“Why don’t people judge me on my experience here?” | EUROtoday

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The state of affairs of a number of thousand international docs who got here to help in French hospital companies has grow to be difficult for the reason that finish of an distinctive regime granted through the Covid-19 interval. Nearly 1,900 misplaced the proper to follow, a evident scarcity for hospitals. Some of them agreed to testify.

For Karima*, 39, the final go to to the prefecture become a nightmare. His residence allow was not prolonged. “I only have a receipt,” she laments. However, this pediatric orthopedic surgeon has been working for 2 years in a hospital within the Paris suburbs, together with within the emergency room the place she is on name not less than 4 nights per 30 days. “My general surgery colleagues asked me to come in to help them out a little,” explains the practitioner from the Maghreb*. “I’m not going to let them down,” she says, with out understanding how for much longer she is going to have the ability to follow.

The hospital agreed to let her work, however Karima fears the tip of her contract, which is renewed each six months. She is one in all some 4,000 certified practitioners outdoors the European Union (referred to as Padhue), who’ve labored in French hospitals for years below numerous precarious statuses, reminiscent of that of “acting as an intern” (FFI).

“The duties that I occupy are duties of accountability, duties of a practitioner, even when I’m thought of as an intern with a contract value 1,400 euros internet to be renewed each six months. If the prefecture refused to increase my title of keep is due to these breaches of contracts” regrets the doctor, who constantly juggles with the administration to try to stabilize her situation. “This time, the prefecture is asking me for a work authorization provided by the Regional Health Agency (ARS), which no longer wants to give it because the law has changed.”

In question, the expiration on December 31 of an exceptional regime which allowed establishments to hire Padhue under various precarious statuses, making it now impossible for them to remain in their positions. Since January 1, 2024, these doctors must pass a very selective competition called “knowledge verification tests” (EVC), to be able to be reinstated. But places are expensive: 2,700 positions for more than 8,000 candidates in 2023, some of whom are trying their luck from abroad. As a result, a majority of Padhue found themselves on the floor this year.

After an outcry from the unions, the executive finally promised to “regularize plenty of international docs”, and decided to extend their temporary work authorizations by one year, until they pass the 2024 EVC session .

“I don’t understand why people don’t judge me on my experience here”

But for Karima, a graduate in general surgery, the problem is far from being resolved. She tried to take the EVC for pediatric orthopedic surgery in 2023, except that her file was refused. “I’m advised that I should not have the proper diploma, that I want one in pediatric orthopedics, however this diploma doesn’t exist in my nation! I don’t perceive why I’m not judged on my expertise right here. I function alone, I seek the advice of, I’ve my very own sufferers,” says the practitioner.

When she arrived in France in 2020, she had not deliberate to decide on this aspect of the Mediterranean. “I had obtained a secondment from work to come and do advanced training in orthopedic surgery in France, because I had noticed gaps in the service where I worked in the Maghreb,” she explains. But after nearly two years in an affiliate trainee place in a Nice college hospital, Karima discovered herself caught in France due to the Covid-19 pandemic and the closure of the borders along with her nation. She misplaced her publish within the Maghreb.

See additionallyReport: international docs to take care of the scarcity in France

In Nice, she remembers this era when she fought on the Covid-19 entrance, alongside French caregivers, lending a hand in intensive care. “We have saved lives. And we will continue to do so. It's our job. Sometimes in the emergency room, I find myself in a situation where I have to react in a split second, make the right gestures, make the right decision to save someone”.

“I regularly have to pack my bags.”

Return to the Maghreb? The surgeon generally thinks about it: “I ask myself the query, I’m wondering if I can nonetheless maintain on on this state of affairs. But I’ve a job that I like very a lot, particularly with youngsters. I’m connected to my sufferers. When I see of their eyes that they’re happy, I really feel helpful.” However, the thought of ​​leaving is gaining floor because of the lack of with the ability to plan forward, each day. “I regularly have to pack my bags. I even hesitate to order new furniture.” So his family members inspired him to use in Germany. “Colleagues went there. They were accepted on application and took German language courses,” she says.

In a context of overloading its well being system, France, which nonetheless has a crying want for reinforcements, dangers seeing these hundreds of docs want different European states.

Dr. Aristide Yayi and demonstrators.
Dr. Aristide Yayi, initially from Burkina Faso, got here to show in entrance of the Ministry of Health to defend the Padhue, on February 15, 2024. © Bahar Makooi / France 24

Dr. Aristide Yayi, initially from Burkina Faso and graduated in forensic medication in Dakar, Senegal, has been working towards multi-purpose medication for 3 years within the Ephad of the Commercy hospital within the Meuse. A sector that’s severely missing in docs. “My contract runs until July 2024. After that I don’t know what happens next,” regrets the younger physician, as a result of he needs to develop a ache administration service for the aged at Ephad. A challenge that would by no means see the sunshine of day if its state of affairs shouldn’t be regularized. “I go through training courses and six-month contracts as an 'ignorant intern'. It's always uncertainty and precariousness. I have the feeling that I am considered as a sub- doctor,” he believes.

Hospital services threatened without its foreign doctors

Several department heads, particularly in Île-de-France, have warned that they would be “forced to close” their department without the presence of these Padhue. During his press conference on January 16, French President Emmanuel Macron admitted that France needed these practitioners, saying he wanted to “regularize plenty of international docs, who maintain our system at arm's size.” A promise recalled by the Prime Minister, Gabriel Attal, in his general policy speech at the end of January.

A speech that must be followed by facts, the unions are now demanding. Received Thursday by the Ministry of Health, they welcomed the publication, the day before, of the decree extending temporary work authorizations for foreign doctors who commit to passing the 2024 EVC session. “A first step” which “only postpones the problem for a year”, denounces Olivier Varnet, general secretary of the National Union of Hospital Doctors FO.

In the meantime, foreign doctors are toasting. Nearly 1,900 of them are unable to exercise at the moment. “My previous division is desperately on the lookout for somebody to exchange me. They are actually in bother. I used to be accountable for two items with twenty sufferers every. We are strolling on our heads…”, complains Mostapha, who labored in a follow-up care and rehabilitation service in Normandy. His contract as an “associate attached practitioner” was suspended on January 1, since he was not admitted to the data verification exams. “The hospital wanted to detain me but the ARS did not grant authorization,” says the forty-year-old.

“Candidates were failed with an average of more than 15”

A graduate of the Faculty of Algiers in bodily medication and rehabilitation, he adopted his spouse, of French nationality, to France three years in the past. “I have no problem with papers, I have a 10-year resident card,” he continues.

A sign held by a protester.
Mostapha joined his fellow docs and a union delegation obtained on February 16 by the Ministry of Health. © Bahar Makooi / France 24

Mostapha hopes that his case shall be examined extra intently, and that the brand new round will permit him to regain his place. But he not believes within the validation of his course by the EVC: “I intend to repeat it since for the moment there is no solution, although the chances of having it are more and more reduced because of the number of positions. It's worse than selective.”

Many unions, such because the CGT docs' collective, consider that this examination is akin to a numerus clausus slightly than a “knowledge test”. “Candidates were failed with an average of more than 15,” denounces Laurent Laporte, secretary normal of the Federal Union of Doctors, Engineers, Executives and Technicians of the CGT. “Too academic”, “random”, “opaque” and “discriminating for doctors who work sixty hours a week”, nonetheless accuse the unions, to whom the Ministry of Health promised, on February 15, a “reformulation of the 'EVC' with modalities extra tailored to actuality.

*This particular person needs to stay nameless