Question 19598 — health professions

Summary

Mrs. Alexandra Valetta Ardisson draws the attention of the Minister of Solidarity and Health to the situation of practitioners with diplomas outside the European Union “PADHUE”. Around 4,000 PADHUEs work in France under precarious status: “acting as interns” (FFI) or “associate attached practitioners”, without being registered with the Order of Physicians. With diplomas not recognized by France, these health professionals - mainly doctors, dental surgeons and pharmacists - do not enjoy full exercise and are less well paid than their French colleagues. Mainly recruited in hospitals, these practitioners are essential in the French health system. 1,000 of them, who arrived before August 2010 and who did not obtain the knowledge validation exam (EVC) - an exam which no longer exists since 2016 and which allowed to validate their diploma -, have no longer been authorized to practice since January 1, 2019. Nearly 3,000 other practitioners, who arrived in France after 2010, also find themselves in an inextricable situation; hired when they should not have been, they never had access to the licensure exam. Until 2016, registration for knowledge verification tests (EVC) was done under three types of list: list A: competition with very limited places open to any practitioner with a foreign diploma outside the EU, list B: examination open to refugees and list C, called special: examination also open to practitioners with foreign diplomas with professional experience in France, in particular through internships. Since the elimination in 2016 of the knowledge validation exam (EVC), the exercise authorization procedure cannot be only via the competition planned for List A open to all qualified practitioners outside the EU. As a result, French residents in France who obtained their diploma outside the EU and foreign spouses of French residents in France who obtained their diploma outside the EU find themselves in the same situation as non-resident foreigners in France who have no link with France. This situation contributes to the deterioration of the situation of French citizens or their spouses. Questioned on this subject, the Ministry of Solidarity and Health received a delegation on November 23, 2018 to discuss the new version of the “practice authorization procedure”. She would like confirmation that the exercise authorization procedure will be included in the health bill soon to be discussed in the National Assembly. Furthermore, if the recruitment of foreign doctors were to limit themselves to passing the List A competition, she would like to know if the number of open positions will be increased significantly. Finally, she would like to know if it could be considered to take into account the condition of residence as a criterion for passing the tests of the authorization procedure.

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