MUSE "Learning minimally invasive endoscopic techniques of the digestive and upper airways through simulation (ENDOSIM)".

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In 2020, Docteur Favier and Docteur Debourdeau once again took part in MUSE's call for projects. They are the winners of the Take Off 4 competition, which rewards innovation in teaching.

A pedagogical innovation for safety

Physicians and surgeons perform invasive procedures to diagnose and treat pathologies. These gestures require a long and rigorous apprenticeship, mainly carried out during residency (from the 7th year of medical studies, at the time of specialization).

The quality of medical-technical and surgical procedures must be at the heart of training, as it has an impact on patient health and safety. The technical training of medical and surgical interns must therefore include prior learning to ensure the safety of patients, trainees and supervisors alike.

Change factors

 The use of training on anatomical parts has been widely exploited, but this training modality is limited by the availability of parts. Another limiting factor is the difficulty of maintaining the realistic appearance of the digestive and respiratory tracts on these biological models.

The simulator as a solution

Learning on a simulator meets safety requirements, since students are not in direct contact with patients during the initial simulations, the right to make mistakes is allowed, and supervisors can give students greater latitude in practice, with pedagogical feedback during dedicated training times that are more numerous and easier to implement. This learning method also eliminates the biological risks associated with the use of anatomical parts.

Specific areas concerned

As simulation is a very expensive and time-consuming tool to set up, Drs Favier and Debourdeau carried out preliminary studies to find out in which areas simulation could be most useful.

According to their research, simulation training is necessary for the following procedures:

Proven effectiveness

These procedural simulators have been scientifically validated for initial training and have proven their effectiveness. A total of 220 interns in the Montpellier-Nîmes area (20 gastroenterologists, 18 ENT specialists, 6 neurosurgeons, 6 maxillofacial surgeons, 15 pulmonologists, 125 intensive care anesthetists and 20 oncologists) will benefit from these devices.

A continuation of the previous project

Remember, in one of our previous articles, we talked about Doctors Favier and Debourdeau, who were winners of a previous MUSE Take Off. This project involved the development of an application called SPART APP, to assess the technical skills of interns.

This project is a continuation of the Spart-APP project. In future, this application, which can measure the technical progress of interns, could be combined with a simulation platform. This platform will enable us to reinforce learning in real time for students experiencing difficulties, in an active and dynamic teaching approach.