Tag archive for: training
The SPES (Primary Care, Environment, and Health) program is a training course offered by the Department of General Medicine at the Montpellier-Nîmes School of Medicine.
The start of the school year is often a time for reflection and renewal. It’s a period when many people think about their future prospects: the perfect opportunity to explore continuing education options! To mark the occasion, we’d like to introduce you to one of our 198 university diplomas (DU) and inter-university diplomas (DIU): the DU in “From Normal Cells to Tumor Cells.” To do so, we sat down with the two co-directors of this program, Ms. Szablewski and Mr. Ramirez. Interview.
Ms. Szablewski, Mr. Ramirez, good morning. Could you please briefly introduce yourselves?
VS: I am Dr. Vanessa Szablewski, a Medical Technologist (MCU-PH) in Pathological Anatomy and Cytology at Montpellier University Hospital. I specialize in hematopathology and ENT pathology. For my research, I am affiliated withINSERM UMR 1058, Pathogenesis and Control of Chronic and Emerging Infections. My research focuses on the role of Human Papillomaviruses (HPVs) in cancers of the head and neck region.
JMR: I have held a Ph.D. in Biological Sciences for Health since 2005. After completing my dissertation, I conducted several postdoctoral fellowships abroad: in Washington, D.C., in the United States; at the University Hospital of Geneva in Switzerland; and at the CIC (Centro de Investigación contra el Cáncer) in Spain, before finally returning to France to join the IRMB in Montpellier. In 2015, I was hired as an associate professor at the Montpellier-Nîmes Faculty of Medicine in Professor Thierry Lavabre-Bertrand’s department, where I teach histology and cell biology. In 2019, Vanessa and I created the first website featuring virtual slides combining three disciplines: anatomy, pathological anatomy, and histology.
You are both directors of the university diploma program “From Normal Cells to Tumor Cells.” What motivated you to create this program?
JMR: Histology and pathological anatomy are two closely related disciplines; it struck me as essential for a researcher in the health field to have a solid understanding of histology (the study of tissues) as well as pathological tissues.
Who is this training primarily intended for? How long does it last?
VS: This program is designed for all researchers working in the field of oncology, as well as those interested in learning about human tissues and the diseases associated with them. It is also intended for physicians seeking to pursue a career in research or for oncologists wishing to acquire a solid foundation in scientific oncology. The program spans one academic year, but classes are held between February and June. The curriculum includes 52 hours of instruction, divided into 6 modules.
What added value will future graduates gain from this program? Does it open up new career paths for enrolled students?
JMR: The primary benefits include the acquisition of new core skills that will better equip future physicians and researchers in the field of oncology to perform their duties. Additionally, for all future physicians, this training will enable them to better interpret medical findings provided by a pathologist.
Older adults account for more than 20% of the French population (Source: INSEE 2020), yet the aging process remains poorly understood. Thanks to the simulation tools offered in this innovative workshop, participants will be able to take a leap forward in time by several years. Through this experience, they will be able to hone their skills in supporting older adults.
Why this workshop?
This workshop, offered by the School of Geriatrics and Gerontology, was designed to allow participants to experience the major impairments associated with aging.
It is led by its administrative manager, Myriam Taroudjit, and Marie-Laure Portalez, a design engineer.
Special equipment allows participants to experience firsthand the sensory challenges associated with aging. This helps them recognize the difficulties faced by older adults and better understand their behaviors and specific needs.
“A true learning-by-doing experience aimed at improving the quality of life for older adults”
The effectiveness of this simulation-based method was the subject of a study conducted by medical students at Julius-Maximilians University in Würzburg (Dr. Filz S.A., Dr. Swoboda W., et al.).
The research, conducted in the form of practical training sessions involving the use of a simulation suit, yielded the following results:
- Ability to empathize with the living conditions of older adults after the internship: 83% of participants.
- Ability to put oneself in the shoes of an elderly person after the practical training: 90% of participants.
- Understanding of an older adult’s physical condition after the practicum: 95% of participants
How?
