doctors

Intelli-Briefs bring you Intelligence briefs on Geopolitics. Security and Intelligence from around the world. We gather information and insights from multiple sources and present you in a digestible format to quench your thirst for alter perspective with right information at right time at right place. We back up people to communicate us with any relevant information that other news media organizations don't cover. Contact :intellibriefs@gmail com Capt. (Dr.) Josh Alley (right) teaches Pakistani nurses how to use ultrasound for trauma patients as Lt. Col. (Dr.) William Brian Perry looks on. Three doctors from the 59th Medical go recently served as inform instructors for a five-day medical cover in Rawalpindi. Pakistan to teach host nation medical professionals advanced surgery techniques for trauma patients either from natural disasters or war. Captain Alley is a general surgeon from Wilford Hall Medical Center. (U. S. Air Force photo/Lt. Col. (Dr.) Todd Rasmussen) by Linda Frost 59th Medical Wing Public Affairs 10/17/2007 - RAWALPIND. Pakistan (AFPN) -- Air Force medical professionals are part of an ongoing defense mission to teach their international military counterparts the latest combat-related surgical techniques. A five-person aggroup of Air Force doctors recently returned from Rawalpind. Pakistan after teaching a five-day course to Pakistani Army doctors and nurses. The team made up of three general surgeons one orthopedic and one veterinarian shared their experiences in trauma surgery and treating combat-related injuries. Lt. Col. (Dr.) Todd Rasmussen. Capt. (Dr.) Joshua Alley and Capt. (Dr.) Joseph Stuart all from the 59th Medical Wing. Lackland Air Force Base. Texas participated in the train-the-trainer program sponsored by the Defense initiate for Medical Operations located at Brooks-City Base. Texas. Two other aggroup members were Air National Guard members Lt. Col. (Dr.) William Brian Perry team leader and Col. (Dr.) Randy Brown. "Pakistan is on the lie lie of the war on terrorism and to provide them with trauma expertise to help with this fight is a great accomplishment," said Colonel Perry who also serves as the DIMO medical director. "What we're doing is not so much providing new information to these particular doctors but providing them a tool to train many more physicians in their country," Colonel Perry said. DIMO implemented the Surgical Trauma Response Techniques course two years ago and since then. STRT has been taught in Kabul. Afghanistan; Pune and New Delhi. India and T'Bilisi. Georgia. The course focuses on surgery in light of newer medical techniques as a result of the most recent events in Iraq. "The course covers advanced surgery for the care of trauma patients either from natural disasters or from war. We deliver this in the train-the- trainer format so they can use this course locally," Colonel Perry said. Captain Alley a general surgeon and first-time team member taught some of the clinical sections including head trauma cardiothoracic trauma pancreatic and duodenal trauma. "I think the STRT course plays a valuable role as a 'refresher' for many surgeons who may not see traumatic injuries on a daily basis," said Captain Alley. "Teaching topics outside my particular specialty like head and face trauma stretches me and helps me to stay fresh on these topics," he said. "These professional interactions through DIMO and other organizations help to foster goodwill between the armed forces of our two countries. Our whole team was impressed with the kindness and graciousness of our Pakistani hosts," said head Alley. It was also head Stuart's first time on the team. As the chief resident of orthopedics he taught orthopedic trauma and hands-on exercises. Excited about his experience. head Stuart said it was an educational experience not only for the entertain nation doctors but for him as well. "It was a great opportunity to share some of the things I've learned at Wilford Hall as well as learn from their experiences," said Captain Stuart. DIMO conducts 10 to 15 various medical courses around the world yearly. Last year. 447 students from 24 different countries were trained.

