title: [Qualification in general surgery. Experience of the National Commission with the first action by the Counsel of licensure of physicians].
abstract: The french board of qualification in general surgery examines requests from physicians who have neither a University French diplome of surgery, nor a similar diplome of a country of the European Community. From 1989 to 1991, 184 requests were submitted to the board, coming from military surgeons (n = 18), residents of university hospitals (n = 37) or general hospitals (n = 10) or from other physicians (n = 119). These latters originate mainly from non European foreign countries, and are naturalized as French citizens afterwards. The board gave 54 favourable recommendations (29%), ranging from 100% for military surgeons, to 8% for other physicians who had not been resident. Out of these requests, 18 were applied by physicians who were appointed as staff surgeon, usually in small public hospitals. Rather to appoint physicians without any surgical qualification to artificially provide jobs it would be cheaper for the care insurance system, and more secure for the patients, to close or transform hospitals which cannot find qualified surgeons. However, it is a difficult political challenge as, in France, mayors are systematically President of the administrative board of the public hospital.
authors.affiliation: Hôpital Tenon, Paris.
authors.forename: M
authors.initials: M
authors.lastname: Huguier
authors.forename: R
authors.initials: R
authors.lastname: Gatelmand
authors.forename: J C
authors.initials: JC
authors.lastname: Patel
mesh_terms: D005602:France; D013502:General Surgery; D008007:Licensure, Medical
vernacular_title: La qualification en chirurgie générale. Expérience de la Commission nationale de première instance du Conseil de l'ordre des médecins.