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The start of the school year is often a time for reflection and renewal. It’s a period when many people think about their future prospects: the perfect opportunity to explore continuing education options! To mark the occasion, we’d like to introduce you to one of our 198 university diplomas (DU) and inter-university diplomas (DIU): the DU in “From Normal Cells to Tumor Cells.” To do so, we sat down with the two co-directors of this program, Ms. Szablewski and Mr. Ramirez. Interview.
Ms. Szablewski, Mr. Ramirez, good morning. Could you please briefly introduce yourselves?
VS: I am Dr. Vanessa Szablewski, a Medical Technologist (MCU-PH) in Pathological Anatomy and Cytology at Montpellier University Hospital. I specialize in hematopathology and ENT pathology. For my research, I am affiliated withINSERM UMR 1058, Pathogenesis and Control of Chronic and Emerging Infections. My research focuses on the role of Human Papillomaviruses (HPVs) in cancers of the head and neck region.
JMR: I have held a Ph.D. in Biological Sciences for Health since 2005. After completing my dissertation, I conducted several postdoctoral fellowships abroad: in Washington, D.C., in the United States; at the University Hospital of Geneva in Switzerland; and at the CIC (Centro de Investigación contra el Cáncer) in Spain, before finally returning to France to join the IRMB in Montpellier. In 2015, I was hired as an associate professor at the Montpellier-Nîmes Faculty of Medicine in Professor Thierry Lavabre-Bertrand’s department, where I teach histology and cell biology. In 2019, Vanessa and I created the first website featuring virtual slides combining three disciplines: anatomy, pathological anatomy, and histology.
You are both directors of the university diploma program “From Normal Cells to Tumor Cells.” What motivated you to create this program?
JMR: Histology and pathological anatomy are two closely related disciplines; it struck me as essential for a researcher in the health field to have a solid understanding of histology (the study of tissues) as well as pathological tissues.
Who is this training primarily intended for? How long does it last?
VS: This program is designed for all researchers working in the field of oncology, as well as those interested in learning about human tissues and the diseases associated with them. It is also intended for physicians seeking to pursue a career in research or for oncologists wishing to acquire a solid foundation in scientific oncology. The program spans one academic year, but classes are held between February and June. The curriculum includes 52 hours of instruction, divided into 6 modules.
What added value will future graduates gain from this program? Does it open up new career paths for enrolled students?
JMR: The primary benefits include the acquisition of new core skills that will better equip future physicians and researchers in the field of oncology to perform their duties. Additionally, for all future physicians, this training will enable them to better interpret medical findings provided by a pathologist.
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:
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.
Currently, the project led by Dr. Favier and Dr. Debourdeau is moving forward and is expected to be launched soon.
“The The Avicenne Multidisciplinary University Health Center (MSPU) was inaugurated in Cabestany near Perpignan in 2018. In June 2021, two additional MSPUs were added to this regional network. To mark this opening, a formal ceremony was held on Thursday May 27 to review the Cabestany MSPU and present the plans for the two new MSPUs.”
MSPU: What is it?
A Multidisciplinary Health Center is a multidisciplinary health center that has entered into an agreement with the Regional Health Agency (ARS) and a university with a medical program to promote training and research in primary care.
Avicenne's MSPU: A Positive Outcome
This MSPU, led by Dr. Mark OUDE ENGBERIK and comprising some thirty healthcare professionals from various fields, has carried out several projects over the past five years. Two major projects were discussed at this conference:
- The TSAPPproject, which aims to train healthcare professionals on providing access to care for people with disabilities.
- The SPES (Primary Care, Environment, and Health) project, which aims to promote health and environmental awareness among healthcare professionals and the general public.
In terms of academic training, this MSPU has 16 clinical instructors in various fields of healthcare and takes on 6 to 10 interns each year.
Two new MSPUs in the region
Following the success of the projects carried out by the Avicenne MSPU, two additional centers were opened in the region to meet local needs in this area.
A joint initiative is taking shape around these three MSPUs: to build a research network and make the service accessible to local residents.
