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	<title>Comments on: Today the junior doctors, tomorrow who else?</title>
	<link>http://www.prospect-magazine.co.uk/blog/franceprofonde/today-the-junior-doctors-tomorrow-who/</link>
	<description>Tim King on French politics</description>
	<pubDate>Fri, 04 Jul 2008 00:59:13 +0000</pubDate>
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		<title>by: Tim</title>
		<link>http://www.prospect-magazine.co.uk/blog/franceprofonde/today-the-junior-doctors-tomorrow-who/#comment-28799</link>
		<pubDate>Wed, 31 Oct 2007 07:56:13 +0000</pubDate>
		<guid>http://www.prospect-magazine.co.uk/blog/franceprofonde/today-the-junior-doctors-tomorrow-who/#comment-28799</guid>
					<description>"Constructive" is certainly English, but in fact yours is far more constructive and helpful. Dialogue is always better than sermons, but it is a real shame that your point of view doesn't get wider coverage. So thank you for that insight. I'll find out where the mayor who is offering a house advertises it.</description>
		<content:encoded><![CDATA[<p>&#8220;Constructive&#8221; is certainly English, but in fact yours is far more constructive and helpful. Dialogue is always better than sermons, but it is a real shame that your point of view doesn&#8217;t get wider coverage. So thank you for that insight. I&#8217;ll find out where the mayor who is offering a house advertises it.
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		<title>by: Caroline, interne</title>
		<link>http://www.prospect-magazine.co.uk/blog/franceprofonde/today-the-junior-doctors-tomorrow-who/#comment-28789</link>
		<pubDate>Wed, 31 Oct 2007 00:22:44 +0000</pubDate>
		<guid>http://www.prospect-magazine.co.uk/blog/franceprofonde/today-the-junior-doctors-tomorrow-who/#comment-28789</guid>
					<description>Wow, hard to believe !
So they didn't lie, it is possible to do a great job in some rural parts of France... But how do they advertise for it ? Does anyone still studying medicine know about your mayor looking for someone ? And does his administration tell the students BEFORE they have actually planned their lives and where they want to practice ? I guess it's hard to change your plans at the last minute after 10 to 12 years studying and thinking about what you will do and where. 
Just as an example an to show we are willing to help : during the strike, we met the head of our local CPAM and managed to work things out with them : they will come in our university once a year to meet the young interns in their 1st year and the students before they become interns, to tell them about all the opportunities our "région" offers. Until know, they only met the students once their "internat" was over, when they came to sign the "convention", already knowing where they wanted to work. We really hope talking to very young interns will help some of them make plans to go to the countryside.

And if this doesn't work, then I guess yes, we'll have to find something else...

Many thanks for your very "constructive" (it that english ?) answer</description>
		<content:encoded><![CDATA[<p>Wow, hard to believe !<br />
So they didn&#8217;t lie, it is possible to do a great job in some rural parts of France&#8230; But how do they advertise for it ? Does anyone still studying medicine know about your mayor looking for someone ? And does his administration tell the students BEFORE they have actually planned their lives and where they want to practice ? I guess it&#8217;s hard to change your plans at the last minute after 10 to 12 years studying and thinking about what you will do and where.<br />
Just as an example an to show we are willing to help : during the strike, we met the head of our local CPAM and managed to work things out with them : they will come in our university once a year to meet the young interns in their 1st year and the students before they become interns, to tell them about all the opportunities our &#8220;région&#8221; offers. Until know, they only met the students once their &#8220;internat&#8221; was over, when they came to sign the &#8220;convention&#8221;, already knowing where they wanted to work. We really hope talking to very young interns will help some of them make plans to go to the countryside.</p>
<p>And if this doesn&#8217;t work, then I guess yes, we&#8217;ll have to find something else&#8230;</p>
<p>Many thanks for your very &#8220;constructive&#8221; (it that english ?) answer
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		<title>by: Tim</title>
		<link>http://www.prospect-magazine.co.uk/blog/franceprofonde/today-the-junior-doctors-tomorrow-who/#comment-28638</link>
		<pubDate>Sun, 28 Oct 2007 19:26:35 +0000</pubDate>
		<guid>http://www.prospect-magazine.co.uk/blog/franceprofonde/today-the-junior-doctors-tomorrow-who/#comment-28638</guid>
					<description>Many thanks for your comment - it is exactly the kind of thing we need to hear. I did not mean to blame doctors (too dangerous, with so many in my own family), but attack the government for back-tracking on a necessary idea. What exactly were they proposing which you felt unacceptable? I accept that doctors do not want to be the first to arrive in a blighted area and find no back-up, but that is not the case where I live, one of the least populated parts of France (fewer people per square kilometre than in sub-saharan Africa). But there are self-employed nurses, the laboratory is 30 minutes away, the physiotherapist spends most of his day doing house calls, the hospital (no urgences, and limited surgery) is 30 minutes (though "They" periodically try to close it to merge with the bigger one 60 minutes away). It's doctors and dentists we lack. There is a school (my son goes to it) for the moment there is a post office. Social life? Well, yes, that's pretty limited. There are mayors round me who are offering to make a house available free for a GP, give her/him all the added extras a mayor can (subsidised transport etc), but still no takers</description>
		<content:encoded><![CDATA[<p>Many thanks for your comment - it is exactly the kind of thing we need to hear. I did not mean to blame doctors (too dangerous, with so many in my own family), but attack the government for back-tracking on a necessary idea. What exactly were they proposing which you felt unacceptable? I accept that doctors do not want to be the first to arrive in a blighted area and find no back-up, but that is not the case where I live, one of the least populated parts of France (fewer people per square kilometre than in sub-saharan Africa). But there are self-employed nurses, the laboratory is 30 minutes away, the physiotherapist spends most of his day doing house calls, the hospital (no urgences, and limited surgery) is 30 minutes (though &#8220;They&#8221; periodically try to close it to merge with the bigger one 60 minutes away). It&#8217;s doctors and dentists we lack. There is a school (my son goes to it) for the moment there is a post office. Social life? Well, yes, that&#8217;s pretty limited. There are mayors round me who are offering to make a house available free for a GP, give her/him all the added extras a mayor can (subsidised transport etc), but still no takers
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		<title>by: Caroline, interne</title>
		<link>http://www.prospect-magazine.co.uk/blog/franceprofonde/today-the-junior-doctors-tomorrow-who/#comment-28629</link>
		<pubDate>Sun, 28 Oct 2007 17:46:28 +0000</pubDate>
		<guid>http://www.prospect-magazine.co.uk/blog/franceprofonde/today-the-junior-doctors-tomorrow-who/#comment-28629</guid>
					<description>Please, do read again what we were asking for !!!!! You seem to write without knowing this subject... as many medias have done at the beginning of our strike.