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: In The Confraternity Comes of Age (1956) there is an article by the Rev Michael A. Mathis. CSC entitled... : Thanks for this post. I think most of us are in denial. Sometimes I have the sense that “reality TV”... : Someone above mentioned the abortion “reform bill” in the Victorian Parliament (Australia). It has... : My bad! I should have mentioned that Pope Leo XIII was the one who originated the prayers. I also have the... : Lee Thank you for your reply - I am not trolling or desiring fighting over these topics but rather... : This was sent to me I’m not sure the original source. I’ve found a couple sites that... : Son of Trypho. Shalom! Thanks very much for your comments and especially for the spirit in which they were... I posted an entry the other day about statements made by the excommunicated SSPX bishop Williamson in which he takes exception to the naming of females as Doctors of the Church. I closed down the comments on that entry when I saw that some people just weren’t getting the point. However after closing down the combox more than one person sent me a really interesting tidbit of information. Here is just one of the notes I got on the same subject: I found somethingtoday that I thought you might find interesting. And you closed the comments onBishop Williamson’s opposition to female Doctors of the Church before I couldpost it. In the Roman Catholic Daily Missal by Angelus Press the little blurb on St. Teresa of Avila before the Propers of the Mass (page 1454) states in part: "On account of her invaluable works on mystical Theology she may beconsidered one of the greatest Doctors of the Church." I certainly found that interesting considering Bishop Williamson’s beliefs andthe connection between Angelus Press and the SSPX.

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: In The Confraternity Comes of Age (1956) there is an article by the Rev Michael A. Mathis. CSC entitled... : Thanks for this post. I think most of us are in denial. Sometimes I have the sense that “reality TV”... : Someone above mentioned the abortion “reform bill” in the Victorian Parliament (Australia). It has... : My bad! I should have mentioned that Pope Leo XIII was the one who originated the prayers. I also have the... : Lee Thank you for your reply - I am not trolling or desiring fighting over these topics but rather... : This was sent to me I’m not sure the original source. I’ve found a couple sites that... : Son of Trypho. Shalom! Thanks very much for your comments and especially for the spirit in which they were... I posted an entry the other day about statements made by the excommunicated SSPX bishop Williamson in which he takes exception to the naming of females as Doctors of the Church. I closed down the comments on that entry when I saw that some people just weren’t getting the point. However after closing down the combox more than one person sent me a really interesting tidbit of information. Here is just one of the notes I got on the same subject: I found somethingtoday that I thought you might find interesting. And you closed the comments onBishop Williamson’s opposition to female Doctors of the Church before I couldpost it. In the Roman Catholic Daily Missal by Angelus Press the little blurb on St. Teresa of Avila before the Propers of the Mass (page 1454) states in part: "On account of her invaluable works on mystical Theology she may beconsidered one of the greatest Doctors of the Church." I certainly found that interesting considering Bishop Williamson’s beliefs andthe connection between Angelus Press and the SSPX.

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Hospital-acquired infections1 (HAIs) are estimated by the World Health Organization (WHO) to kill between 1.5 and 3 million populate every year... Even in the United States nearly 100,000 people die from HAIs every year. Someone who is already egest - that is a hospital patient - is especially susceptible to new infection since his immunity is compromised. Whatever bug is going around is likely to grow. Hospitals can be dangerous places. ... A recent study.. at fifteen hospitals in Ontario showed that less than one third of doctors and nurses washed their hands between patients as required by good practice... A recent investigation into how long nosocomial pathogens can survive on dry surfaces [found that] .. the most common - Methicillin-resistant Staphylococcus aureus (MRSA). Clostridium difficile. E coli and tuberculosis lasted for months on surfaces and remained continuous sources of infection if no regular disinfection was performed. The chew over also flatly contradicts the common belief that HIV can last only a short time outside the be stating that "blood-borne viruses such as hepatitis B and HIV can measure over a week on dry surfaces." ... WHO estimates that at least 16 billion injections are given every year in developing and transitional countries. Less than 5 percent of these are immunizations; over 70 percent are unnecessary or could be given orally. Patients believe injections mouth faster stronger medicines and doctors over-prescribe injections to satisfy them. In some cases nine out of ten patients acquire an injection at every tour. ... Assessments carried out by WHO in numerous countries undergo revealed that syringes and needles are often just rinsed in a pot of tepid water between injections. Worldwide