Apprentissage Coopératif Et Formation Des Médecins : Entre Le "Formel"
Total Page:16
File Type:pdf, Size:1020Kb
Apprentissage coop´eratifet formation des m´edecins: entre le "formel" et "l'informel". Exp´erimentation de trois dispositifs p´edagogiquesutilis´esen sciences m´edicales Max Budowski To cite this version: Max Budowski. Apprentissage coop´eratifet formation des m´edecins: entre le "formel" et "l'informel". Exp´erimentation de trois dispositifs p´edagogiquesutilis´esen sciences m´edicales. Education.´ Universit´eParis-Est, 2015. Fran¸cais. <NNT : 2015PESC0015>. <tel-01304768> HAL Id: tel-01304768 https://tel.archives-ouvertes.fr/tel-01304768 Submitted on 20 Apr 2016 HAL is a multi-disciplinary open access L'archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destin´eeau d´ep^otet `ala diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publi´esou non, lished or not. The documents may come from ´emanant des ´etablissements d'enseignement et de teaching and research institutions in France or recherche fran¸caisou ´etrangers,des laboratoires abroad, or from public or private research centers. publics ou priv´es. Thèse de doctorat de l’Université Paris-Est Spécialité Sciences de l’éducation Laboratoire Interdisciplinaire de Recherche sur les Transformations des pratiques Éducatives et des pratiques sociales (LIRTES) Max BUDOWSKI Apprentissage coopératif et formation des médecins : entre le “formel” et “l’informel” Expérimentation de trois dispositifs pédagogiques utilisés en sciences médicales . Thèse dirigée par Madame Hélène BÉZILLE, Professeure à l’UPEC Soutenue publiquement le 16 décembre 2015 JURY : Claude ATTALI, Professeur – Université Paris Est Créteil Val de Marne Hélène BÉZILLE, Professeure – Université Paris Est Créteil Val de Marne José GOMES, Professeur – Université de Poitiers Marie-Anne HUGON , Professeure – Université Paris Ouest Nanterre La Défense 0:B:G8&:B:CI)* (H# UHPHUFLH# FKDOHX$"+,"%"-.