{"id":16991821,"date":"2025-07-09T07:39:08","date_gmt":"2025-07-09T06:39:08","guid":{"rendered":"https:\/\/kapitalis.com\/tunisie\/?p=16991821"},"modified":"2025-07-09T08:12:51","modified_gmt":"2025-07-09T07:12:51","slug":"tunisie-linflation-de-medecins-nest-pas-une-solution","status":"publish","type":"post","link":"https:\/\/kapitalis.com\/tunisie\/2025\/07\/09\/tunisie-linflation-de-medecins-nest-pas-une-solution\/","title":{"rendered":"Tunisie | L\u2019inflation de m\u00e9decins n\u2019est pas une solution"},"content":{"rendered":"\n<p><strong><em>La d\u00e9claration&nbsp;r\u00e9cemment faite avant-hier, lundi 7 juillet 2025, par le ministre de l&rsquo;Enseignement sup\u00e9rieur&nbsp;et de la Recherche scientifique, Mondher Bela\u00efd<\/em><\/strong>,<strong><em>&nbsp;concernant la d\u00e9cision&nbsp;des autorit\u00e9s comp\u00e9tentes d\u2019augmenter de 30%, \u00e0 partir&nbsp;de la rentr\u00e9e universitaire 2025\/2026, le nombre&nbsp;de places ouvertes&nbsp;aux&nbsp;bacheliers qui souhaitent&nbsp;faire des \u00e9tudes de m\u00e9decine en Tunisie m\u00e9rite&nbsp;une&nbsp;s\u00e9rieuse attention.<\/em><\/strong> <em>(Ph. H\u00f4pital de M\u00e9denine).<\/em> <\/p>\n\n\n\n<p><strong>Raouf Chatty<\/strong> *<\/p>\n\n\n\n<!--more-->\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full\"><img decoding=\"async\" src=\"http:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2021\/05\/Raouf-Chatty.jpg\" alt=\"\" class=\"wp-image-347685\"\/><\/figure>\n<\/div>\n\n\n<p>Cette d\u00e9cision serait judicieuse et pertinente si notre pays manquait&nbsp;de m\u00e9decins&nbsp;et si notre \u00e9conomie nationale \u00e9tait capable de r\u00e9pondre dignement aux attentes&nbsp;l\u00e9gitimes des centaines de m\u00e9decins qui&nbsp;sont&nbsp;mis chaque ann\u00e9e sur le march\u00e9 du travail. Or la r\u00e9ponse&nbsp;est tout simplement non. Le pays risque&nbsp;m\u00eame&nbsp;de conna\u00eetre une inflation de m\u00e9decins\u2026 au ch\u00f4mage. Personne, bien&nbsp;entendu, ne d\u00e9sire que ce triste sort&nbsp;soit r\u00e9serv\u00e9 aux m\u00e9decins ni aux dipl\u00f4m\u00e9s des autres&nbsp;secteurs.&nbsp;<\/p>\n\n\n\n<p>La situation actuelle est d\u2019autant plus p\u00e9nible que les jeunes m\u00e9decins qui protestent aujourd\u2019hui pour exiger l\u2019am\u00e9lioration de leurs conditions de travail et de r\u00e9mun\u00e9ration comptent parmi les \u00e9l\u00e8ves qui ont brillamment&nbsp;r\u00e9ussi au baccalaur\u00e9at, qui ont longuement&nbsp;et durement&nbsp;investi dans leurs \u00e9tudes&nbsp;et qui ont consacr\u00e9, chacun, une douzaine d\u2019ann\u00e9es&nbsp;de leur jeunesse (soit de 20 \u00e0 32 ans)&nbsp;aux&nbsp;\u00e9tudes et au travail dans les h\u00f4pitaux publics dans des conditions extr\u00eamement p\u00e9nibles.