APPENDICES TO PART FOUR

PRACTICE OF MEDICINE BY MEDICAL STUDENTS: CONDITIONS RELATING TO THE LEVEL OF STUDY DEPENDING ON THE ACTIVITY OF THE DOCTOR BEING REPLACED, CITED IN ARTICLE R. 4131-1

Conditions to be fulfilled by the replacement or assistant and semesters required :

I. - General medicine

To be enrolled in the third cycle of general medicine and to have completed three semesters of residency, including one with an approved general practitioner.

II. - Human anatomy and pathological cytology or anatomy and pathological cytology

A. - 4 specific (1).

B. - 1 free.

III. - Anaesthesia-resuscitation

A. - 4 specific (1) including 3 in anaesthesia departments and 1 in an intensive care department.

B. - 1 free.

IV. - Cardiovascular medicine

A. - 3 specific (1).

B. - 2 in approved departments of :

1. Thoracic and cardiovascular surgery ;

2. Endocrinology and metabolic diseases ;

3. Nephrology ;

4. Internal medicine and clinical immunology ;

5. Paediatrics ;

6. Pneumology ;

7. Radiology and medical imaging ;

8. Neurology ;

9. Intensive care medicine ;

10. Vascular medicine.

V. - Dermato-venereology or dermatology and venereology

A. - 3 specific (1).

B. - 2 free.

VI. - Endocrinology-diabetology-nutrition

A. - 3 specific, including at least one with a nutrition focus (1).

B. - 1 in a department accredited as the principal centre for :

1. Hepatology-gastroenterology ;

2. Internal medicine and clinical immunology ;

3. Paediatrics ;

4. Intensive care and resuscitation ;

5. Geriatrics ;

6. Oncology ;

7. Cardiovascular medicine ;

8. Neurology ;

9. Pneumology ;

10. Nephrology ;

11. Medical biology ;

12. Public health ;

13. Psychiatry ;

14. Nuclear medicine ;

15. Medical gynaecology.

C. - 1 free.

VII. - Diseases of the digestive system or gastroenterology and hepatology

A. - 3 specific (1).

B. - 2 free.

VIII. - Medical gynaecology

A. - 3 semesters in approved gynaecology-obstetrics departments.

B. - 1 free semester.

IX. - Haematology

A. - 3 specific (1) :

1. At least 1 in a clinical haemobiology and blood diseases department ;

2. At least 1 in a central hospital haemobiology laboratory.

B. - 1 in an approved department of :

1. Pathological anatomy and cytology ;

2. Immunology and immunopathology ;

3. Internal medicine ;

4. Oncology ;

5. Clinical and biological infectious and tropical pathology ;

6. Paediatrics ;

7. Pneumology ;

8. Resuscitation.

C. - 1 free.

X. - Internal medicine

A. - 2 specific (1).

B. - 1 in an approved department of :

1. Oncology ;

2. Immunology and immunopathology ;

3. Clinical and biological infectious and tropical pathology ;

4. Intensive care ;

5. Nutrition.

C. - 3 free.

XI. - Nuclear medicine

A. - 3 specific (1).

B. - B. - 2 free.

XII. - Occupational medicine

A. - 3 specific (1).

B. - 2 free.

XIII. - Nephrology

A. - 2 specific (1).

B. - 1 in an approved intensive care unit.

C. - 2 free.

XIV. - Neurology

A. - 3 specific (1).

B. - 1 in an approved psychiatric department or in an approved neurology department.

C. - 1 free.

XV. - Oncology (medical oncology option)

A. - 3 specific (1), including 1 in a department approved for the radiotherapy option.

B. - 2 free.

XVI. - Oncology (radiotherapy option) or radiotherapy

A. - 4 specific (1), including 1 in a department approved for the medical oncology option.

B. - 1 free.

XVII. - Paediatrics

A. - 4 specific (1).

B. - 1 free.

XVIII. - Pneumology

A. - 3 specific (1).

B. - 2 free.

XIX. - Psychiatry

A. - 4 specific (1), including 1 in a department approved for child and adolescent psychiatry.

B. - 1 free.

XX. - Psychiatry (child and adolescent psychiatry option)

A. - 4 specific (1) including 2 in an approved child and adolescent psychiatry department.

B. - 1 free.

XXI. - Radiology (option radiodiagnostic) or radiodiagnostic and medical imaging

A. - 3 specific (1).

B. - 2 free.

XXII. - Functional re-education and rehabilitation

A. - 3 specific (1).

