{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:53:27Z","timestamp":1791298407868,"version":"4.1.0"},"reference-count":41,"publisher":"CAIRN.INFO","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,5]]},"abstract":"<jats:p>Introduction\u00a0: Le d\u00e9veloppement professionnel continu (DPC) des professionnels de sant\u00e9 constitue un levier strat\u00e9gique pour la qualit\u00e9 et la s\u00e9curit\u00e9 des soins. Pourtant, les fondements m\u00e9thodologiques des r\u00e9f\u00e9rentiels cens\u00e9s le guider demeurent h\u00e9t\u00e9rog\u00e8nes, peu document\u00e9s et insuffisamment adapt\u00e9s aux contextes locaux, en particulier dans les pays \u00e0 revenu faible et interm\u00e9diaire (PRFI). M\u00e9thode\u00a0: Une revue narrative a \u00e9t\u00e9 conduite selon le cadre SANRA. Les recherches ont couvert les bases de donn\u00e9es MEDLINE, Scopus et ERIC, ainsi que la litt\u00e9rature grise, pour la p\u00e9riode 2004\u20132024. Une analyse th\u00e9matique en six \u00e9tapes selon Braun et Clarke a structur\u00e9 la synth\u00e8se des donn\u00e9es extraites. R\u00e9sultats\u00a0: Quatre approches m\u00e9thodologiques principales ont \u00e9t\u00e9 identifi\u00e9es\u00a0: l\u2019approche par comp\u00e9tences, le consensus d\u2019experts, l\u2019analyse des besoins et la reconnaissance des apprentissages ant\u00e9rieurs. Le benchmarking international r\u00e9v\u00e8le une h\u00e9t\u00e9rog\u00e9n\u00e9it\u00e9 significative entre les syst\u00e8mes de DPC des pays \u00e0 revenu \u00e9lev\u00e9 et ceux des pays \u00e0 ressources limit\u00e9es. Discussion\u00a0: Ces approches ne sont pas mutuellement exclusives mais constituent les composantes d\u2019un mod\u00e8le triangul\u00e9 int\u00e9grant un axe normatif, un axe contextuel et un axe proc\u00e9dural. La transparence m\u00e9thodologique, la contextualisation et la collaboration Sud-Sud apparaissent comme des conditions essentielles \u00e0 la transf\u00e9rabilit\u00e9 des r\u00e9f\u00e9rentiels vers les PRFI. Conclusion\u00a0: Le d\u00e9veloppement d\u2019un r\u00e9f\u00e9rentiel de DPC est un acte scientifique et strat\u00e9gique. Des approches int\u00e9gr\u00e9es, participatives et adaptables sont indispensables, notamment pour les pays \u00e0 ressources limit\u00e9es qui doivent privil\u00e9gier la contextualisation sur l\u2019adoption directe de mod\u00e8les occidentaux.<\/jats:p>","DOI":"10.3917\/spub.263.0201","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:32:27Z","timestamp":1791297147000},"page":"201-214","source":"Crossref","is-referenced-by-count":0,"title":["Cadres de d\u00e9veloppement professionnel continu en sant\u00e9 mondiale\u00a0: h\u00e9t\u00e9rog\u00e9n\u00e9it\u00e9 m\u00e9thodologique, normes internationales et implications pour les pays \u00e0 revenu faible et interm\u00e9diaire"],"prefix":"10.3917","volume":"vol. 38","author":[{"given":"Aazelarab","family":"Boughaleb","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mounir","family":"Jerry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Karsi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61854-5"},{"key":"rb2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2025.1719059"},{"key":"rb3","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2024.106248"},{"key":"rb4","unstructured":"4. World Health Organization (WHO). Global competency framework for universal health coverage [en ligne]. Gen\u00e8ve : WHO ; 2022. ISBN 978-92-4-003468-6. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/www.who.int\/publications\/i\/item\/9789240034686."},{"key":"rb5","unstructured":"5. World Health Organization (WHO). Global strategy on human resources for health : workforce 2030 [en ligne]. Gen\u00e8ve : WHO ; 2016. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/www.who.int\/publications\/i\/item\/9789241511131."},{"key":"rb6","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-025-08415-w"},{"key":"rb7","doi-asserted-by":"publisher","DOI":"10.3831\/KPI.2025.28.3.201"},{"key":"rb8","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2010.501190"},{"key":"rb9","doi-asserted-by":"publisher","DOI":"10.1080\/0142159022020687"},{"key":"rb10","unstructured":"10. General Medical Council (GMC). Good Medical Practice [en ligne]. Londres : GMC ; 2024. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/www.gmc-uk.org\/professional-standards\/good-medical-practice."},{"key":"rb11","unstructured":"11. Coll\u00e8ge des m\u00e9decins du Qu\u00e9bec (CMQ). Les obligations des m\u00e9decins en mati\u00e8re de formation continue. Guide explicatif [en ligne]. Montr\u00e9al : CMQ ; 2024. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/www.cmq.org\/fr\/medecins\/formation-continue."},{"key":"rb12","doi-asserted-by":"publisher","DOI":"10.2147\/AMEP.S379184"},{"key":"rb13","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znac394"},{"key":"rb14","unstructured":"14. EAHC. Study concerning the review and mapping of continuous professional development and lifelong learning for health professionals in the EU. EAHC\/2013\/Health\/07 [en ligne]. European Commission ; 2015. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/health.ec.europa.eu\/system\/files\/2016-11\/2015_mapping_cpd_lfll_health_professionals_en_0.pdf."