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Le pays ne manque pas de m\u00e9decins<\/h2>\n\n\n\n<p>La Tunisie ne manque pas aujourd\u2019hui de m\u00e9decins. Elle&nbsp;n\u2019en manquera pas dans l\u2019avenir. Les quatre facult\u00e9s de m\u00e9decine&nbsp;du pays forment, depuis&nbsp;cinq d\u00e9cennies, des centaines de m\u00e9decins chaque ann\u00e9e. Nous n\u2019avons pas besoin non plus d\u2019en construire d\u2019autres.&nbsp;<\/p>\n\n\n\n<p>Le fait&nbsp;que des \u00e9tablissements hospitaliers, \u00e0 Tunis&nbsp;et dans&nbsp;des villes et villages&nbsp;de l\u2019int\u00e9rieur, manquent&nbsp;de personnel&nbsp;m\u00e9dical&nbsp;doit \u00eatre&nbsp;imput\u00e9 aux strat\u00e9gies&nbsp;suivies dans&nbsp;l\u2019affectation et la r\u00e9partition&nbsp;de nos jeunes&nbsp;m\u00e9decins et&nbsp;aux raisons&nbsp;qui les incitent \u00e0&nbsp;fuir nos h\u00f4pitaux voire m\u00eame pour beaucoup, le pays lui-m\u00eame.&nbsp;<\/p>\n\n\n\n<p>Nous savons que des centaines&nbsp;de m\u00e9decins&nbsp;attendent aujourd\u2019hui&nbsp;impatiemment d\u2019\u00eatre recrut\u00e9s et ne demandent&nbsp;qu\u2019\u00e0 travailler dans des conditions dignes&nbsp;avec des salaires gratifiants. Malheureusement, la situation \u00e9conomique&nbsp;et financi\u00e8re du pays&nbsp;ne le permet pas. Le ministre&nbsp;de la Sant\u00e9 se d\u00e9bat&nbsp;tr\u00e8s s\u00e9rieusement pour am\u00e9liorer&nbsp;la situation. Depuis son arriv\u00e9e \u00e0 la t\u00eate&nbsp;du D\u00e9partement, les choses commencent&nbsp;\u00e0 bouger. Fort de sa longue exp\u00e9rience de professeur de m\u00e9decine et de celles de ses collaborateurs, Mustapha Ferjani est pr\u00e9sent sur tous les terrains. Cela est \u00e0 mettre \u00e0 son actif.<\/p>\n\n\n\n<p>Toutefois,&nbsp;l\u2019examen de la question de l\u2019augmentation des capacit\u00e9s&nbsp;d\u2019accueil des facult\u00e9s de&nbsp;m\u00e9decine&nbsp;reste \u00e9pineuse et n\u00e9cessite&nbsp;un d\u00e9bat national digne de ce nom dans le cadre d&rsquo;une vision globale&nbsp;de l&rsquo;avenir de la sant\u00e9 en Tunisie&nbsp;<\/p>\n\n\n\n<p>Nombreux parmi les jeunes m\u00e9decins choisissent de&nbsp;quitter&nbsp;le pays \u00e0 la recherche&nbsp;de perspectives meilleures, en particulier en France et en Allemagne.&nbsp;Beaucoup le font&nbsp;dans&nbsp;la pr\u00e9cipitation. Nombreux&nbsp;ne savent pas&nbsp;qu\u2019il s\u2019agit souvent d\u2019une d\u00e9cision&nbsp;lourde&nbsp;et grave&nbsp;qui va engager&nbsp;leur&nbsp;avenir. Souvent, il s\u2019agit d\u2019un ticket aller sans retour. Ils ne savent pas non plus qu\u2019ils doivent batailler&nbsp;dur pour s\u2019imposer compte tenu&nbsp;de l\u2019environnement nouveau&nbsp;o\u00f9 ils vont travailler et vivre&#8230; Ils seront g\u00e9n\u00e9ralement exploit\u00e9s&nbsp;et beaucoup&nbsp;r\u00e9mun\u00e9r\u00e9s que&nbsp;leurs confr\u00e8res&nbsp;originaires de ces pays. &nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-kapitalis wp-block-embed-kapitalis\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"LYpFBAT2yF\"><a href=\"https:\/\/kapitalis.com\/tunisie\/2023\/07\/25\/lexode-des-medecins-tunisiens-egoisme-ou-heroisme\/\">L\u2019exode des m\u00e9decins Tunisiens\u00a0: \u00e9go\u00efsme ou h\u00e9ro\u00efsme\u00a0?