Using simulation scenarios composed of several elements, participants put themselves in the shoes of an older adult by experiencing the physical and emotional challenges associated with aging.
Here are a few examples:
SPECIAL GLASSES
They cause altered color perception, grainy blurriness, sensitivity to glare, and/or a narrowed field of vision
HEADPHONES
It causes high-frequency hearing loss
THE WEIGHTED VEST
This vest allows participants to experience spinal curvature, anterior pelvic tilt, postural weakness, restricted mobility, loss of strength, increased physical stress, and/or impaired balance.
GLOVES
They cause reduced hand mobility, decreased dexterity, and diminished tactile sensation
ANKLE WEIGHTS
Ankle weights cause a loss of muscle strength, impaired coordination, and an unsteady gait due to shuffling
THE SOFT INSOLE OF THE OVERBOOT
This unique sole provides a cushioned feel and reduces the sensation of contact with the ground, creating a sense of instability
SPECIAL GLOVES
These other gloves enable the simulation of tremors, which are realistically reproduced through electrical muscle stimulation and a continuously adjustable control module
Feedback from our students
Every year, this innovative workshop is offered to students at the school to supplement their curriculum and deepen their understanding of older adults. The feedback has been overwhelmingly positive:
Stéphanie: “This workshop was very interesting, and everyone who works with older adults should have the opportunity to participate in this simulation workshop. Losing one’s senses is very unsettling.”

Mariam: “This afternoon, I experienced what the elderly people I care for go through every day: muscle pain, hearing and vision problems, and slowness—all caused by an environment that is no longer safe for them to navigate.”

Maïlys: “In a professional setting, I will pay even closer attention to these “pains” and how people experience and cope with them in their daily lives, so that I can best tailor my responses to their needs.”
More photos:
As discussions about student mental health have resurfaced in the wake of the health crisis and amid reforms to graduate-level education, our faculty teams have developed, in collaboration with students and stakeholders, a one-of-a-kind educational concept. Temporarily named “Interpersonal Skills and Therapeutic Communication,” this empathy-focused curriculum represents a true ethical and educational innovation. To learn more, we spoke with the project leaders: Dr. Amandine Luquiens and Prof. Céline Bourgier, as well as Théo Lacoste, a student member of the steering committee.
The Origins of a Project Centered on Empathy
A need for evaluation arising from the R2C evaluation procedures
In 2018, the proposed reform of the second cycle of medical studies (R2C) was presented to the various academic leaders of the Faculty, prompting a response from Prof. Céline Bourgier. She noted that, following the R2C, student assessment methods would include evaluating students’ interpersonal skills and empathy through the Certificate of Clinical Competence (C3). However, at that time, no course entirely dedicated to developing this skill existed in our curriculum.
Joined in 2019 by Dr. Amandine Luquiens, a psychiatrist and addiction specialist at Nîmes University Hospital, the two doctors will now team up to lead a project aimed at developing an innovative teaching unit capable of meeting the requirements of the R2C. Their first step is to assess the current level of empathy among medical students.
A striking finding: medical students’ empathy declines as they progress through their studies
Their initial findings are surprising. In fact, through their literature review, the two researchers discovered that medical students tend to experience a decline in empathy throughout their studies. “This decline begins concurrently with hospital rotations. It appears that the gap between the ‘idealization of the healthcare profession’ and the ‘reality of the healthcare profession’ is a triggering factor,” – explains Amandine Luquiens
Another observation: this decline is strongly correlated with the burnout and depression that healthcare students may experience.
A structured educational program to reverse this decline and ensure higher-quality care in the future
These findings have motivated the project leaders to create a new, innovative course unit (CU) with a twofold objective:
- To equip students with the tools and skills needed to improve the quality of careby instilling in them a person-centered approach rather than focusing solely on symptoms or medical conditions
- Preventing psychosocial risks, not only for patients but also for students, future healthcare professionals.
These two complementary elements will therefore be developed jointly by a dedicated committee composed of faculty, students, and users.
