Impact de l’organisation sur la définition d’une profession au sein du SAMU : le cas des assistants de régulation médicale

Abstract

International audience

Within the Emergency Medical Service (EMS), Medical Regulation Assistant (MRA) are in the front line when it comes to managing emergencies. MRA is the first point of contact to take charge of callers. This feature, in the heart of the functioning and prerogatives of EMS is at the crossroads of medical emergency services in the covered area. Even if the objectives and prerogatives of MRA are set nationally, it appears that the skills and responsibilities associated with this function may vary from one region to another and from one EMS to another. In our work, we propose to question the ARM professionalization process by conducting an ethnographic survey and interviews within the EMS from the Arras Hospital. It will highlight the process by which MRA build their own skills and knowledge. We also show that this improving professionalism is literally described in the documents produced by the sector. Furthermore, professionalism requires constant adaptation to the technical, organizational and territorial constraints. This issue is being addressed in the EQU 2 project (Ethics, Quality, Emergency) which is a collaboration of two laboratories (GERIICO and STL, University of Lille) and the EMS from the Arras Hospital.