France

Part One

| Professional recognition in your country

1.1. Which organisation recognises doctors eligible to practice in your country?

In case your country has more then one organisation which can provide professional recognition, please attach to this survey a simple list of names and websites where we can acquire more information.

Name: CONSEIL NATIONAL DE L’ORDRE DES MEDECINS : CNOM

Type of organisation (professional, government, etc.) Trade union and professional organisation national medical association

Address: 4, rue Léon Jost 75855 PARIS Cedex 17

Phone number: +331 53 89 32 00

Fax:

Contact person:

E-mail: conseil-national@cn.medecin.fr

Website(s): https://www.conseil-national.medecin.fr

1.2. What requirements/documents are necessary for a foreign doctor to practice medicine?

i.e. language skills, medical degree, insurance, immigration status.

Nationality: French, EU, Tunisia, Maroc, one of the countries of bilateral agreement: Monaco, Quebec, Republic of central Africa, congo, gabon, mali, Senegal, tchad, togo
French diploma, or diploma recognized by France (EU diploma qualifies, the website below details all the documents that have to be shown by European country + Switzerland (document named “diplome par pays”)
Registration on MD list of the departmental doctor order (conseil departemental de l’ordre des médecins)

Where else can we find more information? https://www.conseil-national.medecin.fr/l-exercice-en-france-1232

1.3. Are there any application deadlines (if so, when)?

Furthermore, how long does the professional recognition procedure usually take?

Professional recognition can vary a lot depending on the diploma recognition.
If one has a diploma from EU, and EU nationality, it takes about 4 months to get authorization to practice medicine.

If the person has a diploma from out of the EU or non conform to article24 of European directive 2005/36/CE, the person has to go through the “Procédure d’Autorisation d’Exercice »
People out of EU who go through the Procédure d’Autorisation d’Exercice usually have to go through an exam to verify their knowlegde. Dates are around october. All details on these websites : https://www.cng.sante.fr/concours-examens/epreuves-de-verification-conna...

Where else can we find more information?
Information on the procedure d’autorisation d’exercice : https://www.cng.sante.fr/autorisation-dexercice

1.4. Are there any sort of examinations/interviews to apply for Medical Professional Recognition?

“épreuves de vérification des connaissances” for non UE

Where else can we find more information?
https://www.cng.sante.fr/autorisation-dexercice

1.5.1. What kind of professional medical degrees are there in your country?

The recognised specialties are listed in that page: https://www.conseil-national.medecin.fr/article/les-diplomes-delivres-949

1.5.2. How do you access each degree?

At the end of the 6th year of medical school, there is an exem: Examen Classant National (ECN), and people chose specialty depending on ranking on this training.
In the summer 2018, the ministry of health announced that the examen classant national will disappear in 2021. (That’s to say that people who are gonna get in the 4th year of medical school in November 2018 will not have ECN at the end of their 6th year in 2021)

Where else can we find more information?
https://www.cng.sante.fr/concours-examens/epreuves-classantes-nationales...

Part Two

| Training in your country

2.1. Which organisation is responsible for medical training in your country?

In case your country has more than one organisation with this function, please attach to this survey a simple list of names and websites where we can acquire more information.

General objectives in training are written in the law (major reform of residency training in 2017. descriptives of all diplomas accessible through this link : https://www.legifrance.gouv.fr/affichTexte.do?cidTexte=JORFTEXT000036237...

Each seciality has a national college of university professors that usually edits guidelines for training.
http://www.enseignementsup-recherche.gouv.fr/cid22837/composition-du-c.n...

each region can decide on their training. the reform has the goal to uniformise the training nationally but we are not there yet.

Name:

Address

Type of organisation (professional, government, etc.):
Phone number:

Fax:

Contact person:

E-mail:

Website:

2.2. Besides professional recognition, is there any other requirement for a doctor to start his training/begin to work (i.e. examination, clerkship, internship)? Namely, which documents/examinations are necessary when applying for training/job?

