L'A.FOR.SPE

L'A.FOR.SPE, Association Nationale de Coor- dination des Actions de Format ion M6dicale Continue et d'Evaluation en M6decine Sp6cialis6e a 6t6 cr66e en juillet 1990.

C'est la plus importante structure pluridiscipli- naire de Formation M6dicale Continue de Sp6cia- listes en France.

Ses caract6ristiques sont :

La diversit~

Diversit6 des composantes de I 'A.FOR.SPE qui regroupe 25 sp6cialit6s.

Diversit6s des partenaires ; Caisse d'Assurance Maladie par l'intermEdiaire de la F.M.C. conven- tionnelle, industrie pharmaceutique, industrie bio- m6dicale.

Diversit6 des structures regroup6es au sein de I 'A.FOR.SPE : Soci6t6s savantes, Associations de F.M.C., repr6sentants de la vie professionnelle.

Diversit6 des m6thodes en fonction des sp6cia- lit6s : m6dicales, chirurgicales, psychiatriques, bio- logiques.

La connaissance

L'objectif prioritaire de I 'A.FOR.SPE est de permettre h tous les m6decins sp6cialistes d'acqu6- rir et de maintenir une formation de haut niveau dans le domaine scientifique et professionnel.

La promotion de toutes les formes de F.M.C. par la mise ~ jour permanente des connaissances, par la d6couverte des nouveaux traitements ou des nouvelles techniques, par l'6tude pertinente des comportements diagnostiques et th6rapeutiques, doit permettre au M6decin Sp6cialiste de rester la r6f6rence dans sa discipline.

La cohesion

Coh6sion d'une 6quipe qui a une certaine id6e du progr~s m6dical.

Coh6sion d'une organisation dont le but essen- tiel est la recherche et ie maintien de la meilleure qualit6 possible des soins sp6cialis6s.

Coh6sion dans la recherche d'une coordination et une promotion de la F.M.C. et de l'6valuation.

Coh6sion dans le souci de pr6server l'ind6pen- dance de la F.M.C. et de l'6valuation qui doivent rester le fait des M6decins.

Le dynamisme

En deux ans, I 'A.FOR.SPE est devenue le lea- der des organismes de formation qui s'occupent plus particuli~.rement des M6decins sp6cialistes.

Le dynamisme de l'6quipe dirigeante a permis de multiplier chaque ann6e le nombre d'actions de formation.

Grace h I 'A.FOR.SPE et h ses diverses action, la formation m6dicale continue des M6decins Sp6- cialistes qui 6tait depuis longtemps organis6e au sein de chaque sp6cialit6, a obtenu droit de cit6, et la reconnaissance de sa sp6cificit6.

L'ouverture

L'A.FOR.SPE est ouverte ~ toutes les structures qui le d6sirent et qui s'occupent d'actions de for- mation destin6es aux M6decins Sp6cialistes, que celles-ci soient nationales, r6gionales ou locales.

Elle developpe en liaision avec d'autres struc- tures, l'61aboration de protocoles concrets d'6va- luation m6dicale.

Elle est partie prenante dans les 6tudes th6ra- peutiques.

La r~flexion

L'A.FOR.SPE se veut aussi ~tre un organe de r6flexion. La cellule p6dagogique 6tudie les divers proc6d6s p6dagogiques qui peuvent s'adapter aux besoins des M6decins Sp6cialistes.

Le progr~s m6dical ne pouvant 6tre dissoci6 des probl~mes d'6conomie de la sant6, I 'A.FOR.SPE r6fl6chit sur tous les probl~mes d'6valuation aux- quels ont particip6 de nombreux m6decins sp6cia- listes.

La formation d'experts en communication et en animation est 6galement un but de l'Association.

Robert CASTRO Pr6sident du SYNMAD

A c t a E n d o s c o p i c a V o l u m e 24 - N ~ 3 ( supp l#men t ) - 1994 339

THE A.FOR.SPE

~ L 'A .FOR.SPE ,,, the National Association for the coordination of Continuous Medical training and evaluation in Specialized Medicine, was created in July 1990.

It is the largest pluridisciplinary structure in Con- tinuous Medical Training of specialists in France.

Its characteristics are :

Diversity

Diversity of the composition of the A .FOR.SPE with its 25 specialities.

Diversity o f its partners ; the Social Security through its contractual continuous medical training, the pharmaceutical industry, the biomedical in- dustry.

Diversity of structures collaborating within the A.FOR.SPE. : scientific societies, continuous medi- cal training associations, representatives of the pro- fessions.

Diversity o f methods according to the speciali- ties: medical, surgical, psychiatric, biological.

Knowledge

The main objective o f A .FOR.SPE. is to allow every specialist doctor to acquire and maintain a high level o f training in scientific professional fields.

The promotion of every type o f continuous medi- cal training through a permanent updating of knowledge, through the discovery o f new treatments and new techniques, through the relevant study of diagnostic and therapeutic habits should allow the specialist doctor to remain an authority in his disci- pline.

Cohesion

Cohesion of a team with a certain idea of medi- cal progress.

Cohesion of an organisation whose main aim is to seek to maintain the best possible quality in specialized care.

Cohesion in seeking to coordinate and promote continuous medical training and evaluation.

Cohesion in its desire to preserve the indepen- dance of continuous medical training and evalua- tion which must remain under the control o f doc- tors.

Vitality

In the space of 2 years, A . F O R . S P E has become the leader of training organisations dealing particu- larly with specialist doctors.

The vitality of the leadership has led to a multi- plication each year, o f the number of training ses- sions.

Thanks to A . F O R . S P E and its different activi- ties, the specific character o f continuous medical training of specialist doctors which for a long time has been organised within each speciality has been recognised.

Openmindedness

A.FOR.SPE is openminded towards any struc- ture which wishes to collaborate and which deals with training for specialist doctors whether this be national or local.

In collaboration with other organisations, it deve- lops the elaboration of concrete procedures in medical evaluation.

It cooperates in therapeutic studies.

Reflexion

A.FOR.SPE wishes also to be a think tank. The pedagogy group studies the different pedagogical methods which can be adapted to the needs of the specialist doctors.

Since medical process cannot be dissociated from the economic problems o f health, the A .FOR.SPE examins all the problems of evaluation. It has already organised several seminars to initiate parti- cipants in techniques of evaluation and many spe- cialist doctors have taken part in these seminars.

The training o f communication experts and dis- cussion leaders is also an aim of the association.

Robert CASTRO President o f S Y N M A D

340 Volume 24 - N ~ 3 (suppl#menO - 1994 Acta Endoscopica