Ces dernières années, la science appliquée a été fortement critiquée comme stratégie de renouvellement des pratiques et une nouvelle épistémologie de l’agir professionnel comportant différentes démarches axées sur l’analyse des pratiques est d’ailleurs apparue. Très peu de recherches ont été faites pour décrire et comprendre ce qui se vit au cours de ces activités d’autoformation et de co-formation. Dans cet article, nous nous centrons sur le processus de transformation intérieure d’éducateurs engagés dans une démarche collective d’analyse de leur agir professionnel qui visaient à les aider à prendre conscience des dimensions personnelles et affectives qui entrent en jeu dans les interactions. L’analyse des récits construits à partir des productions des participants a permis de faire ressortir huit constituants. Leurs manifestations et leurs interactions ont été décrites. Les constituants identifiés correspondent de manière générale à ce qui a été observé par les principaux chercheurs consultés. La représentation proposée du processus de transformation intérieure et la mise en évidence de l’intentionnalité dans celui-ci, constituent la contribution principale de cette recherche.In recent years, applied science has come in for severe criticism as the basis of a strategy for renewing teaching practice; and we have witnessed the rise of a new epistemology of professional action consisting of various processes centred on analysing practice. There have been very few studies geared to describing and understanding what is experienced during these self-teaching and co-learning activities. In this article, we focus on the process of inner transformation among educators who took part in a collective activity to analyse professional practice, whose purpose was to help them become aware of the personal and affective dimensions at play in their interactions. Analysis of the narratives derived from participants' efforts revealed eight constituents. The manifestations and interactions of these constituents were described. Generally speaking, the constituents correspond to what has been observed by the main researchers consulted. The main contributions of this study are a proposed representation of the inner transformation process and the highlighting of intentionality in that process

Les auteurs analysent une pratique d’analyse réflexive qu’ils ont développée dans le cadre d’un programme universitaire en psychopédagogie. Ils présentent les divers aspects de leur approche et en décrivent les fondements. Ils abordent la question de la préséance de l’action sur le savoir théorique en analysant les savoirs acquis dans et sur l’action à l’intérieur d’une activité qui vise à développer une « communauté réfléchissante ».The authors analyze the practice of analytic reflection that they developed in the context of a university program of educational psychology. They present the various aspects of their approach and describe its foundations. They address the question of action taking precedence over theoretical knowledge by analyzing the types of knowledge acquired in action and about action as part of an activity designed to develop a reflective community.Los autores analizan una práctica reflexivo que ellos han desarrollado en el marco de un programa universitario en sicopedagogía. Presentan los diferentes aspectos de su enfoque y describen los fundamentos. Ellos abordan el aspecto de la precedencia de la acción sobre el saber teórico, analizando los conocimientos adquiridos en la acción y sobre la acción, dentro de una actividad que busca desarrollar una comunidad de reflexión.Mit diesem Artikel stellen die Verfasser eine Praxis der "reflektierenden Analyse" vor, die sie im Rahmen eines Pädagogikprogrammes an der Universität entwickelt haben. Sie legen die verschiedenen Aspekte ihres Projektes dar und beschreiben dessen Grundlagen. Anschließend erörtern sie die Frage des Vorranges des Handelns gegenüber der theoretischen Kenntnis. Dabei analysieren sie die das Handeln betreffenden Kenntnisse, die während des Handelns innerhalb einer Aktion erworben wurbe, die seine reflektierende Gemeinschaft herzustellen versucht

Introduction: The diagnosis of Salter-Harris Type 1 fractures in the Emergency Department (ED) is primarily clinical, as radiographs are usually unrevealing. We hypothesize that bilateral asymmetry of the growth plate, detected using bedside ultrasound (US), could improve the accuracy of this diagnosis in the ED. This study seeks to determine growth plate size according to age, and to establish normal variation in bilateral symmetry of growth plate cartilage, for the ulna, radius, tibia, and fibula, using bedside US in normal healthy children. Methods: This prospective observational study was conducted in a convenience sample of children ages 0-17 during planned visits to an elementary school, high school, and an outpatient pediatric clinic. A sample size of 177 was determined with a linear regression model using previously published data on the subject. The study was approved by the hospital and universitys ethics board. After a medical questionnaire with a research nurse, the participants underwent ultrasound evaluation of bilateral ulnae, radii, fibulae, and tibiae, to obtain still images of the physes from two orthogonal views. The evaluations were performed by 3 medical residents, 1 medical student, and by the supervising emergency physician. All ultrasonographers were EDE1 certified and specifically trained for growth plate imagery. The still images were evaluated ulteriorly and measurements taken of the physeal cartilage. Ten percent of the patients had their images re-evaluated by the supervising physician to determine inter-rater reliability. Results: A total of 227 patients were recruited. The median age was 8 years old with an interquartile range of (3;14). Mean growth plate size by age was determined, confirming decreasing growth plate size with advancing age for all articulations. The percentage of absolute difference between right and left, for all growth plates together, was a mean of 17% with a 95% CI of 16-19%. The overall inter-rater reliability was excellent at 0.84. Conclusion: This study establishes a reproducible technique of measuring growth plates with ultrasound. We suspect that increased asymmetry at the growth plate, beyond this established normal variation, may signify a physis widening or hematoma consistent with a Salter-Harris Type 1 fracture; this will be evaluated in a second study.