MUSE: "Application for Monitoring Learning and Performing Technical Procedures 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 projects aimed at supporting the pedagogical transformation of training programs. He was selected as a winner with his project entitled "Application for Pedagogical Monitoring of Learning and Performance of Technical Procedures in Medicine."

Project background

The quality of medical training is a public health issue in order to provide the population as effectively as possible in the years to come. Medical competence is a long process to acquire, during which students must master theoretical and technical skills. Medical interns must learn the procedures and techniques that will form the basis of their medical practice during their 4- to 6-year internship. Their theoretical knowledge is frequently assessed through theoretical exams. 

Currently, medical interns complete their clinical placements according to a predefined educational model, divided into semesters, and obtain their specialized degree at the end of their course of study by defending a thesis. 

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

However, the validation of the medical curriculum does not take into account the technical skills of the intern, and there are few tools available to monitor their acquisition and observe the learner's progress throughout their internships.

It was in this context that Dr. Favier and Dr. Debourdeau decided to develop an application that would track the progress of health students in terms of their technical skills.

The birth of SPART APP

SPART-App is a project that aims to provide medical interns, their trainers, and the head of education with a mobile application to record each of the procedures performed throughout their internship (e-logbook). This pilot project covers the specialties of anesthesia and intensive care, gastroenterology, ENT, and maxillofacial surgery. Its objectives are as follows:

 

  • For learners, this e-logbook will enable them to see their progress in real time (success rate, learning curve), highlight areas for improvement, and alert their educational supervisor in the event of insufficient practice.

  •  For the supervisor, this tool will enable them to identify the difficulties experienced by the learner, clarify and find solutions to sticking points, and prepare a debriefing. 

  • For the educational manager, it will enable them to adapt teaching objectives on a case-by-case basis according to the difficulties encountered by students, to identify training deficiencies (particularly in terms of the number of procedures) so that supervisors can be alerted, and to propose concrete, personalized solutions to the student and their supervisory team. 

The application: a strategic choice

The electronic format paperless, via an application that can operate offline, eliminates the need for procedure logs that are not regularly updated. Interns will be able to evaluate their actions immediately after performing them on their smartphones.

Each intern will have access to a student account specific to their specialty. Interns can use this account to record each procedure performed over time, detailing the procedure, its success or failure, and any difficulties encountered. The data entered into the application can be used to track their learning curve.

The supervisor of the procedure performed may, if they wish, validate 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 enable the head of teaching (head of department) to ensure that each intern performs a sufficient number of procedures and to identify any interns who are struggling so that they can be given additional support. 

The impacts of START APP

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

  • In the short term, SPART-app will enable an assessment of the current state of technical training in medicine and surgery. Currently, this training is subjective and varies depending on the instructor. This project would be a tool for objectifying and streamlining student monitoring.

  • In the medium term, this system will enable students to track their progress and tailor their training program based on their weaknesses and strengths. The project could also be extended to other fields of study beyond 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 from this application will be used to conduct educational studies in each of the relevant specialties with the aim 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 improving patient safety by reducing the risk of technical errors.

Currently, the project led by Doctors Favier and Debourdeau is progressing and should be launched shortly.