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“Increasing the number of trained doctors cannot be the only response to the urgent lack of healthcare supply”

Grandstand. As usual, election campaigns are an opportunity for one-upmanship. The mayor of Orléans’ proposal to use the University of Zagreb to create a faculty of medicine in Orléans, accompanied by very expensive tuition, is one of them. [Le Monde du 10 février]. Beyond the difficulties in setting up such a course delivering a Croatian diploma, the lack of guarantee on its quality and its high cost for students, it is worth highlighting the inconsistency of this proposal.

Indeed, we cannot propose an increase in the number of trained doctors as a unique response to the urgency of the lack of care offers in the territories. The faculties of medicine have already increased by more than 50% over the last fifteen years and by almost 20% in 2021 the number of medical students trained, at constant means.

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However, the “whatever the cost” does not apply to the university. This significant increase in the number of high school students entering medical studies currently corresponds to the maximum training capacity in our country. Except that the endowments of means follow!

Avoid Workarounds

But, let’s be aware, the recent increases will only have effects in at least ten years. Such a delay is unacceptable for our fellow citizens who are asking for short-term answers. It should be noted, however, that, gradually and over ten to fifteen years, the low number of retirements, corresponding to the lowest level of the numerus clausus in the past (3,500 in 1993), combined with the arrival of he high number of new doctors at the end of their training (more than 9,300 in 2020, to which must be added some 2,000 doctors with European or non-EU diplomas) means that the question of the number of doctors should be resolved.

What are the quickest solutions to fight against the “medical deserts” which affect all territories, including Ile-de-France which has just won a first place in mainland France as an under-dense medical area? If we take into account the many experiments tried in other countries, we see that there is no single solution.

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the DREES report of December 9, 2021, on the subject, should be read carefully by our elected officials. Coercive measures, especially when they apply only to a professional sub-category, for example the youngest, are often not very effective and lead to workarounds.

Establish regulations by specialty

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