An EU designed to foster the development of skills centered on empathy toward oneself and toward patients
Stages in the Development of the EU
Such an EU requires a period of development followed by a pilot phase, which will be implemented within the Faculty in five major stages:
STEP 1
Establishment of a cross-functional steering committee
Since this was a course developed collaboratively, the instructors were committed to establishing a steering committee that included students to ensure the course was tailored to their needs as effectively as possible. The committee is also supported by the Faculty’s Academic Council (then chaired by Prof. Denis Morin) and is composed of instructors from diverse backgrounds and specialties to ensure a comprehensive view of the project.
Inventory of current resources and expansion of the steering committee
With the help of the academic administration staff, Amandine Luquiens and Céline Bourgier are identifying the existing course units and courses within the curriculum, focusing on the patient-physician relationship, the development of the care relationship, and interpersonal skills. This allows them to reach out to the instructors responsible for the existing courses and bring them onto the steering committee for the new course unit.
STEP 2
STEP 3
Revision of existing courses, development of the EU
The steering committee proposes a new structure for the existing courses over a five-year period. This involves reorganizing them into a more logical sequence, with a more gradual implementation that aligns with students’ entry into hospital internships. In parallel with the reorganization of existing courses, new courses are proposed to complement the curriculum, such as the therapeutic communication module, divided into three progressive levels, into which the pre-existing theater workshop will be integrated.
Inclusion of the EU in the curriculum of a pilot cohort
The DFGSM2 class of 2021–22 is the pilot class and marks the launch of all EU courses over the five-year program. In addition, a few modules are offered to DFGSM3 students to test the courses (Step 6)
STEP 4
STEP 5
A longitudinal study of a cohort of students to evaluate teaching
To measure the impact of teaching on students, three cohorts are regularly assessed based on criteria related to empathy, as well as well-being and the concept of the therapeutic relationship. The DFGSM2 21-22 cohort will be compared to the DFGSM3 21-22 cohort, which will have benefited from a reduced course load, and to the DFASM1 21-22 cohort, which will not have been able to take advantage of the various EU modules.
An EU program designed to help students learn about emotional management
As Théo Lacoste, Student Vice Dean for the 2021–2022 academic year, points out, medical students are “perfectionists”: “They are selected because they are the best. And this selection process continues over the years. The need to be—or at least to appear—‘flawless’ at every level—whether professionally or emotionally—persists until it becomes almost a cultural component of our way of thinking.”
But this is precisely a change in cultural attitudes on this subject that this course unit aims to foster: Amandine Luquiens explains: “We are seeking to foster a cultural shift among students, and indeed, within the Faculty as a whole. The Faculty cares for its students, and students must care for one another. We will thus help them acquire tools that go hand in hand with both protecting themselves and curbing ‘emotional suppression’—a management strategy used for many years by doctors to address the patient-caregiver relationship.”
PTo achieve this goal, the EU is structured around four main modules, all of which are mandatory:
- Introduction to Mindfulness Meditation Mindfulness
- Sharing Best Practices among peers: this module encourages open communication and helps participants better understand professional communication within a healthcare team
- Therapeutic Communication : a multi-year module featuring theoretical instruction on announcements, the integration of theater workshops, and simulation workshops.
- Stigmatization in Healthcare : a module featuring user testimonials in which individuals share their experiences with students regarding situations they have encountered during their care journey
In short: an innovative initiative in more ways than one
Humanism is a core value of the Faculty. It is an integral part of its history, but it also serves as a guiding principle for its future, as evidenced by this innovative program in more ways than one. Indeed, this is an ethical and pedagogical innovation :
- co-created with students, faculty, users, and administrative staff: a true example of cross-functional collaboration among the women and men of our community
- who is interested in a genuine social and societal issues facing health students and who intervenes early enough in their academic program to anticipate it and long enough to address it in depth
- which includes theoretical modules but also, and above all, highly practical modules, centered on a human-centered approach to the patient-caregiver relationship, particularly through simulation workshops
- Skills developer developer of key skills centered on empathy and interpersonal skills: essential tools for a more humane approach to medicine
- carrying a message for both students and their future patients
Opportunities for other degree programs
The introduction of this course unit into the medical curriculum inevitably raises questions about the other programs offered by the faculty (midwifery, paramedicine). “Medicine is relatively behind compared to other programs,” admits Dr. Luquiens. “Indeed, there are already course units in the other programs, but not in such a structured, phased manner. The idea is therefore, once this course unit has been refined, to ‘spread’ it to the other programs, with the aim of taking a transdisciplinary approach to these skills.”
