Medical Studies in France Prof R KOHLER Pediatric

Medical Studies in France Prof R. KOHLER Pediatric orthopedic surgery Université Claude Bernard Lyon 1 February 2007 Medical studies in France

General Organization in 3 cycles Ø First cycle : 2 years PCEM 1 and PCEM 2 1 st Cycle PCEM 1 PCEM 2 DCEM 1 Ø Second cycle : 4 years DCEM 1, 2, 3 and 4 DCEM 2 2 nd Cycle DCEM 3 DCEM 4 Ø Third cycle : 3 years of resident time for G. P. or 4/5 years of resident time for specialties. TCEM 1 3 rd Cycle TCEM 2 TCEM 3 TCEM 4 Ø Medical thesis Thesis : M. D. Medical studies in France

PCEM 1 Program Anatomy Ø Biochemistry and molecular biology Ø Cellular biology Ø Biophysics Ø Embryology Ø Histology Ø Physiology Ø Social and human sciences Ø Medical studies in France PCEM 1 1 st Cycle PCEM 2

Exam at the end of PCEM 1 Ø This exam is a ranked or selective exam Ø Only few students pass (around 15 to 20%). The number of students accepted represents the "numerus clausus“ (about 6500 students/year in France). Medical studies in France PCEM 1 1 st Cycle PCEM 2

PCEM 1 Exam Ø Same exam for different l Medical cursus l Odontology l l l Midwifery school Kinesitherapy Ergotherapy. Medical studies in France cursus :

PCEM 2 Program PCEM 1 Ø Ø Ø Ø 1 st Cycle PCEM 2 Anatomy Techniques and semeiology of imagery Biochemistry and biological semeiology Epidemiology and Biostatistics Histology and Reproductive biology. Immunology Physiology Medical psychology Health economy Critical Care Medicine Clinical semeiology Complementary studies (i. e. human biology) English Medical studies in France

DCEM 1 Program UFR Lyon-Nord Ø Ø Ø Pathological anatomy and Cell Pathology Medical Genetics Hematology Bacteriology/Virology Oncology Parasitology Pharmacology Surgical semeiology Medical semeiology Imagery Techniques Intensive Care Medicine English Medical studies in France DCEM 1 2 nd Cycle DCEM 2 DCEM 3 DCEM 4

DCEM 3 Program UFR Lyon-Nord Module 1: Medical Practice Module 2 : From conception to birth (Obstetrics, Gynecology) Ø Module 7 : Public Health– Infectious diseases Ø Module 8 A : Immunopathology, inflammatory reaction Ø Module 8 B : Dermatology Ø Module 10 : Cancer – Oncology – Hematology Ø Module 14 : Blood and Metabolism Ø Optional certificates Ø Ø Medical studies in France DCEM 1 2 nd Cycle DCEM 2 DCEM 3 DCEM 4

DCEM 3 Program UFR Lyon-Nord Ø Module 3 : Psychiatry Ø Module 12: Cervico-Thorax Pathologies Ø Module 13 : Abdominal Pelvic Pathologies Ø Module 15 : Perception Locomotion (neurology, rheumatology, orthopedic surgery) Ø Optional certificats Medical studies in France DCEM 1 2 nd Cycle DCEM 2 DCEM 3 DCEM 4

DCEM 4 Program UFR Lyon-Nord Ø Module 5 : Geriatrics Ø Module 6 : Palliative care Ø Module 11 : Clinical Synthesis and Therapeutics, Emergencies Ø Preparation to “Examen classant national” = step 2. Medical studies in France DCEM 1 2 nd Cycle DCEM 2 DCEM 3 DCEM 4

Hospital Rotations Ø Clinical initiation rotations during PCEM 2 and DCEM 1 Ø Hospital Rotations every morning during DCEM 2, DCEM 3, and DCEM 4. 1 st Cycle PCEM 1 PCEM 2 DCEM 1 DCEM 2 2 nd Cycle DCEM 3 DCEM 4 Medical studies in France

“Examen National classant” Ø At the end of DCEM 4 Ø National ranked exam (step 2) that class medical students. Ø They choose either GP formation or specialty formation depending on their scores. Medical studies in France

Third CYCLE of General Medicine Ø 6 resident semesters with one in a GP office Ø Theoretical thematic courses TCEM 1 3 rd Cycle TCEM 2 TCEM 3 Thesis : M. D. Medical studies in France

MEDICAL THESIS Ø At the end of general medicine resident time, each student have to present a medical thesis to be medical doctor. Ø He can then practice as a general practitioner Medical studies in France

Additional learning Ø G. P. can also obtain : Capacities l University Diplomas l Inter University Diplomas l Medical studies in France

Residency Ø Medicine DES (Specialized Studies Diploma) : 2 years TCEM 1 TCEM 2 3 rd Cycle TCEM 3 Ø Medicine DESC (Complementary Specialized Studies Diploma) : 2 or 3 years Medical studies in France TCEM 4 Thesis : M. D.

Medical thesis in specialty Ø At the end of residency a medical thesis is mandatory to exercise as a medical specialist Medical studies in France

“ASSISTANAT” Ø Clinical Assistant Professor (“assistant chef de clinique”) for 2 -4 years in a clinical specialty Ø “Assistant hospitalo-universitaire” for 2 -4 years in a non-clinical specialty Ø (biology, physics etc. ). Medical studies in France

Research Formation Ø During medical studies students can obtain optional certificates in biology to get a Master 1 with 2 or 3 certificates. Ø Master 2 is a whole year in a lab often during residency Ø Ph. D. Thesis is obtained during residency or “assistanat” in 3 years with a minimum of 2 or 3 published articles in a peer-reviewed journal. Medical studies in France

University Position Ø A whole year for research abroad Ø Ph. D. Thesis Ø The CNU (national council of universities) confirms candidates. Medical studies in France