Graduate School Of Public Health

The birth of the NPHS in Paris

After the Second World War , the Fourth Republic starts major reforms on the welfare and the Department of Public Health and Population decides to train managers who will ensure implementation of these new policies that will intended to outline an administrative health monitoring.

The National School of Public Health (ENSP) depends primarily on the National Institute of Hygiene (later INSERM ). It is created by ordinance of 19 October 1945 to reorganize the Department of Public Health (art. 13) and aims to provide advanced training of physicians, pharmacists and health technicians on topics directly but medical as administrative. Its first director was Dr. Daniel Santenay.

An order of May 9, 1949 it will host foreign scholars. A ministerial order of February 26, 1958 created a joint degree from the Department of Health and Ministry of Education called "State diploma in public health" and for physicians.

The context will foster specialization of the school on legal and administrative matters, far beyond simple matters of hygiene. Thus, the NPHS became a school application and development and skill for managers of departments in the field of health and social work.

The arrival of the ENSP Rennes

However, the school does not have at the time of a real permanent teaching staff. In response to demand more and more pressing in the eradication of epidemics, and given the desire to punish the school by a diploma qualification, the decision is taken to make schools autonomous and transfer it elsewhere. The Act of July 21, 1960 erected the first school in public administrative institution and the decree of April 13, 1962 organizes and provides its location in Rennes.

With this transfer, the school has a campus, an operating budget and a national and international recognition. The first director of the new school is Professor of Pediatrics John Senecal.

The school continued to train senior officials from health and social sector, although the share of school intervention has varied over time, for example, training of inspectors of health and social affairs (IASS ) or specialization as manager and organization (HAI-RIO), sometimes organized with the Regional Institute of Directors of Lille. However, the ambitions of opening up the research and higher education were high but were partly disappointed. The new institution would be, for example with two teams INSERM, one in social sciences and one in public health (they were finally created elsewhere). The first director wanted the medical school assistant teacher of public health spend by the NPHS, which was not realized. The Minister of Social Affairs objected that even the University of Rennes I issue a doctorate in collaboration with the school. We note, however, that February 13, 1973, the engineering degree in sanitary engineering from the list of titles as an engineer diploma of specialization.

It is the desire to have a school covering the whole field of public health in the international sense, and therefore, its articulation with the necessary academic, that was born the idea of expanding the NPHS to a new structure. Following the founding legislation of 2004 (below), the headmaster at the time, Professor Jacques Hardy , was responsible for preparing the organic evolution whose main lines are found in its report submitted to the Ministers of Health and Education in June 2006 (see below).

The birth of EHESP

Informed by the report of the IGAS / IGAENR concerning the establishment of the Graduate School of Public Health (EHESP) , Act ^No. 2004-806 of 9 August 2004 concerning the public health policy (Art. 84-87) established the new school as an institution public scientific, cultural and professional , according to the status of major institutions of the Education Code. She succeeds automatically to the former NPHS (art. 86) and includes all of its missions in the expanding fields of higher education and traditional academic research (masters and doctorates). However, it took a lot of thought, embodied in particular by handing over Hardy (above) and a consultation with key socio-professional, so that the decision to create EHESP was finally adopted by the Cabinet on Wednesday December 6, 2006, upon recommendation of Health Minister, Xavier Bertrand.

Decree ^No. 2006-1546 of 7 December 2006 and reflects the legal transformation of the school to come into force on ¹ January 2007. It embodies the reconciliation of the National School of Public Health (ENSP) and the University by conferring jurisdiction as of right in higher education.

Article 3 of Decree provides, inter alia: (EHESP) "Provides higher education in public health and to that end, she leads a national network promoting the pooling of resources and activities of different public and private bodies and may, alone or jointly with other institutions of higher education, be authorized by the Minister of Higher Education to issue national diplomas after a national evaluation periodically renewed, the school may also issue own degrees in the conditions fixed by the Rules of schooling. "

The new school aims to network existing skills. As emphasized in the explanatory memorandum to the 2004 law, physicians were trained in public health as part of their core curriculum and through a chain of boarding. In addition, employees were trained through a vocational school, the NPHS does not issue diplomas recognized at European level. These devices were not sufficiently coordinated, artificially compartmentalized and quantitatively inadequate. Gold was stressed the importance for staff working for the state to qualify for diploma courses. Rather than creating a structure again, the goal was to allow the various agencies involved to share their educational resources in a real school of public health .

