{"id":78796,"date":"2026-04-06T09:35:37","date_gmt":"2026-04-06T09:35:37","guid":{"rendered":"https:\/\/www.africa-press.net\/gabon\/politique\/changement-de-statut-pour-les-medecins-etrangers-en-france"},"modified":"2026-05-06T11:25:06","modified_gmt":"2026-05-06T11:25:06","slug":"changement-de-statut-pour-les-medecins-etrangers-en-france","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/gabon\/toutes-les-actualites\/changement-de-statut-pour-les-medecins-etrangers-en-france","title":{"rendered":"Changement de Statut Pour Les M\u00e9decins \u00c9trangers En France"},"content":{"rendered":"

Africa-Press – Gabon. <\/strong> <\/span>Le gouvernement franc\u0327ais a promis le 30 avril 2026 de re\u0301examiner le statut des \u00ab\u00a0Padhue\u00a0\u00bb, ces me\u0301decins a\u0300 diplo\u0302me e\u0301tranger, notamment alge\u0301riens, contraints de repasser des concours pour e\u0302tre titularise\u0301s. Il entend notamment \u00ab\u00a0simplifier\u00a0\u00bb la proce\u0301dure visant a\u0300 titulariser ces me\u0301decins, apre\u0300s que le pre\u0301sident Emmanuel Macron s’est emporte\u0301 lundi sur leur sort. Tour d’horizon d’un syste\u0300me complexe:<\/p>\n

Qui sont-ils?<\/b><\/p>\n

Les \u00ab\u00a0Padhue\u00a0\u00bb, acronyme de Praticiens a\u0300 Diplo\u0302me Hors Union Europe\u0301enne, exercent en France mais ne be\u0301ne\u0301ficient pas du \u00ab\u00a0plein exercice\u00a0\u00bb, donc des me\u0302mes conditions de travail et de revenu que les diplo\u0302me\u0301s en Europe. Urgentistes, psychiatres, gyne\u0301cologues, ge\u0301ne\u0301ralistes, ge\u0301riatres… Depuis plus de 20 ans, la de\u0301sertification me\u0301dicale a conduit de nombreux e\u0301tablissements a\u0300 en recruter.<\/p>\n

The\u0301oriquement, ils travaillent sous la supervision d’un me\u0301decin titulaire. Mais dans beaucoup d’ho\u0302pitaux, ils font tourner des services en tension et exercent des fonctions similaires a\u0300 celles de me\u0301decins seniors, selon les syndicats. D’apre\u0300s le syndicat des internes (ISNI), ils travaillent en moyenne 50-75 heures\/ semaine, sous des statuts pre\u0301caires aux re\u0301mune\u0301rations tre\u0300s infe\u0301rieures a\u0300 leurs confre\u0300res.<\/p>\n

Leur nombre a grossi pendant l’e\u0301pide\u0301mie de Covid-19, quand l’ho\u0302pital exsangue cherchait des renforts. Depuis, ils de\u0301noncent leur pre\u0301carite\u0301 et instabilite\u0301 administrative.<\/p>\n

Combien sont-ils?<\/b><\/p>\n

\u00ab\u00a0Aucune statistique fiable\u00a0\u00bb ne recense leur \u00ab\u00a0nombre exact\u00a0\u00bb, e\u0301crivait en 2024 l’Ordre des me\u0301decins au de\u0301pute\u0301 LFI (gauche radicale) Damien Maudet, auteur d’un rapport sur le sujet. En compilant plusieurs sources, le de\u0301pute\u0301 a e\u0301value\u0301 leur nombre a\u0300 plus de 10.000 en 2024. En 2023, la Fe\u0301de\u0301ration hospitalie\u0300re de France (FHF) en comptabilisait elle 7.000. Interroge\u0301, le ministe\u0300re de la Sante\u0301 n’a pas communique\u0301 de chiffres.<\/p>\n

Comment sont-ils titularise\u0301s?<\/b><\/p>\n

Pour voir leur diplo\u0302me reconnu, ils doivent obtenir une \u00ab\u00a0autorisation de plein exercice\u00a0\u00bb, via un concours annuel puis une longue proce\u0301dure. Ces contraintes visent, selon l’Acade\u0301mie de me\u0301decine et l’Ordre, a\u0300 garantir \u00ab\u00a0la qualite\u0301 et la se\u0301curite\u0301\u00a0\u00bb des soins.<\/p>\n

Le concours, baptise\u0301 e\u0301preuves de ve\u0301rification des connaissances (EVC), a longtemps mis en concurrence les me\u0301decins de\u0301ja\u0300 en France et ceux qui candidataient depuis l’e\u0301tranger. Il a e\u0301te\u0301 re\u0301forme\u0301 en 2025. De\u0301sormais, les me\u0301decins de\u0301ja\u0300 en poste passent un concours \u00ab\u00a0interne\u00a0\u00bb et sont prioritaires sur l’essentiel des postes disponibles. Une \u00ab\u00a0voie externe\u00a0\u00bb plus se\u0301lective existe pour ceux n’ayant pas d’expe\u0301rience en France.<\/p>\n

