The Continuous Medical Training (C.M.T)


Educational Guide of the Continuous Medical Training
Tunisie Médicale n° 6/7 June / July 1999
K. Ayachi former aggregated Professor in general Surgery
Vice President of the National Council of Physicians of TUNISIA PEDAGOGY OF THE C.M.T



A/ WHY A " C.M.T ".?

"All my life, I will be student" : it is what must say all physician in exercise.
The Sin of ignorance and the sin of forgetting are not forgiven anymore: The Science progresses.
The C.M.T is an ethical obligation since the: " Hippocratic oath " says:
" I swear not to use medicines that I am unaware of their precise action and inconveniences ".
" I swear to work every day to complete my knowledge "
The " C.M.T ".: is a luck for the modern Physician: means are very numerous.
The "C.M.T' is a triple obligation:
Legal: cares lavished by every physician must be attentive and in accordance with acquired data of the science.
Ethical: is it necessary to mention the code of maintenance of knowledge!
Moral: the physician must not create a breach of contract with the sick otherwise he becomes impostor-swindler.

B/ CONDITIONS OF REALIZATION OF A GOOD C.M.T :
I - THE COORDINATOR:
It is first necessary to have a coordinator, he is a dynamic physician, , motivated, aware of responsibility (in charge of the C.M.T), having easy contacts with his colleagues, volunteer and especially accustomed to the new norms of the medical training pedagogy.
II - THE NEED:
It is necessary that the need in retraining, in continuous medical training is felt by the physician.
It is necessary to create this need by an excellent awareness.
The awareness should be made by a professional coordinator whose essential role is to motivate by the various means "the physician" to "to ask" and "to formulate" his needs in continuing education.
This awareness is the Primum Movens: starting point of the C.M.T
The role of the coordinator is difficult because while mobilizing a group of physicians around a theme, an expert, in a round table, within a staff, he must remain " neutral " without taking account of the subjectivity of every participant. Otherwise, the coordinator while being a first line Physician like his colleagues must not, at any case, substitute himself as an expert.
III - CONTACTS:
To mobilise physicians around a theme, the coordinator physician must establish sane contacts, repetitive with his colleagues to perfect and to perpetuate sessions of training. He will need a triple breath:
a good convivial breath with his colleagues.
a breath with experts and specialists that allow inter-relations between physicians of different specialities; and what is even desirable between physicians of different kinds of exercise.
a long breath: because it is question of contacts of long breath that allow to "ritualize" the C.M.T within physicians. By the way, the primordial role of these contacts is to create homogeneous groups of physicians that meet regularly to perfect their medical training.....Next


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