Medical Regulation Assistants Training Program

In accordance with the provisions of Article 9 of Decree No. 2019-747 of 19 July 2019 relating to the diploma of medical regulation assistant and the accreditation of medical regulation assistant training centres, the Directorate General for Healthcare Provision has decided to accredit the medical regulation assistant training centre of the Caen University Hospital, for a period of five years and a maximum capacity of 30 students.

• Order of 19 July 2019 relating to the training leading to the diploma of medical regulation assistant, title II – Art. 9 to 15, title III – Art.16 to 22.
• Training framework
• Decree No. 2023-620 of 18 July 2023 issued for the application of paragraph II of Article 14 of Law No. 2023-379 of 19 May 2023 on improving access to care through trust in healthcare professionals
• Annex XI bis, equivalence of skills and training exemptions
• SKILLS ASSESSMENT BOOKLET for access to certification for ARMs in post

To strengthen the quality of medical regulation within the centers regulating medical emergency calls ( SAMU - Centres 15), a diploma training is now mandatory to practice the profession of medical regulation assistant.

To this end, the Ministry of Health has been implementing a training program since 2019 which aims to meet the needs of professionals to be trained, with a view to a balanced distribution of training centers across the entire territory.

This certification, corresponding to RNCP number 38448, demonstrates the commitment to ensuring the safety of medical regulation with assistant professionals who have received identical and enhanced training

It is aimed at high school graduates and people with at least three years of full-time professional experience.

Based on a certification framework built with representatives of the profession, emergency physicians, trade union organizations of the hospital public service and institutional partners, the one-year training course comprises 1470 hours, divided equally between theoretical teaching and practical teaching through discovery internships and professional internships.

The aim of this training is to develop the following skills:

• Ensuring the reception of calls by the SAMU - Centre 15, coming from different communication channels: telephone calls, emails, SMS, radio…
• Contribute to the mobilization and monitoring of operational resources necessary for processing the request based on a medical decision.
• Participate in activities related to administrative management, quality, safety and the life of the service.
• Contribute to the management of resources during the implementation of planned emergency measures, in degraded situations and in exceptional health situations.
• Carries out its duties within the public hospital service.

In accordance with the law of February 11, 2005 for equal rights and opportunities, participation and citizenship of disabled persons, the principles of non-discrimination and accessibility are applied to training.

A disability liaison officer is connected to all programs on the paramedical campus of the Caen University Hospital. Students with disabilities can contact her at: pfp-sec-dir@chu-caen.fr

Points to consider:

• There is no obligation for the student to disclose their disability status to their training institution, whether at the time of the competition or during their studies.
• The disability status of a candidate or student is confidential, even if it may be subject to a secret shared between professionals in the training structure.

Training funded either by healthcare facilities, by OPCOs , or by France Travail…

If you are in initial or continuing training, you are exempt from the training costs. Access via apprenticeship is not available for the ARM at the Caen University Hospital paramedical campus.

Before entering school, you must absolutely ensure the financing of your training and your resources during the duration of your training.

Prices :

The educational cost for the 2024-2025 school year: €7500

For partial courses, the price is calculated pro rata to the number of weeks of training.

If you encounter any difficulties in your efforts to finance your training, do not hesitate to contact us.

The training consists of a total duration of 42 weeks (1470 hours) of instruction in a training center (21 weeks) and instruction in discovery internships (5 weeks) and professional internships (16 weeks).

• A theoretical training and 21 weeks of guided work time spread over the training year in 4 skill blocks:
  • Skills block 1 : Handling a call within the SAMU -C15
  • Competency block 2 : Mobilization and monitoring of operational resources necessary for processing the request based on a medical decision
  • Competency block 3 : Processing information related to regulation, quality, safety, and service operations
  • Skills block 4 : Support for resource management during the implementation of planned emergency response plans, in degraded situations and exceptional health situations
• A 21-week clinical training program The internships are spread out over the training year and include:
  • 5 weeks of discovery internships (Medical reception and regulation center installed in SAMU , mobile emergency structure, health establishment, medico-social establishment, patient transport structure, emergency call structure).
  • 16 weeks of professional internships within at least 3 different medical reception and regulation centers located in the SAMU .
• Annual leave of up to 4 weeks, the dates of which are determined by the school management.

