Formation des internes en médecine de la douleur et médecine palliative : bilan et suggestions des étudiants

After two years of training, the results are positive with regards to the four major skills: technoscientific, relational, cooperation and ethics. Difficulties still exist at the end of the course in the management of refractory symptoms and facing ethical issues, which is consistent with the literature. Ethics and communication seminars received the largest approval, which is also reported in the literature. This promotion yet reported a feeling of dissatisfaction experienced during the course of training. It seems to be related to heterogeneity of expectations and training needs. These differ depending on the chosen option “pain or palliative care”, the progress of the residents in their curriculum and the occurrence - or not - of a clinical internship in specialized palliative care structures. Almost half of this promotion had already made this internship. Regarding training on internship places, the companionship, debriefing and the feedback are favoured. Interviewees suggest theoretical instruction tailored to their curriculum at their place of internship upon arrival. During the seminar, pedagogy encouraging their active participation is also acclaimed, suggesting the possibility of placing themselves as teachers. In-person meetings during the seminar, as well as companionship with their elders and the creation of a network among themselves via the net were perceived as interesting resources. Finally, one third of attendees evoked the importance of keeping the possibility of a non-exclusive practice of palliative care.