Beware of the “purple crocodile”: workshop on absurd certificates that reduce GPs’ medical time in Europe
Michaël ROCHOY, Sarah CUMPS and Camille HONG
General practitioners face increasing administrative demands, some of which have little medical value ("absurd certificates"). These administrative demands reduce the time available for medical care, while population needs continue to rise. Requests originate from private insurers, employers, schools, sports clubs, public institutions, etc. These requests vary from country to country, but share several mechanisms: transfer of responsibility to doctors ("controllers" rather than caregivers), lack of legal basis, and erosion of access to care. In response, Belgian and French Colleges of general practitioners have launched the websites certificats-absurdes(.be and .fr) combining several initiatives to identify, document, challenge abusive certificate requests and, where relevant, advocate for legislative change.The workshop aims to share concrete experiences from France and Belgium in identifying and reducing excessive requests for medical certificates; present practical tools and strategies; encourage discussion on the transferability of these initiatives to European primary care systems; and build a European network aimed at reducing low-value-added administrative tasks.The teaching method will involve active participation, peer exchanges and practical examples. The workshop will be co-facilitated by Belgian and French experts on these topics, with the following schedule: 10min: Interactive introduction: participants share examples of problematic certificates in their countries. 15min: Presentations of concrete actions in Belgium and France (digital resources on websites, communication and media actions, stamps, institutional partnerships, results, etc.) 20min: Small group work: participants analyse real certificate requests and discuss legal, ethical and practical responses, according to their country. 15mins: Plenary discussion focusing on feasibility, obstacles, cost-effectiveness, and adaptation to different healthcare systems.Participants will acquire practical skills to identify abusive certificate requests, respond to them with sound legal arguments, and take action at local or national level. The workshop will establish common principles and a preliminary roadmap for possible European collaboration on this issue.This workshop draws on real-life experiences to address a common issue in European primary care, responsible for a massive loss of medical time. By sharing our tools, results and lessons learned from French and Belgian experiences, we aim to promote evidence-based strategies to reduce administrative overload and give back medical time to general practitioners across Europe.