Exemptions from certain courses and assessments of the ARM will be granted to holders of diplomas or professional qualifications, including for nursing assistants, childcare assistants, ambulance drivers, educational and social support workers, and medical-psychological assistants.

Annex XI bis, equivalence of skills and training exemptions

educational project

Start : September or at the latest October 1st.
End : beginning of September of year N+1.

Apprenticeship starting September 2024

Developing skills through simulation

Within the framework of the training program, the use of active learning methods, such as simulation in healthcare, is recommended. The Medical Assistant ( MAR) at the Caen University Hospital's paramedical campus sought to develop this method, which is based on reflection and the ethical principle of "never the first time on a patient " [1] . The aim is to acquire skills, procedures, and knowledge, and to develop cooperation among multiple professionals (multidisciplinary approach). Errors are not penalized but shared and analyzed, thus becoming a catalyst for professional reflection and learning.

Based on the simulation typology, we propose the following scenarios:

• Written simulations based on concrete cases or scenarios supporting discussions and reflections on the care of a patient in a given situation;
• Simulations on basic mannequins (low fidelity) allowing training in professional gestures (gestures and emergency care...);
• Standardized patients: these are simulated patients or role-playing games allowing for caregiver-patient interaction. The aim is to develop technical relational skills in scripted situations;
• Simulation of typical calls received in a medical reception and regulation center located within the SAMU (

To carry out these sessions, we have 7 practical work rooms equipped with low and medium fidelity mannequins, a computer room equipped with business software for ARM (RRAMU: Regional Network of Emergency Medical Assistance) as well as a simulation room allowing recording and live transmission in the debriefing room.

[1] GRANRY JC, MOLL MC, 2012, Mission report of the High Authority for Health

The training is provided by qualified Medical Regulation Assistant trainers.

The teaching team's mission is to enable students in training to become competent professionals by obtaining the State Diploma, to build their professional identity, develop their potential, acquire tools, and consolidate their career plan

We want you to be a proactive in building your career plan, ensuring you develop the skills to become an ARM (Auxiliary Medical Regimen). The link between skills development and clinical training is formalized through individualized educational support.

A personalized training can be offered to each student who experiences learning difficulties or fails to comply with internal regulations . With the necessary adjustments, its aim is to promote quality support and progress throughout the training program.

Validation of the training is based on a system of continuous assessment.

For each block, an initial assessment test is organized followed by a second session, called a make-up session, for candidates who did not pass the first one.

Assessment methods: Individual or group, online submission of assignments, in-class assignments, oral presentations (in groups or individually) of work, simulated situations, analysis of clinical situations.

CFARM is part of a training cluster that includes :

• Initial training programs : nurse, ambulance driver, nursing assistant, medical radiographer
• Specialty training programs : operating room nurse, nurse anesthetist, pediatric nurse
• the training of healthcare managers
• Medical training : medicine, pharmacy, midwifery, speech therapy

Bringing these courses together on a single site allows for the development of shared and innovative educational activities: multi-professional teaching and internships.

The building is accessible to people with disabilities. A disability liaison officer is in contact with all training facilities. Students concerned can contact her through the school office.

