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Legal Framework

The Medical Training at the Faculty of Medicine of Sfax

Destined for students in Medicine and in Family Medicine

The following content was devised based on:

  Decree-law n° 2011-4132 dated 17 November 2011, establishing the general framework for the medical studies that enable the successful students to practice family medicine and to purse specialized studies in medicine http://www.legislation.tn/fr/detailtexte/D%C3%A9cret-num-2011-4132-du-17-11-2011-jort-2011-090__2011090041323

  The work of the inter-faculty group during the year 2016 under the auspices of the National College of Family Medicine and the Ministry of health

 The global consensus on the social responsibility of the faculties of medicine (Dec. 2010)  http://healthsocialaccountability.org/ 

  French, Swiss and Canadian reference material concerning the organization and training in Family Medicine (WONCA, CanMedS) 

 The work of the reflection groups on Family Medicine organized by both the Pedagogy and Educational Technologies Board and the Department of Family Medicine.

  Basic principles in Family Medicine http://www.medecinegen-creteil.net/les-principes-essentiels 

 Pedagogical principles, references and bases acknowledged and accepted by the scientific and pedagogical communities.

The role of the faculty of Medicine:

The Faculty of Medicine is to train physicians who respond, effectively and professionally, to the society’s needs in terms of health and who act in accordance with the existing – as well as updated – knowledge while respecting the medical ethics and deontology within the legal framework in force.

It has always been the Faculty’s role to train Family Doctors. Hence, the basic training is oriented toward this career profile.  

The medical training spans over a period of 8 years divided into three cycles:

First Cycle of Medical Studies (FCMSs) which extends over a period of two years

Second Cycle of Medical Studies (SCMSs) which extends over a period of four years

Third Cycle of Medical Studies (TCMSs) which extends over a period of two years for the Family Medicine section, and five years for specialized medicine.

A project, which is already underway, aiming to harmonize the studies at the third cycle will consider Family Medicine as a separate specialty, just like all the other specialties, and thus the training will be prolonged to/by three years.

The planning of internships at the FCMSs and the SCMSs referred to in Articles 5 and 9 of the afore-mentioned decrees is done at the beginning of each academic year by the respective departments after consulting the scientific board.

The coordination of the study programs at the FCMSs and the SCMSs levels is ensured, for each field of study, by a Professor appointed by the Head of the Department after conferring with the Dean of the Faculty.  At the end of each academic year, the students have to take a final summative exam.    

Legal framework relating to the Family Medicine profile:

1.    Medical (or clinical): nursing interventions

This refers to the management of common illnesses, emergencies, perinatal mother-and-child care, reproductive health, and the mental health of the population.

2.    Social (or related to communities): awareness-raising, prevention, screening

This refers to the prevention and early screening of illnesses.  It also refers to the promotion of health and well-being among the population through awareness-raising campaigns.

3.    Managerial: teams and health structures

This refers to the organization and management of health structures on the level of: logistics, human resources, security and legislation

4.    Research-related: illnesses, patients, environment 

This consists in collecting, classifying and recording the data relating to the health of the population in the catchment area, and in using them as a scientific database for (future) decisions.   Collaborate and share with colleagues and forward the results to decision-making structures.

5.    Ongoing Professional Development

This consists in developing reflexivity on one’s own medical practices, paving the way for self-criticism and self-evaluation, and ensuring one’s own personal and professional development.

Taxonomy of competencies (by level)

First Cycle of Medical Studies: (FCMSs): Prepares for the second cycle. Acquisition of integrated scientific knowledge relating to the human body and the genesis of health problems. Relationship between nursing and basic care-giving techniques.

Second Cycle of Medical Studies: (SCMSs): Prepares for the third cycle. Acquisition of medical knowledge

relating to illnesses and patient management techniques. Development of clinical skills

Third Cycle of Medical Studies: (TCMSs): 

 - In Family Medicine: Development of clinical, social, managerial and research skills, and the ongoing professional development.

 - In Specialty Medicine: Development of skills according to the requirements as defined by the Medical College of each specialty.