Northern State Medical University (Arkhangelsk) Tempus IV159328

Seminar on Quality Control Standards in Higher Medical School

Student’s mobility in European faculties

Pr Sylvain MeurisFaculté de Médecine

Université Libre de Bruxelles

Why to promote mobility ? Public Role of Faculty of Medicine ???

To offer to local population, with their money health workers able to understand, communicate

and cure their health problems

To locally educate and train local students for local patients...

But ...

To fullfill quantitative and qualitative objectives Geographic distribution ?

Local, National, European, International

Equal competences ? Adequate curriculum Evidence based medicine University attractivity & ranking Economical attractivity

World Distribution of Physicians

Total Number - 7’500’000(WHO stats, 2007)

Geographical distribution

Density in the world Industrialized countries : 1/500 India : 1/2500 25 poorest countries : 1/25000

Governments face problems of Education infrastructure Health Budget Health coverage

Hospitals Equipment

National solutions & restrictions Since the seventies

First oil shock

Budget objectives To maintain health expenses To balance supply and demand

Restrictions Decrease supply Limiting medical education

Consequences of restrictions

Decrease in care offer Discontent of people

Unexpected aging population

Desertified rural areas Disorganisation of hospitals

Solutions To attract physicians from other countries To produce more health workers

Migration policies Unfair competition between hospitals

and countries Attractive salaries

Unrecognized physicians from outside UE Difficult to evaluate

at least 6000 clandestines in France !!! Underpayed No rights !!!

Consequences

Cost evaluation of training : 60000 dollars / physician

Rapt of more than 500 millions dollars per year from developed countries to industrialized countries

Exporting countries : More diploma than local needs

UE : Poland, Hungary, Bulgaria, Romania, Spain, Italy

Outside UE : Cuba, Egypt, Israel, Philippines

Political resonsability

From a wild to a structured mobility for health workers

Migration policy inside Europe Free movement of health workers since

>30 years (EU 1975) Mutual recognition of professional

competences

Results for France 2500 physicians educated in another UE

country among 200000 french doctors !!!

Since 2004 : UE 15 => 27 countries migration wave of young physicians from

Poland, hungary, lituania, Romania,... => France, Germany, UK, Ireland, Belgium,...

Insufficient solutions to maintain health coverage

Relaxation of numerus clausus

EU promotion of student mobility

Pilot phase (1987) Initiated by the Commission

Inner Circle Medicine Group Limited number of Faculties

Managed by convinced Academic staff Administrative staff

No available statistics

Why to make statistics ?

To improve internal visibility of mobility

To convince Academic staff Academic authorities Students

To identify and understand obstacles and successes

In - Out (n)

How to make statistics simple

Up to date useful information Made at faculty level (coordinator,

secretary, students...) Accessible on a website

To introduce mobility data on line

To receive immediate pertinent data

Tracks for solutions To Increase training capacity To Promote short-term mobility

During medical studies During specialization Life-long learning

To Promote networking Between universities, hospitals, scientific

societies Between diaspora and local physicians