To this end, including the mission continues EHESP NPHS to provide training for many professions statutory health and social formations and extends to academics, to research more open and internationally. After a gradual start, still unfinished, however EHESP entered fully into the institutional landscape at 1 January 2008, after the installation of its board of directors and the appointment of its Director, Professor Anthony Flahault , hospital physician , epidemiologist and expert on emerging diseases.

List of Directors

• (1945-1960) Professor Daniel Santenay
• (1962-1965) Professor Jean Senecal
• (1965-1975) Dr. John Simon Cayla
• (1975-1979) Pierre Leclerc
• (1979-1982) Louis Picard
• (1982-1986) Dr. Jean-Paul Picard
• (1986-1993) Christian Rollet
• (1993-1998) Emmanuele Mengual
• (1998-2003) Pascal Chevit
• (2003-2006) Professor Jacques Hardy
• (2007-2008) Professor Dominique Bertrand (last director of the NPHS)
• (2008) Professor Antoine Flahault (provisional administrator of the new EHESP since 1 January 2007, then Director)

Introduction institutional EHESP

Organization

Governing bodies

• The board is chaired by Professor Jean-Francois Mattei (former Minister of Health) and consists of representatives of trade unions most representative of employers and employees, public health associations alumni; qualified individuals in areas of school activities, representatives of teachers and researchers; those of personal and student staff and students
• The Scientific Council
• The board training

Administration

• School management: a director (Professor Antoine Flahault) and a General Secretariat
• Studies Branch, covering training from the former NPHS and LMD
• International Affairs Directorate
• Research Branch

• Department of Information Science and Biostatistics
• Department of Epidemiology and Clinical Research
• Department of Health, Environment and Work
• Management institute
• Department of humanities, social, behavioral and health policy.

Research

The research developed EHESP participates in the development and dissemination of knowledge on public health and supports the education provided at school. The analysis of social and health policies at local, national and European level, the assessment of health system reforms and mechanisms of social protection , and professional dynamics surrounding public health, assessment of exposure modes populations to environmental risks are now the most developed areas of the search within:

• Cross-disciplinary research centers
  • Centre for Research on analysis and regulation of health risks
  • Centre for Research on Globalization and Health
  • Center for Policy Analysis Public Health
  • Centre for Health Evidence-based
  • Centre for Research on long-term care and vulnerability
• Academic departments and research
  • LAPSS (Laboratory for Social Policy Analysis and Health)
  • LERES (Laboratory for study and research in environment and health)

Amenities

• 9 acres of landscaped campus
• two lecture halls totaling 600 seats, 40 classrooms, 7 computer rooms and multimedia OA 24/24.
• resort and restaurant, two homes ( The Gorgeu and Villerm) offering 248 rooms and 53 studios. Self-service of 360 seats (up to 900 meals daily).
• Information Center: 8000 memories of students, 15 000 books, 550 periodicals, databases and multimedia (CD-ROMs, internet). The school has a database of public health (BDSP), having its own website, which lists more than 370 000 references. A publishing house specializing (80 books published) completes the reference device (see external links)
• sports facilities: fitness room and two tennis courts opened
• antenna in the National Hospital of Saint-Maurice (near Paris)

Missions

EHESP missions were established by the public health law of August 2004 (art. 84) and codified in section L. 756-2 of the Education Code and Article L 1415-1 of the Public Health Code :

• provide training for people who exercise managerial functions, management, inspection or control in health, social or medico-social and in particular those under the Minister for Health and Minister for Social Affairs
• provide higher education in public health and to that end, she leads a national network promoting the pooling of resources and activities of different public and private bodies
• contribute to research in public health
• develop international relations in the areas mentioned above, including exchanges with institutions offering similar courses

The provision of training EHESP

EHESP aims to train executives, technical and administrative, public health, in all health and social areas, public or private sector.