# OHV# S$01",,"+$,# PHPEUHV# 3+# 4+$5# ".# UDSS0$."+$,# 36)70LU# DFFHS.8#3"#UDSS0$."$#".#3687)*+"$#FH#.$)7)'*9#(H#.'"-,#8:)*"%"-.#;#.8%0':-"$#PD#:$).'.+3"# ;#.0X.",#OHV#S"$,0--",#TXL#%60-.#,0+."-+#0X#D'3b#3D-,#OD#UbDO',D.LR-#3H#FH#.UD7DLOx#-0> .)%%"-.#PR-#"-.0XUDJH#S$01",,'0QQHOx#OH#S$01",,"+$#(HDQ}(DFTXH,#%XLO2H$.#3H#O6-A1#H.# OH#:U0XSH#3H#FROOa:XH,#30F.0UD-.,#,0X,#OD#3'UHF.L0-#36D8Oa-H# bFLOOH9# # !6DL#HX#2HDXF0XS#3H#SODL,LU#;#.UD7DLOOHU#D7HF#DbOa-H# bF'OOH#TXL#%6)#"-&0XUDJb#".#30--8# 36"G&"**"-.,#FR-,"'*,#S0XU#PHQHU#;#2'"-#&".."#.(C,"9#(H#OD#UHPHUFLH#S0XU#,0-#bFRX."=#,0-# HQFDGUHPHQWx# ,0-# H[S"$.',"# ".# ,)# S"$,878$)-&"# ;# UHFKHUFKHU# OD# ,+2,.)-.'1LTXH# PRHOOH# OR$,#3"#-0PEUHX[#bFK)-:",9#%U_FH#;#&bOaQHx#46)'#DSS$',#"-#TXD.UH#D-,#,XU#O",#,FLHQF",#3H# *683+&).'0-#EHDXFRXS#SOX,#TXH#FH#46)7)',#SX#DVVLPLOHU#"-#IJ#)-,9#K".."#UHPLVH#"-#TX",.'0-# %6)# 8.8# .$C,# EbQbILTX"9# 2R+."# PD# :$).'.+3"# ".# PHV# UHPHUFLHPHQWV# S0XU# ,0-# DFFRPS)> :-"%"-.9# # !6)'#8:)*"%"-.#+-"#S"-,8"#.0+."#SDUWLFXOLaUH#S0XU#PHV#S)$"-.,=#PHV#"-1)-.,#M#ADXGx#KODUD# ".#.DXO#".#,+$.0+.#S0XU#PR-#bS0+,"#K0*".."#TXL#%6)#,0+."-+#,)-,#IDLOOHV#".#D#S$',#EHDX> FRXS#3H#,0-#."%/,#/0XU#UHOLUH#FH#WUDYDLO{# # O-1'-=#MH#70X3$)',#H[SULPHU#.0X."#PD#:$).'.+3"#;#.0+.",#OHV#S"$,0--",#TXL#%60-.#DL3b#;# 387"*0SSHU#PHV#FR--)',,)-&",#"-#S83):0JLH#PbGLFDOHx#-0.)%%"-.#.LHUUH#P.*)-=#.LHUUH# %DOORLVx# !ODXGH# 0RX:"$0Qx# !ODX3"# P..)*'x# HU-DU3# %)5x# .LHUUH>R0XL,# S$+DL,x# (HD->.LHUUH# T0LOTXLQx# PHV# FROOaJX",# 3"# *6U&0OH# 3"# 0LRPx# PHV# FROOaJXHV# "-,"':-)-.,# 3"# *6V-'7"U,L.b# .DULV#W#S"-',#S'3"$0.=#PHV#FROOaJXHV#3",#3'118$"-.",#),,0FLDWLR-,#3"#10$%).'0-#PbGLFDOH# FR-.L-XHx#OH,#X-."$-",#"-#PbGHFLQH#JbQbUDOH#".#OH,#%83"&'-,#TXL#0-.