Clinical placements, which provide valuable opportunities for learning professional practice, are divided into two groups

• Introductory internships represent 5 weeks and are organized according to the procedures specified below in the following locations:
  1. A call reception and regulation center installed in an emergency medical assistance service: for a period of 1 week;
  2. A mobile emergency and resuscitation unit linked to an emergency reception service: for a duration of 1 week;
  3. A healthcare facility, public or private: for a period of 1 week;
  4. A medical-social establishment, public or private: for a period of 2 to 3 days;
  5. An approved structure, public or private, providing transport for sick, injured and pregnant people: for a duration of 2 to 3 days;
  6. Institutional structures receiving emergency calls and private structures receiving calls: for a total duration of 1 week.
• The work placements are organized over a total of 16 weeks as follows in a minimum of three call reception and regulation centers installed in emergency medical services and each processing at least 40,000 medical regulation cases per year, including at least one 8-week placement in an emergency medical service processing more than 80,000 medical regulation cases per year; during these placements, the student undertakes at least one night work experience and one weekend work experience; the placements are carried out in shift work under the supervision of an experienced medical regulation assistant supervisor or auxiliary medical regulation on-call officer and under the responsibility of the local manager.

CFARM 3 to 4 days of operational internships in small groups, included in the overall duration of the internships.

The internship sites, as defined, guarantee quality supervision by professionals within the framework of an internship agreement signed by the managers and the director of CFARM .

For work and discovery internships, the proposed internship hours may be those of the internship supervisor and may include nights and one or more weekends.

The Medical Regulation Assistant Diploma ( ARM ) is registered at level 4 of the national directory of professional certifications (RNCP) with France compétences.

It is obtained after validation of all the skill blocks acquired in theoretical and practical training.

It allows the medical regulation assistant to work in the hospital, more specifically within the Emergency Medical Assistance Service ( SAMU ) and the healthcare access service (SAS) which provide medical support 24 hours a day, 7 days a week.

• Caregiver
• Childcare assistant
• Logistics and technical supervisor in medical regulation support
• Coordinator in medical regulation assistance.

The selection process is open to the following candidates:

• Aged at least 18 years old by December 31st of the year of entry into training
• Holders
  • A high school diploma or equivalent qualification
  • A level 4 qualification or diploma
• Having three years of full-time professional experience

The selection is made based on:

• From a file
• A one-on-one, in-person interview lasting a maximum of 20 minutes
• Pre-registration online via the link below: please use one of the following browsers: Mozilla, Firefox, Google Chrome.
  

On MySelect, you will download the instructions (icon “information”) then you will create an account (icons “registration” then “login”) in order to obtain the registration form for the preparation of the file.

The registration form can be submitted at the PFRS desk :

• Health Training and Research Center
  2 Rue des Rochambelles
  Caen (Hérouville St-Clair) ,
  CFARM Secretariat : 4th ^floor , office 55, until 5pm.

Or sent by mail (postmark as proof) to the following address:

• Paramedical Training Center · ARM
  Caen Normandy University Hospital,
  CS 30001 – 14033 Caen Cedex 9

It must include the following parts:

• copy of baccalaureate diploma or certificate of equivalence or other level 4 diploma or qualification
• copy of a valid identity document
• a cover letter
• a curriculum vitae
• an extract from criminal record (bulletin n°3)

This file must be accompanied by a check for 100 euros made payable to the “Chief Treasurer of the University Hospital” (no cash), representing the costs related to the selection.

For candidates who do not hold a baccalaureate degree, an equivalent qualification, or a level 4 diploma or qualification:

• a certificate of contribution to the French scheme for professional activity lasting a minimum of three years full time.

Equivalency measures and reduced training requirements may be offered to certain candidates, depending on their diploma.

For candidates who are nationals of a Member State of the European Union or of another State party to the Agreement on the European Economic Area, other than France:

• a certificate of French language level C2
• a copy of the highest diploma or qualification translated into French (by a translator certified by the French courts)

Any application received or submitted after the deadline will be rejected.

A receipt for the check will be sent to you by mail confirming your registration for the selection.

All applications must be complete; if they are incomplete or do not meet the registration requirements, they will be administratively rejected. The applicant will not be invited for an interview.

The selection file can be downloaded from this site.