<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u00ab\u00a0L\u2019exode des m\u00e9decins Tunisiens\u00a0: \u00e9go\u00efsme ou h\u00e9ro\u00efsme\u00a0?\u00a0\u00bb &#8212; Kapitalis\" src=\"https:\/\/kapitalis.com\/tunisie\/2023\/07\/25\/lexode-des-medecins-tunisiens-egoisme-ou-heroisme\/embed\/#?secret=8ysGj1aTWs#?secret=LYpFBAT2yF\" data-secret=\"LYpFBAT2yF\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">La tentation de l\u2019expatriation<\/h2>\n\n\n\n<p>Parmi les raisons qui incitent les&nbsp;m\u00e9decins, jeunes et moins jeunes, \u00e0 s\u2019expatrier figurent&nbsp;les&nbsp;modestes salaires servis en Tunisie, les&nbsp;mis\u00e9rables conditions de travail dans lesquelles ils exercent leur m\u00e9tier, la d\u00e9gradation&nbsp; de leur statut social,&nbsp;l\u2019ins\u00e9curit\u00e9, les risques&nbsp;auxquels ils s\u2019exposent&nbsp;dans les h\u00f4pitaux&nbsp; en relation&nbsp;avec un environnement peu propice \u00e0 l\u2019exercice de la m\u00e9decine, la faiblesse de l\u2019encadrement, la &nbsp;modicit\u00e9 des moyens mis \u00e0 disposition, la v\u00e9tust\u00e9 du mat\u00e9riel, les relations difficiles avec des patients souvent issus de classes d\u00e9favoris\u00e9es&nbsp;qui&nbsp;d\u00e9versent&nbsp;toutes leurs frustrations&nbsp;sur les jeunes m\u00e9decins, et, <em>last but not least<\/em>, l\u2019environnement&nbsp;souvent&nbsp;tendu&nbsp;dans lequel ils exercent.&nbsp;<\/p>\n\n\n\n<p>N\u2019oublions jamais que les m\u00e9decins pratiquent une profession&nbsp;tr\u00e8s honorable o\u00f9 ils font face&nbsp;\u00e0 la pr\u00e9carit\u00e9 humaine ce qui a un fort impact&nbsp;sur leur psychisme&nbsp;<\/p>\n\n\n\n<p>En somme, les jeunes m\u00e9decins travaillent souvent dans des conditions&nbsp;indignes&nbsp;de jeunes personnes qui ont consacr\u00e9 une dizaine d\u2019ann\u00e9es de leur vie \u00e0 des \u00e9tudes&nbsp;souvent difficiles et exigeantes et au travail dans des h\u00f4pitaux publics manquant de tout et o\u00f9 ils se sont d\u00e9pens\u00e9s sans compter. Il est crucial de les \u00e9couter&#8230;<\/p>\n\n\n\n<p>Augmenter de 30% le nombre des bacheliers autoris\u00e9s \u00e0 faire des \u00e9tudes de m\u00e9decine c\u2019est tout simplement se risquer&nbsp;de&nbsp;charger d\u00e9mesur\u00e9ment&nbsp;nos facult\u00e9s de m\u00e9decine, d\u2019affaiblir les&nbsp;capacit\u00e9s d\u2019encadrement&nbsp;des apprentis m\u00e9decins souvent laiss\u00e9s \u00e0 eux-m\u00eames, de porter un coup dur&nbsp;\u00e0 la qualit\u00e9 de&nbsp;la formation m\u00e9dicale, de d\u00e9valoriser&nbsp;la r\u00e9putation&nbsp;de nos m\u00e9decins en Tunisie et \u00e0 l\u2019\u00e9tranger. Bref,&nbsp;c\u2019est&nbsp;courir le risque&nbsp;de&nbsp;former&nbsp;des m\u00e9decins au rabais&#8230; et de les voir gonfler les rangs des dipl\u00f4m\u00e9s ch\u00f4meurs. \u00c0 moins qu\u2019on&nbsp;ait d\u2019ores&nbsp;et d\u00e9j\u00e0 pr\u00e9vu des solutions pratiques et fiables pour d\u00e9samorcer ces bombes \u00e0 retardement.