Every year, the Faculty organizes "Printemps de la Médecine," an event for general practitioners. Find all the details in this article!
An event for general practitioners
These sessions provide an opportunity to review all the major medical developments of the year in the morning and to explore best practices in common clinical settings through workshops in the afternoon. Like previous sessions, this event will be submitted to the ANDPC website for certification, and the Faculty will handle registrations for physicians wishing to participate. In the meantime, mark this date on your calendar!
For any further information regarding the program or registration procedures, please feel free to contact the office responsible for continuing professional development (CPD) at the Faculty at the following address: med-fmc-dpc@umontpellier.fr.
8:30 a.m.
Overview of the Day
New for 2022
with Dr. Camille Roubille (8:40–9:10 a.m.), Prof. Hubert Blain (9:10–9:40 a.m.), and Dr. David Costa (9:40–10:10 a.m.)
8:40 a.m.
10:10 a.m.
Use and Cost of Diabetes Medications
Dr. Laurence Papinaud
The Role of the Endocrinologist
Prof. Éric Renard
10:30 a.m.
11:00 a.m.
The Role of the Nephrologist
Prof. Moglie Le Quintrec
The Role of the Cardiologist
Prof. François Roubille
11:30 a.m.
12:00 PM
End of the morning session
A Message from the Dean
A Message from the Board of the Hérault Departmental Medical Association (News from the Association by Dr. Philippe Cathala)2 two-hour workshops from among the 5 workshops offered
- Workshop 1 – 2:00–4:00 p.m. (General Practice): Management of sleep complaints in general practice
- Workshop 2 (MG): Behavioral Disorders in Older Adults
- Workshop 3 (MG): Pre-Exposure Prophylaxis (PrEP)
- Workshop 4 (Residents and Interns): Medical confidentiality when patient safety is at risk: the case of violence against women
- Workshop 5 (Residents and Interns): Practical Management of Wounds and Pressure Ulcers
WORKSHOPS TO CHOOSE FROM
To register, click the link below! The Office of Continuing Medical Education and CME looks forward to seeing many of you there!
The SPES (Primary Care, Environment, and Health) program is a training initiative organized by the Department of General Practice at the Montpellier-Nîmes School of Medicine and the Avicenne University Multidisciplinary Health Center in Cabestany. A one-day training session for general practice residents, as well as a public lecture, will take place on September 9, 2021.
The origins of the project
It is part of the call for proposals launched by the Occitanie Regional Health Agency (ARS) as part of the 3rd Regional Health and Environment Plan, of which it is one of the winning projects. In particular, it aims to increase public and healthcare professionals’ engagement with environmental health.
Project Organization
To this end, it is organized in three stages:
A distance learning program offered to first-year residents in general practice (first year of the DES in General Practice) and to faculty members in the Department of General Practice.
This in-person session will take place on Thursday, September 9, 2021, at the historic building of the Montpellier-Nîmes Faculty of Medicine. Intended for first-year general medicine residents pursuing a DES (Specialization Diploma), the morning will be devoted to presentations and discussions with experts in environmental health, and the afternoon to working sessions with the residents to collaboratively develop thesis projects in environmental health.
A public lecture on the evening of Thursday, September 9, 2021, at the historic building of the Montpellier-Nîmes Faculty of Medicine. Aimed at the general public, this year’s lecture will focus on air pollution.
Learn more about the SPES program
Meeting with the academic advisor
Dr. François Carbonnel, an associate professor at the Department of General Medicine in the Faculty of Medicine of Montpellier-Nîmes and a general practitioner at the Avicenne Medical Practice, has been selected as the winner of the call for proposals organized by the Occitanie Regional Health Agency (ARS).
