Search

The periodic certification of health professionals has been in place since January 1st, 2023. However, the entire system is not yet operational, but the regulatory texts are being finalized and communication on the system is important right now. The periodicity of certification is 6 years (9 years for the first cycle of doctors already in practice). This periodic certification will be recorded by the Professional Orders, which will be able to take corrective measures in the event of professional insufficiency. The good practices frameworks are being developed by the national professional councils, one for each profession or specialty. They will include a menu of actions in four areas: updating knowledge and skills, strengthening the quality of practices, improving doctor-patient relationships, and taking greater account of his(her) own personal health. The actions will be recorded over time in a computer portal, in the simplest and most automated way possible to make the certification system accessible to all and efficient. The goal is to improve the quality of care. [ABSTRACT FROM AUTHOR]

Copyright of Actualités Pharmaceutiques is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

L'exercice coordonné en soins primaires est un enjeu majeur pour notre système de santé. Le travail en interprofessionnalité a démontré depuis longtemps ses bénéfices, à la fois pour les patients et les acteurs de santé. Néanmoins, cette démarche ne va pas de soi. Il est nécessaire d'apprendre à travailler ensemble grâce à l'éducation interprofessionnelle. Interprofessional teamwork in primary care is a major issue for health systems. Interprofessional collaboration has demonstrated for a long time its benefits for patients and healthcare professionals. However, this new way of exercise is difficult. It is necessary to learn to work together through interprofessional education. [ABSTRACT FROM AUTHOR]

Résumé Le développement professionnel continu est une obligation triennale qui a pour objectif de permettre aux pharmaciens d'actualiser leurs connaissances tout au long de leur exercice. D'autres dispositifs les aident à accéder à des formations ne rentrant pas dans ce cadre, voire à changer d'orientation professionnelle. Summary Continuing professional development is a triennial obligation which aims to enable pharmacists to update their knowledge throughout their career. Various programmes help them to access other forms of training, and even undertake a career change. [ABSTRACT FROM AUTHOR]

Résumé L’e-santé, la santé en ligne et mobile, bouscule l’organisation actuelle de la chaîne de soins. Elle est source d’informations pour les patients, améliore les relations patients-professionnels de santé, accompagne les malades et facilite le diagnostic. Les pharmaciens doivent se former pour utiliser et conseiller au comptoir les applications smartphones et autres outils d’e-santé qu’ils jugent bénéfiques pour les patients. Summary E-health, online and mobile health, is transforming the current organisation of the healthcare chain. It is a source of information for patients, improves patient-health professional relations, supports patients and facilitates diagnosis. Pharmacists must be trained in using and advising patients on smartphone applications and other e-health tools which they deem beneficial for patients. [ABSTRACT FROM AUTHOR]

Abstract: Objectives: High fidelity simulation is rapidly expanding in France. The question of knowing how to accredit this new mode of continuous education and how far it is available for this purpose is pending. The purpose of this survey was to collect how active centres operate and which criteria they would prefer to accredit this form of continuing medical education. Study design: National survey. Methods: A questionnaire was sent to all centres using high fidelity simulation in France (December 2009). Results: Eighteen of 21 centres answered (86%; all university hospitals). These centres are equipped with adult high fidelity simulation and procedural heads for intubation. Funding is achieved via multiple sources and one third of centres benefit from manufacturers’ lending. Centres are mostly located within the university premises (70%). One or more staff practitioners are involved in 78% and the majority of centres are operated by more than three. Nurse anaesthetists are not involved in most centres. Operating procedures are similar and high fidelity simulation is mostly used for in-site resident training. At present, centres are only marginally able to train non-resident senior anaesthesiologists. Sessions extend over one day (72%). The majority of centres is prone to share scenarios (75%) and pedagogic aids (93%). Basic scenarios (e.g., cardiopulmonary resuscitation) are mainstream objectives for 85% of centres. Conclusion: high fidelity simulation is rapidly expending in France but its ability to contribute to continuous medical education is still limited to date. [ABSTRACT FROM AUTHOR]

