Under the rapid evolution of the domestic medical environment, reform of healthcare policies, lift of limitations of medical laws, implementation of national health insurance, and the change of payment systems, domestic medical institutes all perceived the importance of management. For effective management and continuous growth of hospitals, the demand for professionally trained Diplomate of Taiwan College of Healthcare Executives significantly increased and many medical affair management professionals had been cultivated in schools. A licensing system was set up in such background. Having been implemented for several years, this licensing system has shown limited effects. To understand the opinions of medical institutes and governmental departments on the implementation of this system, in-depth interviews were performed on license holders, service receivers, and high-ranking executives in the government to collect opinions from various perspectives and analyze the problems. The research findings showed: 1. Diplomate of Taiwan College of Healthcare Executives are equipped with basic knowledge about medical affair management and hold a positive attitude toward further training, but they still lack practical experience and professional capabilities. Therefore, their contribution to hospital management is limited, and it is urgent to improve the professional capabilities of Diplomate of Taiwan College of Healthcare Executives. 2. Due to the difference between Diplomate of Taiwan College of Healthcare Executives and medical personnel in their work properties and influence on patient¡¦s life, a more conservative view was considered during the enactment of the certification system. 3. As to the position and acquisition of a Diplomate of Taiwan College of Healthcare Executives license, it was suggested that medical affair management be developed into a subspecialty and graded, and test subjects and training courses be planned for each subspecialty and grade.

À la différence d’autres régions du tiers monde où l’influence de la France a été déterminante et ininterrompue (Moyen-Orient, Maghreb, les anciennes colonies françaises en Afrique centrale ou encore d'autres pays de l’Amérique latine), au Venezuela, il n’y a eu de véritable politique étrangère de coopération culturelle qu’à la fin des années 1950. L'avènement du boom pétrolier pendant l'entre deux guerres a fait décliner l'influence française. À la fin de la Seconde guerre, les diplomates français prennent conscience du potentiel énergétique du Venezuela, observant qu’il est possible de remédier la perte de l’influence économique en encourageant une véritable coopération culturelle. Cette coopération culturelle va utiliser les réseaux politiques intégrés par des élites francophiles, lesquelles revendiquent une histoire commune à la France et au Venezuela. L'étude sur la longue durée permet d'observer les permanences de l'histoire politique vénézuélienne, dans lesquelles s'insèrent les éléments qui ont servi à la construction du sentiment national vénézuélien et les influences des idées françaises sur le projet de modernisation de l’État. Notre étude soulève des questions telles que l'émigration, les échanges et les relations commerciales. Nous nous sommes particulièrement intéressés à l’étude des correspondances diplomatiques car la lecture minutieuse de celles-ci permet de soulever, en filigrane, bon nombre d’éléments liés aux représentations et à l’histoire politique des deux pays. De même, elle permet d’approcher ce que les élites considèrent comme identité et affinité culturelle. Nos sources se rapportent donc, pour la plupart aux correspondances diplomatiques conservées aux archives de La Courneuve et au Ministère des Relations Extérieures à Caracas. Nous les avons croisées avec d’autres sources documentaires, visuelles et littéraires ainsi qu’avec un certain nombre d’entretiens réalisés entre la fin de l’année 2010 et le début de 2011. Notre étude s’inspire des travaux de Pierre Renouvin et Jean Baptiste Duroselle en histoire des relations internationales, revisités par Robert Frank en 2011. Nous prenons en considération le poids des images, de la culture officielle et du rayonnement des modèles culturels, dans le but de tenter de mesurer « la puissance » des États (soft power). En ce sens, la valeur que les élites vénézuéliennes donnent au rayonnement culturel et scientifique français, au XIXe et au début du XXe siècle (1870-1935), permet d’expliquer en partie pourquoi la France a réussi à renforcer sa présence au Venezuela. En effet, le déclin de l'influence culturelle française, à une époque où les relations entre les deux pays s’étaient considérablement distendues (1936-1960), est concomitant à la perte de son influence économique et commerciale. Cette évolution a donné lieu à l'institutionnalisation progressive de la stratégie de la diplomatie culturelle (1961 à nos jours). Grâce à cette stratégie la France a récupérée le terrain qu'elle avait perdu devant la concurrence commerciale anglo-saxonne. Nous avons souhaité répondre à deux questions fondamentales : dans quelle mesure les élites vénézuéliennes, « influencées » par le modèle culturel français, ont réussi à opérer des appropriations/assimilations/adaptations de ce modèle au Venezuela ? Et, en contrepartie, dans quelle mesure la construction d’un « outil culturel » franco-vénézuélien a servi les intérêts de la politique étrangère française au Venezuela ? / Unlike other regions of the Third World, where the