The Luxembourg Medical Associations
Dr. Remain Stein
The Association des Medecins et Medecins dentistes du Grand-Duche de Luxembourg (AMMD) was founded in 1 904. It is a politically independent trade union regrouping nil the doctors practising in our country.Even though membership is voluntary, it represents 83 percent of all Luxembourg doctors, 930 doctors are currently members.The Association is administered by a board of 1 5 members, among which there have to be at least three specialists, three dentists and three GPs. It is a 30-year-old tradition that the President is a specialist, one of the two Vice-Presidents is a dentist, and the Secretary-General a GP. This tradition is mainly due to our colleague, Dr Guy Meisch, who was the Secretary-General of the Association from 1 965 to 1 994. The new Secretary-General is Dr Daniel Mart, himself a member of the board since 1 988.The board meets once a month, and the executive board , in charge of the correspondence and routine work, another time every month. The workload is high, as all members of the board are practising doctors and not remunerated for their activities within the AMMD. The assembly general takes place in December every year, it controls the board's yearly report and elects its members for a four year period.
The AMMD is financed by the membership subscriptions. The aims of the association are defined in its statutes:
• to ensure the respect of the fundamental principles of a free and human medicine, i.e.:
— professional independence of the doctor;
— free access to doctors by the patient;
— professional secrecy;
— freedom of prescription.
• to represent doctors in their relation to the bodies of social security and, according to the mandate of the general assembly, to conclude the tarification conventions;
• to create and maintain friendship among its members, to sustain professionnal dignity and solidarity in relationships between the physicians;
• to assume the defence of the interests of its members and support them in conflicts resulting from their practice of medicine;
• to discuss in collaboration with public authorities all problems in relation to the practice of medicine and find practical solutions/outcomes, to establish and guarantee emergency service/duty;
• to counsel in all questions relevant to access and exercise of
• the medical profession;
• to suppress all sorts of illegal practice in the medical profession.
The AMMD negotiates every year the adaptation of the multiplying factor (lettre-cle) for the entire range of tarifs for the medical and dental profession with representatives of the board of the administrative body of the sickness funds.Within the association, every speciality is subgrouped into 'cercles', every 'cercle' electing a board with a president and a secretary to ensure the communication with the AMMD. Their role is to discuss the specific problems of their speciality and submit their conclusions to the board of the AMMD, the concerned 'cercle' is invited to the board's meetings if specific themes are on the agenda. Among them, the 'Cercle des Medecins Omniprati-ciens' represents the GPs, it actually has some 250 members.Under the responsibility of the AMMD, one of its major charges is to organise, with the help of its regional representatives, an emergency system on a GP level for the country. This system insures a national coverance on-call duty 24 hours a day, with a physician on call in each of the 17 sectors.The AMMD is a member of the important medico/political international organisations like European Union of General Practitioners (UEMO), European Union of Medical Specialists (UEMS), World Health Organzation (WHO); it sends its representatives to Permanent Standing Committee of Doctors of the European Union (CP) and ACMT, and also to some more scientific bodies, like the EAMF. It is the choice of the'cercles'whether they are represented in more specific academic bodies.