[ITT with the penal direction].
OBJECTIVE
to evaluate the knowledge and the practice of the general practitioners of the French region of Midi Pyrénées evaluation fixing of the total disablement of work (ITT).


METHODS
inquire of practice by anonymous self-administered questionnaire near 500 drawn general practitioners of the area Midi the Pyrenees to the fate. This questionnaire comprised four parts (profile of the doctor, self-assessment of the occupation as regards drafting of certificate of aggravated assault and fixing of the ITT, questions of theoretical knowledge concerning the ITT, evaluation of knowledge in analysis of clinical situations).


RESULTS
266 questionnaires out of 500 (53.2%) answered and exploitable between March and July 2006. The sample of doctors is representative of the medical population of the area Midi Pyrénées; 91.8% of the doctors write the certificates of aggravated assault and 80% determine the total disablement of work; 20% know the significance of initials ITT to the penal direction of the term, 94% know the legal consequences of the duration of the penal ITT, 87% in the case of know the rule of the "8 days" voluntary violences. In 24% of the errors, at least one of the two victims presented in the practical case profited one duration of ITT higher than 8 days.


CONCLUSIONS
this investigation confirms the major place of the general practitioner in the drafting of the initial medical certificate of aggravated assault and in the fixing of the total disablement of work to the penal direction of the term. However, there is a margin of important progress, in terms of professional practices, between the fixation of the duration of total working incapacity and the duration of medical certificate concerning the victim. The maintenance of a continuous medical training as regards medico-legal practice appears important for all the experts in ambulatory exercise of first recourse.
Oustric
Stéphane
S
Département de médecine générale, faculté de médecine de Toulouse. dr-oustric@wanadoo.fr
Grill
Stéphane
S
Telmon
Norbert
N
D004185:Disability Evaluation; D005194:Family Practice; D005260:Female; D005602:France; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009787:Occupational Medicine / Q000331:legislation & jurisprudence*; D011795:Surveys and Questionnaires