MUSE: “Application for Monitoring Learning Progress and the Mastery of Technical Skills in Medicine”

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In 2020, Dr. Valentin FAVIER, in collaboration with Dr. Antoine Debourdeau, once again participated in the MUSE call for proposals, which aims to support the pedagogical transformation of educational programs. He was selected as a winner for his project titled “Application for Monitoring Learning and the Performance of Technical Procedures in Medicine.”

The Origins of the Project

The quality of medical education is a public health issue that is essential to provide the population as effectively as possible for years to come. Medical competence takes a long time to acquire, during which students must master both theoretical and technical skills. Medical residents must learn the skills and procedures that will form the foundation of their medical practice over the course of their 4- to 6-year residency. Their theoretical knowledge is frequently assessed through written exams. 

Currently, medical residents complete their clinical rotations according to a predefined educational curriculum, divided into semesters, and earn their specialty degree upon completion of their program by defending a thesis. 

Nevertheless, during their residency, medical students work full-time at the hospital, and their on-campus training at the university is reduced to just a few days a year. 

However, the medical curriculum does not take into account the technical skills of medical residents, and there are few tools available to track their acquisition and monitor the learner’s progress throughout their rotations.

It was in this context that Drs. Favier and Debourdeau decided to develop an app to track the progress of healthcare students in terms of their technical skills.

The Birth of SPART APP

SPART-App is a project that aims to provide medical residents, their supervisors, and the educational coordinator with a mobile app to track every procedure performed throughout their residency (e-logbook). This pilot project covers the specialties of anesthesiology and critical care, gastroenterology, otolaryngology, and oral and maxillofacial surgery. Its objectives are as follows:

 

  • For the learner, this e-journal will allow them to track their progress in real time (success rate, learning curve), identify areas for improvement, and alert their instructor if their practice is insufficient.

  •  For the instructor, this tool will help identify the challenges the learner is facing, clarify and find solutions to roadblocks, and facilitate a debriefing. 

  • For the academic advisor, it will enable them to tailor educational objectives on a case-by-case basis according to the challenges students face, identify gaps in training (particularly regarding the number of procedures performed) so they can alert supervisors, and propose concrete, personalized solutions to the student and their supervising team. 

The App: A Strategic Choice

The digitalformat, via an app that can operate offline, eliminates the need for procedure logs that aren’t updated regularly. The resident can evaluate their procedure immediately after performing it, right on their smartphone.

Each resident will have access to a student account specific to their specialty. In this account, the resident can record every procedure performed over time, providing details on the procedure itself, whether it was successful or unsuccessful, and any difficulties encountered. Using the data entered into the application, residents can track their learning curve.

The supervisor of the procedure performed may, if they wish, approve the intern’s assessment of the procedure and use it as a basis for a technical debriefing . The instructor will have access to the data for each of the interns they supervise. This will allow the head of education (department head) to ensure that each intern performs a sufficient number of procedures and to identify interns who are struggling so they can provide them with additional support. 

The Impact of START APP

Through this project, Dr. Favier hopes to advance the teaching of technical skills and generate short-, medium-, and long-term impacts.

  • In the short term, SPART-app will provide an overview of the current state of technical training in medicine and surgery. At present, this training is subjective and varies depending on the instructors. This project would serve as a tool to objectify and streamline the monitoring of students.

  • In the medium term, this program will allow students to track their progress and tailor their academic program based on their areas of weakness and strengths. The project could also be expanded to include programs other than those mentioned above. This educational innovation could then be rolled out nationwide under the leadership of the University of Montpellier.

    From a scientific perspective, the data collected through this app will be used to conduct educational studies in each of the relevant specialties, with the goal of evaluating the impact of interventions (including simulation, a component also studied by Dr. Favier) on the acquisition of technical skills to guide changes in teaching practices in a rational manner. 

  • In the long term,this educational transformation will lead to improved practices at the local and national levels, with a real impact on enhancing patient safety by reducing the risk of technical errors.

Currently, the project led by Drs. Favier and Debourdeau is moving forward and is expected to be launched soon.