Postgraduate training in surgery: From theory to practice.
H Coudane1, J L Danan2, L Martrille1
1University Hospital of Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy, France; Équipe de recherche inter psy (EA 4432), Loraine University, 23, boulevard Albert 1(er) BP 13397, 54015 Nancy cedex, France.
Journal of Visceral Surgery
|April 15, 2020
Summary
Postgraduate surgical training in France is mandatory, with two validation pathways: continuing professional development (CPD) or accreditation. Both aim to reduce patient risk and healthcare costs.
Area of Science:
- Medical Education
- Surgical Training
- Continuing Professional Development
Background:
- Postgraduate training is essential for acquiring new medical knowledge.
- The French system for surgical postgraduate training requires analysis.
Purpose of the Study:
- To analyze the current postgraduate training system in French surgical disciplines.
- To examine the legal framework and validation processes for surgical training.
Main Methods:
- Retrospective study of legal texts up to December 1, 2018.
- Analysis of French legal databases (LéxisNéxis®, Légifrance®) and Web of Science repository.
- Level of evidence IV.
Main Results:
- Postgraduate surgical training is legally mandatory in France.
- Two validation systems exist: Continuing Professional Development (CPD) via the National Agency of Continuing Professional Development (NACPD), or Accreditation Council (AC) certification via the High Health Authority (HAS).
- The AC route can provide automatic equivalence to the NACPD process.
Conclusions:
- The continuing education process in surgery is complex and may evolve.
- The goal of CPD and accreditation is to minimize patient risk and healthcare costs.
- The role of professional national councils is increasing, though regulatory decrees are pending.
