French Public Health Code
In forceThe junior doctor carries out preventive, diagnostic and care functions and, where appropriate, medical biology procedures or hospital pharmacy tasks, with the aim of gradually achieving autonomous professional practice.
He follows his training under the supervised autonomy system.
Procedures carried out under this system are performed by the junior doctor alone.
After an individual interview at the start of phase 3, with the local coordinator or the inter-regional, regional or sub-divisional coordinating teacher for the specialty and the practitioner responsible for the place of training, the nature, number and conditions for carrying out the procedures that the junior doctor is able to perform under supervised autonomy are the subject of consultation between the junior doctor and the practitioner responsible for the place of training, in conjunction with the local coordinator or the inter-regional coordinating teacher for the specialty. The nature of the procedures is gradually diversified until, at the end of this phase, it covers all of the situations listed in the reference system defined in the following paragraph. These elements are included in the training contract provided for in articles R. 632-26 and D. 633-11-1 of the Education Code for medical and pharmacy studies respectively.
For each speciality, a reference framework of practical exercises referring to the training models defined by joint order of the ministers responsible for higher education and health and the minister for defence sets out the stages of the programme enabling junior doctors to gradually acquire autonomous professional practice. These stages are defined by joint order of the same ministers in compliance with the provisions of section 3 of chapter II of title III of book VI of the same code.
Supervision is provided by a practitioner to whom the junior doctor may have recourse at any time during his practice, in accordance with the duty rosters. The purpose of supervision is to provide advice and support in the medical acts performed by the junior doctor and to deal with situations which the junior doctor would not be able to deal with independently.
The practitioner in charge of the place of training or, in his absence, a doctor, pharmacist or dental surgeon assigned to this place, organises the regular reporting by the junior doctor of any activity performed independently.
The acts which the junior doctor does not yet perform independently under supervision are performed under the conditions in force for interns.
The junior doctor carries out his duties by delegation and under the responsibility of the practitioner to whom he reports.