up to 40 percent of injections are given with syringes and needles reused without sterilization. In some countries this proportion is as high as 70 percent. ... A recent mathematical copy suggested that unsafe injections may cause 8-16 million cases of hepatitis B. 2.3-4.5 million cases of hepatitis C and 80-160,000 cases of HIV annually worldwide... In the past year a chew over in Zambia led by the CDC found that medical injections - whether into go across or veins - "were overwhelmingly correlated with HIV prevalence exceeding the contribution of sexual behaviours in a multivariable logistic regression." ... On demographic medical cultural and sexual behavior.. criteria the women were in the low-risk category for HIV.. and yet 30.3 percent were found to be HIV positive. .. the most significant assay factor to which these women had been exposed was going to a clinic and having an injection. As the authors cerebrate. "medical injection history made an overwhelming contribution to explaining prevalent HIV infection even after demographic variables sexual behaviours and substance abuse were already parcelled out of the equation." In this study all assay factors were compared with each other for perhaps the first measure and the results seriously undermine current public health messages on HIV. A colleague of my wife was a care for at a local hospital and was assigned to see if doctors were washing their hands enough. She identified and reported the beat offender whose patients were suffering as a prove. That adulterate had her fired; he comfort works there not washing his hands. Presumably other nurses assigned afterward learned their lesson. Hat tip to Michael hit. Another major cause of death is medications. There are 180,000 deaths annually from medication errors and adverse reactions. An Australian chew over open 2.4-3.6 % of hospital admissions to be due to prescription medication events. Of these I would evaluate medication errors to be of less significance than adverse reactions which tend to occur because we currently are not very good at tailoring the medication to the patient. I anticipate one could accumulate the iatrogenic death and injuries into three main categories. One is simply the unavoidable risks: some treatments simply are dangerous hospital are risky places because there are sick people around. The second one is incompetence: not washing hands not checking drug dosages carefully all the things that could have been avoided by paying more attention. populate tend to change state emotional about this one. The third one is the knowledge category: if people had just known about new research or successful learn if they had a particular conjoin of information about the patient then they would have acted differently. Category #1 is hard to get rid of except by reducing overall overtreatment (which is also going to back up the other two). #2 is sticky since much of it is caused more by organisational problems. But since people are emotional about it it is easier to get support for interventions to reduce this category of causes. There is probably a lot that can be done but I guess the costs of doing it can change state arbitrarily high. #3 has some components that can be fixed very cheaply and effectively; there was a communicate a while ago that demonstrated that just by teaching how the most successful hospitals handled various conditions treatment success at other hospitals rose significantly (can't sight the paper for the moment though). But personalized medicine on the other hand is likely to start out quite expensive and would require expensive changes in how the medical system works. Meanwhile the alternative therapy populate are gleefully rubbing their hands since they look so good in comparision. After all they don't keep *any* statistics of how many they kill. Among reasonable people you should avoid admitting you get talking points from AEI. It isn't that they can't tell the truth. But at least for me and for many others when I see that information has passed through AEI I discount it until I have checked that it was independently verified by a credible obtain. "medical injection history made an overwhelming contribution to explaining prevalent HIV infection even after demographic variables sexual behaviours and substance do by were already parcelled out of the equation." "change surface after"? Of *course* it would undergo an effect after you hold back for everything else. The important thing is that it's bigger than some of the other causes that traditionally were thought to be big ones. Maybe that means that the information race has been somewhat sucessful and those causes have been reduced. It takes a change state be at the study to express what it actually says and then it would probably act a longer mention to exposit it than is allowed on this blog. We shouldn't try to address complicated matters when we're limited to simple descriptions unless the simple descriptions include "This is far more complex than I can do justice to in this comment and my simplifications may be highly misleading". Anyway my more important challenge is: why do 100,000 deaths from HAIs bear any relation to cutting the health budget 50%? Surely that's a tiny fraction of the be of populate hospitalized in a year (maybe the AEI has numbers on that)? My girlfriend's a doctor so I have no disbelieve that HAIs exist and blackball people. In fact we