On Friday, March 19, 2021, we were pleased to welcome Antoine Petit, Director General of the CNRS (National Center for Scientific Research), to the Arnaud de Villeneuve campus for the signing of a partnership agreement with the University of Montpellier. We also welcomed Philippe Poignet, director of the LIRMM (Montpellier Laboratory of Computer Science, Robotics, and Microelectronics), who presented the surgical robotics projects being conducted at the Faculty of Medicine.
Remarks by Philippe Poignet, Director of the LIRMM
During this event, we were visited by Philippe Poignet, director of the Montpellier Laboratory of Computer Science, Robotics, and Microelectronics. He took this opportunity to present the surgical robotics projects being conducted by the School of Medicine at the Arnaud de Villeneuve campus. These projects are led by a team at the LIRMM called DEXTER, whose goal is to design, build, and control high-performance robots capable of performing fine, rapid, and/or precise movements.
Presentation of three surgical robotics projects
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A maxillofacial surgery case:
Project leaders: Dr. Marie de Boutray (Senior Physician, Department of Maxillofacial Surgery and Stomatology at Montpellier University Hospital and Research Associate in the LIRMM Surgical Robotics Team), Dr. Nabil Zemiti (Assistant Professor at the University of Montpellier), and Prof. Philippe Poignet (Full Professor at the University of Montpellier) from the LIRMM Surgical Robotics Team.
Funding: Fondation des Gueules Cassées, Labex CAMI, Labex Numev.
Project Description: Currently, when faced with mandibular bone loss, the gold standard is to perform autologous bone reconstruction using a free fibular flap (fibular bone graft) revascularized via the cervical vessels. The main difficulty of this surgery lies in transforming the long, straight fibular bone into an angled flap in all three spatial planes to adapt to the shape of the mandible to be reconstructed. Currently, tools exist to help the surgical team achieve this 3D reshaping optimally, such as custom-made cutting guides and plates or 3D-printed models. However, these techniques remain very costly and extremely time-consuming, which limits their use in daily practice. The project leaders therefore sought to improve this fibular shaping by using a collaborative robot to guide the surgical procedure. To this end, they developed a robot-assisted fibular shaping technique coupled with virtual modeling of the osteotomies. This project is currently undergoing preclinical validation on cadaveric models at the Montpellier Faculty of Medicine.
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An orthopedic shoulder surgery case:
Project leaders: Dr. Pierre-Emmanuel Chammas (Orthopedic Surgery, Montpellier University Hospital), Dr. Nabil Zemiti (Assistant Professor at the University of Montpellier), and Prof. Philippe Poignet (Full Professor at the University of Montpellier) from the LIRMM surgical robotics team.
Project Description: The significantaging of Western populations is leading to an increase in the incidence of osteoporosis-related fractures as well as osteoarthritic conditions. Arthroplasty, or joint replacement surgery, is a common treatment for these conditions in the shoulder (in 2010, 10,831 procedures were performed in France). The medical and economic stakes are high, with the need to operate on more patients while ensuring ever-greater safety, precision, and speed.
These conditions are necessary to ensure a return to the patient’s previous quality of life as quickly as possible and to maintain the patient’s independence, which is directly linked to life expectancy in older adults.
Optimal positioning of joint prostheses is one of the most important factors in achieving the best possible functional outcome after surgery, minimizing complications, and extending the prosthesis’s lifespan by reducing the risk of wear and tear in the medium and long term.
In this context, and more specifically in total shoulder arthroplasty, proper positioning of the glenoid implant is a key factor in determining functional outcomes and long-term durability. It depends on the initial positioning of a guide pin. Conventional instrumentation is characterized by significant variability in positioning, even when performed by expert clinicians. Computer-assisted surgery solutions allow for precise and reproducible positioning, albeit with certain limitations. The project leaders proposed implementing robotic assistance for precise and reproducible positioning of the glenoid pin compared to the use of conventional instrumentation. In a preclinical study conducted at the Montpellier Faculty of Medicine, they demonstrated that this solution allows for more precise and reproducible angular positioning of the glenoid pin, regardless of the operator’s level of expertise.
