Medical Studies in France Prof R.KOHLER Pediatric orthopedic surgery Université Claude Bernard Lyon...

Medical Studies Medical Studies in Francein France

Prof R.KOHLERProf R.KOHLERPediatric orthopedic surgeryPediatric orthopedic surgery

Université Claude Bernard Lyon 1Université Claude Bernard Lyon 1February 2007February 2007

Medical studies in FranceMedical studies in France

General Organization General Organization in 3 cyclesin 3 cycles

First cycle : 2 years PCEM1 and First cycle : 2 years PCEM1 and PCEM2PCEM2

Second cycle : 4 years DCEM 1, Second cycle : 4 years DCEM 1, 2, 3 and 42, 3 and 4

Third cycle : 3 years of resident Third cycle : 3 years of resident time for G.P. or 4/5 years of time for G.P. or 4/5 years of resident time for specialties.resident time for specialties.

Medical thesis Medical thesis

1st CyclePCEM1

PCEM2

2nd Cycle

DCEM1

DCEM2

DCEM3

DCEM4

3rd Cycle

TCEM1

TCEM2

TCEM3

TCEM4

Thesis : M.D.


PCEM 1 ProgramPCEM 1 Program

AnatomyAnatomy Biochemistry and molecular Biochemistry and molecular

biologybiology Cellular biologyCellular biology BiophysicsBiophysics EmbryologyEmbryology HistologyHistology PhysiologyPhysiology Social and human sciences Social and human sciences

1st CyclePCEM1

PCEM2


Exam at the end ofExam at the end of PCEM 1 PCEM 1

This exam is a ranked or This exam is a ranked or selective examselective exam

Only few students pass Only few students pass (around 15 to 20%). The (around 15 to 20%). The number of students number of students accepted represents the accepted represents the "numerus clausus“ "numerus clausus“ (about 6500 (about 6500 students/year in France). students/year in France).

1st CyclePCEM1

PCEM2


PCEM 1 ExamPCEM 1 Exam

Same exam for different cursus :Same exam for different cursus : Medical cursusMedical cursus OdontologyOdontology Midwifery school Midwifery school KinesitherapyKinesitherapy ErgotherapyErgotherapy..


PCEM 2 ProgramPCEM 2 Program

AnatomyAnatomy Techniques and semeiology of imageryTechniques and semeiology of imagery Biochemistry and biological semeiologyBiochemistry and biological semeiology Epidemiology and BiostatisticsEpidemiology and Biostatistics Histology and Reproductive biology.Histology and Reproductive biology. ImmunologyImmunology PhysiologyPhysiology Medical psychologyMedical psychology Health economyHealth economy Critical Care MedicineCritical Care Medicine Clinical semeiologyClinical semeiology Complementary studies Complementary studies (i.e. human biology)(i.e. human biology) EnglishEnglish

1st CyclePCEM1

PCEM2


DCEM 1 ProgramDCEM 1 ProgramUFR Lyon-NordUFR Lyon-Nord

Pathological anatomy and Cell Pathological anatomy and Cell PathologyPathology

Medical GeneticsMedical Genetics HematologyHematology Bacteriology/VirologyBacteriology/Virology OncologyOncology ParasitologyParasitology PharmacologyPharmacology Surgical semeiologySurgical semeiology Medical semeiologyMedical semeiology Imagery Techniques Imagery Techniques Intensive Care MedicineIntensive Care Medicine EnglishEnglish

2nd

Cycle

DCEM1

DCEM2

DCEM3

DCEM4



Module 1: Medical PracticeModule 1: Medical Practice Module 2 : From conception to Module 2 : From conception to

birth (Obstetrics, Gynecology)birth (Obstetrics, Gynecology) Module 7 : Public Health– Module 7 : Public Health–

Infectious diseasesInfectious diseases Module 8A : Immunopathology, Module 8A : Immunopathology,

inflammatory reaction inflammatory reaction Module 8B : DermatologyModule 8B : Dermatology Module 10 : Cancer – Oncology – Module 10 : Cancer – Oncology –