},{"key":"rb15","doi-asserted-by":"publisher","DOI":"10.1016\/j.afjem.2016.03.003"},{"key":"rb16","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-023-04427-6"},{"key":"rb17","doi-asserted-by":"publisher","DOI":"10.4102\/ajlm.v14i1.2602"},{"key":"rb18","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0020476"},{"key":"rb19","unstructured":"19. World Federation for Medical Education (WFME). WFME Global Standards for Quality Improvement in Postgraduate Medical Education. 2015 Revision [en ligne]. Copenhague : WFME ; 2015. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/wfme.org\/download\/wfme-global-standards-for-quality-improvement-postgraduate-medical-education\/."},{"key":"rb20","doi-asserted-by":"publisher","DOI":"10.1186\/s41073-019-0064-8"},{"key":"rb21","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-3467(07)60142-6"},{"key":"rb22","unstructured":"22. Accreditation Council for Continuing Medical Education (ACCME). Standards for integrity and independence in accredited continuing education [en ligne]. Chicago : ACCME ; 2020. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/www.accme.org\/accreditation-rules\/standards-for-integrity-independence-accredited-continuing-education."},{"key":"rb23","unstructured":"23. American Nurses Credentialing Center (ANCC). ANCC NCPD accredited provider policy and operations manual [en ligne]. Silver Spring : ANCC ; 2023. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/www.nursingworld.org\/organizational-programs\/accreditation\/."},{"key":"rb24","unstructured":"24. College of Family Physicians of Canada (CFPC). Standards for the accreditation of residency programs in family medicine [en ligne]. Mississauga : CFPC ; 2020. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/www.cfpc.ca\/en\/education-professional-development\/educational-frameworks-and-reference-guides\/standards-for-accreditation."},{"key":"rb25","unstructured":"25. Cedefop. European guidelines for validating non-formal and informal learning [en ligne]. Luxembourg : Publications Office of the European Union ; 2015. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/www.cedefop.europa.eu\/en\/publications\/3073."},{"key":"rb26","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"rb27","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-022-03500-w"},{"key":"rb28","doi-asserted-by":"publisher","DOI":"10.1177\/15586898261424023"},{"key":"rb29","doi-asserted-by":"crossref","unstructured":"29. Batt AM, Williams B, Rich J, Tavares W. A six-step model for developing competency frameworks in the healthcare professions. Front Med [en ligne]. 2021 [visit\u00e9 le 21\/02\/2026] ; 8 : 789828. Disponible sur : https:\/\/doi.org\/10.3389\/fmed.2021.78982.","DOI":"10.3389\/fmed.2021.789828"},{"key":"rb30","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.41.10.11585"},{"key":"rb31","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckt158"},{"key":"rb32","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12506"},{"key":"rb33","unstructured":"33. Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards [en ligne]. 2e \u00e9d. Sydney : ACSQHC ; 2021. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/www.safetyandquality.gov.au\/standards\/nsqhs-standards."},{"key":"rb34","unstructured":"34. World Health Organization (WHO). Monitoring and evaluation of human resources for health : a handbook [en ligne]. Gen\u00e8ve : WHO ; 2009. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/apps.who.int\/iris\/handle\/10665\/44097."},{"key":"rb35","doi-asserted-by":"publisher","DOI":"10.22521\/edupij.2025.19.541"},{"key":"rb36","unstructured":"36. University of Toronto. A guide to performing needs assessments. Guide p\u00e9dagogique interne. Toronto : University of Toronto ; s.d. [Document interne \u2014 aucun DOI ni URL publique disponible]."},{"key":"rb37","doi-asserted-by":"publisher","DOI":"10.1080\/28338073.2024.2378617"},{"key":"rb38","unstructured":"38. Medical Council of New Zealand (MCNZ). Recertification requirements for vocationally-registered doctors in New Zealand [en ligne]. Wellington : MCNZ ; 2019. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/www.mcnz.org.nz\/registration\/maintaining-registration\/recertification\/."},{"key":"rb39","doi-asserted-by":"publisher","DOI":"10.3831\/KPI.2025.28.3.201"},{"key":"rb40","unstructured":"40. Ministry of Health Rwanda. CPD policy for health professional councils in Rwanda [en ligne]. Kigali : Ministry of Health ; 2013. [Visit\u00e9 le 21\/02\/2026]. Disponible sur : https:\/\/www.moh.gov.rw\/fileadmin\/uploads\/documents\/CPD_Policy.pdf."},{"key":"rb41","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0315415"}],"container-title":["Sant\u00e9 Publique"],"original-title":[],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:32:31Z","timestamp":1791297151000},"score":1,"resource":{"primary":{"URL":"https:\/\/stm.cairn.info\/revue-sante-publique-2026-3-page-201?lang=fr&ref=doi"}},"subtitle":[""],"short-title":[],"issued":{"date-parts":[[2026,10,5]]},"references-count":41,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,10,5]]}},"URL":"https:\/\/doi.org\/10.3917\/spub.263.0201","relation":{},"ISSN":["0995-3914"],"issn-type":[{"value":"0995-3914","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10,5]]}}}