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An ENT surgery procedure:
Project leaders: Dr. Fréderic Venail (Full Professor of ENT Surgery at Montpellier University Hospital) and Dr. Nabil Zemiti (Associate Professor at the University of Montpellier), Prof. Philippe Poignet (Full Professor at the University of Montpellier), and Lucas Lavenir (Ph.D. student at the University of Montpellier) from the LIRMM surgical robotics team.
Funding: Agir pour l’audition Foundation, Labex CAMI, Occitanie Region.
Project Description: Cochlear implants are the first functional neuroprostheses to have been developed for human use. They restore hearing in individuals with severe to profound hearing loss. Implantation of these devices requires the insertion of an electrode array into the cochlea, thereby enabling electrical stimulation of the tips of the auditory nerve fibers.
Today, the insertion of this electrode array is a critical step in the surgical procedure because it requires advancing this network of electrodes, each 1 mm in diameter, through a small opening (~2 mm) in the cochlea (round window). This insertion is performed in the clinic manually, “blindly,” and without the ability to monitor or correct the trajectory inside the cochlea.
The lack of visual control and the poor maneuverability of the electrode array are responsible for much of the damage caused to cochlear structures and the resulting loss of residual hearing. This risk prevents the implantation of cochlear implants in individuals with milder hearing loss.
To address these challenges, the project leaders are currently working (as part of Lucas Lavenir’s thesis) on the development of navigation software designed to guide surgical procedures for the implantation of auditory neuroprostheses using a specialized ultrasound probe….
This probe is part of Collin Medical’s RobOtol system, which enables automatic tracking of the insertion path and electrode guidance.
The successful completion of this project will pave the way for safer therapeutic interventions for inner ear disorders, such as the in situ administration of drugs or gene therapy, which cannot be performed safely using the tools currently available to ENT surgeons.
A partnership agreement for the 2021–2026 period
The CNRS andthe University of Montpellier are renewing their partnership for a second five-year term. This agreement, which brings together the CNRS, the University of Montpellier, Paul Valéry University, the National School of Chemistry of Montpellier, and the Occitanie Academic Region, aims to define the elements of a shared scientific policy, implemented through the management of joint units and their operational execution, by formalizing fundamental agreements on their administration and operations.
The partnership's five major scientific areas
A Steering and Monitoring Committee
To ensure the partnership is monitored at both the strategic and operational levels, the agreement provides for the establishment of a steering and monitoring committee. The signatories agree to share progress reports on a regular basis. The terms of this agreement were established following negotiations guided by the goal of achieving balance and taking into account the specific characteristics of the shared units.
We would like to thank Nabil Zemiti, the lead researcher on the three surgical robotics projects, for his invaluable assistance in writing this article.
The MUSE project (“Montpellier University of Excellence”) brings together 19 institutions committed to educational progress and innovation. Today, several projects led by faculty members have been selected and will receive funding from the foundation.
Toward New Training Programs: TakeOff #3
The MUSE Foundation has launched a call for proposals to promote educational innovation, particularly in the redesign and creation of new training programs. The goal is simple: to align as closely as possible with current labor market demands and societal needs, and even to anticipate future needs in light of societal changes.
Of the 30 selected projects, three are from the School of Medicine and will therefore receive funding to carry them out.
- The project “ Development of educational tools to support the training of advanced practice nurses specializing in onco-hematology " led by Nadine Houede.
- The " Rabelais Health and Science Dual Degree Program " led by Stephan Matecki
- The “ Montpellier Introductory Surgical Summer School ” led by Astrid Herrero.
Funded for three academic years, these projects will enable us to train our students even more effectively!
And tailored educational tools: TakeOff #4
In addition to these new training programs, the Muse Foundation also supports projects involving innovative educational resources. To ensure educational continuity, the work environment must also be adapted.
As a result, three other projects from the Faculty—this time involving innovative new equipment—have been selected:
- A “ Educational app for tracking learning and mastering technical procedures in medicine ” led by Antoine Debourdeau and Valentin Favier.