Hematology Hematology Module 14 : Blood and MetabolismModule 14 : Blood and Metabolism Optional certificatesOptional certificates

2nd

Cycle

DCEM1

DCEM2

DCEM3

DCEM4


Module 3 : PsychiatryModule 3 : Psychiatry Module 12: Cervico-Thorax Module 12: Cervico-Thorax

Pathologies Pathologies Module 13 : Abdominal Pelvic Module 13 : Abdominal Pelvic

Pathologies Pathologies Module 15 : Perception Module 15 : Perception

Locomotion (neurology, Locomotion (neurology, rheumatology, orthopedic rheumatology, orthopedic surgery)surgery)

Optional certificatsOptional certificats

2nd

Cycle

DCEM1

DCEM2

DCEM3

DCEM4




Module 5 : GeriatricsModule 5 : Geriatrics Module 6 : Palliative careModule 6 : Palliative care Module 11 : Clinical Module 11 : Clinical

Synthesis and Therapeutics, Synthesis and Therapeutics, Emergencies Emergencies

Preparation to “Examen Preparation to “Examen classant national” = step2.classant national” = step2.

2nd

Cycle

DCEM1

DCEM2

DCEM3

DCEM4


HospitalHospital Rotations Rotations

Clinical initiation rotations Clinical initiation rotations during PCEM2 and DCEM1 during PCEM2 and DCEM1

Hospital Rotations every Hospital Rotations every morning during DCEM2, morning during DCEM2, DCEM3, and DCEM 4.DCEM3, and DCEM 4.

1st Cycle

PCEM1

PCEM2

2nd

Cycle

DCEM1

DCEM2

DCEM3

DCEM4


““Examen National classant”Examen National classant”

At the end of DCEM 4At the end of DCEM 4 National ranked exam (step2) that National ranked exam (step2) that

class medical students. class medical students. They choose either GP formation or They choose either GP formation or

specialty formation depending on specialty formation depending on their scores.their scores.


Third CYCLE of General Medicine

6 resident semesters 6 resident semesters with one in a GP officewith one in a GP office

Theoretical thematic Theoretical thematic coursescourses

3rd Cycle

TCEM1

TCEM2

TCEM3

Thesis : M.D.


MEDICAL THESIS

At the end of general medicine At the end of general medicine resident time, each student have to resident time, each student have to present a medical thesis to be medical present a medical thesis to be medical doctor.doctor.

He can then practice as a general He can then practice as a general practitionerpractitioner


Additional learningAdditional learning

G.P. can also obtain :G.P. can also obtain : CapacitiesCapacities University DiplomasUniversity Diplomas Inter University DiplomasInter University Diplomas


ResidencyResidency

Medicine DES Medicine DES (Specialized Studies (Specialized Studies Diploma) : 2 yearsDiploma) : 2 years

Medicine DESC Medicine DESC (Complementary (Complementary Specialized Studies Specialized Studies Diploma) : 2 or 3 yearsDiploma) : 2 or 3 years

3rd Cycle

TCEM1

TCEM2

TCEM3

TCEM4

Thesis : M.D.


Medical thesis in specialty

At the end of residency a medical thesis is mandatory to exercise as a medical specialist


““ASSISTANAT”ASSISTANAT”

Clinical Assistant Professor Clinical Assistant Professor (“assistant chef de clinique”) for 2-4 (“assistant chef de clinique”) for 2-4 years in a clinical specialtyyears in a clinical specialty

“Assistant hospitalo-universitaire” for for 2-4 years in a non-clinical specialty2-4 years in a non-clinical specialty

(biology, physiology, physics etc.).


Research FormationResearch Formation

During medical studies students can obtain During medical studies students can obtain optional certificates in biology to get a optional certificates in biology to get a Master 1 with 2 or 3 certificates.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.


University PositionUniversity Position

A whole year for research abroadA whole year for research abroad

Ph.D. Thesis

The CNU (national council of universities) confirms candidates.

Medical Studies in France Prof R.KOHLER Pediatric orthopedic surgery Université Claude Bernard Lyon...

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