Training in spiritual accompaniment in the health environment. Context of the practice: socio-cultural evolution of Quebec, diversity of the health conditions of the patients, diversity of their needs and convictions on the religious and spiritual levels, possibilities and constraints of the environments of practice. Elements of theology of spiritual accompaniment in a health environment. Detailed presentation of a model of clinical intervention and critical study of it compared to other models. Specific elements of the intervention: work in interdisciplinarity, writing notes on the file, ritual and symbolic, etc. Accompanying patients outside the institution