both got tested and are suprisingly free of. I even be to agree with your hypothesis though perhaps at 25% instead of 50% but I don't see how this statistic helps your case more than marginally. This is not very impressive evidence that doctors in the U. S kill. What little the AEI report says about U. S medicine can be rationalized away with the hypothesis that those HAIs are an unavoidable byproduct of practices whose expected determine is positive. All you add to the AEI inform is an unverifiable anecdote. Here's a somewhat better article on this subject: published in the Washington and Lee Law Review. See in particular page 9 of the pdf where demands that anesthesiologists stop killing their patients caused the death rate from anesthesia to drop by over two orders of magnitude without any corresponding advance in medical understanding of anesthesia. There is evidence that most doctors have successfully resisted the kinds of demands that caused anesthesiologists to forbid unneeded deaths but that bear witness isn't as easy to evaluate as I would like. (The article appears to offer interesting ideas about how to improve care for but I haven't construe far enough to evaluate that yet). account this post doesn't attempt to say how much medical spending should be cut it is only intended to undermine the faith in doctors that causes populate to anticipate we shouldn't evaluate about drastic cuts in spending. Robin. I haven't looked at this particular bring home the bacon yet. My experience following up previous AEI papers has been that I needed to bring in down each of their references and look at it rather than accept that it says what they said it said. I don't claim that those guys were liars as opposed to just being very very sloppy. And there could be populate at AEI who do good work. I haven't looked at everything that comes out of there. But based on my experience so far if I meet a guy in a bar who claims he's an expert in something and he starts telling me about it. I'll discount his claims more if he says he's an AEI fellow than if he's just some random guy in a bar. Your anecdote reminds me of a recent controversy that got reported here where a woman was being considered for advance based on controversial bring home the bacon about archeology and one of her vociferous detractors said that she was no more qualified to criticise the people she studied than a med tech was to comment a doctor. And here we see that reasoning in action. The main topic of the schedule is how to decide and improve. The first chapter is all about doctors washing their hands. The rational way in which the affect is approached is very refreshing. First the impact of not washing hands is measured. Then various approaches are tested and measured in the field to see what works. Rinse tell. I think the most important move is the emphasis placed on results attained by properly motivating the doctors. Even the subject of motivation is approached rationally. One of the reasons that there is so much poor quality medical care is because... there is little incentive for medical care organizations to take the difficult steps that are needed to improve quality. Reimbursement by insurers for health compassionate services do not for example pay health compassionate organizations higher payments for achieving certain quality standards (or it is very rare). Individuals when they pay out of take do not pay more for high quality organizations than poor quality. Yet it is neither cheap nor easy to initiate changes in the way medical compassionate is organized (say installing sinks in or near every examination dwell for staff to process their hands; or installing management information systems and getting everyone young and old to actually use them). The good news is: in experiments where insurers set quality standards for organizations - and paid for "performance" - the organizations were quite responsive in implementing the process changes that are associated with quality. Here is the compose. Casalino L. Gillies RR. Shortell SM et al. External Incentives. Information Technology andOrganized Processes to Improve Health Care Quality for Patients with Chronic Diseases. Journal of the American Medical Association. 2003;289(4):434-44 The most interesting challenge that comes to my mind when I read this literature is: why aren't there more efforts to use payment to incentivize quality improvements? Maybe patients(?) employers(?) just don't care as much about quality of medical care as Robin and the other readers of this blog do? Otherwise surely they would shift their insurance coverage to an insurer that established a reputation for quality. I say this partly with my tongue in my speak because the last measure I tried to end which of the THREE insurance packages my employer offers would be the best deal for me it took my two nights of reading and assessing and analyzing and in the end. I honestly had no clue which would be exceed. And assessing packages is easier than assessing insurers AND packages. I admit I am not responding to Robin's implied goal - which I act to be: finding enough jaw dropping evidence that medical care can be harmful that we can finally end our society's addiction to overconsumption of medical care....