1. GP = Spécialist Michel LEVEQUE Strasbourg 10 novembre 2011

2. Findings Primary care change Training sites unsuitable : hospital Health needs

3. proposal from the profession

4. WONCA définition of GP/FM http://www.woncaeurope.org/Definition%20GP-FM.htm

5. WONCA définition of GP/FM SIX CORE COMPETENCIES: 1.Primary care management 2.Person-centred care 3.Specific problem solving skills 4.Comprehensice approach 5.Community orientation 6.Holistic modelling

6. WONCA définition of GP/FM Eleven characteristics 1.First contact within the health care system 2.Makes efficient use of health care ressources 3.Develope peros-centred approach 4.Relatioship between doctor and patient 5.Longitudinal continuity of care 6.Specific decision making

7. WONCA définition of GP/FM Eleven characteristics (suite) 7.Manages simultaneously acute and chronic health 8.Manages illness in early stage… 9.Promotes health and well being 10.Has a specific responsibility for the health of the community 11.Deals with health problems in their physical, psychological, social, cultural and existensial dimension

8. WONCA définition of GP/FM THREE AREAS: –Clinical tasks –Communication with patients –Management of the practice

9. WONCA définition of GP/FM

10. The law in France Loi du 17 janvier 2002 D.E.S. arr. 22 septembre 2004 Loi 2008-112 8 février 2008

11. Challenges Writing the scientific background –promote the research in primary care Specific training –Recruit the clinical teacher (tutors) –Train the teacher (tutors) – Build the areas of learning

12. The facts Teacher training since 1984 Recruitement : –Physician engaged in continuing professional development Training in pedagogy Reseach in pedagogy

13. The academics GP Professors Associated professors Lecturer Clinical leaders Tutors

14. Limits Each year more students…… Académic GP are – academics Searcher teacher – care giver in their community

15. limits resistance of other academic professionals Insufficient for the needs

16. Hope… gained experience of the pioneers should help the new teachers the development of collaboration with other specialties should support research