- A “ An immersive audio-visual experience in a health simulation training session " led by Blaise Debien.
- A project on “ The Benefits of Acquiring a Digital Surgical Simulator for Implementing the 2021–2023 Medical Education Reform: Learning and Certification for a Non-Operating Room Surgery Degree ” led by Astrid Herrero and François Régis Souche.
We can therefore expect to see many educational innovations emerge over the next few years at the School of Medicine, both in terms of curriculum and teaching tools!
A commitment to innovation already in action: TakeOff#1 and TakeOff#2
Two other calls for proposals launched by I-Site Muse had already taken place previously. These were TakeOff#1 and TakeOff2.
Once again, the Faculty responded quickly, and some of its proposals were selected. First, during the initial call for proposals, TakeOff#1:
- The creation of the " International DIU: Emerging Infections ", proposed by Éric Delaporte.
- The creation of a “Digital Laboratory for Preclinical Sciences”, led by Fares Gouzi.
- A proposal “Learning Anatomy and Surgery Through Simulation and 3D Printing”, led by Valentin Favier.
- A “Surgical Education in Extended Reality”, defended by Nicolas Lonjona.
- A project on “Artisanal Expertise in the Service of Innovation in Medical Simulation”, Led by Astrid Herrero.
Then, in a second phase, during the TakeOff#2 call for proposals:
- The “International Master’s in One Health and Infectious Diseases”, which follows the International DIU created through TakeOff#1.
- The creation of an “Interdisciplinary Educational Escape Game in a Simulation Center: Mystery at SimHU Nîmes”, which fosters cohesion, communication, and collaboration among future healthcare professionals.
- The development of a tool for “VESALE 3D: Dynamic 3D Virtual Dissection for Teaching Surgical Anatomy”, which is part of a commitment to never perform a procedure on a patient for the first time.
A platform featuring scientific videos focused on health and biology is available to students with unlimited access through April 30.
A video platform for research and teaching
JoVE is a publisher of scientific articles in video format. The articles are peer-reviewed, meaning they are reviewed and approved by scientists before publication. They are indexed in PubMed and Medline, and feature experiments and protocols filmed at the world’s most prestigious universities and leading research laboratories.
To watch the videos
Simply log in to the University's digital campus portal => Click on the "Libraries" tile => Enter "JOVE" in the search bar
Your feedback will help us assess the value of this resource for the University. Please feel free to share your thoughts by emailing scd-docelec@umontpellier.fr
It’s the must-attend event for research and innovation in the Gard region: Les Entretiens Nîmes-Alès! Every year, the Nîmes-Alès Metropolitan Cluster organizes a series of unique conferences at higher education institutions, in partnership with local businesses. The Faculty of Medicine is proud to be a partner of these events!
Science todayis paving the way fortomorrow’s innovations.
The goal of the Nîmes-Alès Talks is to raise public awareness of the region’s strengths in higher education, research, and innovation.
Through a series of events open to everyone—symposia, lectures, roundtables, workshops, exhibitions, and tours—held over the course of a single week.
Come discover the latest innovations in the fields of digital technology, healthcare, the environment, risk management, and more…
The 2020 event will take place from February 4 to 8.
Visit the SimHu platform on our Nîmes website!
For the 2020 edition of the Entretiens Nîmes-Alès, the Faculty of Medicine at its Nîmes campus is opening the doors to its simulation platform, SimHu, in partnership with Nîmes University Hospital. Our teams will introduce you to the latest technologies used in medical education, particularly simulation manikins. High-fidelity simulation workshops will be offered to the public, giving participants the chance to step into the shoes of future healthcare professionals!
How do I get there?
We’ll see you on Saturday, February 8, 2020, starting at 9 a.m. at our Carreau Campus in Lanes!
Address: 186 Chemin du Carreau de Lanes, 30000 Nîmes
Bus: “Trambus” line T2 or “Bus” line 5 toward CHU Carémeau
Directions:A9 Highway, Exit 25 Nîmes Ouest – On-site parking available.
We hope to see many of you there!
