For the application of the provisions of article R. 6144-3-1 relating to the composition of the institutional medical commission at Assistance publique-hôpitaux de Paris, the representatives of the internal structures mentioned in 2° of I are replaced by the chairmen and vice-chairmen of the local institutional medical commissions provided for in 1° of article R. 6147-6 and one member of each of these commissions, elected from among the permanent teaching and hospital staff of the establishment.
For the application of the provisions of the same article to the Hospices civils de Lyon and the Assistance publique-hôpitaux de Marseille, the representatives of the internal structures mentioned in 2° of I are replaced by the chairmen of the local institutional medical commissions.