#SDUWLFLSb#;#FH#WUDYDLO# 3"#UHF(HUF(H9# 1 2,7.:*9:)*B,I&0G:)* 0121034121,21* c# 28 :1*"11*28241011* d# 011321* f# 8 120832* g# 848,2A.0C.C1* h# 4,20C"3324C,* ce # cF*3C,21521*12*1,(135*I*:11*2C"1:11*.1"8%C%4/311*"1*01L101,311*12*:130* M412C401F* cN # Y9Y9 #RO1#A-SORO1#S 6P..0O,2X11P%O1#SOTOR-..O1#P3# 6X6\ #O2#P3#SO 32#S3# 66\ #1XOKRO 9# Y] # !n!n!n#$%#L'(CM'#'H#,O'M.CIH#0O#(I012'#0t%44L'H.CMM%A'#6'H.L7#MOL#2'#M%8ICL# !9 # !n!n:n#$'M#4LI4IMC.CIHM#4IOL#%22'L#%Op0'2U#0'M#2C(C.'M#0'#2%#..-# ?! # !n!n?n#/O'2#%8'HCL#4IOL#2%#.A7ILC'#0t%44L'H.CMM%A'#4%L#IBC'6.CDM#E..-F#r# ?H # !n!nIn#$%#470%AIAC'#4%L#IBC'6.CD#0%HM#2%#4'LM4'6.C8'#0'#2t%44L'H.CMM%A'#0O#(7.C'L#0'#(70'6CH # ?9 # Y9I9 #RO1#A-SORO1#S 6P..0O,2X11P%O1#SOTOR-..O1#SP,1#RP#1OK-,SO#A-X2XO#S3# 66\ #1XOKRO # ^_ # !n:n!n#$t78%2O%.CIH#0'M#6I(47.'H6'M#0%HM#2'#6%0L'#0'#2t%44L'H.CMM%A'#m#2t%44LI6A'#4%L# 6I(47.'H6'M# KI # !n:n:n#172'6.CIH#0'#0CDD7L'H.'M#0762CH%CMIHM#0'#2t%44LI6A'#4%L#6I(47.'H6'M# H! # !n:n?n#0'(CM'#'H#,O'M.CIH#0'#2t%44LI6A'#4%L#6I(47.'H6'M# N! # Y9`9 #RO1#A-SORO1#PK23OR1#SO#R 6P..0O,2X11P%O#O,#AOSOKX,O # YJJ # !n?n!n#O76%2%A'#'H.L'#2t%44LI6A'#4%L#6I(47.'H6'#'.#2%#07(%L6A'#0'#4LID'MMCIHH%2CM%.CIH#m# H76'MMC.7#0'#6A%HA'L#0'#4%L%0CA('#0t%44L'H.CMM%A'# !PP # !n?n:n#O'OR#4CIHHC'LM#0'#2t%44L'H.CMM%A'#'R47LC'H.C'2#L7D2'RCD#m#RIAH#O'S'S#'.#)OL.#$'SCH# !PI # !n?n?n#$'M#%44LI6A'M#L76'H.'M#0'#2t%44L'H.CMM%A'#'R47LC'H.C'2#L7D2'RCD#m#VALCM#WLASLCM#'.#O%HC'2# 16A_H#4OCM#O%8C0#)I2B# !PN # !n?nIn#$%#.L%HMDIL(%.CIH#0'#2t'R47LC'H6'#EY'TCLISF# !!I # !n?n[n#07D2'RCIHM#'.#HIO8'22'M#6IH6'4.CIHM#0t'HM'CAH'('H.#0%HM#2'M#$%6O2.7M#0'#(70'6CH'# !!9 # dF*.0C :12824/31*"1*,C201*208484:*"1*013M103M1*I*8..0C3M1*.1"8%C%4/31* 3CC.1082441*12*8..01,24118%11*LC021:1O*4,LC021:1*12*,C,*LC021:1F* cdh # I9Y9 ### SO1K0X.2X-,#S3#13..-02#2DO-0Xa3O#SO#,-20O#20PTPXR#SO#0OKDO0KDO # YIW # :n!n!n#$'#4%L%0CA('#470%AIAC,O'#0O#6IHM.LO6.C8CM('#'H#6IH.'R.'#MI6C%2# !:N # :n!n:n#$t%44LI6A'#MI6CI6IHM.LO6.C8CM.'# !:9 # :n!n?n#$'M#'DD'.M#0O#6IHD2C.#MI6CI6IAHC.CD#MOL#2'#ALIO4'# !?: # :n!nIn#WH%2SM'#0'#2%#6I(42'RC.7#0'#2t%44LI6A'#MI6CI6IHM.LO6.C8CM.'#m#2'M#0CDD7L'H.M#4LI6'MMOM# ('H.