Tell us about your new position ... I worked for 6 years as secretary general of the AFCA alongside

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Tell us about your new position ... I worked for 6 years as secretary general of the AFCA alongside Jean-Pierre Triboulet who was president. Thanks to him, the AFCA has become a key interlocutor for all bodies involved in the development of ambulatory surgery. Chair of this for me is a huge responsibility. But it will allow me to gain height in relation to my participation in missions AFCA: 1) promote the development of ambulatory surgery in France, combining quality of patient care and safety; 2) promote teaching and research and the scientific publications relating thereto. As President, nuts I may be more flexible than before, more "political." But I am more determined to achieve the goals I have presented to the Board of Directors, during my election to the presidency of the AFCA, specifically those that I have chosen to achieve during nuts my tenure.
What goals would you like to achieve and what are your priorities? I wish I could make it even more effective AFCA to fulfill its missions. For 6 years, adherents of more and more joined the AFCA. We have just set up a new board of 15 members which now sit as many surgeons (5 different specialties) as anesthetists, but also a care setting, a hospital director and a DIM doctor. Marc Beaussier, anesthetist, nuts is the new general secretary. nuts This particularly expert in ambulatory surgical team must keep its dynamism and networking with all our partners, professionals involved in day surgery, all the learned societies surgery (gastrointestinal, orthopedics, gynecology, urology, ENT, maxillofacial, plastic, ophthalmology, etc.) and that of anesthesia (SFAR), but also the institutions with which we already have consultations nuts (DGOS ARS) and common work (ANAP, HAS). We're going with Marc Beaussier, professionalize these links, consolidate, frame them. We intervened in meetings to DGOS on topics such as the pricing of outpatient surgery and were able to get a "financial nuts incentive" for certain surgical procedures. We responded vigorously with SFAR about the famous nuts decree issued in August 2012, which is for us a text that will not help the development of ambulatory surgery and does not ensure its realization in quality conditions and necessary security. Continue to fight for the disappearance of the lower limit in the pricing of level 1 surgery stays and for the correction of this decree will be a constant goal. I can not not mention the National Day of outpatient surgery will take place for the fourth time in Paris in January 2014, in the Aveyron salons. nuts Jean-Pierre Triboulet and I've managed to make it an annual meeting place for all professionals "ambulatory surgery and anesthesia." We need to maintain the quality of the sessions and presentations.
What is the future of ambulatory surgery in France? We are ahead in the field? The future of surgery is outpatient. Virtually all surgery is feasible, more or less long term, ambulatory: last year the ambulatory surgery section exists in the National nuts Academy of Surgery, speakers of all specialties came we show and demonstrate. But we have to convince other surgeons and other anesthetists. In France, the brakes are already there. Despite government incentives, financial incentives still modest but real and enforcement measures of health insurance (up by prior agreement), nuts the rate of outpatient nuts surgery in France capped at 39-40%. Our European neighbors to the north are already operating seven of 10 patients in outpatient, the English and Americans 8 out of 10. And contrary to what some believe, the patients do not go to the hotel across the way out. The brakes are cultural in France, among surgeons, anesthetists, if patients and doctors treating