Abstract
The part played by the non affiliated doctor is not limited to the relationship between the doctor and the patient. The institutions, in this very relationship, are already represented (Health service, firms etc.). Even more so, the company doctor is involved in the life of the firm in which he is employed. He can’t ignore the influence of the dynamic and the influence of the different types of organisational structures on the individuals healths or on that of the workers as a whole. Willingly or not he plays a psychological and social role. It is the same for the doctor who is integrated into a health administration as an official. His part is most important for beaking the rigidity of structures, and fighting against the «bureaucratic disease», for making the point of view of the human being, of his needs and aspriations and better welfare privail. Every doctor, during his studies, must be prepared to play his new psycho-social role by appropriate training.