&nbsp;<\/p>\n\n\n\n<p>On n\u2019aimerait pas voir&nbsp;des centaines&nbsp;de jeunes m\u00e9decins,&nbsp;au terme de douze ans d\u2019\u00e9tudes et de r\u00e9sidanat&nbsp;dans les h\u00f4pitaux, attendre des ann\u00e9es pour trouver&nbsp;du travail dans le secteur public ou pour pouvoir s\u2019installer&nbsp;dans le priv\u00e9, entreprise qui&nbsp;n\u00e9cessite&nbsp;des fonds&nbsp;cons\u00e9quents&nbsp;et&nbsp;dont la r\u00e9ussite n\u2019est souvent&nbsp;pas assur\u00e9e compte tenu&nbsp;de la concurrence&nbsp;effr\u00e9n\u00e9e dans le domaine.<\/p>\n\n\n\n<p>Ceux qui&nbsp;croient&nbsp;que les jeunes futurs m\u00e9decins pourront toujours trouver&nbsp;des postes dans les d\u00e9serts m\u00e9dicaux \u00e0 l\u2019\u00e9tranger&nbsp;ont une vision courte des choses.&nbsp;La France a d\u00e9j\u00e0 commenc\u00e9 \u00e0&nbsp;mettre la barre tr\u00e8s haut pour l&rsquo;acc\u00e8s de m\u00e9decins \u00e9trangers \u00e0 ses \u00e9tablissements hospitaliers. Les restrictions&nbsp;\u00e0 l\u2019entr\u00e9e iront crescendo dans les prochaines ann\u00e9es. Le march\u00e9 allemand&nbsp;ne tardera pas \u00e0 r\u00e9agir de la m\u00eame fa\u00e7on dans les prochaines ann\u00e9es. Celui du Golfe&nbsp;\u00e9galement. Il viendra un jour o\u00f9 ces pays fermeront leurs portes aux m\u00e9decins \u00e9trangers ou mettront des conditions draconiennes pour les&nbsp;prendre&nbsp;dans leurs h\u00f4pitaux.&nbsp;Il faut donc&nbsp;\u00eatre attentif \u00e0&nbsp;l\u2019\u00e9volution de la situation.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-kapitalis wp-block-embed-kapitalis\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"xaQ84IJYQM\"><a href=\"https:\/\/kapitalis.com\/tunisie\/2025\/07\/03\/de-limportance-davoir-un-secteur-public-en-bonne-sante\/\">De l\u2019importance d\u2019avoir un secteur public en bonne sant\u00e9<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u00ab\u00a0De l\u2019importance d\u2019avoir un secteur public en bonne sant\u00e9\u00a0\u00bb &#8212; Kapitalis\" src=\"https:\/\/kapitalis.com\/tunisie\/2025\/07\/03\/de-limportance-davoir-un-secteur-public-en-bonne-sante\/embed\/#?secret=nu6DEwEtoh#?secret=xaQ84IJYQM\" data-secret=\"xaQ84IJYQM\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p> &nbsp;L\u2019urgence d\u2019un d\u00e9bat national<\/p>\n\n\n\n<p>J\u2019ose esp\u00e9rer que toutes les parties concern\u00e9es&nbsp;par une d\u00e9cision aussi importante&nbsp;et aux cons\u00e9quences&nbsp;pr\u00e9visibles aient \u00e9t\u00e9 consult\u00e9s \u00e0 l\u2019avance et&nbsp;leurs points de vue entendues. Je pense en particulier \u00e0 l\u2019Institut