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Quatrième de couverture : "Cet ouvrage propose d’accompagner les acteurs impliqués dans l’analyse, la construction ou la révision d’un curriculum dédié à la formation de professionnels de la santé, en formation initiale ou continue. Plus spécifiquement, il souhaite apporter une aide pour l’évaluation et l’élaboration d’un référentiel de compétences. Il s’adresse aux équipes enseignantes mais aussi à toutes les parties prenantes (stakeholders), tels que les gestionnaires, les concepteurs de programmes, les équipes de direction et les équipes cadres, ou encore les professionnels de terrain et les étudiants qui souhaitent s’impliquer dans les programmes et organisations concernés. Ce guide s’adosse au cadre général de l’approche par compétences intégrée (APCi), qui fournit des orientations pour une démarche méthodologique explicite d’élaboration, dans un contexte donné, d’un référentiel de compétences. En tant que cadre conceptuel et opérationnel des dispositifs curriculaires et pédagogiques dédiés à la formation de professionnels de la santé, ce dernier a une double finalité : d’une part, désigner de façon pertinente l’objet de l’enseignement et de l’apprentissage, d’autre part, structurer et articuler, de façon cohérente et ouverte, les activités d’enseignement, d’apprentissage et d’évaluation dans le cadre de dispositifs curriculaires. À travers un questionnement progressif, le lecteur est guidé pas à pas dans l'élaboration d'un référentiel de compétence intégré, qui est illustrée par de nombreux exemples, extraits des expériences de formation professionnelle que les auteurs ont accompagnées. L’ensemble confère à la démarche proposée une forte crédibilité conceptuelle et opérationnelle."

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claim was that he had faced a conflict of duties pitting his legal duty not to kill against his duty as a physician to relieve his patient’s unbearable suffering. He was acquitted on the important grounds of conflict of duty. These grounds are based on a concept in Dutch law called "force majeure" 4 which recognizes extenuating circumstances such as conflicts of duty. The acquittal was upheld by the Lower Court of Alkmaar, but revoked by an Amsterdam court of appeal. The case went on to the Supreme Court, but before the Supreme Court's decision was issued, the Royal Dutch Medical Association (RDMA) attempted to clarify the criteria for euthanasia that many within the profession already accepted. The RDMA proposed that physicians be permitted to perform euthanasia provided that a set of procedures had been met. Variously stated, the guidelines contain the following central provisions: Voluntary, competent, explicit, and persistent requests on the part of the • patient; Requests based on full information; • The patient is in a situation of intolerable and hopeless suffering (either • physical or mental); No further acceptable alternatives to euthanasia. All alternatives • acceptable to the patient for relief of suffering having been tried; Consultation with at least one other physician whose judgment can be • 5 expected to be independent. Indirectly, these guidelines became the criteria prosecutors used to decide whether or not to bring charges.

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