The measure will be made by the government as part of the social security financing bill, announced François Braun and Sylvie Retailleau on Sunday. If the ministers evoke an encouragement to exercise in the “Sous-dense” zone, the unions fear an obligation.
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This is an inflammable measure. It has also aroused strong reactions, in the circles of interns and general practitioners, even before we know the contours. “The government will propose to the Parliament in the social security financing bill for 2023 [which must be presented to the Council of Ministers, Monday September 26] The addition of a fourth year to the Diploma of Specialized Medicine Studies general, “announced the Ministers of Health and Higher Education, François Braun and Sylvie Retailleau, by press release Sunday, September 25.
The extension of one year of interior studies in general medicine will have to be done by “encouraging” – this is the word selected in this common message – the installation in the territories “less provided” in doctors. In other words, in “medical deserts”, according to the somewhat overused formula; The “under-dense areas”, prefer to say practitioners.
A red cloth? All weekend, social networks saw the reactions flower, after the Sunday day, Friday September 24, then AFP, Saturday 25, deflowered the project. “The addition of this consolidation phase to the diploma of specialized studies of general medicine, which would be exercised exclusively in outpatient practice [in other words, in the city], would aim to complete the training, thus aligned with other specialized studies diplomas “, Justify the two ministers in a mission letter that Le Monde was able to consult. This ends the doctors, young and old, comes after: “Given the medical demography and the distribution of professionals on the territory, this year of consolidation will be intended to take place in priority in the sub-dense zone”, write -Tre.
send a “massive reinforcement”
The idea is actually not entirely new: it was among the campaign commitments of candidate Macron, who mentioned, in the spring, the possibility of establishing this fourth year of boarding school, average ” Others “to send” massive reinforcement in medical deserts “. It has also been agitated by other presidential candidates, right and left. The reform of the third cycle of medicine studies, in 2017, created a single “diploma of specialized studies” in four years, but general medicine had, until now, a status derogating from the year of consolidation .
CAP change? The objective put forward by the government, at this stage, and the speed of construction of the measure, for an entry into force at the start of the academic year 2023 – but an effective declination probably in the fall of 2026 or 2027 -, shakes up the Profession.
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