influence of France was decisive and uninterrupted (Middle East, Maghreb, former French colonies in Central Africa and other countries of Latin America), in Venezuela, there was only a real foreign cultural cooperation policy by the late 1950s. The advent of the oil boom during the interwar period caused the declining of French influence. By the end of the Second World War, French diplomats were aware of Venezuela’s energetic potential, remarking that it was possible to overcome the loss of economic influence by encouraging a genuine cultural cooperation.This cultural cooperation would use political networks joined by Francophile elites, who claimed a common history between France and Venezuela. The study on the long run allows observing the permanence of the Venezuelan political history, in which fits the elements used in the construction of the Venezuelan National sentiment and the influence of French ideas on the project of State modernization.Our study raises issues such as migration, trades and commercial relations. We are particularly interested in the study of diplomatic relationships, since a close up over these can highlight, watermark, many points related to their representations and the political history of both countries. Similarly, it allows approaching what the elite considered identity and cultural affinity. Our sources therefore relate mostly to diplomatic correspondence preserved in the files of La Courneuve and the Ministry of Foreign Affairs in Caracas. We cross checked with other documentaries, visual and literary sources as well as a certain number of interviews conducted by the end of 2010 and the beginning of 2011. Our study is based on the papers related to the history of international relations by Pierre Renouvin and Jean Baptiste Duroselle, revisited by Robert Frank in 2011. We take into consideration the contribution of images, official culture and the influence of cultural patterns, as an attempt to measure the "power" of States (soft power). On this matter, the value that the Venezuelan elites gave to the French cultural and scientific influence, in the XIX century and the beginning of XX (1870-1935), helps to explain to an extend the reason why France has managed to strengthen its presence in Venezuela. Indeed, the decline of the French cultural influence, at a time when relations between the two countries were considerably distended (1936-1960), is concomitant with the loss of its economic and commercial influence. This has resulted in the progressive institutionalization of the culturaldiplomacy strategy (from 1961 up to the present). Thanks to this strategy France has recovered part of the market share lost to the Anglo-Saxon competition.We wanted to answer two fundamental questions: To what extent the Venezuelan elites, "influenced" by the French cultural model, managed to operate appropriations / assimilation / adaptation of this model in Venezuela? And, in return, to what extent the construction of a "cultural tool" Franco-Venezuelan has served the interests of the French foreign policy in Venezuela?

La lutte contre le terrorisme est une préoccupation contemporaine des diplomaties, alors que sa définition internationale demeure introuvable. Dans une approche organisationnelle, les hauts fonctionnaires du ministère français des Affaires étrangères partageraient une vision commune sur la violence terroriste et un « savoir-faire » qui leur permettraient de prendre des décisions efficaces pour la prévenir et la combattre. Or, dans une approche constructiviste, la lutte contre le terrorisme relève de relations intersubjectives comprenant l’activation de systèmes de croyances ou Operational Codes (OPCODES) différents, selon que les diplomates français viennent de l’ENA ou du Concours d’Orient. Ces croyances jouent un rôle dans la façon que les hauts fonctionnaires voient le monde, l’ennemi, mais aussi se perçoivent dans leurs fonctions. Ce sont aussi des croyances préexistantes, forgées à partir des expériences et des engagements personnels, qui font que les décisions en matière d’antiterrorisme ne relèvent pas seulement de considérations sécuritaires, mais aussi de motivations matérielles, émotionnelles, cognitives et morales pour un Etat comme la France / The fight against terrorism is a contemporary concern shared in state diplomacy, though no such common definition exists in international affairs. From an organizational approach, senior civil servants of the French Ministry of Foreign Affairs are thought to share a global vision on terrorist violence and a savoir-faire that should allow them to make effective decisions in their efforts to prevent and fight against it. However, in a constructivist approach, the war on terrorism draws its inspiration from inter-subjective relations that activate a set of belief systems or different Operational Codes (OPCODES). These beliefs systems, though dependent French diplomats’ background (Ecole Nationale d’Administration (ENA) or the Concours d’Orient), contribute to their decision making process. Thus, these beliefs play a role in the way decision makers see the world, the enemy, but also as to how they perceive themselves in their duties. These pre-existing beliefs which have been forged through personal experiences and commitments are responsible for shaping a decision making process that is not solely based on security concerns. They are in fact, also determined by material, emotional, cognitive and moral motivations for a state such as that of France