Formation à la relation médecin-malade dans le cadre d'une pathologie chronique. Un dispositif original basé sur l'intervention d'une psychologue clinicienne et d'un professeur de communication.

Context and issues: In the era of evidence-based medicine, the evaluation criteria used by physicians tend to deviate from the expectations of patients with chronic pathologies whose pain is difficult to estimate. The doctor-patient relationship is altered as a result of a lack of training in the management of complex situations by doctors, but also because of the use of evaluation criteria that are sometimes unsuitable. These situations, such as the announcement of a diagnosis or the management of pain, are difficult to apprehend without appropriate prior training. Objective: To report on the experience of the rheumatology department of the University Hospital Center (CHU) of Rouen concerning the implementation of training workshops on the doctor-patient relationship for trainees in pregraduate medical studies. To present the didactic and pedagogical approaches followed by the promoters and document some of their impacts. Methods: The workshops are organized in small groups, led by a clinical psychologist and a communication teacher, supervised by a doctor. During this two-hour session, the two facilitators, who play the role of mediators, provide a space for the students to express themselves about their relationship with the patient and shed light on the issues raised by the contribution of theoretical elements in the fields of psychology and communication. These workshops consist of two parts: one based on learning in situation (in direct link with the patients under care), the other consisting of application through role-playing. Results: The evaluation survey conducted among the trainees documented very encouraging results for this new form of learning that complements academic teaching. Conclusion: The workshops provide students with a complementary learning experience to the other activities organized by clinicians during the clerkship, focusing on the different dimensions of the doctor-patient relationship, in connection with the fields of psychology and communication. [ABSTRACT FROM AUTHOR]