{"id":22608,"date":"2020-11-27T18:16:19","date_gmt":"2020-11-27T17:16:19","guid":{"rendered":"https:\/\/wordpress-test.app.u-pariscite.fr\/medecine\/?p=22608"},"modified":"2020-11-27T18:18:41","modified_gmt":"2020-11-27T17:18:41","slug":"le-livret-de-lexterne-est-en-ligne","status":"publish","type":"post","link":"https:\/\/wordpress-test.app.u-pariscite.fr\/medecine\/le-livret-de-lexterne-est-en-ligne\/","title":{"rendered":"Le livret de l’externe est en ligne !"},"content":{"rendered":"

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L’UFR vous propose le livret de l’externe 2020-2021 sur les aspects \u00e9motionnels et relationnels en stage. Destin\u00e9 aux \u00e9tudiants de 2e cycle, ce livret traite des relations avec le patient et les responsables de stage, de la culture d’\u00e9quipe et du travail interdisciplinaire.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Le stage d\u2019externe est une occasion de voir et d\u2019exp\u00e9rimenter une grande diversit\u00e9 de situations cliniques et d\u2019apprendre \u00e0 exercer son futur m\u00e9tier. Certaines exp\u00e9riences seront tr\u00e8s enthousiasmantes et vous motiveront ; d\u2019autres pourront vous para\u00eetre \u00e9prouvantes et vous d\u00e9courager. Traverser ces difficult\u00e9s en \u00e9tant aid\u00e9 fait partie de votre formation, au m\u00eame titre que la r\u00e9ussite de l\u2019ECN. Cela fera de vous de meilleurs professionnels.\u00a0<\/span><\/p>\n

Les attentes, modalit\u00e9s d\u2019accueil et d\u2019accompagnement peuvent \u00eatre tr\u00e8s diff\u00e9rentes d\u2019un stage \u00e0 l\u2019autre. Une compr\u00e9hension de ces aspects vous aidera \u00e0 profiter au mieux de chaque stage.\u00a0<\/span><\/p>\n

Il est normal de ressentir des \u00e9motions parfois intenses en stage, notamment lors de la rencontre avec les patients. Ces \u00e9motions sont diff\u00e9rentes selon chaque \u00e9tudiant. Leur gestion n\u2019est pas inn\u00e9e : cela s\u2019apprend et fait partie de l\u2019apprentissage de la m\u00e9decine. Au d\u00e9but, il peut para\u00eetre plus simple de \u00ab se blinder \u00bb. Rester empathique \u2013 ou le devenir \u2013 peut demander de l\u2019\u00e9nergie. Toutefois, une fois int\u00e9gr\u00e9e, l\u2019empathie du m\u00e9decin am\u00e9liore la satisfaction des patients et leur adh\u00e9sion th\u00e9rapeutique. Elle permet aussi au m\u00e9decin de se sentir mieux dans sont exercice professionnel.\u00a0<\/span><\/p>\n

Le lien avec les internes et les responsables de stages (CCA, m\u00e9decins s\u00e9niors, chefs de service) permet \u00e0 l\u2019externe d\u2019\u00eatre accompagn\u00e9 pour apprendre. Certains m\u00e9decins deviennent des mod\u00e8les sur lesquels l\u2019externe prendra exemple pour exercer son m\u00e9tier. D\u2019autres fois, cela peut mal se passer et g\u00e9n\u00e9rer d\u00e9ception, solitude ou col\u00e8re. Avec la crise sanitaire actuelle, la disponibilit\u00e9 des m\u00e9decins pour accompagner les \u00e9tudiants peut \u00eatre r\u00e9duite. Il est rare mais il peut arriver que certains propos vous choquent (par exemple, attitudes vis-\u00e0-vis des patients ou d\u2019autres membres de l\u2019\u00e9quipe) ou que vous vous sentiez agress\u00e9s (par exemple, humour d\u00e9cal\u00e9, propos m\u00e9prisants).\u00a0<\/span><\/p>\n

Chaque service a sa culture et ses habitudes. Cela permet par exemple aux soignants de se soutenir pour tenir dans des prises en charge difficiles. Pour l\u2019externe, \u00e7a implique un effort de r\u00e9adaptation \u00e0 chaque nouveau stage. Mais cette adaptation permet d\u2019\u00eatre int\u00e9gr\u00e9 \u00e0 l\u2019\u00e9quipe et d\u2019apprendre dans des conditions sereines.\u00a0<\/span><\/p>\n

\u00c0 l\u2019h\u00f4pital, le m\u00e9decin n\u2019est jamais seul pour soigner. Le travail avec des professionnels d\u2019autres m\u00e9tiers apporte au patient des soins compl\u00e9mentaires. La collaboration interdisciplinaire est passionnante, mais n\u00e9cessite un temps d\u2019adaptation pour apprendre \u00e0 s\u2019accorder avec des professionnels qui ont d\u2019autres fa\u00e7ons d\u2019aborder et de pratiquer les soins.\u00a0<\/span><\/p>\n

Dans toutes les situations en stage o\u00f9 vous vous sentez mal \u00e0 l\u2019aise, il est tr\u00e8s important de ne pas rester seul avec ce ressenti et d\u2019en parler \u00e0 quelqu\u2019un d\u2019autre. En dehors de vos proches bien s\u00fbr, d\u2019autres ressources sont \u00e0 consid\u00e9rer : Si vous sentez que c\u2019est possible, le mieux est de l\u2019\u00e9voquer directement en stage avec vos encadrants (CCA, responsable de stage ou m\u00e9decins s\u00e9niors) ou vos internes. Parfois, il peut \u00eatre aussi b\u00e9n\u00e9fique d\u2019en parler avec vos co-externes, ou d\u2019autres membres de l\u2019\u00e9quipe soignante lorsque le contact se passe bien. Ne pas non plus h\u00e9siter \u00e0 s\u2019adresser aux organisateurs des stages de votre UFR si besoin, ou \u00e0 vos repr\u00e9sentants \u00e9lus \u00e9tudiants.\u00a0<\/p>\n

Certains espaces p\u00e9dagogiques tentent de donner une place \u00e0 l\u2019\u00e9laboration des aspects \u00e9motionnels et relationnels dans le soin, tels que :\u00a0<\/span><\/p>\n