Summary: Proficiency in endotracheal intubation is an essential step in the neonatal resuscitation process. This skill is difficult to acquire and its mastery requires experience. Recent changes in neonatal resuscitation guidelines (ILCOR 2006) have resulted in a decrease in the opportunities to practice intubations. Appropriate education and training is therefore essential. The goal of this study was to assess the skills of neonatal care professionals in performing intubation via orotracheal (OT) and nasotracheal (NT) routes. Methods: OT and NT intubation attempts were compared during training on a neonatal mannequin (Laerdal, Neonatal Resuscitation Baby®) at each course of an educational intervention on neonatal resuscitation organized in level 1–3 institutions of the Maternités en Yvelines Perinatal Network. The duration of these attempts was noted; intubation in less than 30s was considered successful. Results: Thirty-two midwifery students (STD), 103 midwives (MW) and 25 pediatricians (PED) participated in the study. The median (IQR) time for intubation was less with the OT route than with the NT route for STD (12.0 vs 23.0s; p =0.001), MW (14.0 vs 25.0s; p =0.001), and PEDs (13.0 vs 20.0s; p =0.007). The success rates for intubation in less than 30s were higher for the OT than the NT routes for STD (100% vs 66%; p =0.001), MW (97% vs 69%; p =0.001) and PED (92% vs 88%; p =NS). Conclusion: This study confirms that OT intubation training resulted in a higher success rate and lower duration for intubation. Practical courses in neonatal resuscitation should include training with OT intubation. [Copyright &y& Elsevier]

Abstract: Training in allergy exists in Moroccan medical schools, but it does not have the place that it should if we take into account the increased frequency of allergic diseases in Morocco (and elsewhere) and the increase in the demand for care that results. In our country, allergy is not recognized officially as a specialty and allergic patients are cared for either by pulmonary specialists or physicians with some training in allergy, or by generalists with a French medical school diploma or with an allergy diploma. There is no explicit allergy training program in the medical schools, but instead there are sessions on allergy presented in the different medical specialities from the second to the fifth years, in which immunology, asthma, eczema and urticaria, nasosinusoidal allergies, conjunctivitis and anaphylactic shock are considered. The amount of time devoted to teaching allergy does not exceed 30h (which is 1.4% of the entire curriculum). During classes in the third cycle, allergy is not clearly separated from other subjects; only the pneumology–pthisiology specialist course includes in-hospital training in allergy. Instruction is very limited in the other specialities. Moroccan medical specialists have the possibility to learn allergy on their own by enrolling in a university course in allergy and clinical immunology that is sponsored by the Department of Pulmonary Diseases in Casablanca. In regard to continued medical education, this can be done under the aegis of specialist scientific societies and associations. In conclusion, the teaching of allergy includes only an introduction but the number of hours devoted to this subject remains limited and it is time to think about the allergy course of the future. This teaching remains underrepresented in the third cycle which is devoted to clinical practice. This speciality must be developed, and it is now time to ask whether it should not be recognized officially. [Copyright &y& Elsevier]

