He is remarkably ill informed, isn’t he?
The French model is built around an absence of GPs
In France, the médecin généraliste (commonly called docteur) is responsible for the long term care in a population. This implies prevention, education, care of the diseases and traumas that do not require a specialist, and orientation towards a specialist when necessary. They also follow the severe diseases day-to-day (between the acute crises that require the intervention of a specialist).
They have a role in the survey of epidemics, a legal role (constatation of traumas that can bring compensation, certificates for the practice of a sport, death certificate, certificate for hospitalisation without consent in case of mental incapacity), and a role in the emergency care (they can be called by the samu, the French EMS). They often go to a patient’s home when the patient cannot come to the consulting room (especially in case of children or old people), and have to contribute to a night and week-end duty (although this was contested in a strike in 2002).
The studies consist of six years in the university (common to all medical specialties), and three years as a junior practitioner (interne) :
the first year (PACES, première année commune aux études de santé, often abbreviated to P1 by students) is common with the dentists, pharmacists and midwifery. The rank at the final competitive examination determines in which branch the student can choose to study.
the following two years, called propédeutique, are dedicated to the fundamental sciences: anatomy, human physiology, biochemistry, bacteriology, statistics…
the three following years are called externat and are dedicated to the study of clinical medicine; they end with a classifying examination, the rank determines in which specialty (general medicine is one of them) the student can make his internat;
the internat is three years -or more depending on the specialty- of initial professional experience under the responsibility of a senior; the interne can prescribe, he can replace physicians, and usually works in a hospital.
This ends with a doctorate, a research work which usually consist of a statistical study of cases to propose a care strategy for a specific affliction (in an epidemiological, diagnostic, or therapeutic point of view).
An absence of GPs, yers.
And this is great. When corrected he tells us:
Your arrogance reveals the folly of posting your comments
I’ll remember not to do so again