Why did you decide to launch this Primary Care, Environment, and Health training program?
The environment can pose risks to our communities and our health. This training aims to raise awareness among our colleagues about what environmental health entails. We want to educate them about this still relatively unknown field.
What is the purpose of this new training program?
Through this training, future general practitioners will first be able to identify environmental health risks so that they can treat them. Later, they will be able to predict and prevent them.
Who is this training course intended for?
This training program is primarily intended for residents and faculty in general practice. The goal is to make this program sustainable and effective so that we can offer it on a larger scale and ensure that environmental health issues are addressed across all regions.
September 9
The event will consist of two parts: the first part will focus on training residents and general practice instructors. The second part, open to the general public, will feature a lecture.
Here is the schedule for these two games:
Schedule for the day for residents
8:30 a.m.
Welcome for participants
9H
Official speeches
10H
Designing Spaces to Combat a Sedentary Lifestyle by G. Ninot
11H
Air Pollution by I. Annesi-Maesano
12H
Allergies and the Environment by P. Demoly
13H
Lunch break
14H
Thesis advising workshops on environmental health led by members of the DUMG
Conference program for the general public
5:30 p.m.
“Environmental Health at the University of Montpellier and in Our Regions”
6:30 p.m.
“Air Pollution” Speaker: Prof. Isabella Annesi-Maesano, INSERM Research Director, Co-Director of the Desbrest Institute of Epidemiology and Public Health (IDESP), UMR 1302, INSERM and the University of Montpellier
Please note that this program is subject to change depending on the health situation.

“The The Avicenne Multidisciplinary University Health Center (MSPU) was inaugurated in Cabestany near Perpignan in 2018. In June 2021, two additional MSPUs were added to this regional network. To mark this opening, a formal ceremony was held on Thursday May 27 to review the Cabestany MSPU and present the plans for the two new MSPUs.”
MSPU: What is it?
A Multidisciplinary Health Center is a multidisciplinary health center that has entered into an agreement with the Regional Health Agency (ARS) and a university with a medical program to promote training and research in primary care.
Avicenne's MSPU: A Positive Outcome
This MSPU, led by Dr. Mark OUDE ENGBERIK and comprising some thirty healthcare professionals from various fields, has carried out several projects over the past five years. Two major projects were discussed at this conference:
- The TSAPPproject, which aims to train healthcare professionals on providing access to care for people with disabilities.
- The SPES (Primary Care, Environment, and Health) project, which aims to promote health and environmental awareness among healthcare professionals and the general public.
In terms of academic training, this MSPU has 16 clinical instructors in various fields of healthcare and takes on 6 to 10 interns each year.
Two new MSPUs in the region
Following the success of the projects carried out by the Avicenne MSPU, two additional centers were opened in the region to meet local needs in this area.
MSPU LA SOURCE
- Opened in February 2020, this primary care clinic is located in Vergèze and is managed by Dr. Céline Varraut.
- It has a staff of 25 professionals across 10 different healthcare fields
- Its objectives focus on three main areas: the region, training, and healthcare
MSPU Pauline Lataud
- This primary care practice operates across multiple locations, with offices in Castries, Prades-le-Lez, Saint-Georges-d’Orques, and Vendargues, and is managed by Dr. Philippe Lognos.
- It has a staff of 50 professionals across nine different healthcare fields
- It also focuses its objectives on the same themes as the previous one.
A joint initiative is taking shape around these three MSPUs: to build a research network and make the service accessible to local residents.
Downtown Montpellier: Historic Building
2 rue École de Médecine
CS 59001
34060 Montpellier cx 2
04 34 43 36 00
North Montpellier
641 Avenue du Doyen Gaston Giraud
34070 Montpellier
04 34 43 35 00/01
Nîmes
186 Chemin du Carreau de Lanes
CS 83021
30908 Nîmes Cedex 2
04 66 02 81 81
Montpellier Botanical Garden
34000 Montpellier




























