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Return of experience: what are the digital tools available to train HCPs
Xavier Abadie
Friday, Feb. 1, 2019 · 4:50 p.m. · 19m 52s
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thank you very much for the introduction uh and the meeting he thank you very much for
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mass for having me here i'm very an art to be with you and that
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talk a little bit about what we do for training uh four of commercials before i start this presentation per too it's
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like too sure if you uh thoughts that i have been gathering flew out uh this last couple of a month
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first of all uh ice read recently that's the amount of medical knowledge
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was doubling each six just eight years and since the uh
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study why read that is still old i would assume that it's even going faster right now um
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the digital tools and the way we use them in our daily lives have dusted drastically change sorry the
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way we'll do with we access to the uh information and to the knowledge into the uh
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learning a and for some reason maybe you've also this kind of experience
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or agendas are drastically shortening we don't have time anymore so
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we thought that all these effects must have an impact on the way
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uh uh we learn and on the way that medical education
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training or nursing education training is for uh can be uh now
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uh and brought to the students and healthcare professionals so
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i think this morning one of the uh speaker talk about uh getting the
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plane would not buy that's in its uh i don't know whether i
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would be a able to do that and i believe knife like a lot but what's we know is that we are trying to apply
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these uh elements that have been used in training pilots uh it's to do what
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they have to do when they fly us from one point to another and
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that is digital training that is simulation the simulates all kinds of experiences the best ones the worst
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one so you can keep the planes online here when they have to when they have to
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uh india on the other hand and when we do that and we when we get it when we get to these
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different tools we have to stick as close as possible to
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the needs and expectations of students and of captions uh
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it has to decrease the medical risk it has to improve at some somehow
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the effects of its mean we've all heard the say that is never
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the first time with the students with the patients aren't uh and of course
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it has to be at some points um efficient and cost effective
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so
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if we wanna go very quickly and start with this presentation at medical summation
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has existed for ever that we started it started with standardised patients
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you payroll directing well one is the doctor one is the patient and then you move it the way the other way around and uh
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you can try and and do whatever uh it really make all the situations that have uh that existing
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then you have this kind of model simulators that are normally we call low felicity low fertility sorry
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a manic wins where you can and it's yours i can learn how
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to integrate a patient how certain procedures have to be done um
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and if we move to the uh at right part of the screen here that we come
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to the digital once so we start from classical simulation of two digital simulators at where
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we will talk about screen basically there's the ones that you could play on and i paddle tablet or your computer
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and maybe more immersed of ways like virtual rates simulators and series game
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reference was made very few seconds ago about series game into
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gaining says also something that's interesting in the middle of its have we have what we call the hybrids mediators that will mix
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uh uh somehow hyphenated high fidelity managements and uh i return on the on the on the screen like for
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example how to train on a very specific procedures like for example lepers copies or or things like that
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so as i said uh uh if we talk about nicole digital simulators
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the way you gonna target and the way you gonna use one
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or the other digital summit form of digital simulation goes
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with the pedagogical objectives that you are looking after that if you are if you want so it's a look about
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a a consultation medical consultation like you all do in your daily packed this is dan
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and a screen based on a screen based um see mater would be good because you would
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be a doctor in front of you is a virtual patient an avatar that comes to
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to you because your symptoms he has a problem and you have to understand motivation isn't for if you get in
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yeah i uh treatments henderson what what he has got it balances and get the treatments
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and of course if you are more on into procedures are kind of the um
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digital signatures will apply like for example virtual reality what where you have to
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learn you have to immerse yourself in environments to learn a certain procedures
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and there is a few words about the series gaining there's giving for us in our definition is something
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that is that michael quite similar to nicholson meters
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but that implies some elements that are not
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taken from real life for example scoring for example a timer for example things that's you
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know congratulations at some point uh rewards that would not exist in your daily pacts
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on the tape the technological spectrum again as i was saying the screen based here can be paid on any kind of
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a screen virtual ritzy here and that meant unseemly and melted relative i
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will go briefly throughout uh all these kind of different elements
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so when if we come back to the first one we're discussing that is a vehicle that is um
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virgil consideration what we're trying to do is work on that legal reasoning i have to understand what depression is in from of me i have to
