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

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In 2020, Dr. Favier and Dr. Debourdeau once again participated in the MUSE call for projects. They were selected as winners of Take Off 4, which aims to reward innovations in education.

An educational innovation for safety

Doctors and surgeons are required to perform invasive procedures for the diagnosis and treatment of diseases. These procedures require long and rigorous training, mainly carried out during residency (from the 7th year of medical school, at the time of specialization).

The quality of medical and surgical procedures must be a central focus of training, as it has an impact on patient health and safety. Technical training for medical and surgical interns must therefore include prior learning to ensure the safety of patients, trainees, and supervisors alike.

Factors of change

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

The simulator as a solution

Simulator-based learning meets safety requirements, as students do not come into direct contact with patients during their initial practical sessions, mistakes are allowed, and supervisors can give students greater freedom to practice, providing educational feedback during dedicated training sessions that are more numerous and easier to implement. This learning method also eliminates the biological risks associated with the use of anatomical parts.

The specific areas concerned

Since simulation is a very expensive tool that takes a long time to set up, Dr. Favier and Dr. Debourdeau conducted preliminary studies to determine the areas in which 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. In total, these devices are used by 220 interns in Montpellier-Nîmes (20 gastroenterologists, 18 ENT specialists, 6 neurosurgeons, 6 maxillofacial surgeons, 15 pulmonologists, 125 anesthesiologists and intensive care specialists, and 20 oncologists).

A project that builds on the previous one

Remember, we already mentioned Doctors Favier and Debourdeau in one of our articles. They were winners of a previous MUSE Take Off competition. Their project involved setting up an app called SPART APP to assess the technical skills of interns.

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