{"id":47904,"date":"2019-05-14T13:58:25","date_gmt":"2019-05-14T20:58:25","guid":{"rendered":"http:\/\/world.edu\/?p=47904"},"modified":"2019-05-14T13:58:25","modified_gmt":"2019-05-14T20:58:25","slug":"health-studies-who-benefits-from-the-reform-of-the-first-year","status":"publish","type":"post","link":"https:\/\/world.edu\/health-studies-who-benefits-from-the-reform-of-the-first-year\/","title":{"rendered":"Health studies: who benefits from the reform of the first year?"},"content":{"rendered":"

\"\"
\nThe reform of medical studies is one of the flagship measures of the\u00a0“My Health 2022”<\/a>\u00a0bill,\u00a0which should be adopted in July 2019. Its ambition is to promote a better match between the training of doctors and the needs of the population.\u00a0Among the different measures is the abolition by 2020 of the numerus clausus and the competition organized at the end of the first year of medicine (but also odontology, pharmacy and midwifery).<\/p>\n

This would allow each university to determine its reception capacity, “with regard to the training capacities and the needs of the territories”.\u00a0Students destined for medicine will now have several access routes.<\/p>\n

Some will subscribe to a “health portal”, replacing the current first year common to health studies (PACES), with multidisciplinary lessons and a revisited evaluation system, focusing on reflection and memorization.\u00a0Others will opt for a bachelor’s degree in the discipline of their choice, coupled with a “minor health” that would integrate the health sector at the end of the second or third year.<\/p>\n

This new system,\u00a0already tested<\/a>\u00a0in sixteen universities since 2014, intends to generalize and institutionalize bridges between the medical curriculum and university licenses.\u00a0Its objective is twofold: to diversify the training and therefore the profiles of future doctors, but also to offer a refreshing reorientation to students who are not admitted to medicine (today representing around 80% of enrollments in the first year).<\/p>\n

Inescapable selectivity< <\/strong>\/span><\/strong><\/h4>\n

Announced as “revolutionary” in terms of impact on the health system, the new methods of access to medical studies are part of the continuity of recent decades.\u00a0Indeed, despite the formal existence of a\u00a0national-level\u00a0numerus clausus<\/a>\u00a0, the number of places offered at the end of the first year\u00a0has steadily increased<\/a>\u00a0since the mid-1990s.<\/p>\n

Spread over the four sectors (medicine, odontology, pharmacy and midwifery), the increase was particularly marked for the number of medical seats, from 3,500 in 1993 to 9,314 in 2019 (+ 166%).\u00a0Given the structure of medical studies, the disappearance of the competition at the end of the first year will not end the selectivity.<\/p>\n

Since the\u00a0Debr\u00e9 reform<\/a>\u00a0of 1958, the training of doctors has been organized around University Hospital Centers (CHU), which are both places of care, education and research.\u00a0This makes it an exception in the landscape of French higher education, which until recently has distinctly separated teaching, research and professional practice.<\/p>\n

Medical studies are inseparable from clinical practice and research.\u00a0The number of places in these courses is therefore directly related to the trainee capacity of trainees in the services of hospitals.<\/p>\n

Easier reorientations<\/strong><\/h4>\n

With regard to the diversification of initial training courses and the development of new skills, the reform prolongs old reflections to respond to new concerns.\u00a0In an aging world confronted with technological upheavals, the intensification of societal expectations of medicine is again questioning the content and training methods of future professionals.<\/p>\n

Already in 1973,\u00a0Professor Robert Debr\u00e9<\/a>\u00a0called for a medical training mobilizing other disciplines (public health, statistics, psychology, economics, sociology) and developing skills in the fields of medicine, presence, speech .<\/p>\n

More recently, in a\u00a0report<\/a>\u00a0presented to the Senate in 2017, the Court of Auditors reaffirmed the necessary integration of interdisciplinary teaching in medical education.\u00a0The combination of knowledge and skills from different research traditions, such as engineering sciences, philosophy and environmental sciences, is considered essential to equip health professionals in the face of changes in professions and skills. to prepare “the medicine of tomorrow”.<\/p>\n

More than the health system, it is probably French higher education that can benefit from this reform.\u00a0Gateways and reorientation mechanisms seek to retain students within the same institution, thus restoring a new attractiveness to university licenses.<\/p>\n

The\u00a0disaffection<\/a>\u00a0of high school graduates, especially those who have the best results in baccalaureate, for university licenses in favor of preparatory classes for grandes \u00e9coles or private institutions has been increasing for twenty years.\u00a0It is in the same spirit that can be understood the recent policy of “university training of health formations” which aims to bring back in the bosom of the universities paramedical trainings, in particular the institutes of training in nursing (IFSI) which count among the most requested courses at the exit of the tray (in 2019 9.6% of vows confirmed via the Parcoursup platform).<\/p>\n

Thus, by diversifying the methods of access to medical studies and failing to meet the challenge of medical deserts, the government could breathe new life into French universities like what is practiced in the “Bachelors of Medicine”. Liberal Arts “North American campuses, true crucibles of inter-professionalism.\u00a0It remains to be seen whether the students will accept the\u00a0proposed reorientations<\/a>\u00a0and the logic behind them.<\/p>\n

Author Bio: <\/strong>Alessia Lefebure is an Assistant Director, Director of Studies at the School of Advanced Studies in Public Health (EHESP) – USPC<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

The reform of medical studies is one of the flagship measures of the\u00a0“My Health 2022”\u00a0bill,\u00a0which should be adopted in July 2019. Its ambition is to promote a better match between the training of doctors and the needs of the population.\u00a0Among the different measures is the abolition by 2020 of the numerus clausus and the competition […]\n… learn more→<\/a><\/p>","protected":false},"author":33,"featured_media":47905,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[29],"tags":[8488],"coauthors":[11733],"class_list":["post-47904","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-higher-education","tag-health-sciences"],"acf":[],"yoast_head":"\nHealth studies: who benefits from the reform of the first year? - World leading higher education information and services<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/world.edu\/health-studies-who-benefits-from-the-reform-of-the-first-year\/\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:locale\" content=\"en_US\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:type\" content=\"article\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:title\" content=\"Health studies: who benefits from the reform of the first year? - World leading higher education information and services\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:description\" content=\"The reform of medical studies is one of the flagship measures of the\u00a0“My Health 2022”\u00a0bill,\u00a0which should be adopted in July 2019. 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