2023-06-12 18:24:20
The arbitration eventually fell. The details of the fourth year of study, promised by the government to general medicine interns, are now known. The Minister of Health, François Braun, clarified, Monday, June 12, the contours of this additional year, which remains rejected by the main interested parties. This announcement comes in the midst of a debate on medical deserts in the National Assembly, with the arrival in the hemicycle of the bill by Horizons deputy Frédéric Valletoux.
As planned, the incentive was selected for this year, which should in particular make it possible to fight once morest medical deserts, with the establishment of financial support for young general practitioners who choose to join these territories with the fewest doctors. That is regarding 40% of the country, now classified as a deficit zone. “I really believe in this positive method that is ours”defended François Braun, once once more dismissing coercion as being a “Totally counterproductive remedy”.
Campaign promise from candidate Emmanuel Macron, this fourth year of internship for general practitioners – the only specialty which has so far only had three years – had to register “in priority” in under-dense areas, according to the expression used by the government in the 2023 social security financing bill adopted in the fall. A report on the subject, commissioned at the time from four specialists representing teachers, interns and doctors – Nanou Pham, Stéphane Oustric, Olivier Saint-Lary and Mathilde Renker – was submitted to François Braun on Monday.
« None of the multiple structures interviewed representing territories came out in favor of the coercion of studentsnoted the authors, who issued 25 detailed proposals, largely followed by the minister. Under no circumstances may young people be sent alone to areas without doctors. Fourth-year internships should encourage future practitioners to settle in the territory. »
Two six-month internships
From 2023, the approximately 3,600 interns in general medicine will therefore follow, at the end of their first three years of internship, two six-month internships as junior doctors. Not in the hospital, as in other specialties, but on an outpatient basis, in a doctor’s office, under the authority of a university internship supervisor. And if they choose to exercise in « zone sous dense », they will receive additional compensation of approximately 400 euros. Their total remuneration may rise to a ceiling of 4,500 euros net per month, said the Ministry of Health.
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