Tag archive for: technical skills

In 2020, Dr. Valentin FAVIER, in collaboration with Dr. Antoine Debourdeau, once again submitted a proposal to the MUSE call for projects, which aims to support the pedagogical transformation of educational programs. His project, titled “Application for Monitoring Learning Progress and the Execution of Technical Procedures in Medicine,” was selected as a winner.

The origins of the project

The quality of medical training 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 theoretical and technical skills. Medical residents must learn the skills and procedures that will form the foundation of their medical practice during the 4 to 6 years of their 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 receive their residency degree upon completion of their program after defending a thesis. 

Nevertheless, during their residency, medical students work full-time at the hospital, and their university-based training on campus 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 against this backdrop 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 trainers, and the educational coordinator with a mobile app to record every procedure performed throughout their residency (e-logbook). This pilot project covers the specialties of anesthesiology and critical care, gastroenterology, otolaryngology, and maxillofacial surgery. Here are its objectives:

 

  • For the learnerFor the learner, this digital notebook 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 faced by the learner, clarify and find solutions to roadblocks, and facilitate a debriefing. 

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

The app: a strategic choice

The digital, via an app that can operate offline, eliminates the need for procedure logs that are not regularly updated. The resident will be able to evaluate their procedure immediately after performing it, on their smartphone.

Each resident will be provided with a student account specific to their specialty. In this account, the resident can record every procedure performed over time, detailing the procedure itself, whether it was successful or unsuccessful, and any difficulties encountered. Using the data entered into the application, it is possible to track their learning curve.

The supervisor of the procedure 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 residents they supervise. This will allow the head of education (department head) to ensure that each resident performs a sufficient number of procedures and to identify residents 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 development 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 standardize and streamline the monitoring of students.

  • In the medium term, this program will enable students to track their progress and tailor their course of study 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 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 tangible impact on enhancing patient safety by reducing the risk of technical errors.

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