By way of derogation from the provisions of I of Article R. 6156-79, in French Guyana and Mayotte, the joint regional commission placed under the authority of the Director General of the regional health agency comprises fourteen members divided into two colleges:
1° A college representing the medical, odontological and pharmaceutical staff of the public health establishments operating within the remit of the regional health agency, made up of seven members:
a) Six representatives of the staff mentioned in Article R. 6156-3, appointed by the trade unions represented on the Higher Council of Medical, Odontological and Pharmaceutical Staff in Public Health Establishments, in proportion to the number of votes obtained by each of them in the elections to this Council, with the remainder being distributed on the basis of the highest average;
b) One representative of postgraduate students, appointed by the Director General of the Regional Health Agency on the recommendation of postgraduate students sitting on the councils of training and research units linked by agreement to public health establishments;
2° A college representing the public health establishments located within the jurisdiction of the regional health agency, made up of seven members appointed by the organisations most representative of these establishments at national level, including at least three directors or deputy directors of public health establishments and at least three chairmen or members of the establishment’s medical commission.