Le jury a retenu cette anne\u0301e 1.863 laure\u0301ats: 1.425 sur 1.935 participants au concours \u00ab\u00a0interne\u00a0\u00bb et 438 sur 4.040 candidats a\u0300 la voie \u00ab\u00a0externe\u00a0\u00bb, selon le Centre national de gestion. Une fois laure\u0301ats, les \u00ab\u00a0Padhue\u00a0\u00bb entament un \u00ab\u00a0parcours de consolidation des compe\u0301tences\u00a0\u00bb (PCC), sorte de stage de deux ans (qui peut e\u0302tre raccourci de 18 mois maximum, sous conditions), avant d’e\u0302tre autorise\u0301s ou non a\u0300 exercer par une commission de\u0301die\u0301e.<\/p>\n

La proce\u0301dure est souvent critique\u0301e, accuse\u0301e de les maintenir longtemps dans des conditions de travail inde\u0301centes. Ses de\u0301tracteurs appellent a\u0300 exempter les \u00ab\u00a0Padhue\u00a0\u00bb de concours et faire reconnai\u0302tre leurs compe\u0301tences par des pairs. Mercredi, l’exe\u0301cutif a promis de \u00ab\u00a0simplifier\u00a0\u00bb les proce\u0301dures avec l’ide\u0301e de \u00ab\u00a0sortir de cette logique de concours\u00a0\u00bb.<\/p>\n

Et en cas d’e\u0301chec?<\/b><\/p>\n

Un re\u0301gime de\u0301rogatoire a longtemps permis de les embaucher pendant plusieurs anne\u0301es, sous divers statuts re\u0301mune\u0301re\u0301s entre 1.500 et 2.200 euros mensuels. De\u0301sormais oblige\u0301s de passer le concours, ils peuvent, dans l’attente, demander des autorisations temporaires. Une loi de 2023 a cre\u0301e\u0301 le statut de praticien associe\u0301 contractuel temporaire (PACT), sous lequel les me\u0301decins expe\u0301rimente\u0301s peuvent travailler 26 mois au maximum, pour 31.204,37 euros bruts annuels. Des ho\u0302pitaux emploient toujours des \u00ab\u00a0Padhue\u00a0\u00bb sous d’autres statuts plus pre\u0301caires, selon des syndicats et e\u0301lus.<\/p>\n

Que deviennent les anciens Padhue?<\/b><\/p>\n

Au 1er janvier 2026, les ex-\u00ab\u00a0Padhue\u00a0\u00bb devenus titulaires repre\u0301sentaient 9,2% des me\u0301decins en activite\u0301 re\u0301gulie\u0300re (environ 19.000 praticiens), contre 4,1% en 2010, a indique\u0301 a l’AFP l’Ordre des me\u0301decins.<\/p>\n

Selon une e\u0301tude de 2025, ils sont diplo\u0302me\u0301s en majorite\u0301 d’Alge\u0301rie (38,6% des \u00ab\u00a0Padhue actifs re\u0301guliers\u00a0\u00bb, Tunisie (16%), Syrie (8,3%), Maroc (6,8%) ou Liban (4,2%). Toujours selon cette e\u0301tude, les spe\u0301cialite\u0301s les plus repre\u0301sente\u0301es sont la me\u0301decine ge\u0301ne\u0301rale (19,6% des Padhue \u00ab\u00a0actifs re\u0301guliers\u00a0\u00bb), la psychiatrie (8,8%) ou l’anesthe\u0301sie-re\u0301animation (7,9%).<\/p>\n

Retrouvez plus d\u2019actualit\u00e9s et d\u2019analyses sur Gabon<\/span> sur le site Africa Press<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – Gabon. Le gouvernement franc\u0327ais a promis le 30 avril 2026 de re\u0301examiner le statut des \u00ab\u00a0Padhue\u00a0\u00bb, ces me\u0301decins a\u0300 diplo\u0302me e\u0301tranger, notamment alge\u0301riens, contraints de repasser des concours pour e\u0302tre titularise\u0301s. Il entend notamment \u00ab\u00a0simplifier\u00a0\u00bb la proce\u0301dure visant a\u0300 titulariser ces me\u0301decins, apre\u0300s que le pre\u0301sident Emmanuel Macron s’est emporte\u0301 lundi sur leur […]<\/p>\n","protected":false},"author":82,"featured_media":78795,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,10],"tags":[49],"class_list":["post-78796","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-divers","category-toutes-les-actualites","tag-gabon"],"yoast_head":"\nChangement de Statut Pour Les M\u00e9decins \u00c9trangers En France - Gabon<\/title>\n<meta name=\"description\" content=\"-article-header-tag"> Africa-Press - Gabon. 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