L’évaluation de la loi du 1er février 2012 concernant l’acquisition du plein exercice pour les médecins à diplôme hors Union européenne

Abstract : The "Authorization Exercise Procedure" is a device that concerns all doctors with diplomas outside the European Union. It was introduced in 2007 by law "CMU of 27 July 1999", supplemented by "Law of Social Security Financing" of 21 December 2008, amended by the Law "2012-157 of 1 February 2012", The last law concerned, was No. 2016-1888 of 28 December 2016 on the modernization, development and protection of mountain territories, put an end to the regularization of these doctors. Since the implementation of Law 2012-157 from 1 February 2012 to the end of 2016, the Fiscal Authorization Procedure has 26,562 registrations and 14,647 presentations, of which 4866 were received in the Knowledge Verification Exercise Authorization Procedure. We examined the results of the Knowledge Verification tests with in-depth analyzes. Between 2012 and 2016, List A received the highest number of candidates for the Knowledge Test, 21123 registrations, 10007 presentations. The success rate of List A varies between 15% and 19%, knowing that List A is a list that collects all newcomers, the Knowledge Testing tests for this list is a competition. List B received 562 entries, including 413 entries between 2012 and 2016 with a pass rate of 24% to 41%. The tests for this list are in the form of an examination. List C received 4877 entries, of which 4,227 entries between 2012 and 2016 and the success rate is 56% to 80%. List C is also an examination that gathers all the doctors with diplomas outside the European Union who are already established in France. We have observed that the disappearance of the list C is partly due to the device of the Exercise Authorization Procedure which allows the regularization of the doctors with diploma outside the European Union. Law 2012-157 of February 1, 2012, which modifies the conditions and the perimeter of participation of the candidates in the tests of verification of the Knowledge is one of the causes of transfer of the candidates from List A to List C. Finally, the doctors registered on the board of the French Medical Association, and coming from The Exercise Authorization Procedure, occupy a proportion which is about 10% in certain departments in France. This figure shows the number of these doctors is almost as important as before and that their presence is demanded in the whole of France. In some départements, we have seen that the presence of doctors with diplomas outside the European Union increases the territorial medical density in France, demonstrating the importance of their presence at the local level, as well as in rural and mountain areas. The only control of the entry of doctors with diplomas outside the European Union is not sufficient; The continuing training of these doctors should be considered in order to improve their medical level of practice and the territorial reorientation of the facility could be a solution that would increase the supply of care at the local level.
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Xin Chen. L’évaluation de la loi du 1er février 2012 concernant l’acquisition du plein exercice pour les médecins à diplôme hors Union européenne. Santé. Université Sorbonne Paris Cité; Shanghai Jiao Tong University, 2017. Français. ⟨NNT : 2017USPCB123⟩. ⟨tel-01815030⟩

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