In hospital centres and university hospital centres, the heads of department and the heads of internal structures or functional units of clinical or medico-technical activity clusters are appointed, after consultation with the head of the cluster, by joint decision of the director and the chairman of the establishment’s medical commission.
When the head of department or the head of the internal structure or functional unit is an armed forces practitioner, the decision to appoint is taken jointly by the director, the chairman of the establishment’s medical commission and the Minister of Defence.
Heads of service and heads of departments, internal structures or functional units are appointed for a renewable period of four years. Within two months of their appointment, the Director shall offer them training appropriate to the performance of their duties.