health studies in france

UFR SCIENCES DE LA SANTEUFR SCIENCES DE LA SANTE

Health studies in France

Dr J. RoussiUFR Sciences de la SantéParis Ile de France Ouest

Université Versailles St Quentin

Tirana 2012; Dr J. Roussi

UFR SCIENCES DE LA SANTEUFR SCIENCES DE LA SANTEUFR SCIENCES DE LA SANTEUFR SCIENCES DE LA SANTELMD: license-master-doctorat European Undergraduate-Graduate-Post Graduate


UFR SCIENCES DE LA SANTEUFR SCIENCES DE LA SANTEUFR SCIENCES DE LA SANTEUFR SCIENCES DE LA SANTE

3

S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 S11CSCT

S12

PACES exP1 L2 exP2 L3 exD1 M1 exD2 M2 ex2D3 D4

LICENCE 1, 2, 3(Bachelor)

MASTER IN SCIENCES OF HEALTH

Bachelor and Master in Health Sciences can lead to occupations related to Biotechnology Research and Biotechnology

ECNnational classifyingexam

DOCTORATE3rd cycle. DES

3-4 years

Medical school: licence + master + doctorate

MINIMUM 9 YEARSTirana 2012; Dr J. Roussi


PACES: 1st common year in studies of health

• Since September 2010, 1st Year: common to the – Medical studies, – Odontology– Pharmaceutical studies– Midwife (maieutic)

• UFR PIFO: possibilities of inserting the trainings of kinesitherapy, ergotherapy, psychomotricity, L2 sciences

• Education on 2 semesters : – During semester 1 and beginning of semester 2 : Same program for all

the students – 2nd part of semester 2: Different teaching units (EU) specific for

medecine, pharmacy, maieutic, odontology• Every student must be able to present the 4 examinations • Reorientation for the last 20 %



PACES: teaching content

• Semester 1– EU1 (Teaching unit): Chemistry-biochemistry. 10 European

Credits Transfer System ECTS– EU2: Cell Biology and Histo-embryology. 10 ECTS – EU3: Physics – Biophysics - Physiology. 6 ECTS – EU4: Biostatistics. 4 ECTS

• Semester 2 – EU4: Physiology. 4 ECTS – EU5: Anatomy. 4 ECTS – EU6: Sciences of drug. 4 ECTS– EU7: Health, society, humanity. 8 ECTS – EU specific: 10 ECTS



PACES: Registration and numerus clausus 2012

• 2011• Registered 855 S1, S2 Registered -8%• 687 Entries in competition of Medicine: 150 places• 232 Entries in competition dentistry: 14 places• 563 Entries in competition Pharmacy: 44 places• 186 Entries in competition midwife: 18 places


UFR SCIENCES DE LA SANTEUFR SCIENCES DE LA SANTESelection PACES-MedicineNumber of undergraduates

0

100

200

300

400

500

600

700

800

900

1000

2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013

L1

L2

L3

PACES……..L2: percentage of success 14%



L2 and L3 license: Education

• 3 EU biology and social sciences and humanities. 14 ECTS

• 1 EU general semiology: 2 ECTS• 13 EU integrated education: 84 ECTS

– biochemistry, histo-embryology,– anatomy, physiology semiology medical, surgical and

radiation, for each organ

• Training stages in hospital. 20 ECTS = 400h• Optional: EU research 60 ECTS



License: Features of L2 and L3

• 1 ECTS = 8h of lectures– English

• upgrade L2

– English medical L3

• Dissections• Critical Reading of Article (LCA)• Emergency (AFGSU) • Shared teaching with midwife



2nd cycle: M1 = D2, M2=D3, D4

• Educational theory:– conferences, lectures tutorials, seminars– 13 transversal modules learning medical practice, from

conception to birth, etc.• Hospital internships paid• Validation theoretical• 36 months of training including 1 course in internal

medicine (general practitioner)• 36 guards



Clerkship organisation in PIFO

• Training stages consisting of rotations through different hospitals. • 60 depatments of a teaching hospital• L2:

– Training learning nursing actions– Training learning semiology– respectively three weeks full time.

• L3– 2 training stages of semiology (3 weeks full-time).

