“My goal: to listen to patients, in the heat of the action without going to the field, to save lives. Florine, 20, is soon to graduate from the training center for medical regulation assistants (CFARM) in Île-de-France. Since September, she has been training to become the first link in the chain of telephone emergencies at 15.
In his promotion, the profiles are varied. They are between 18 and 60 years old, the average age is 35 years old. Some have just graduated, others are in the process of retraining. Among them, Appoline is 40 years old. “I was a sales assistant, nothing to do with the medical community. I wanted to integrate this environment without being in direct contact with patients. »
For Katy, aged 48, this training is an opportunity to discover another profession in the medical field. “I was a nursing assistant, I worked in the emergency room. Medical regulation assistant, it’s a continuity. We are the first contact with the person in distress. This is another approach to emergency. »
All consider this 10-month training to be useful. “Recruitment level we are very optimistic: there is a very important demand for Samu, specifies Katy. It is a very intense course. You have to learn pathologies, the human body, detect vital distress. There are also work placements. Gradually, with the simulations, we manage to manage the stress that goes with it”.
“At the CFARM the activity is intense. » Yves Segue, health executive and educational manager at the CFARM of the Assistance Publique – Hôpitaux de Paris (AP-HP) gives the oral admissions which will make it possible to select the next promotion of ARM apprentices from Île-de-France . “The competition consists of two rounds. First, there is a desk review, along with a cover letter and CV. And then an oral test. We tend to leave their chances to the candidates. We expect versatility, responsiveness, active listening. The objective is to recruit people capable of working in a team, with notions of communication and empathy. Regardless of prior training. »
The 19 CFARMs in France offer an official diploma that has existed since 2019. The objective is not to train “mini-doctors”, since the ARM will always work in pairs with a coordinating doctor. Throughout his career, he will be able to benefit from additional training in the Samu. It is also possible to become ARM via a validation of acquired experience (VAE).
The first emergency link
The Ministry of Health, under the impetus of François Braun, is doing everything possible to promote this profession which is little known to the general public. The training can be financed by different organizations such as the Directorate General for Healthcare (DGOS), by Pôle Emploi or by the CPF. “Me, I always suggest going into immersion in a Samu, advises Yves Segue to aspirants. Good to know what it is. We may say that it is the first link in emergencies, we do not know what an ARM is. And if a vocation is created, and the recruitment of the various CFARMs is finished, the candidate can present himself the following year. He will have time to refine his file and apply for his subsidies. »
To know the reality of the profession, the students are supervised by professionals in post. They want to pass on their passion. “I like my job. Even if it’s tiring and difficult, I’m happy at work,” says Dogan Cemile between two admissions boards.
Thierry Focone was a policeman for 21 years. He converted at the age of 47. He has been a medical regulation assistant at the Troyes Hospital Center (Aube) for almost 4 years now. “I have absolutely no regrets, it’s really interesting, varied. From one call to another, it can be medical advice and making a call to a doctor for a prescription of paracetamol, or remotely teaching people to provide cardiac massage while waiting for help to arrive. »
Many former professionals in the field, firefighters for example, have been attracted to this job, which is both physically and psychologically difficult. If they do not know if they will remain in post until their retirement, today, all are motivated to continue in this way.
She hires “Building the Samu of the future”
Laurence Alberghi – Senior health manager at AP-HM (Marseille)
“We currently have 56 Medical Regulatory Assistant (MRA) positions active. I’m missing three right now. As part of the opening of the Care Access Service (SAS) this summer (new organization in patient orientation), we will welcome 13 additional positions. »
Samu 13 recruits certified ARMs, from the official curriculum in training centers. The Marseille Samu also welcomes trainees from these CFARMs. For those who do not have a diploma, it is possible to become an unscheduled care operator (OSNP), a position which does not require any particular training. Those who have already experienced medical secretarial work are privileged. With the opening of the SAS, twelve new positions of this type will be created this summer.
“The salary of a certified ARM amounts to 1,740 euros gross when taking up the position,” says Laurence Alberghi. The profession has just been recognized as a nursing profession. Opportunities for advancement in this position will be announced shortly. For an OSNP, the average salary is around 1,700 euros gross.
WHY JOIN SAMU 13?
“It’s a 12-hour service. There will be various time slots, straddling day and night. The atmosphere in the team is good. It’s a difficult and stressful job, so we do everything we can to improve the quality of life at work. To meet these needs, a new building will open in 2025.”
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