Les expériences des médecins autistes lors de leur transition vers la pratique clinique au Royaume-Uni : une étude phénoménologique

Titre original en anglais : The Experiences of Autistic Doctors Transitioning into Clinical Practice in the UK: A Phenomenological Study

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Keenan, J., Doherty, M., & Shaw, S. C. K. (2026). The Experiences of Autistic Doctors Transitioning into Clinical Practice in the UK: A Phenomenological Study. Teaching and Learning in Medicine, 1-15. https://doi.org/10.1080/10401334.2025.2608185

Date de publication: 13/01/2026 Ajout dans AutiHub: 05/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
3
Auteur·ices de la publication identifié·es comme autistes
2 / 3 (66,7 %)
  1. Joy Keenan
  2. Mary Doherty *
  3. Sebastian Charles Keith Shaw *

Résumé

Les médecins autistes apportent des contributions précieuses aux soins de santé, mais font face à des difficultés telles que la gestion de la nature imprévisible des soins de santé et des interactions difficiles avec les collègues. Des changements de vie importants, tels que le passage d'étudiant en médecine à médecin résident, peuvent être stressants pour les personnes autistes. Aucune recherche n'a encore examiné comment les médecins autistes vivent et donnent un sens à la transition cruciale entre étudiant en médecine et médecin qualifié, ce que cette étude vise à faire. Nous avons utilisé une approche phénoménologique interprétative pour cette étude, en menant des entretiens qualitatifs entre octobre 2024 et février 2025, que nous avons ensuite analysés à l'aide d'une analyse phénoménologique interprétative. Les participants étaient des médecins basés au Royaume-Uni, recrutés par l'intermédiaire des groupes de soutien en ligne Autistic Medical Students ou Autistic Doctors International. L'approbation éthique a été obtenue auprès du Brighton and Sussex Medical School Research Governance and Ethics Committee. Cinq personnes ont participé à l'étude, et nous avons identifié cinq thèmes expérientiels de groupe (GET). Les participants se sentaient impuissants en raison d'un système régi par la chance (GET 1), dans lequel leurs stages et leur soutien étaient imprévisibles, leur laissant peu de contrôle ou de capacité d'action. Ce sentiment d'impuissance (GET 2) était aggravé par une culture médicale qui semblait ne pas correspondre à leurs identités de médecins autistes et leur donnait le sentiment d'être subordonnés et exclus du reste de l'équipe médicale. Cela a conduit à des tentatives de reprendre le contrôle (GET 3) en gérant soigneusement leur identité, en restant hypervigilants aux dynamiques sociales et en abaissant leurs attentes. Cependant, cela a entraîné des conflits internes, de l'épuisement et des sacrifices dans leur vie personnelle pour survivre dans ce système (GET 4), amenant les participants à avoir des difficultés à concilier leur identité professionnelle (GET 5) avec les attentes qui leur étaient imposées. Cette étude met en évidence que la transition vers un environnement de travail peut être stressante pour les médecins autistes nouvellement qualifiés et que les environnements de travail peuvent involontairement exacerber cette expérience en perturbant des stratégies d'adaptation développées de longue date, en poussant les personnes autistes à masquer leurs caractéristiques et en augmentant le stress et l'isolement. Il est essentiel de créer des environnements qui valorisent la diversité et soutiennent les besoins des médecins autistes afin qu'ils puissent s'épanouir.

Autistic doctors bring valuable contributions to healthcare but face challenges like managing healthcare's unpredictable nature and difficult colleague interactions. Significant life changes, such as the shift from medical student to resident doctor, can be stressful for autistic people. No research yet has examined how autistic doctors experience and make sense of the critical transition from medical student to qualified doctor, which is what this study aims to do. We utilised an interpretive phenomenological approach for this study, conducting qualitative interviews between October 2024 and February 2025 that we subsequently analysed using interpretive phenomenological analysis. Participants were UK-based doctors recruited through the Autistic Medical Students or the Autistic Doctors International online support groups. Ethical approval was obtained from the Brighton and Sussex Medical School Research Governance and Ethics Committee. Five people took part in the study, and we identified five Group Experiential Themes (GETs). Participants felt powerless due to a system driven by luck (GET 1), where their placements and support were unpredictable, leaving them with little control or agency. This feeling of powerlessness (GET 2) was compounded by a medical culture that felt misaligned with their identities as autistic doctors and made them feel subordinated and excluded from the rest of the medical team. This led to attempts to claw back control (GET 3) by carefully managing their identity, staying hypervigilant of social dynamics, and lowering their expectations. However, this led to internal conflict, exhaustion, and sacrifices in their personal lives to survive in this system (GET 4), leading participants to struggle to reconcile their professional identity (GET 5) with the expectations placed on them. This study highlights how transitioning into a work environment can be stressful for newly qualified autistic doctors and how work environments can inadvertently exacerbate this experience by disrupting long-developed coping strategies, pressuring autistic people to mask and increasing stress and isolation. Creating environments that embrace diversity and support autistic doctors' needs is vital for them to thrive.

Bibliographie citée par cette référence

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Vue d’ensemble de l’inclusion dans la bibliographie

Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:30.

Références citées
92
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
23 / 92 (25,0 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
47 / 280 (16,8 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 47 / 123 (38,2 %). Auteurices cité·es distinct·es identifié·es comme autistes : 22 / 247 (8,9 %).
Occurrences citées rattachées à la base AutiHub
123 / 280 (43,9 %)
Auteurices cité·es distinct·es rattaché·es : 90 / 247 (36,4 %)
Occurrences rattachées, non identifiées comme autistes
76 / 123 (61,8 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 76 / 280 (27,1 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 68 / 90 (75,6 %).
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