Sectors officials

In addition to the required qualifications (minimum bac + 4), these channels are generally available only on competition (internal and external). They are only the initial formation and development of employees of Class A. According to the order of presentation chosen by the school:

Hospital Director (DH)

The hospital director audience is recruited by national competition, Class A +. He completed training combining theory and practice of 27 months, provided by the EHESP. He was appointed by the Director of National Centre management practitioners and hospital management staff of the public hospital or by decree. He performs his duties as superintendent or as deputy director in the health facilities with at least 250 beds and in establishments with fewer than 250 beds with psychiatric beds or surgery.

The headteacher is the legal representative of the institution. It regulates the general affairs of the hospital under the supervision of the supervisory board.

Besides the principal, the assistant directors in charge may have: human resources, financial affairs, economic services and logistics, information systems, quality, communication ...

The job requires a strategic and operational.

Warden health, social and medico-social ( DESSMS )

Merged bodies director of health facilities and social and director of social and medico-social, the dessms (also called d3s) is responsible for the overall conduct of the institution in the fields of health, social and medico-social, entertainment coordination of actions, budget management and accounting of the establishment, management and human resources management of the establishment and evaluation of policies and actions undertaken in The project of establishment.

Dessms is recruited by the national competition. He completed training combining theory and practice of 24 months, provided by the EHESP. He was appointed by the Minister of Health. He performs his duties as superintendent or as deputy director in health facilities ( local hospitals ) and social and medico-social ( EHPAD EMI , Home for Children, CHRS, ESAT) or even as Deputy Director public hospital (head of an executive function). When he was head of establishment, it is the legal representative of the institution. It regulates the general affairs of health facilities, social and medico-social, according to guidelines of the board of directors.

Director of Care (DS)

He exercises his functions in public health establishments. He is a member of the management team. Originally, the NPHS formed only general nursing assistant (IGA). Today, the director of nursing is derived from one of three tracks: the nurse industry, the sector rehabilitation and medical technology industry.

Inspector of Health and Social Studies (IASS)

(Formerly Inspector of Health and Social Affairs)

He was recruited by competitive examination open to persons aged 35 years or less, on 1 January of the year contest, and holds a national diploma a graduate degree (there is also an internal competition accessible to staff of category B ). The successful candidate in the contest was first appointed state official trainee and has 18 months of training. This includes, in alternation, lessons in school and internships abroad. The IASS is an administrative framework responsible for implementing the state policy in the areas of health, social security, mutuality, family and social action. On leaving school, he mainly performs his duties in the regional health agencies , performing tasks of design, animation, control and supervision. It is intended eventually to lead these organizations having previously acquired the qualification of senior inspector.

Medical Inspector of Public Health (MISP)

The future MISP, in principle owner of a medical degree, was recruited by open competition in different ways. MISP training lasts one year (19 weeks EHESP alternating with a training ground) and is sanctioned by the Diploma of Public Health, issued jointly by the Ministry of Education and the Ministry of Health. The MISP is mainly affected in the central or devolved from the Ministry of Health (DRJSCS), the regional health agencies or other departments.

Pharmacist Inspector of Public Health (PHISP)

Holder of a doctorate in pharmacy on PHISP is recruited by competition. His training lasted a year, alternating with internships. Its mission is to monitor the quality of health products (including cosmetics or veterinary use) and practices of health professionals in collaboration with other inspectorates. It can also perform administrative duties and regulations. It carries out its tasks in the central or devolved from the Ministry of Health (DRJSCS), the regional health agencies , with the French Agency for the Safety of Health Products (AFSSAPS) or within public institutions such the French Blood Establishment.

Doctor of Education (MEN)

MEN future, in principle owner of a medical degree, was recruited by competitions in various ways. In general, he trained for a period of 8 to 16 weeks, given his professional experience. The men is responsible for the actions of individual and collective prevention and health promotion. These shares are held with all school children be it in schools (kindergarten or elementary), colleges or high schools. It contributes to staff training and education activities for health. He exercises his functions in centers which are attached mdicoscolaires schools of the same geographic area.

