The phenomenon is still marginal, it is nonetheless disturbing. Eight internal general medicine affected in hospitals in Ile-de-France were excluded from their service for incompetence. And were asked to follow a standard six-month refresher course, as revealed by The doctor's Daily, mid-January. It's a first.
Six of them, three French who studied in Romania and three Romanians who began their studies in their country, had chosen to make their first six-month internship in Villeneuve-Saint-Georges hospital (Val-de- Marl). "They arrived in November, three were affected by respiratory, other three in gastroenterology says Didier Hoeltgen, director of the hospital. Very quickly, the managers and hospital practitioners we have traced their difficulties. "
In a glaring lack of practice was added to Romanian students, an insufficient level of French. "Now I can not afford to have inefficient medical staff. It's also a safety issue. "These students were also common as to occupy the last places - between 8 and 8 688th 876th out of 8881 - the national ranking exams (ECN), the review that allows any medical student who validated a second course of study to do his internship.
"These are European students"
All it took was three weeks for these young interns are exfiltrated and reassigned in internal medicine departments of hospitals of the AP-HP - Lariboisière, Bicetre, Tenon, Georges Pompidou ... "They are redundant for a paid internship but not validating for their internship, "explains Professor Philippe Jaury. These eight students would be only the tip of the iceberg. The coordinator of the graduate specialized study (DES) in general medicine struggles to hide his anger: "In September 2014, we had already identified this problem. We received the ministry of health and ministry of higher education, but they said: "We can not do anything, they are European students!" "
"This is the first time a hospital takes such a decision but it is a phenomenon that is denounced for years and which is likely to worsen," responds his side Jean-Pierre Vinel, former president of the Conference of deans, newly elected president of the University Toulouse III-Paul Sabatier. Indeed, the peculiarity of the French system is to be more welcoming to international students and French who make their medical studies abroad. Some countries require, instead, a language test like Germany or impose a contest to integrate the boarding, like Romania, for example.
The Ministry of Health, the European provisions recalled: any student from a member country of the European Union engaged in medical studies that validated his graduate can enroll in graduate school in another member country of the Union. In August 2011, a decree had forbidden access to ECN for students who have not successfully integrated medical studies after the first year common to health studies (Paces). One way to close the door, in fact, to all students who were pursuing their studies abroad. But the Council of State annulled the decree.
Refresher course
The ECN is specific in that it is not a competition but an exam where each student is classified ... even if he has made white copy. "It will be good but last will be internal and will have a place in a hospital," growls Philippe Jaury. In 2014, 250 candidates of the European Union who have followed their studies outside France spent the ECN. In 2015, they were 350, 50% of Romanians.
This episode also brings to light the flaws of supply restrictions.
"Today it is possible to bypass the Paces by an entry in another European university giving the right to return at the ECN, which in the absence of eliminatory mark, is entitled to exercise the internal responsibility" says Jean-Luc Dubois-Randé, dean of the University Paris-Est-Créteil. One solution would be to establish a pass mark to the ECN.
She favors from medical school deans. But student unions are fiercely opposed. And what note choose? Another would be to submit a review graduation of the 2nd cycle with an oral all students would be required to validate before moving ECN. Finally, the reform of the 3rd cycle, which comes into effect at the 2017 school year, should also provide a foundation year at the beginning of internship to ensure that every student has the skills to pursue their specialization.
Read the forum: "The Numerus clausus in medical studies is inadequate filter"
Meanwhile, they will question the eight internal to the height at the end of their refresher course in April? Nothing is less sure. "My house is Romanian. It is full of good will and humility but its level is very low. I sent follow the course of the second year of medical semiotics, "said Jean-Francois Bergmann, head of internal medicine at Lariboisière. At Bicetre Hospital, Professor Cécile Goujard is, too, quite pessimistic. "It is a French student trained in Romania. We resumed coaching like he was in 3rd or 4th year. He has no responsibility. "
A Tenon Hospital, Prof. Gilles Grateau is more confident. "It is very hard working. It returns to the level it should be good and at the end of the course. He was given little responsibility but has adequate training of knowledge perspective. His problem is that it has limited clinical experience than students trained in France and who are facing the sick by the third year. "
No comments:
Post a Comment