B. - 2 free.

XXIII. - Rheumatology

A. - 3 specific (1).

B. - 2 free.

XXIV. - Community health and social medicine or public health and social medicine

A. - 3 specific (1) including 1 in an approved out-of-hospital service.

B. - 2 free.

XXV. - Medical biology

A. - 3 in laboratories.

B. - 1 in an approved clinical service.

C. - 1 free.

XXVI. - Children's surgery

A. - 4 specific (1) allocated if possible to the following departments: visceral surgery, paediatric orthopaedic surgery, paediatric urological surgery, paediatric general surgery.

B. - 3 free.

XXVII. - Orthopaedic surgery and traumatology or orthopaedic surgery

A. - 4 specific (1).

B. - 3 free

XXVIII. - Reconstructive and aesthetic plastic surgery

A. - 4 specific (1).

B. - 3 free.

XXIX. - Thoracic and cardiovascular surgery

A. - 4 specific (1).

B. - 3 free.

XXX. - Urological surgery

A. - 4 specific (1).

B. - 3 free.

XXXI. - Vascular surgery

A. - 4 specific (1).

B. - 3 free.

XXXII. - Visceral and digestive surgery

A. - 4 specific (1) :

B. - 3 free.

XXXIII. - Gynaecology-obstetrics

A. - 5 specific (1).

B. - 1 in approved departments of :

1. Visceral surgery ;

2. Urological surgery ;

3. Vascular surgery.

4. General surgery.

C. - 1 free.

XXXIV. - Neurosurgery

A. - 4 specific (1).

B. - 2 in approved surgical departments.

C. - 2 in departments approved for the specialty or for another specialty, preferably 1 in an approved neurology department.

XXXV. - Ophthalmology

A. - 3 specific (1).

B. - 2 free.

XXXVI. - Otolaryngology

A. - 3 specific (1).

B. - 2 free.

XXXVII. - Stomatology

A. - 3 specific (1).

B. - 2 in departments approved for the specialty or another specialty.

XXXVIII. - General Surgery

A. - 5 specific (1) or in an approved department of surgical disciplines other than specific.

B. - 2 in departments approved for the specialty or for another specialty.

XXXIX. - Maxillo-facial surgery and stomatology

A. - 4 specific (1).

B. - 3 free.

XXXX. - Intensive care medicine

Five one-semester placements, at least two of which must be in a place accredited as the main site for the specialty and one in anaesthesia in a place accredited as the main site for anaesthesia-intensive care.

XXXXI. - Allergology

Five one-semester training periods, at least three of which must be spent in a place accredited as the main centre for the specialty and one in a complementary capacity.

XXXXII. - Oral surgery

Five one-semester training periods, at least three of which must be spent in a place accredited as the main centre for the specialty.

XXXXIII. - Medical genetics

Five one-semester placements, at least three of which must be in a place accredited as the main centre for the specialty.

XXXXIV. - Geriatrics

Five one-semester placements, at least three of which must be in a location accredited as the main site for the specialty.

XXXXV. - Infectious and tropical diseases

Five one-semester placements, at least three of which must be in a location accredited as the main site for the specialty.

XXXXVI. - Emergency medicine

Five one-semester training periods, at least one of which must be in a hospital approved as the main site for emergency medicine, one in a site approved as the main site for emergency medicine and qualified as a SAMU-CRRA15/ SMUR, one in a place accredited mainly in paediatrics and additionally in emergency medicine and providing permanent paediatric care and one in a place accredited mainly in intensive care medicine or anaesthesia and additionally in emergency medicine

XXXXVII. - Vascular medicine

Five one-semester placements, at least three of which must be in a place accredited as the main centre for the specialty.

XXXXVIII. - Forensic medicine and medical expertise

Five one-semester training periods, at least three of which must be spent in a place accredited as the main centre for this speciality.

(1) Clinical semesters carried out in approved departments corresponding to the specialty.