a change to the numerus clausus that is being studied

The government plans to reform the quota system that limits the number of second-year medical students.

The government could decide on the presentation of the health systems reform, 18 September, to transform medical studies, including amending the numerus clausus that was established in 1972. By launching the consultation prior to this reform which intends the system of In February, the government promised "an impudent opinion on the numerus clausus", which sets the quota for students who are admitted to the second year of the medical school each year , after a demanding match that excludes 80% of the candidates. According to France Info, the government would have "two options on the table": either the numerus clausus replaced by a "numerus apertus", ie a minimum number of places that are nationally defined and that may vary according to the region's, making universities the choice to train as many doctors as they want.

READ ALSO – End of the numerus clausus: the executive power sees no answer to the medical deserts

"A solution for the future"

Unsurprisingly, when it says "beneficial for a review of medical studies", the CSMF, the first union of liberal physicians, stated Wednesday "as opposed to total deregulation of the number of trained physicians", pleaded for "a major consultation" . For LaRM MP Olivier Veran (see below), if removing the numerus clausus is certainly not "a short-term solution for medical deserts, it is a solution for the future". If we increase the numerus clausus today, doctors will leave the university in 2030, while medical demography has increased again, doctors' unions confirm …

Even a deregulation of the numerus clausus "will not give rise to a very large demand for air." It is clear that there is no multiplication of students with two, neither desirable nor feasible, "said Frédéric Dardel, president of the university Paris-V. Universities are limited by their pedagogical facilities and by the possibility of internships in hospitals, even if the proponents of this reform advocate the multiplication of internships in liberal medicine, for example. The President of Paris-V is of the opinion that he can not integrate more students, but other more recent universities such as Bobigny or Saint-Quentin-en-Yvelines could do this "to some extent, because they have been doing it regularly for a few years" he notes.

The issue of the costs of medical students also weighs on the balance, reminds academics. And he does not argue for a strong increase in places. The annual training of an intern represents about 50,000 euros per year to the state.

Partial instead of competition

Nevertheless, we must come from the current, unsatisfactory, overly compelling numerus clausus, which leaves very good students at the side of the road, according to Jean Sibilia, chairman of the conference of deans of medicine, that "more flexibility, but in a regulated system suggests "". "Some regions, the Hauts-de-France for example, may decide to receive more medical students." And then try to preserve them in different ways, such as installation contracts or auxiliary cells at the installation including university actors, the Council of the College of Physicians, Communities.

However, today almost 50% of the students who pass the internship (ECN) of the region change and therefore leave the university and the territory that trained them during their studies. The matter is not easy. "The reform will only have an effect if a direct, good quality dialogue is formed with the communities," emphasizes Jean Sibilia. The government reform will be a reform of "educational rather than demographic", he warns. The challenge today is to adapt the training to the needs of tomorrow's medicine "which will be more ambulatory and more multidisciplinary". It is also to ease access to medical studies.

READ ALSO – End of the numerus clausus in medicine: "There is no place for everyone"

To replace the current system, the match can also be replaced by partials. The real selection would only come after a health license that guides students to different health professions and paramedics: doctor, physiotherapist, nurse, dentist, midwife, etc.

If it is an aberration for Frédéric Dardel – "How would the students be reoriented after three years?" – This is a series to study seriously, according to Jean Sibilia, for whom these professions will cooperate more and more. The blankets of medicines also bet on experiments in the Paris region, which this year requires the end of the repetition in the first year of medicine. These young people can also apply again to participate in the health studies at the end of a second or third year driving license from another discipline. This second chance will also benefit young people who need a longer maturing time. And should allow to incorporate somewhat different profiles between future physicians.

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