MUSE “Learning Minimally Invasive Endoscopic Techniques for the Digestive Tract and Upper Airway Through Simulation (ENDOSIM)”

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In 2020, Dr. Favier and Dr. Debourdeau once again submitted a proposal to MUSE’s call for projects. They were named winners of Take Off 4, an initiative designed to recognize innovations in education.

An Educational Innovation for Safety

Physicians and surgeons are required to perform invasive procedures for the diagnosis and treatment of medical conditions. These procedures require extensive and rigorous training, which is primarily carried out during residency (beginning in the 7th year of medical school, upon entering a specialty).

The quality of medical-technical and surgical procedures must be at the heart of training, as it impacts the health and safety of patients. The technical training of medical and surgical residents must therefore include preliminary instruction to ensure the safety of patients, trainees, and supervisors alike.

Factors Driving Change

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

The Simulator as a Solution

Simulator-based training helps meet safety requirements, since students do not come into direct contact with patients during their initial simulations, mistakes are allowed, and instructors can give students greater freedom to practice while providing educational feedback during dedicated training sessions—which are more frequent because they are easier to implement. This learning method also eliminates the biological risks associated with the use of anatomical specimens.

The specific areas involved

Since simulation is a very expensive and time-consuming tool to implement, Drs. Favier and Debourdeau conducted preliminary studies to determine in which areas this simulation could be most useful.

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

Proven effectiveness

These procedural simulators have been scientifically validated for initial training and have proven their effectiveness. In total, these programs involve 220 residents in the Montpellier-Nîmes area (20 gastroenterologists, 18 ENT specialists, 6 neurosurgeons, 6 maxillofacial surgeons, 15 pulmonologists, 125 anesthesiologists and intensivists, and 20 oncologists).

A project that builds on the previous one

Remember, we had already mentioned, in one of our articles, Drs. Favier and Debourdeau, who were winners of a previous MUSE Take Off competition. That project involved the development of an app called SPART APP, designed to assess the technical skills of medical residents.

This project builds on the Spart-APP initiative. In fact, this application—which can track residents’ technical progress—may be integrated with a simulation platform in the future. This platform will enhance real-time learning for students who are struggling, as part of an active and dynamic teaching approach.