Les perspectives de résidents concernant les soins aux personnes en situation de pauvreté. Utilisation du photovoix comme dispositif réflexif d'analyse de besoins de formation.

Background and issues: Physicians' perceptions, beliefs and attitudes towards people living in poverty seriously impact the quality of care. In Quebec, there is little training to help family physicians care for people living in poverty. Purpose: This study aims to examine the training needed by medical residents when providing care to people in poverty. Material and method: The study drew on a qualitative research approach, more specifically a research-action using the photovoice method. During the process, a supervising sociologist, a visual anthropologist, a psychologist and a physician oversaw four residents in family medicine. Results: The photovoice process highlighted three challenges playing a role in the relation between residents and people living in poverty: 1) the context of the resident's medical practice; 2) the patient's socio-economic context; and 3) the social distance between the physicians and the people in poverty. Discussion: The photovoice produced a pedagogy of discomfort, i.e. a way of being that could potentially broaden knowledge of the real conditions of people in poverty as a result of the empathy shown by residents/subjects/researchers. Conclusion: The study helped ascertain the three main challenges that influence the relationship between the residents and people living in poverty. According to the residents it further helped identify solutions that were instrumental in resolving issues. [ABSTRACT FROM AUTHOR]