Unsuccessful entry into practice for thousands of medical students

In the summer of 2024, French hospitals will lack a thousand medical interns (i.e. students in the seventh year and above), out of an expected roughly eight thousand. Their practice will not take place, because of these students, almost three hundred did not validate the new sixth-year tests made possible by the reform of the second cycle of health studies, and the rest preferred to repeat the fifth-year course. at the start of the 2023 school year rather than sticking with what they say “crash test promotion”, the first to experiment with reform.

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“The hospital cannot function without interns, who represent 40% of the staffworries Jérémy Darenne, president of the National Association of Medical Students of France (Anemf). To compensate for this absence, the workload will increase further, as will the contribution of external staff. »

The boarding school entrance reform, effective from the start of the 2023 school year – delayed by a year due to the Covid-19 health crisis – has removed the national classification tests (ECNs) which set the exit assessment at the end of sixth form, in June, giving the first on the list a choice specialities.

Review patient facing skills

From now on, recommendations for specializations depend on two national exams: written national dematerialized exams (EDNs) in October, then practical exams called “objective structured clinical exams” (OSCEs) in May, including The exam takes place on Tuesday the 12th.

Objective: Beyond knowledge, the jury wants to verify the skills of future professionals in a situation where they face patients specially selected for the simulation of a clinical situation. One condition: a minimum score of 14 out of 20 in the EDN is required to participate in ECOS. This floor note was introduced for a purpose “to guarantee a sufficient level of knowledge of the so-called “rank A” items, which are considered a necessary basis for the student to be able to be intern and treat patients”reminds Benoît Veber, president of the Conference of Deans of Medical Faculties and head of the Health UFR at the University of Rouen-Normandie.

In order to appear in the rankings and have a trainee position, you must obtain a minimum score of 10 out of 20 on ECOS. If this does not happen, the student repeats the year to take these practical tests again and spends his year on internships that do not lead to any confirmation.

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