IMPLEMENTATION OF THE BOLOGNA PROCESS IN FRANCE Prof B. CHARPENTIER Honorary Dean FACULTY of MEDICINE-UNIVERSITY PARIS SOUTH 11 Past President of the French Medical Deans

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IMPLEMENTATION OF THE BOLOGNA PROCESS IN
FRANCEProf B. CHARPENTIERHonorary DeanFACULTY
of MEDICINE-UNIVERSITY PARIS SOUTH 11Past
President of the French Medical
DeanscouncilMember of the French Academy of
Medicine
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• THE ANSWER IS NO !
• WHY ?
• A levels Baccalauréat
• Bologna Process
  French Medical Training
• -L1
  -PACES
• -L2
  -P2
• -L3
  -D1
• -M1
  -D2
• -M2
  -D3
• -D1
  -D4
• -D2
  -RESIDENCY 3-5 Y
• -D3
  -M D 243/5 9-11 Y
• DOCTORATE 3238 Y - Chef de
  Clinique 2-4 Y

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• TWO PARTICULAR FEATURES OF
• THE FRENCH EDUCATIONAL
• SYSTEM (1)
• Grandes Ecoles vs University How to select
  the Elites ?
• CPGE11 High
  Schools Doctorate
• 
  
  X-ENS-Centrale less 40
• A Levels
  4 Y
  3Y
• (Baccalauréat)
• -650000 candidates
  University (85) L1 L3 ( -60)
• -50 filière G ( S-ES-L/A)
  M1 M2 ( -30)
• -25 filière T-V
  D1 D3
• -25 filière P-V
• -Success rate 86

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• TWO PARTICULAR FEATURES OF THE FRENCH EDUCATIONAL
  SYSTEM (2) PACES

PACES (S1/S2 2 inscriptions ) chemistry
biology physics anatomy
social sciences

12000
54000 Students
Medicine 7500 Pharmacy 3595 Dentistry
1200 Midwife 1017
ECTS
L1 ?
42 000
Physiotherapy
Speech therapy
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• FRENCH FACULTY OF MEDICINE
• - Derogatory clause within University
• - Competitive selection for entrance
• -Professionnal School  we teach the job we
  are doing, we do the job we are teaching ,
  Whats about the applicated job of Professors of
  canon law, of sanskrit, of esperanto ?
• -French Faculties of Medicine are linked to
  several teaching hospitals where all faculty
  members must teach, doing research and
  clinical/biological patient care.

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• FRENCH TRAINING TRENDS
• - USUAL TRAINING 3 steps
• 1) TRAINING
  2) GUIDANCE 3)SELECTION
• - FRENCH TRAINING 2 steps
• -1)
  TRAINING 2) SELECTION ( BUSINENESS-
  ADMINISTRATION-MEDICINE )
• - NO
  BY-PASS/BRIDGE
• -
  CONCLUSION eveything is done at 20 y.o. !!!
• -

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• A STRONG EXAMPLE
• FOREIGN STUDENTS/MD
• -PACES 8----less 1 vs 17
• -D1---upon personal file examination
• -D4

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• BY-PASS
• - 500 seats
• - GRANDES ECOLES AFTER CURSUS COMPLETION ( 6 y)
• - Ph D ( 8 y )

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• BASIC SCIENCES
• PACES anatomy
• -P2
  physiology.
• -D1 semiology

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• CLINICAL TRAINING
• -D1 introduction with nursing care semiology
  teaching at the bed side
• -D2-D4 ½ time to the bed side on callteaching
  pathology/therapeutics
• -RESIDENCY ( 3 y GP/ 4-5 Others) full time bed
  side on call teaching specialty
• -Early contact at the bed side-strong clinical
  training

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• ECN ( National Ranking
  Examination )
• 7000 D4 1
  specialtylocation
• 39 Faculties of Medicine/7 regions
• All Faculties are ranked along with the students
  ranking
• -Location 1st choice big campus ( Paris, Lyon,
  Marseille)
• - GP 50, second half

2 D. exam 9 clinical cases questions 2
paper analysis

7000
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• RESIDENCY
• -GP 3y training course mostly in GP office
• -SPECIALTIES 4-5 y in University Hospitals
• -Courses must follow the national teaching
  program
• -Examination attendance thesis
• 
  ------------------------
• MD specialist
  in (9/11 y)

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CHEF de CLINIQUE-ASSISTANT

• -Temporary seniorship 2114
• - Job teachingresearchingcare
• - Located in University Hospitals
• - DESC validation ( subspecialty )
• - Goals Academic/public activity ( HP to
  PU-PH )
• Private activity

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• SPECIAL TRAINING FOR MDPhD
• -M2 during residency ( 1y in a research lab)
• -Ph D during CCA ( 3yX in a research lab)
• -Post-Doc abroad ( 2-3 y, publish or perish )
• -EXAMINATION Habilitation à diriger des
  recherches
• -National Competitive Examination to a full
  tenure track position ( PU-PH/MCU-PH)CVPublicati
  onsteaching activityoral test in front of 2
  successive board of examiners (nationallocal)
  38-40 yo !

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• FRENCH TRAINING COURSES FOR FOREIGN MEDICAL
  OFFICER
• 1 Attestation de formation spécialisée ( AFS )
• - Medical officer non UE agreements of both
  Universitiesfrench specialty coordinatoropen
  post
• - Gaining partial certificates of the specialty
• - Duration 1 or 2 y and back in the country
• 2 AFSAAFSA
• -Specialist qualification in their
  countryagreements of both Universitiesfrench
  specialty coordinatoropen post
• -Gaining highly selective knowledge (
  robotics, endovascular manip.
• -6 or 12 months

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• BOLOGNA PROCESS AND FRENCH MEDICAL TRAINING
• MOBILITY IN EUROPE
• -1) Europe to France-2nd cycle D1-D4
• Belgium-Germany-Netherlands-Spain-Switzer
  land-Italy
• -2) Europe to France- Residency ( part or
  full/special examination)
• Belgium-Germany-Netherlands-Spain-Switzer
  land-Italy
• -3) France to Europe-2nd cycle
• -Few ones ( languages limitation), except
  Belgium-Switzerland
• -4) France to Europe-1st cycle PACES in
  Romania

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• BOLOGNA PROCESS AND FRENCH MEDICAL TRAINING
• ADVANTAGES
• -Master grade level at the end of D4 ( 5vs6
  y) ?for  escaping  medicine with a diploma
• -ECTS for European mobility ( Socrates,
  Erasmus)
• -validation of different courses in Europe
  for medical training
• -European Doctoral Schools ( Masters and
  Doctorates/thesis in co-supervision)

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• BOLOGNA PROCESS AND FRENCH MEDICAL TRAINING
• DRAWBACKS
• -TIME OF THE CURSUS VERY DIFFERENT ( 8 vs 9-14
  y), French cursus too long ?
• -FEW GATEWAYS ( Phd----D1)
• -Intensive clinical training vs less basic
  training
• -Tight control of the government ( teaching
  hours, program, numerus clausus, specialties
  volume, training of foreign students,)
• -weak french mobility in Europe ( the goal
  is to pass an exam in order to have a job)

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• BOLOGNA PROCESS Last Minute !
•   the european higher education space is not a
  model to be exported, Africa, Asia, Norh/South
  America have their own specificities and needs 
• EUA Lesley Wilson, General Secretary-
  16/04/2012, address to the European Higher
  Education Ministies for the Bucarest meeting
  (26-27/04/2012)

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(No Transcript)
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EUROPEAN DREAMS IN AN O.R. !
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The Reasons for my existence have not yet been
establishedbut