%OR#(CM#'H#'R'LAO'#0%HM#2'M#ALIO4'M#MI6C%ORn# !?I # :n!n[n#$t%44L'H.CMM%A'#6II47L%.CD# !II # I9I9 #P..0-b-,SX11OAO,2#130#R6P..0O,2X11P%O#K--.O0P2Xb#O2#RP#AOSXP2X-,#c#RO1#2DO-0XO1# D3AP,X12O1 # YdJ # :n:n!n#$%#(70C%.CIH# ![! # :n:n:n#]H8CLIHH'('H.#MI6CI6IAHC.CD#'.#%44L'H.CMM%A'#6II47L%.CD# ![? # :n:n?n#.IOL#,O'22'#L%CMIH#D%O.pC2#CH.7AL'L#2t%44L'H.CMM%A'#6II47L%.CD#0%HM#2t%6,OCMC.CIH#0'M# 6I(47.'H6'M#r# ![I # :n:nIn#/O'2,O'M#727('H.M#CHA7L'H.M#%O#DIH6.CIHH'('H.#0'M#4'.C.M#ALIO4'M# ![[ # I9`9 #RO#1-KX-K-,1203K2XTX1AO#O,#K-,2O62O#-3#RP#K-%,X2X-,#1X23OO # Y^W # I9_9 #3,O#KP2O%-0X1P2X-,#.O01-,,ORRO#SO1#%0-3.O1#S 6P..0O,2X11P%O # Y^] # I9d9 #RO1#.0-KO1131#S 6P..0O,2X11P%O1#1OR-,#RP#.O01.OK2XTO#S3#K-30P,2#2DO-0Xa3O#SO#RP# K-,,PX11P,KO#2PKX2O#O2#SO#R 6O6.RXKX2P2X-, # YW] # I9^9 ### P..0-b-,SX11OAO,2#130#RO1#P..0O,2X11P%O1# e#b-0AOR #fx #e#X,b-0AOR #fx #e#,-,#b-0AOR #f# Y]I # 2 :nKn!n#$t%44L'H.CMM%A'#DIL('2# !9K # :nKn:n#$t%44L'H.CMM%A'#HIH#DIL('2# !9K # :nKn?n#$t%44L'H.CMM%A'#CHDIL('2# !99 # :nKnIn#W44LIDIH0CMM'('H.#MOL#2'M#2C'HM#'H.L'#2t%44L'H.CMM%A'#C(42C6C.'#'.#2t%44L'H.CMM%A'#HIH# DIL('2# :PI # :nKn[n#$'M#'H.L%8'M#U#2t%44L'H.CMM%A'#m#2'#6OLLC6O2O(#6%6A7# :!? # eF*15.10421,2824C,*I*"11304.24C,*12*148:3824C,*"1*20C41*"12803M11* .1"8%C%4/311*15.:C082C4011*1,*.12421*%0C3.11* dci # `9Y9 #.0OAXO0O#SOAP0KDO#.OSP%-%Xa3O#O6.R-0OO# M#RO#KP1#KRX,Xa3O#P#SOTOR-..OAO,2#.0-%0O11Xb 9 # IIY # `9I9 #SO36XOAO#SOAP0KDO#.OSP%-%Xa3O#O6.R-0OO# M#RO#%0-3.O#S 6OKDP,%O#SO#.0P2Xa3O1 # I`Y # `9`9 #20-X1XOAO#SOAP0KDO#.OSP%-%Xa3O#O6.R-0OO# M#RO#(O3#SO#0-RO # I_Y # `9_9 #K-,KR31X-,#SO#RP# `O#.P02XO # IW] # fF # "4133114C,* djc # _9Y9 #RO1#.0-KO1131#S 6P..0O,2X11P%O#1OR-,#RP#.O01.OK2XTO#SO1#1KXO,KO1#K-%,X2XTO1 # IgW # In!n!n#! 'L #0CM4IMC.CD#7.O0C7#m#6%M#62CHC,O'#U#078'2I44'('H.#4LIAL'MMCD# :NN # In!n:n#: '#0CM4IMC.CD#0t%44L'H.CMM%A'#m#2'#ALIO4'#0t76A%HA'#0'#4L%.C,O'# :9! # In!n?n#? '#0CM4IMC.CD#0t%44L'H.CMM%A'#m#2'#C'O#0'#L^2'# :9[ # _9I9 #RO1#.0-KO1131#S 6P..0O,2X11P%O1#1OR-,#RP#.O01.OK2XTO#S3#K-30P,2#2DO-0Xa3O#SO#RP# K-,,PX11P,KO#2PKX2O#O2#SO#R 6P..0O,2X11P%O#XA.RXKX2O # `JJ # In:n!n#! 