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The transformations in contemporary institutions and their repercussions on the people who compose them are clearly present in the field of medical ethics. In order to define what is at stake and identify ways of supporting health care workers who ask questions, and of facilitating the evolution and transformation of institutions, the author enriches his reflection by drawing on the analyses of sociologists, psycho-sociologists and philosophers – analyses concerning the evolution of institutions, the multiplication of agents who operate them and the diverse identities they deploy within the institutions. This approach permits the author to offer a new vision of ethical support for professionals, and to reveal the importance of the notion of collective apprenticeship in the face of the fragmentation experienced within the dissipation endured in today’s institutions.