tunisien des \u00e9tudes strat\u00e9giques&nbsp;(Ites),&nbsp;aux professionnels de l\u2019enseignement m\u00e9dical, aux doyens des facult\u00e9s de m\u00e9decine, au Conseil national de l\u2019ordre des m\u00e9decins, aux syndicats de m\u00e9decins,&nbsp;\u00e0 l\u2019Organisation&nbsp;tunisienne des jeunes m\u00e9decins (OTJM), aux minist\u00e8res des Finances, des Affaires sociales, des Affaires \u00e9trang\u00e8res&#8230;<\/p>\n\n\n\n<p>Il faut&nbsp;prendre le temps n\u00e9cessaire&nbsp;pour r\u00e9fl\u00e9chir \u00e0 la question dans toutes&nbsp;ses dimensions&nbsp;et d\u00e9cider ensuite des mesures \u00e0 prendre. Le credo doit \u00eatre&nbsp;l\u2019int\u00e9r\u00eat g\u00e9n\u00e9ral&nbsp;et, bien entendu aussi, celui l\u00e9gitime des m\u00e9decins car personne ne souhaite que la profession&nbsp;m\u00e9dicale en Tunisie soit d\u00e9valoris\u00e9e&nbsp;et que la sant\u00e9 des citoyens soit mise \u00e0 rude \u00e9preuve&#8230; Nos m\u00e9decins&nbsp;et notre m\u00e9decine, qui a toujours privil\u00e9gi\u00e9 le m\u00e9rite personnel et l\u2019efficacit\u00e9 professionnelle, ne m\u00e9ritent&nbsp;pas d\u2019\u00eatre galvaud\u00e9s !<\/p>\n\n\n\n<p>* <em>Ancien ambassadeur.<\/em><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-kapitalis wp-block-embed-kapitalis\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"zOpJsRPt1b\"><a href=\"https:\/\/kapitalis.com\/tunisie\/2025\/07\/02\/le-cri-dune-generation-de-soignants-dans-un-hopital-au-bord-de-leffondrement\/\">Le cri d\u2019une g\u00e9n\u00e9ration de soignants dans un h\u00f4pital au bord de l\u2019effondrement\u00a0<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u00ab\u00a0Le cri d\u2019une g\u00e9n\u00e9ration de soignants dans un h\u00f4pital au bord de l\u2019effondrement\u00a0\u00a0\u00bb &#8212; Kapitalis\" src=\"https:\/\/kapitalis.com\/tunisie\/2025\/07\/02\/le-cri-dune-generation-de-soignants-dans-un-hopital-au-bord-de-leffondrement\/embed\/#?secret=uqrdaRnbmM#?secret=zOpJsRPt1b\" data-secret=\"zOpJsRPt1b\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>La d\u00e9cision\u00a0d\u2019augmenter de 30% le nombre\u00a0de places ouvertes\u00a0aux\u00a0bacheliers souhaitant\u00a0faire des \u00e9tudes de m\u00e9decine en Tunisie m\u00e9rite\u00a0une\u00a0s\u00e9rieuse attention.<\/p>\n","protected":false},"author":8,"featured_media":14215481,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[992,998,1000,2433],"tags":[107747,103133,11651,1337,120107,77393,89839,62643],"class_list":["post-16991821","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-a-la-une","category-societe","category-tribune","category-tunisie","tag-expatriation","tag-facultes-de-medecine","tag-hopitaux-publics","tag-medecins","tag-mondher-belaid-2","tag-mustapha-ferjani","tag-raouf-chatty","tag-tunisie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - 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