• D2D3D4– medical students paid– Four annual trainings, including integrated courses

• Evaluation of training stages by students– L2D1: since 2004– L2D3D4: since 1997



A. Paré

St Cloud

Poincaré

Sèvres

Foch

Ste Perine



A. Mignot

St Germain

Poissy

Clinique Porte VerteTirana 2012; Dr J. Roussi

UFR SCIENCES DE LA SANTEUFR SCIENCES DE LA SANTEExemple2012-2013 CH AMBROISE PARE

Total: 492 students

19 departments


Clerkship in general medecine

• In town• Mandatory in D3, introduced in 2010• Total time: 60 half-days• Teacher training course by the Department of

Internal (general) Medicine• USER:

– 3 doctors tutors / student– 2 students / user

• Assessment made by the Department of Internal (general) Medicine



Training stage in medico-social group

• New experience September 2011:• Two students D3-D4• Training stage in GERONDICAP, medico-social Group,

in association with the Department of Geriatrics, CH La Verrière

• Supports structured around work with social workers teachers, educators, instructors workshop, psychologists, psychomotor

• Activity classic geriatric hospital



Training stage in pharmaceutics group

• New experience September 2011.• Two students D3-D4• Sanofi, Aventis, PARIS. Service Scientific Affairs.• Courses in the following units:

– Medical Information, Pharmacovigilance,– Clinical Operations, Research and Development Centre

• Evaluation by two first students in 2011: very favorable



Free training stage for D4

• Courses selected high clinical training and research– Subsidized internships– 6 weeks abroad– Selected services– Selected students: the best in D3– Total 10 000 €– 2009-2012: 5 students /year D4

• SWITZERLAND• BRAZIL• USA ...

• Internships volunteers abroad• 2012-2013: 30 students



Training stage and teaching evaluation

• Evaluation by the students of the quality of teacher– carried out during the teaching and training,– Creating an emulation learning.– Improving the educational content of education.

• Evaluation by the students of the clinical training stage



6,0

8,0

10,0

12,0

14,0

16,0

18,0

20,0

MARC

HAND

ESTO

URNE

TEL

KHAR

RAT

DUBO

URG

BORD

E-CRA

MER

LEPA

RC

HEINZ

LEFF

WELK

ER

DELA

HOUS

SE

CHAU

VIN

CERF

THEO

DORE

ROUV

EIX

LIVAR

EK

ROGE

R

VEYS

SIER

BELO

TST

ERN

GOUP

IL

GRAV

ELEA

U CH

INET

MATT

HIEU

ROUG

IERPE

RRON

NE

SAYA

G

CORD

IER

TEILL

ET

LE QU

INTRE

C

ANNA

NE

HARD

Y-BAY

LE

AZOU

VI

VEYS

SIER

BELO

TBL

ETRY

JORD

Y

CAST

AIGNE

FL

ETCH

ER

CASS

OU

BERE

SSI

GERM

AIN

BAUD

OIN

RAFF

IN-SA

NSON

PIC

O

FISCH

LER

VIEILL

ARD-

BARO

N OU

TIN

LAMB

ERT

BAGL

IN

VALL

EE

LACO

MBE

SCHE

RRER

DO

LL

TEILL

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GRED

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LAN

DURIG

ON

FREY

BEDO

S AQ

UINO

ROUS

SI

RODE

SCH

AMEIL

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MOLH

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mean14,2 ± 2,1

Exhaustivity: L2 95%, L3D3-4: 80%



Training stage evaluation L2-3, D3-4: 2004-2010

Exhaustivity: L2 95%, L3D3-4: 80%

Name of head of department


PIFO: ECN Results

0%

5%

10%

15%

20%

25%

30%

35%

1-1000 1000-2000 2000-3000 3000-4000 4000-5000 5000-6000 >6000

Ranking

Stud

ents

% 2009 n=115

2010 n=124

2011 n=139

2012 n=133

2012: 32% in the first 2000



ECN PARIS 2012: positions for speciality and rank classification

0

100

200

300

400

500

600

medec

ine

Médec

ine

Labour m

edec

ine

Public

health

Surge

ry

Biology

Psych

iatry

Obstetri

cs

Gynec

ology

Pediat

rics

Anesth

esia

Num

ber

of p

ositi

ons

7464: maximal ranking

4560

7633 5294

2942

5060

6473

2563

1737

27502803

Internal Medicine: 19 posts, ranking 522 maximumHematology: 7 posts, ranking 611 maximum

Internship of 6 months, 3-4 years, depending on speciality



And finally, Thesis : Medical doctor



Universitary medical center

• Finding # 1: – Lack of land in general medicine training stage for

graduate students of medical studies– DES of general medicine: 1 semester mandatory

outpatient, ambulatory preferentially one half (SASPAS) and remains in hospital

– Need to create new masters golf course and internship

• Finding # 2: – Lack of current and future physicians in the territory

(retirement, numerus clausus)


PLD1

PLD1 1 semestre ambulatoire obligatoire, 1 semestre prérentiellment ambulatoire (SASPAS) et le reste à l'hôpitalPierre-Louis DRUAIS, 11/25/2012


Universitary medical center• Idea:

– Creation of a universitary medical center or health center– Integration of diverse health professions : medical doctor,

general practitioner, nurses, maieutic, physiotherapy, dentists, speech ...

• Threefold mission– Care– Teaching– Medical research


PLD2

PLD2 1 semestre ambulatoire obligatoire, 1 semestre prérentiellment ambulatoire (SASPAS) et le reste à l'hôpitalPierre-Louis DRUAIS, 11/25/2012


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health studies in france

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