Question 14946 — health professions

Summary

Mr. Alexandre Vincendet draws the attention of the Minister of Labor, Health and Solidarity to the turn of the working groups in progress with the General Directorate of Care Supply (DGOS) in charge of establishing the training of future dental assistants (known as level 2) as defined by the law of May 19, 2023 on improving access to care through trust in health professionals ("Rist 2"). This career enhancement has been supported by the dental profession for several years so that dental assistants (known as level 1) can have a perspective of development, to free up medical time for dental surgeons and to improve patient care. This new training will be fully financed by employers via the conventional training contribution managed by the skills operator (OPCO) of the sector. Currently, a dental assistant (known as level 1) who has obtained a level 4 qualification (bac level according to the nomenclature of diplomas) with 357 hours of theoretical training and 1,535 hours of practical training in the dental office cannot carry out any task in the mouth. He also cannot take x-rays. Obtaining new skills is essential to the ability to carry out delegated tasks and activities, some of which will be carried out in the mouth from the clinical examination requiring knowledge in oral medicine, to the performance of technical procedures such as scaling or the use on the patient of products and instruments with a toxic or traumatic risk. Training and learning must therefore be coherent and adapted. Their duration cannot be less than the time of initial level 4 training and therefore be logically level 5 (bac+2 according to the nomenclature of diplomas). However, during the working groups led by the DGOS with professionals in the sector, it was announced that this training would only be at level 4. Which implies a reduction in tasks, in particular the delegated procedures carried out in the mouth no longer free up medical time for the practitioner. All healthcare personnel carrying out clinical procedures on patients have a level of minimum training 5 and, in the dental field, the equivalent professions at European level are at Bac+2 or Bac+3. In order to really upgrade this profession to fight against medical deserts, he asks what solution can be implemented to achieve level 5 training for dental assistants (known as level 2).

Machine translation from French. The official text remains authoritative.

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