals, centers for the fight against cancer or follow-up and rehabilitation care”. The government had shortened the debates in the Assembly on the Social Security budget by resorting to article 49.3 but had already revised its copy on the fourth year to respond to the concerns of deputies on the supervision of internships and the remuneration of students. .

To specify the “conditions for success” of the reform supposed to apply from the start of the 2023 academic year, the government has also entrusted a mission to medical professors. Its conclusions are expected by the end of the year.

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