[Evolutions of the "framework of benefits" system]. / Évolutions du dispositif « encadrement des avantages ¼.

EVOLUTIONS OF THE "FRAMEWORK OF BENEFITS" SYSTEM. In the field of compliance, the last thirty years have been marked by an evolution of the regulatory framework in order to adapt an anti-corruption system to the whole ecosystem of health professionals and industrialists. Although the various developments now make the "framework of benefits" a solid legislative construction, the latest news shows the need to move towards a reinforcement of illegal practices as well as a framework of canvassing for promotion between industrialists and health professionals. However, the construction of this legal framework has given rise to concerns and questions, particularly from physicians' associations, concerning their training prospects and their search for funding.

ÉVOLUTIONS DU DISPOSITIF « ENCADREMENT DES AVANTAGES ¼. Dans le champ de la compliance (ou conformité), les trente dernières années ont été marquées par une évolution du cadre réglementaire afin d'adapter un dispositif anticorruption à l'ensemble d'un écosystème de professionnels de santé et d'industriels. Si les différentes évolutions font désormais du dispositif « Encadrement des avantages ¼ une construction législative solide, les dernières actualités montrent la nécessité de tendre vers un renforcement de l'encadrement des pratiques illégales ainsi qu'un encadrement du démarchage à la promotion entre les industriels et les professionnels de santé. La construction de ce cadre juridique a toutefois été à l'origine d'inquiétudes et de questionnements, notamment des associations de médecins concernant leurs perspectives de formation et leur recherche de financements.

National survey on the certification of competence in gynecologic surgical oncology: An AGOF (association of gynecologists in training) study.

INTRODUCTION: Female malignancies can require complex surgeries with expert techniques. A French certification of competence in gynecological cancer surgery has been elaborated in 2021 to certify specialized surgeons. For trainees, this would require a practical curriculum (number of rotations in certain departments), a surgical logbook and the theoretical European exam. The objective of our work was to interrogate trainees in gynecology and obstetrics on their oncological training and their opinion on the certification. MATERIAL AND METHODS: We conducted a national French prospective, observational study, using a web-based questionnaire from 06/2021-02/2022. All trainees were interrogated on their overall training in gynecological oncology. The opinion on the certification was assessed for the sub-group willing to specialize in oncological surgical gynecology. RESULTS: One hundred and twenty-five responded, and 66.1% wanted to specialize in surgical oncology. Many had completed one rotation in a specialized gynecological oncology center (45.3%) and in digestive surgery (48.8%). Concerning the theoretical training, 92% of the respondents believed it to be insufficient. Eighty participants (64%) wished to specialize in oncological surgical gynecology and were interrogated on the certification. The majority (65%) thought the three criteria were difficult to achieve but adequate. The most difficult criterium was the practical curriculum (70.5%) followed by the surgical logbook (55.1%) due to inequalities of training amongst French regions. CONCLUSION: Trainees in gynecology and obstetrics seem ready to take a specialized certification in surgical gynecological oncology to improve patient care. However, they expressed concerns due the disparities amongst regions in accessing certain specialized departments.