General practitioner in France
Posted on:3/23/2006
| In France, the médecin généraliste (commonly called docteur) is responsible for the long term care in a population. |
In France, the médecin généraliste (commonly called docteur) is responsible for the long term care in a population. This implies prevention, education, care of the diseases and traumas that do not require a specialist, and orientation towards a specialist when necessary. They also follow the severe diseases day-to-day (between the acute crises that require the intervention of a specialist).
They have a role in the survey of epidemics, a legal role (constatation of traumas that can bring compensation, certificates for the practice of a sport, death certificate, certificate for hospitalisation without consent in case of mental incapacity), and a role in the emergency care (they can be called by the samu, the French EMS). They often go to a patient's home when the patient cannot come to the consulting room (especially in case of children or old people), and have to contribute to a night and week-end duty (although this was contested in a strike in 2002).
The studies consist of six years in the university (common to all medical specialties), and two years and a half as a junior practitioner (interne) :
the first year (PCEM1, premier cycle d'études médicales, première année, often abbreviated to P1 by students) is common with the dentists (and, in some universities, with students of other paramedical professions like midwifery); the rank at the final competitive examination determines in which branch the student can go on;
the following two years, called propédeutique, are dedicated to the fundamental sciences: anatomy, human physiology, biochemistry, bacteriology, statistics...
the three following years are called externat and are dedicated to the study of clinical medicine; they end with a classifying examination, the rank determines in which specialty (the general medicine is one of them) the student can make his internat;
the internat is two years and a half of initial professional experience under the responsibility of a senior; the interne can prescribe, he can make replace physicians, and usually works in a hospital.
This ends with a doctorate, a research work which usually consist of a statistical study of cases to propose a care strategy of a specific affection (in an epidemiological, diagnostical, or therapeutical point of view).
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