Our "syndicats" stated clearly that YES there is a problem with medical demography in France and YES something HAS to be done about it. But none of the ideas the government was offering would have worked, as it is impossible for a GP to work alone in the middle of the countryside, no matter how willing he is, if he's alone : no nurse, no laboratory, no radiologist, no physiotherapist, no ambulance service, no hospital nearby (not even mentioning, for his or her personal life, the absence of school, kindergarten, post-office and so on...). Putting a blame on doctors staying in town will NOT push them to the countryside.... Only encouraging measures can work (just allow them a few months, they are brand new !), and they will ! And if they don't, then we are ready to talk again.
Maybe we are not ready to work as hard as the elder, even though most of us are willing to. But mostly, we want to give a good medical service to our patients, wherever they are, and that's not possible yet in rural France.</description>
		<content:encoded><![CDATA[<p>Please, do read again what we were asking for !!!!! You seem to write without knowing this subject&#8230; as many medias have done at the beginning of our strike.<br />
Our &#8220;syndicats&#8221; stated clearly that YES there is a problem with medical demography in France and YES something HAS to be done about it. But none of the ideas the government was offering would have worked, as it is impossible for a GP to work alone in the middle of the countryside, no matter how willing he is, if he&#8217;s alone : no nurse, no laboratory, no radiologist, no physiotherapist, no ambulance service, no hospital nearby (not even mentioning, for his or her personal life, the absence of school, kindergarten, post-office and so on&#8230;). Putting a blame on doctors staying in town will NOT push them to the countryside&#8230;. Only encouraging measures can work (just allow them a few months, they are brand new !), and they will ! And if they don&#8217;t, then we are ready to talk again.<br />
Maybe we are not ready to work as hard as the elder, even though most of us are willing to. But mostly, we want to give a good medical service to our patients, wherever they are, and that&#8217;s not possible yet in rural France.
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		<title>by: Tim</title>
		<link>http://www.prospect-magazine.co.uk/blog/franceprofonde/today-the-junior-doctors-tomorrow-who/#comment-27754</link>
		<pubDate>Sat, 20 Oct 2007 13:47:35 +0000</pubDate>
		<guid>http://www.prospect-magazine.co.uk/blog/franceprofonde/today-the-junior-doctors-tomorrow-who/#comment-27754</guid>
					<description>One of the beauties of writing a blog (as oppose to a professional column) is that one can indulge in gut feelings/superstition whatever you want to call it. Yes, it does feel like he's on a losing streak at the moment. Recently he has (deliberately) taken a back seat, having been accused of running the country single-handed, and it does not seem to work. He has to be the driver or nothing.</description>
		<content:encoded><![CDATA[<p>One of the beauties of writing a blog (as oppose to a professional column) is that one can indulge in gut feelings/superstition whatever you want to call it. Yes, it does feel like he&#8217;s on a losing streak at the moment. Recently he has (deliberately) taken a back seat, having been accused of running the country single-handed, and it does not seem to work. He has to be the driver or nothing.
</p>
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		<title>by: French Blue</title>
		<link>http://www.prospect-magazine.co.uk/blog/franceprofonde/today-the-junior-doctors-tomorrow-who/#comment-27746</link>
		<pubDate>Sat, 20 Oct 2007 11:12:51 +0000</pubDate>
		<guid>http://www.prospect-magazine.co.uk/blog/franceprofonde/today-the-junior-doctors-tomorrow-who/#comment-27746</guid>
					<description>More evidence of Sarkozy's worrying tendency to promise popular solutions that in the event prove undeliverable - a trait he shares with his friend Blair, now being pretty comprehensively airbrushed out of British history. Sarko needs to watch his step - he's been on a losing streak lately, what with Cecilia and the humiliated rugby team...could it be that les cheminots will score an early and easy victory?</description>
		<content:encoded><![CDATA[<p>More evidence of Sarkozy&#8217;s worrying tendency to promise popular solutions that in the event prove undeliverable - a trait he shares with his friend Blair, now being pretty comprehensively airbrushed out of British history. Sarko needs to watch his step - he&#8217;s been on a losing streak lately, what with Cecilia and the humiliated rugby team&#8230;could it be that les cheminots will score an early and easy victory?
</p>
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