For specialty training, if MD has no specialty training recognised he/she has to go through the ECN. (after 2021, when ECN won’t exist: do not know yet how it will go)

2.2.1. Where are training positions advertised?

Conseil national de gestion : https://www.cng.sante.fr

2.3. Are there any application deadlines (if so, which)?

They are written on the website : https://www.cng.sante.fr/concours-examens/epreuves-classantes-nationales...

2.4. How do applicants choose what and where they would like to train?

choice of specialty and place where to train are made depending on ranking .
(after 2021, when ECN won’t exist: do not know yet how it will go for foreigners)

2.5. Is there a fee/tuition for attending a training programme?

Yes registration to university (French residents are registered to uni)

2.6. Do trainees receive a salary during training?

Yes.

2.6.1. Moreover, what is the current salary and is overtime paid?

About 16000€ a year in the first year, up to 25 to the third year

Not including shifts.

119,02 € per night shift on weekdays

130,02 € for Saturday nights, sundays, banks holidays

2.6.2. What type of contracts are there? How long are the working and on-calls times?

On calls usally from 6pm (or 6:30) to 8:30 am or 9am. Sunday and banck holidays: 8:30am-8:30am

2.6.3. Are sick leave, vacation days, maternity leave, voluntary work allowed and do they entail a reduction of salary?

Sick leave, vacation days, maternity leave are allowed.
No salary reduction.
Salary for maternity leave is calculated from the salary perceived in three months previous the leave

2.7. In general terms, how is the training assessment done?

i.e. exams, evaluations, interviews, appraisal

Before reform: placement are evaluated by senior doctors, thesis and specialty master thesis to be defended. Each region has its own way of evaluating, so it can vary very much from one specialty to another, and from one region to another one (ex: attendance to courses, clinical cases, oral exams, etc)
With the reform: portfolio (with points equivalent to the entrustable professional activities and milestones from CANMED system), one to one assessment by the head of the discipline at the end of each phase of training. (there are 3 phases), plus thesis and specialty master thesis

Part Three

| Other details about training/working in your country

3.1. Is mobility possible inside and outside the country during your training?

Yes. It is possible to make some semesters in another region of France, and abroad. abroad is slighty more difficult though.

3.2. How many trainees are there in your country?

Divided, if possible, by in each speciality.

Divided, if possible, by in each speciality.

Table by specialty (adapted each year)

https://www.legifrance.gouv.fr/jo_pdf.do?id=JORFTEXT000037319039

3.5. Is there any national recertification/revalidation scheme to practice?

It is debated right now. So far, no recertification process. However, gouvernment is thinking of creating it.

3.7.1. Are there any restrictions for a foreign doctor who is undergoing training in your country to work there afterwards?

No. If they go through ECN, they get to specialty training, and then receive a diploma as a French doctor would.

3.7.2. Moreover, is it possible for a trainee undergoing training in another EU/EEA country to do part of his training in your country? If so, what are the necessary requirements/documents?

It is possible if they have a “autorisation temporaire d’exercice”

information available from : https://www.conseil-national.medecin.fr/sites/default/files/exercice_en…;

3.8. Please summarise the general timeline between the time where a doctor has just graduated until he has attained a final senior post as an independent medical doctor.

In other words, please describe, in general terms, the training of a junior doctor in your country.

In other words, please describe, in general terms, the training of a junior doctor in your country.
Between 3 years (for GP) and 6 years (surgery)

3.9. Is it compulsory to have malpractice (or any other) insurance?

Yes we have “responsabilité civile professionnelle”

3.11. What is the general perspective/position on emigration of medical trainees to foreign countries?

It is hard for French people to go abroad, because after medical school, French people do niot have MD diploma. Diploma of doctor is received after the thesis is done during residency training (thesis can be done from 2nd year of residency training), and specialty training is recognised by the specialty master’s thesis (specialty master’s theis has to be done in the last year of residency).

3.12. Are there any restrictions in your country to comply with the consolidated version of EU 2005/36?

3.13. Which organisation(s) specialise in assisting doctors in legal and work matters?

i.e. trade unions, medical chambers, other organizations.

Conseil de l’ordre des médecins,
Doctors unions (each specialty has its own usually)