french medical school jessica dumez, 3th year of gp training, saint etienne member of fayr-gp (...
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Jessica DUMEZ, 3th year of GP training, SAINT ETIENNE, Member of FAYR-GP
French medical school
Jessica DUMEZ, 3th year of GP training, SAINT ETIENNEMember of FAYR-GP ( French association of young
researchers in general practice )
12/12/14
Jessica DUMEZ, 3th year of GP training, SAINT ETIENNE, Member of FAYR-GP
12/12/14
Jessica DUMEZ, 3th year of GP training, SAINT ETIENNE, Member of FAYR-GP
Faculté de médecine en France
40 medical faculties of the universities
First year end up with final competition exam that select 7500 students (elimination 80% of the students presenting the exam)
Four weeks of obligatory and non-remunerated nurse training.
2nd year of the first cycle contains mainly theoretical lectures
12/12/14
Jessica DUMEZ, 3th year of GP training, SAINT ETIENNE, Member of FAYR-GP
Faculté de médecine en France
Second cycle of medical school
Externship last 4 years with combination of theoretical and bedside teaching, with limited ward responsibilities.
It ends up with a National Competition Exam, according to its order of merit, the student chooses his university hospital (and thus its city) of assignment, and its specialty as internship
12/12/14
Jessica DUMEZ, 3th year of GP training, SAINT ETIENNE, Member of FAYR-GP
GP/FM specializationDifferences from one to another university
National schema : 6 semesters in 3 years :
Adult emergency unit / Adult medical unit /Pediatric or obstetrician unit / GP training in 3 different places + primary health care center / autonomous GP Training / one free chosen training
Night ship duties associated in each semester, up to 8 monthly ( from 6.30 pm to 9 am or 24 hours)
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Jessica DUMEZ, 3th year of GP training, SAINT ETIENNE, Member of FAYR-GP
GP trainees statute statute of a student
an autonomous professional under “senior” supervision, since it can prescribe, it can carry out replacements in liberal GP offices
Remunerated as employee of the hospital trough out the 3 years
Possibilities of exchange in between universities for 6 months
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Jessica DUMEZ, 3th year of GP training, SAINT ETIENNE, Member of FAYR-GP
theoretical requirements 120 hours of lectures
75 hours of “practice exchange group” supervised from one GP teacher
Presence in a congress or 3 days of medical lecture for GP different from school lectures as seminars
12 presentations of a case summary with singular questions & bibliography research
1 statement of case from GP training
1 statement of case from internship
1 critical reading of published medical article
1 doctor thesis presented as an article to publish
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Jessica DUMEZ, 3th year of GP training, SAINT ETIENNE, Member of FAYR-GP
What is good ?We learn how to have continuous improvement
with regular lectures and tests delivered from revues or congresses or scientific communities
We learn how to read and criticize medical articles and how to deal with “evidence based medicine”
As a new specialization recognized from the French government as a GP academic dpt, we have a bright future into GP practice and primary health care research
12/12/14
Jessica DUMEZ, 3th year of GP training, SAINT ETIENNE, Member of FAYR-GP
What is bad ?About the training : Not every GP trainer spend
more than 6 months in a GP office when it is going to be our future everyday life
About theoretical : Not much lectures about psychological statement of the patient coming for PHC or psychological health of the GP itself
Not much possibility to increase our English level for more international exchange or international publications
12/12/14
Jessica DUMEZ, 3th year of GP training, SAINT ETIENNE, Member of FAYR-GP
a GP day 10 to 20 min spent with each patient
Optionally having a secretary
we recognize the patient trough their personal card with health insurance number
A lot of papers (prescriptions towards officinal, physical therapists, nurse, work day off , etc)
Payment for each visit from the patient itself (mixed reimbursements)
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Jessica DUMEZ, 3th year of GP training, SAINT ETIENNE, Member of FAYR-GP
a GP day 90 000 GP in 2014 (still decreasing ….)
Urban, half rural, rural activity
20 patients daily at the office + 1 or 2 home visits
Activities in elderly nursery house , pediatric patients, gynecologic obstetric, chronic diseases
Activities as teacher at medical school, lectures, “practice exchange group”, 1 teacher / 100 students (lack !!)
12/12/14
Jessica DUMEZ, 3th year of GP training, SAINT ETIENNE, Member of FAYR-GP
THANK YOU for your attentionFor more questions :
12/12/14