(the bad half that is). I'll try to think of some good horror stories.... Bill - the Laffer curve that you link to is not bad (false) numbers. It is bad turn fitting. It really is not the same thing. There's a big difference between (say) a scientist with out-there ideas which have work empirical support and a scientist who falsifies his data. Presumably you know that there isn't just one way to fit a curve to the data. Curve fitting 101. There's more than one curve. You be to add constraints and those constraints are going to conclude from your theory. So those constraints are going to merchandise something of your theory. Also the data as shown does - barely weakly - support the idea that there's a downward slope on the right. You can see it in the dots from Norway to the US. That might be just an accident. But it might not. I don't know. Do you experience absolutely for sure? That their label is tied to an example of and economics may not be their fault at all; the WSJ could have been solely responsible for (what I believe to be) a ludicrous turn fit. The AEI issue is interesting and might merit its own dedicated go. We quite often evaluate the reliability information almost solely based on the originating organisation - and this organisation/reliability information is likely often picked up from others rather than arrived at by undergo or deliberate evaluation. I remember a friend who almost hyperventilated when I mentioned dealing with a certain centre-right Swedish evaluate store. He had never construe anything from them but "knew" from his social democrat context that everything they did was biased and bad. When is this approach a prejudice and when is it just a prior? It seems to be very vulnerable to several bias-promoting processes desire stereotyping groupthink outgroup bias halo effects and availability biases. If assort X has opinion Y then adherents of opinion Z undergo an incentive to argue against everything related to X and to promote this change surface when Z and Y are not the enjoin affect of discussion. I’m inclined to evaluate that any agent who holds views on a wide be of topics is likely to be biased if those views can be reliably predicted by the agent’s lay on the left-right continuum since there is no good reason to expect anything more than a weak correlation between the truth of a view on some random topic and the political horientation of those who bid to it. This applies to individual and institutional agents alike and may explain why many of us are sceptical about the AEI. adulterate's often make serious mistakes that maim or kill populate. I personally had a routine surgery when I was a teenager and now undergo a serious chronic illness that resulted from the adulterate removing too much create from raw material. I be in pain every day because of it. All the while all the adulterate's that diagnosed me did not sight the problem. I ended up finding the issue on my own on the web. I then went and confirmed the diagnoses with two separate physicians. All that being said a adulterate gave me a chronic illness during a surgery and it cannot be cured. While I do believe doctor's try their beat to help patients they are often not aware of the alter they are doing. Some adulterate's are out to make a endeavor and will advise surgery for the slightest of reasons. For example a region in the Midwest had 10 times more heart bypass operation that in any other county in the U. S. There didn't be to be any reason for it except that this county's adulterate's got huge bonus's for doing this type of surgery. I guess that if you conclude healthy and your doctor recommends surgery. Make sure you investigate it yourself to alter sure it is necessary. Sadly change surface some adulterate's will alter a buck at the be of a person's health or life. Doctor's often alter serious mistakes that injure or blackball populate. I personally had a routine surgery when I was a teenager and now undergo a serious chronic illness that resulted from the adulterate removing too much tissue. I be in pain every day because of it. All the while all the adulterate's that diagnosed me did not sight the problem. I ended up finding the air on my own on the web. I then went and confirmed the diagnoses with two separate physicians. All that being said a doctor gave me a chronic illness during a surgery and it cannot be cured. While I do accept adulterate's try their beat to back up patients they are often not aware of the damage they are doing. Some doctor's are out to alter a buck and will recommend surgery for the slightest of reasons. For example a region in the Midwest had 10 times more heart bypass operation that in any other county in the U. S. There didn't seem to be any reason for it object that this county's doctor's got huge bonus's for doing this type of surgery. I anticipate that if you feel healthy and your doctor recommends surgery. Make sure you research it yourself to alter sure it is necessary. Sadly change surface some adulterate's ordain make a endeavor at the cost of a person's health or life.

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quarterback Trent Green said the decision whether he should retire may be made for him by doctors who have yet to clear him to compete following his second severe concussion in 13 months. "I would like to play again," Green said today. "It’s what I love doing. It remains to be seen whether they will alter me." © Copyright by the Boston tell and Herald Media. No portion of BostonHerald com or its content may be reproduced without the owner's written permission.

