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  First cycle : 2 years PCEM1 and PCEM2  Second cycle : 4 years DCEM 1, 2, 3 and 4  Third cycle : 3 years of resident time for G.P. or 4/5 years of resident time for specialties.  Medical thesis 1st Cycle PCEM1 PCEM2 2 nd Cycle DCEM1 DCEM2 DCEM3 DCEM4 3rd Cycle TCEM1 TCEM2 TCEM3 TCEM4 Thesis : M.D.

Medical studies in France PCEM 1 Program  Anatomy  Biochemistry and molecular biology  Cellular biology  Biophysics  Embryology  Histology  Physiology  Social and human sciences 1st Cycle PCEM1 PCEM2

Medical studies in France Exam at the end of PCEM 1  This exam is a ranked or selective exam  Only few students pass (around 15 to 20%). The number of students accepted represents the "numerus clausus“ (about 6500 students/year in France). 1st Cycle PCEM1 PCEM2

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

Medical studies in France PCEM 2 Program  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 1st Cycle PCEM1 PCEM2

Medical studies in France DCEM 1 Program UFR Lyon-Nord  Pathological anatomy and Cell Pathology  Medical Genetics  Hematology  Bacteriology/Virology  Oncology  Parasitology  Pharmacology  Surgical semeiology  Medical semeiology  Imagery Techniques  Intensive Care Medicine  English 2 nd Cycle DCEM1 DCEM2 DCEM3 DCEM4

Medical studies in France DCEM 3 Program UFR Lyon-Nord  Module 1: Medical Practice  Module 2 : From conception to birth (Obstetrics, Gynecology)  Module 7 : Public Health– Infectious diseases  Module 8A : Immunopathology, inflammatory reaction  Module 8B : Dermatology  Module 10 : Cancer – Oncology – Hematology  Module 14 : Blood and Metabolism  Optional certificates 2 nd Cycle DCEM1 DCEM2 DCEM3 DCEM4

Medical studies in France  Module 3 : Psychiatry  Module 12: Cervico-Thorax Pathologies  Module 13 : Abdominal Pelvic Pathologies  Module 15 : Perception Locomotion (neurology, rheumatology, orthopedic surgery)  Optional certificats 2 nd Cycle DCEM1 DCEM2 DCEM3 DCEM4 DCEM 3 Program UFR Lyon-Nord

Medical studies in France DCEM 4 Program UFR Lyon-Nord  Module 5 : Geriatrics  Module 6 : Palliative care  Module 11 : Clinical Synthesis and Therapeutics, Emergencies  Preparation to “Examen classant national” = step2. 2 nd Cycle DCEM1 DCEM2 DCEM3 DCEM4

Medical studies in France Hospital Rotations  Clinical initiation rotations during PCEM2 and DCEM1  Hospital Rotations every morning during DCEM2, DCEM3, and DCEM 4. 1st Cycle PCEM1 PCEM2 2 nd Cycle DCEM1 DCEM2 DCEM3 DCEM4

Medical studies in France “Examen National classant”  At the end of DCEM 4  National ranked exam (step2) that class medical students.  They choose either GP formation or specialty formation depending on their scores.

Medical studies in France Third CYCLE of General Medicine  6 resident semesters with one in a GP office  Theoretical thematic courses 3rd Cycle TCEM1 TCEM2 TCEM3 Thesis : M.D.

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

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

Medical studies in France Residency  Medicine DES (Specialized Studies Diploma) : 2 years  Medicine DESC (Complementary Specialized Studies Diploma) : 2 or 3 years 3rd Cycle TCEM1 TCEM2 TCEM3 TCEM4 Thesis : M.D.

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

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

Medical studies in France Research Formation  During medical studies students can obtain optional certificates in biology to get a Master 1 with 2 or 3 certificates.   Master 2 is a whole year in a lab often during residency   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  A whole year for research abroad   Ph.D. Thesis   The CNU (national council of universities) confirms candidates.