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COMPENSATION SYSTEM FOR PESTICIDE EXPOSURE. The French Pesticide Victims Compensation Fund (FIVP) was created on January 1, 2020 to compensate people exposed to pesticides during their professional activity, or children who were exposed in utero due to their parents' professional activity. Occupational diseases related to pesticide exposure are under-reported. The primary role of any physician is to consider the link between pathologies observed and exposure to pesticides, to provide information to patients, and then to accompany them by writing the initial medical certificate on the Cerfa document specific to work accidents and occupational diseases (AT-MP) for adults, or a certificate on plain paper attesting to the pathology for children, and by providing them with copies of all the medical reports that they deem appropriate to attach to the request. The FIVP allows for the centralized processing by the Mutualité sociale agricole (MSA) of Mayenne-Orne-Sarthe of all occupational disease claims for which the patient, advised by the doctor who wrote the initial medical certificate (CMI), has indicated that the pathology is related to exposure to pesticides. The forms have been modified by the Health Insurance since May 7, 2022., Competing Interests: Les auteurs déclarent n'avoir aucun lien d'intérêts.

END-OF-CAREER AND END-OF-EXPOSURE VISITS Many legislative changes have been introduced in recent months concerning the activity of occupational physicians. Particular emphasis has been placed on the traceability of exposure and the resulting medical follow-up with the creation of end-of-career and end-of-exposure visits. These new features imply changes in terms of post-occupational monitoring in particular, but other appointments are obviously possible for workers in conjunction with their prevention and occupational health service., Competing Interests: Les auteurs déclarent n'avoir aucun lien d'intérêts.

Possession of weapons and hunting license.Firearms are the cause of more than a thousand deaths each year, representing a significant public health goal. For type B and C firearms, sport shooting, and hunting licences, the attending physician plays a crucial role, issuing a certificate in each case according to very specific terms and conditions., Competing Interests: "Les auteurs déclarent n’avoir aucun lien d’intérêts."

Death certificate : recent changes and instructions for use. Since January 1, 2018, doctors must write death certificates on new models. The year 2017 saw a number of changes regarding funeral legislation and death reporting, concerning, among other things, the practice of custodial care and the data to be completed, which will be analyzed by the Center for Epidemiology on Medical Causes to produce national mortality statistics. The death certificate may be prepared in electronic format or, failing that, in paper form available from regional health agencies., Competing Interests: C. Manaouil a participé aux travaux du groupe de travail au ministère de la Santé pour élaborer le nouveau modèle de certificat de décès. Les auteurs déclarent n’avoir aucun lien d’intérêts.

Medical secrecy in occupational medicine (II). The occupational physician is not isolated and works within a multidisciplinary team of an occupational health service. It must communicate with other health professionals, but also with the employers, the representative bodies of the staff... Due to numerous provisions of the Labor Code and the particular position of the occupational physician, counselor of employers and employees, and also of a secrecy particular to the world of work, namely the secret of manufacture, medical secrecy holds a special place in the triangular relation of work doctor, employee, employer. The occupational physician must communicate with the employer and the employee in order to carry out his duties as effectively as possible, but in practice it may be difficult for the occupational physician to make his recommendations and recommendations known in order to improve the working conditions of employees without being able to argue on medical information., Competing Interests: Les auteurs déclarent n’avoir aucun lien d’intérêts.

Medical secrecy in occupational medicine (I). The occupational physician is not isolated and works within a multidisciplinary team of an occupational health service. It must communicate with other health professionals, but also with the employers, the representative bodies of the staff... Due to numerous provisions of the Labor Code and the particular position of the occupational physician, counselor of employers and employees, and also of a secrecy particular to the world of work, namely the secret of manufacture, medical secrecy holds a special place in the triangular relation of work doctor, employee, employer. The occupational physician must communicate with the employer and the employee in order to carry out his duties as effectively as possible, but in practice it may be difficult for the occupational physician to make his recommendations and recommendations known in order to improve the working conditions of employees without being able to argue on medical information., Competing Interests: Les auteurs déclarent n’avoir aucun lien d’intérêts.

The criminal record is a tool to combat repeated infringement. It is a list of infringements committed by a single person. The second report is accessible to the French National Medical Council and to hospital administration for doctors working in the public healthcare sector. There is no text establishing prohibition of medical practice with an infringement registered in the criminal record. However, to be qualified and licensed in the practice of medicine, doctors must be recorded to the French National Medical Council. This one verify the content of the criminal record. In contrast, any suspension or medical practice prohibition, pronounced through a verdict of the court or a professional order, must be entered in the criminal record. Medical blunders with criminal sanction can be entered on the criminal record and therefore suspend a permission to medical practice; even whithout a disciplinary sanction. Must be free from criminal convictions is not a legislative or regulatory necessity but an ordinal requirement. As it was, a medical student can continue his studies with an infringement registered in the criminal record, if he is not a French National Medical Council registrant and if he is in fact not working in the public healthcare sector., Competing Interests: Les auteurs déclarent n’avoir aucun lien d’intérêts.

In France, the physician can inform the prefect that a patient, detaining weapon and followed for a pathology (psychiatric notably), is dangerous. Then, it comes back to the prefect to appreciate the appropriate measurements to take, notably to order the delivery of weapon and ammunitions. In France, the doctor can be solicited to establish the necessary medical certficates during requests of approval or acquisition and having guns for hunting and sports shooting, or to obtain the licence of hunting. The acquisition and the possession of certain weapon cannot be granted if the applicant is a protected person over 18, was or is hospitalized, without his consent, owing to mental disturbances or, is in a physical or psychical state apparently incompatible with the possession of weapon. But it appears that the access to this information by the prefects is made difficult by the absence of files centralizing these data. Question settles to institute an automated national file of hospitalizations under pressure, which could be consulted prior to the deliverance or the approval of possession of weapon for hunting and as sports shooting. In our opinion, this should be made, in a strictly supervised manner, through a sworn doctor, systematically solicited as part of the licence of hunting and licence of shooting, to liberate the family practitioners of an expertise role.

We detailed the practical methods of gift of the body and the functioning of the centers of gift of the body in France. The gift of the body is an ignored step, lacking a clear legal framework, which explains partly the disparities of operation noted within the various centers concerned. The doctors must be able to inform the patients and their families about the methods of the gift of the body.