Encourager la réflexion en chirurgie robotique : l'autoconfrontation croisée comme instrument de développement du travail interprétatif dans un environnement technologique complexe

This paper presents an intervention with Finnish surgeons using robotic technology for radical prostatectomy. It is based on the methodology of cross self-confrontations (Clot et al., 2000), enriched with the works of L. Norros around interpretativeness in complex technological environments (Norros et al., 2005). We view a collective intervention method as a way of enhancing productive reflection (Boud et al., 2006), and comment two sequences in which productive reflective can be traced. These two sequences display an interesting case of double stimulation: in these dialogues, fine-grained observation of the video recordings and dialogue of the surgeons are triggered and driven by the presence of positive margins, i.e., a medical information on whether all cancerous cells have been likely to be removed (or not), which is available a posteriori in the patient file. The paper uses this powerful double stimulation in the methodological framework of crossed self-confrontations to draft a learning method supporting productive reflection and interpretative orientation at work.