Aux mĂ©decins d’organiser leur exercice

lundi 11 septembre 2000

Des mêmes auteurs

 

La pĂ©nurie de praticiens dans certaines spĂ©cialitĂ©s mĂ©dicales est devenue criante, aussi le Conseil de l’Ordre et la ConfĂ©rence des Doyens après avoir mesurĂ© le problème ont proposĂ© des solutions au Gouvernement. On est en droit de se demander si ces Institutions ne sont pas elles-mĂŞme en partie responsables de cette situation, en ayant laissĂ© se dĂ©velopper une Ă©volution carentielle avec des effectifs annuels d’internat insuffisants. De plus il est curieux que ces arbitres ne se manifestent pas quand des sanctions pour excès d’activitĂ© sont prises vis Ă  vis de mĂ©decins des spĂ©cialitĂ©s dĂ©sertĂ©es...

Parmi les propositions Ă©voquĂ©es, la plus marquante semble ĂŞtre le transfert Ă  des techniciens supĂ©rieurs de certains actes et compĂ©tences jusqu’alors rĂ©servĂ©s au mĂ©decin, et de ne laisser Ă  ce dernier qu’un "rĂ´le intellectuel" d’interprĂ©tation des examens, de bilan. Ce qui revient Ă  pratiquer une mĂ©decine sur dossier, dĂ©shumanisĂ©e, coĂ»teuse avec des intermĂ©diaires diluant la responsabilitĂ©, oĂą l’on risque de voir disparaĂ®tre et de regretter la maĂ®trise et l’imprĂ©gnation clinique du diagnostic, une des richesses de la pratique mĂ©dicale actuelle.

Face Ă  ce problème dĂ©mographique qui va s’Ă©tendre dans la profession, plutĂ´t que de gĂ©rer une pĂ©nurie au coup par coup, il est effectivement prĂ©fĂ©rable de chercher des rĂ©ponses globales en fonction de la mĂ©decine que notre pays est en droit d’espĂ©rer. Mais quand ces solutions sont susceptibles de modifier profondĂ©ment l’exercice professionnel, il parait normal que ce soit Ă  l’ensemble du corps mĂ©dical d’en dĂ©cider et non aux statisticiens ou aux politiques. Le dĂ©bat mĂ©rite d’ĂŞtre lancĂ©.


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