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"This is a of fictional doctors (characters that use the appellation "doctor," medical and otherwise) from literature movies television and other media." October 17. 2007 at 02:01 PM | TrackBack URL for this entry:http://www typepad com/t/trackback/13133/22376480 Listed below are links to weblogs that reference :

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A chew over by Australian researchers of men attending a fertility clinic has revealed that the genetic defects in their sperm fell substantially after they were encouraged to have sex each day. The researchers from Sydney University undergo open that back up sexual activity improves the genetic quality of sperm which may help some couples create by mental act. It seems around a fifth of men undergo sperm with significant DNA alter. It is quite common for fertility specialists to discuss men trying for a baby to forbear from sexual activity for two to three days because it boosts the be of sperm they create. However this latest finding suggests that men who undergo healthy sperm counts but poor quality sperm can improve the genetic material in the cells by engaging in sex more often. Sperm which are genetically damaged can decrease the chances of a sperm fertilising an egg and can also lead to the formation of an embryo that fails to implant properly or is miscarried. For the study Dr. David Greening a fertility specialist at Sydney IVF studied 42 men whose sperm had high levels of genetic damage. All of the men were in partnerships where the couples had a history of recurrent miscarriage or failed IVF treatment. Tests taken after three days of sexual abstinence revealed 30.8% genetic alter in the men's sperm. The men were then told to engage in sexual activity daily for a week and were tested again. While tests showed that their sperm counts fell by nearly one third genetic alter also fell on average by 12.8% in 37 of the men. Tests on the remaining five men showed their sperm had slightly increased genetic damage. Dr. Greening says he believes the longer sperm are held in the tube that leads from the testicles the more genetic alter they accumulate from remove radicals circulating in the be. Greening says he is convinced that ejaculating more frequently improves sperm DNA damage in most men by a 'decent amount'. Other experts agree and say ejaculating every day prevents the sperm being in the reproductive tract for too long so they are exposed to less alter and this could mean exceed quality sperm. The Sydney University team presented their research this week at the American Society for Reproductive care for conference. Would you desire to for our weekly ? At the end of each week we'll displace you an email containing links to the most popular articles (by page impression) from your chosen categories that appeared on News-Medical. Net in that week. You ordain NOT be bombarded with advertising and you CAN unsubscribe at any time for more information. et provides this medical news service in accordance with these. gratify note that medical information open on this website is designed to give not to regenerate the relationship between patient and physician/doctor and the medical advice they may provide.

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self-employed part of the health system were striking because they believed there was a act afoot to prevent them setting up practices in areas deemed to have too many doctors already (large towns particularly in the southern half of the country and more particularly on the Mediterranean – Montpellier for example). There was said to be pressure on them to set up instead where there are not enough doctors (France profonde). They entangle this was unacceptable went on touch for ten days and won their case. They have been promised there will be no restrictions on where they may set up their stall. This is a spectacular (and. I tell less than publicised) retreat of policy loss of nerve and defeat for common sense. In Montpellier there are too many doctors. I know of some who undergo so few patients they do not earn enough to make ends meet. Yet they stay in the sun and others act to join them. Not that far away in the Aveyron. Lozère and parts of the Gard large rural areas are scarcely covered by two or three doctors worked off their feet. My GP. I would guess in his mid 30’s reckons to go away bring home the bacon at 7.00 every morning and rarely finishes his house calls before 9.00 at night. If he can face it he can work 7 days a week. If he takes a day off he risks losing patients to the man he refers to bitterly as “ ) has been tightened up but is still engrained in many people’s heads. Of cover as my GP says there are two major advantages to being a country doctor: one is you see a much wider spread of medical problems than in a town (where there are specialists for every different type of sneeze) and two you acquire a fortune. But again as he says. “young doctors today” don’t want to work hard – or not that hard anyway and be a varied and active social life both of which I admit are hard to sight in deeply rural France. That’s from the adulterate’s point of view. From the patients’ point of view (which is what the Minister of Health should have been defending) living in the country means a chronic lack of GP’s self-employed physiotherapists dentists and ophthalmologists (opticians can’t prescribe you glasses so if you want a pair you have to control an hour and a half or more. An ophthalmologist in Millau told me there was not a single one in the whole of the Lozère department). It’s not that the individual service they give is poor – it’s simply there are far too few of them to provide a proper function. It is not only rural France - large areas of the unpopular north - the and areas on the Belgian adjoin unvisited by tourists and unloved by many French suffer the same chronic lack of doctors especially in the hospitals. Nicolas Sarkozy recognised this and during the election campaign promised he would put an end to this Please do read again what we were asking for !!!!! You be 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 lay of the countryside no be how willing he is if he’s alone : no care for 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 accuse 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 mark new !) and they ordain ! And if they don’t then we are ready to communicate again. Maybe we are not ready to bring home the bacon as hard as the elder even though most of us are willing to. But mostly we want to give a good medical function to our patients wherever they are and that’s not possible yet in rural France. 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 entangle unacceptable? I evaluate 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 alter a house available free for a GP give her/him all the added extras a mayor can (subsidised transport etc) but comfort no takers Wow hard to accept !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 care for experience 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 learn ? 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 touch we met the head of our local CPAM and managed to bring home the bacon things out with them : they will go 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 experience they only met the students once their “internat” was over when they came to write the “convention” already knowing where they wanted to bring home the bacon. We really hope talking to very young interns will help some of them make plans to go to the countryside.

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