Administrative Officer Hospital (AAH)

It reports to the executive body of the public hospital. There are three ways of integrating into the body of the attached: external competition or internal national inclusion on a list of suitable and detachment. They are trained to EHESP. The contest is managed by the National Center management practitioners and hospital management staff of the public hospital.

The attached hospital administration may exercise in public health, labor interhospital, conferences Hospital of territory, nursing homes, retirement homes, public shelters and social rehabilitation, ...

It is placed under the authority of the headteacher. He participated in the design, development and implementation of decisions in administrative, economic, health, social. It can be assigned missions, studies or functions with responsibilities, especially in the areas of admissions and relations with users, management of human resources, procurement management and procurement, financial management and management control. It can also provide leadership for one or more departments or offices.

(Source: website of the Ministry of Health brochure presenting the body attached)

Sanitary Engineer (IES)

The sanitary engineer was recruited by competitive examination at MSc or science and technology. His training lasts 12 months including 3 months internship. The IES is a technical expert referent in areas of intervention for the management of health risks to the environment: water, air, housing, waste, soil, whether related to natural environment or to human activities, agricultural or industrial. It is responsible for special studies and management functions. He may act under the responsibility of an engineer sanitary engineering (IGS) in the same areas as the latter. The IES performs in the central or devolved from the Ministry of Health (DRJSCS) or the regional health agencies.

Other programs

Engineer Public Health Engineering (GHI)

It must hold an engineering degree. After training a year, it is intended to work in the fields of public health and the environment. On leaving school, the GHI works or public services "Environment and Health" of the regional health agencies , within the Directorate General of Health (DGS) of the Ministry of Health or in the private sector especially in water agencies , in consulting firms or in industry.

CAFDIS

The CAFDIS (certificate of proficiency as the warden service or social action) is available on the entrance exam for graduates of Level II or through the VAE. In the first case, is issued by the CAFDIS EHESP after two years of training done outside the school but under its control, in nineteen schools spread throughout France, usually in the regional institutes of social work (IRTS).

Specialized training

• Technical Advisor in Social Work (CTTS)
• Hospital engineer (HI)
• Regional medical inspector of Labor and Workforce (MIRTMO)
• Territorial doctor (MT)
• Health Technician (TS)

Second and third cycle university

• Different masters are provided in cohabilitation, including:
  • Executive MBA in Management of Public Health, conducted in English in Paris, London, Berlin and Madrid, in partnership with ESCP Europe and the London School of Economics
  • Master of International Public Health (Master of Public Health) conducted in English, in collaboration with the University of Paris VII, Paris XII, Nancy 1, INSERM, the Institute of Development Research, University of North Carolina, Columbia University, Sciences-Po Paris, the London School of Economics, INRA ...
  • European Master in Public Health (Europubhealth), labeled Erasmus Mundus, in partnership with schools and universities of Sheffield, Krakow, Copenhagen, Grenada and Rennes.
  • Master "Management policies and actions of public health" (Rennes), in partnership with the Institut d'Etudes Politiques de Rennes
  • Master Law, health and welfare "(Rennes)
  • Master Health Education in Schools "(Clermont-Ferrand)
  • Specialty Master "Management of social policies" (Grenoble)
  • Specialty Master "Evaluation and management of risks related to the environment" (Paris)
  • Specialty master "Health promotion, management of health services and social" (Paris)
  • Specialty Master "Chemistry and microbiology of water" (Poitiers)
  • Specialty Masters "treatment of demography and quantitative ata" (Saint-Quentin)
  • Master Biomedical Equipment * (Compiegne)
• A graduate school of public health is being set up to cover at least three disciplines

Miscellaneous

• Continuing Education (offer towards individuals and institutions). In 2006, six licenses have been created (promotion and health education, PMSI, management information systems, quality management and risk establishments, IDEA, Hospital Plus), etc..
• Contest Preparation for hospital workers wishing to register for assistance from the directors of the public hospital and a remote preparation for all competitions (internal and external) State Hospital and dies.
• Scholarships Erasmus - Erasmus EHESP charter covers the period 2007-2013. It allows the school to provide five scholarships to teacher mobility, a mobility grant for student internship (for a student of the industry IGS) and five training grants to the attention of non-teaching staff EHESP

References