Medicine: right here is the French mannequin, imitated by Italy | EUROtoday

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A fancy system. The results of a tormented evolution, which led to the abolition of the restricted quantity. The French mannequin of entry to well being professions, which the Italian reform appears to wish to undertake, doesn’t have the linearity that some simplifications attribute to it. Or relatively: he had them, however they didn't work.

After the overall opening in 1969, which led to overcrowding of the colleges, France had already adopted a quite simple system in 1971. Free entry to all, then examination after the primary yr – frequent to drugs and dentistry – and entry with a restricted quantity outlined primarily based on the absorption capability of the college hospitals. In 1979, confronted with what remained the nation's central drawback, the medical desert within the countryside, the variety of candidates to be admitted was additionally outlined on the idea of the wants of the inhabitants: they had been 8,500 in 1972, they dropped to three,500 between '93 and '98 after which rose to 9,361 in 2020. The system then modified in 2009 with the introduction of a primary yr frequent to all well being professions, together with pharmacy and obstetrics: Paces, First yr frequent to well being research. It didn't work for a quite simple purpose: the exams had been too tough, and there have been unassigned locations, even when the system allowed the potential of a second take a look at. Many French folks studied in Romania (2 thousand in 2020), Belgium, Hungary or Australia.

Since 2009, different and experimental paths have been launched to resolve the issue. The definitive reform arrived in 2019, and got here into power in 2021. It gives two paths, each of that are nonetheless very selective. The first is the Pass, Specific Health Access Course (Specific entry path to healthcare). It is, in actual fact, the outdated Paces, however requires the scholar to undertake a “minor”, complementary course of research – legislation, economics, literature… – in case he’s unable to proceed with well being research, which grants 12 credit out of 60 general. The finest college students – not more than 50% of the entire – are admitted on to the well being schools; the others, who move an preliminary analysis primarily based on {qualifications}, should move an examination, primarily oral. The Pass doesn’t embrace the potential of a second take a look at. Those who fail can entry the second yr of the “minor” diploma course however not all is misplaced: they will transfer on to the opposite path, the L.As, Libre Accés Santé (free entry to healthcare).

The L.As. it’s a three-year college diploma protecting topics which are very distant from healthcare ones – for instance legislation, arithmetic, IT, economics – however the entry to healthcare module permits, on the finish of every yr and if the required credit have been acquired, to take part in a contest to entry the second yr of the colleges of drugs, dentistry, obstetrics and physiotherapy. The examination may also be repeated within the second or third yr. To the scholars of the L.As. Approximately 40% of the obtainable locations are reserved. There will not be a restricted quantity, however what is named an “open number”: every college will be capable of outline what number of college students to confess on the idea of a pre-established vary – a minimal and a most – additionally having heard the opinion of the Agences Régionales de Santé. The quantity could be tailored to your wants at any time: the primary of these not admitted can at all times be drawn again.