Abstract: Over the past few decades, transfusion medicine and haemotherapy have evolved into complex medical disciplines comprising a broad field of subspecialties such as immunohaematology, blood component production, haemapheresis and haemostaseology. Transfusion medicine is thus an important qualification at the interfaces of analytical laboratory medicine, pharmaceutical production and clinical disciplines such as internal medicine, anaesthesiology or surgery. Physicians specialising in transfusion medicine are valuable and competent partners for these related disciplines when it comes to safe, effective and tailored haemotherapy. Why has transfusion medicine become so complex? On the one hand, one can discern problems such as infectious diseases like the HIV disaster in the past century, resulting in guidelines, directives and laws such as the transfusion law in Germany. Thereby, we now enjoy the highest level of blood product safety ever regarding viral transmission thanks to the broad implementation of PCR testing. On the other hand, there are numerous positive reasons for the increasing complexity of transfusion medicine: Modern medical therapies like stem cell transplantation, cellular therapy, transplantation of solid organs, regenerative medicine and surgery cannot exist without a safe supply of blood products and high quality standard as well as special blood products and laboratory services provided by blood banks and transfusion medicine specialists. Good laboratory practice (GLP), good manufacturing practice (GMP), quality management systems and quality control on the pharmaceutical manufacturer’s level are only few examples of the standards in today’s blood banking. European directives in the field of blood products, stem cell preparations and tissue have led to higher uniform quality standards for biological preparations in a unified Europe, which is the desired outcome, but which also increases the complexity of this field. In contrast, directives 93/16/EEC and 2001/19/EC, the directives of the European Parliament and of the Council on the mutual recognition of professional qualifications of European doctors currently in force, as well as the impending directive 2005/36/EC, which has to be translated into national law until October 2007, do not include transfusion medicine, blood transfusion or immunohaematology at all. Other medical specialities, which like our field, are not common to all member states of the European Union, are listed in the above mentioned directives with the minimum length of training and minimal requirements for the qualifications. Examples include clinical biology, biological haematology, microbiology–bacteriology, biological chemistry, immunology, thoracic, paediatric or vascular surgery as well as physiotherapy, stomatology, neuro-psychiatry, dermato-venerology, occupational medicine, allergology, geriatrics, gastro-enterological surgery, community medicine, nuclear medicine, pharmacology, accident and emergency medicine or tropical medicine. Most of the above are medical specialities in some member states, but not in all. A concerted initiative inaugurated by the European Network of Transfusion Medicine Societies (EuroNet-TMS) and the European Blood Alliance (EBA) aims to compile the situation of the transfusion medicine speciality throughout Europe. A preliminary summary of the current situation in 15 European states was prepared in 2005 after a first set of questions, which was sent out by us via the EBA platform. The authors appreciate Clair Watts’ compilation of the answers provided by the 15 European colleagues. A summary of these answers is depicted in Table 1. However, the initiative aims at a more complex analysis of the different requirements and constituent parts of the qualification in transfusion medicine in different countries. A long-term objective of this initiative might be to introduce the transfusion medicine specialisation into the above mentioned EC directives in order to facilitate mutual recognition of transfusion medicine qualifications throughout Europe. [Copyright &y& Elsevier]

Abstract: Management of in-hospital cardiac arrest is now considered as a hospital quality indicator. Such management actually requires training health care workers (HCWs) for basic life support (BLS). Objective. – To assess the usefulness and efficacy of a short mandatory BLS training course amongst general ward HCWs in a 1,200 bed teaching hospital. Study design. – The in-hospital medical emergency team (MET) established a 45-min BLS training course comprising 10 goals for basic CPR and preparing for the arrival of the MET. Assessment was based on satisfaction questionnaires, cross-sectional evaluation of knowledge and skills of HCWs before and 1 year after the start of the training course. Efficacy of BLS performed on ward was assessed by the MET on scene. Results. – One year after, 68 training sessions had been fulfilled and 522 HCWs had been trained (46.27% of total HCWs). HCWs were satisfied with the teaching course. Instant retention of objectives was over 90%. Cross-sectional surveys showed an improvement of BLS knowledge and skills. The knowledge of initial clinical assessment remained low. Knowledge and skills were significantly higher amongst HCWs who had been trained than amongst those who had not. Unfortunately, general ward BLS performance showed no improvement. Conclusion. – Short mandatory training courses are stimulating and well appreciated amongst HCWs. Although basic knowledge and skills improve dramatically, no improvement of on-scene BLS performance occurs. [Copyright &y& Elsevier]

Abstract: E-learning has been widely used for training in different fields. More recently, it was introduced during medical studies or for continuous medical education. The Canadian Universities are pioneers in e-learning creating special departments dedicated to pedagogy. Developing countries like Brazil or Central Europe have made some pilot experiments, which were successful. Several electronic companies have given a free access to the programmes and sites. The use of electronic media leads to an adaptation of teaching methods making them more interactive. [Copyright &y& Elsevier]