'L #0CM4IMC.CD#0t%44L'H.CMM%A'#m#2'#6%M#62CHC,O'#U#078'2I44'('H.#4LIAL'MMCD# ?P? # In:n:n#: '#0CM4IMC.CD#0t%44L'H.CMM%A'#m#2'#ALIO4'#0t76A%HA'#0'#4L%.C,O'M# ?PK # In:n?n#? '#0CM4IMC.CD#0t%44L'H.CMM%A'#m#2'#C'O#0'#L^2'# ?P9 # _9#`9 #RO1#.0-KO1131#S 6P..0O,2X11P%O#1OR-,#RO1#K-30P,21#2DO-0Xa3O1#SO#RP#K-%,X2X-,#1X23OO#O2#SO# RP#K--.O0P2X-, 9# `YJ # In?n!n#!'L#0CM4IMC.CD#0t%44L'H.CMM%A'#m#2'#6%M#62CHC,O'#U#078'2I44'('H.#4LIAL'MMCD# ?!I # In?n:n#: '#0CM4IMC.CD#0t%44L'H.CMM%A'#m#2'#ALIO4'#0t76A%HA'#0'#4L%.C,O'M# ?![ # In?n?n#? '#0CM4IMC.CD#0t%44L'H.CMM%A'#m#2'#C'O#0'#L^2'# ?!H # 3C,3:314C,*%1,108:1* edc # 01L101,311* 4 :4C%08.M4/311* eed # P02XKRO1#O2# -3T0P%O1 # ``I # 1X2-%0P.DXO # `^` # :4121*"11*8 0144824C,1*324:41111* ehN # :4121*"11*L4%3011* eib # 28 :1*"11*8321301* eic # 8,,1511* eig # -U30--D-FH#-\#dg>Y`W`#3X#`J#3bFHP2UH#Y]dg# `W^ # K0-,HLO#3H#O6OXU0SH# `W] # P37H-.XUH#L-#SH3D:0:5# `gW # SL,D,.HU#L-#SH3D:0:5# `]Y # 0HF0PPD-3D.L0-,#3H#%H0U:H#ALOOHU#S0XU#OH,#H-,HL:-D-.,# `]W # %XL3L-:#SUL-FLSOH,#10U#.HDF(HU,# `]g # --#2UDL-L-:#AH3LFDO#2HDF(HU,# _JY # O-,HL:-HUx#X-H#._F(H#-02OH#H.#F0PSOHGH# _J^ # 2(H#RHhL,#P9#K0--HU#AHP0ULDO#RHF.XUHM#.UL3H#D-3#.UH4X3LFH#L-#.U01H,,L0-DO#O3XFD.L0-# _YI # 2(H#F0-.L-XL-:#H3XFD.L0-#01#S(5,LFLD-# _Y] # 2(H#P,,H,,PH-.#01#KOL-LFDO#1iLOO,jK0PSH.H-FHj.HU10UPD-FH# _I_ # RD#S5UDPL3H#3H#%H0U:H#O9#ALOOHU#H-#IJYd# _`` # THU,#X-H#Pb.(03H#36b3XFD.L0-#-0X7HOOH#S0XU#OH,#bF0OH,#S0SXODLUH,# _`W # # # 3 0S)TBS* # R6024"&.'1#3"#OD#.(aVH#",.#3"#SDUYHQLU#;#bODERUHU#+-#PRGaOH#36)&<+','.'0-#3"#OD#FRPS8> ."-&"# 3+# %83"&'-9# R)# TXH,.L0-# 3H# UHF(HUF(H# D# b.b# OL2HOObH# DL-,L#M# TXHOOHV# LPSOLFDWLR-,# SHX7H-.# D70LU# OH,# HGSbULH-FH,# SU01H,,L0--HOOH,x# OD# 7LH# TX0.L3LH--Hx# OH,# bF(D-:H,# H-.UH# SDLU,x#H-1L-x#.0X.#FH#TXL#SHX.#F0UUH,S0-3UH#;#3H,#UH,,0XUF",#S83D:0:LTX",#3'.",#e#'-10$>