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understand what is suffering from getting the treatments so i think that rather
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than talking a lot best would be to have a little video
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here what we do is not remember the g. i. bill tries lets you which at some point that i think it can really apply to
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first of all any special c. and uh to the one that we're talking about today this what this one's been
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made with the about the university um it's about patient as others approach or that will have a stroke anyway
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so let's see your depression in front of you that is coming to consoles and you can start with the initial dialogue here
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and ask questions celebration comes in it'll doctorates in french sorry uh uh i'm gets
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consoles because i'm not feeling very well uh and then the conversation starts
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throughout the consultation left to go to different places
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that can ask to you have to to answer questions and of course at the end of all of its you'll you'll get the briefing
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here are question that is coming to a four is in terms of course because it's the uh the uh
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the whole id as a stroke so at some point when he comes in is still
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a before the stroke but during the whole length of the consultations the different positions
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depression gets the stocks so you can see that you have always difference uh
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kind of elements interaction that you can do with them and still here
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you have to choose the other all the options that you can have you can include any kind of images any kind of materials that you
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would like to to make it in your real real or more more real and of course as it would be in real life
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you can see here that you was see your passion for all a series of for
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consultations the last one being it there yeah we have um i think that
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that would be very pliable thinking and listening to what was said um this morning by the vision but but stopped at
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that really applies i think to the patient pathways that's when you take a patient from day one the
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first day is the first time is coming to consoles and throughout a certain period of time
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you will see and evaluates and sister patient routes the the um me and go so
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hello i'm update on what we did and this was done with students at the boulder university a possible
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um so what is it was much simpler it was funnier it
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really looked like real life so that the resulting results uh
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where a lot more into interesting so and they compared it'll be it's
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like what do we doing before this it was more interactive
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um you can follow the patient from the beginning of this complaint or is this
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the first time you see it until the u. u. v. and taking charge
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so what you work with people that
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now
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this was virtual considerations of legal reasoning sometimes after him to use so
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the seniors here that you see are also spin based they can
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be related to certain kind of teachers here it's diocese here it's radio production
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throughout the simulators for well does exist size you'll gets to understand and you
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get from your familiarise itself or on the uh kind of a a
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elements that are included in the pedagogical should objectives sorry that's or a into it
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this one uh is a program that we've made with a company called this be mad uh in france i don't know what's what's an an
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but uh i'm ready production training is compulsory it has to be a
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undertaken a each and every two years i guess i think
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yeah so here the objective was to make the radiation protection training more interactive and enjoyable vehicle for uh the
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it's is this a because your program uh was based on print one menagerie and go back to skills
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uh each the learning program as an optional and the insecure facilitate learning
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the target was illegal students in the of corporations the the actual of professionals and it's available uh on tablets
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very quick uh the also so the only difference based on the one of the consolation here it's a lot more attractive in your
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i kind of moving into the space so you have to go through all the different things that you have to do when you enter
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a place where the relations are on so pick up the rights a clothing for example uh are the manager e. r. knots
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uh and you cannot move to the next stage you can move the next steps if you haven't done probably what you have to do
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so you can also at some points
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here say that says that's you're not you're not really fully prepared so go back and
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you can also play here with the difference angles and parameters of the machine so
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of course the outcomes are a lot better
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like the lockers
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it is a good yourself
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if we move on now to the more maybe two more immerse stage
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what comes in is what comes next is the r. stands for virtual reality virtual ritzy for maybe a
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couple of very good definition if but once you better but maybe not from you that yes
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that is the faculty of getting this kind of that um headset here that
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really immerse you into it totally different work a parallel that digital work
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at virtual word uh where you can re creates whatever you want so
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here in this little animation hear what you have in this uh program that
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we've made for nursing education this is for continuous training for nurses um
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one is the bill to the patients house to change the big blind testing so the central venous access
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so we have all the steps that they need to follow to take care of the patients
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get all this f. c. uh the procedures gets all the things in the right order
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wash their hands as many time uh as necessary uh and get the things lined
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in the proper order at the end of it of course there is feedback but
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it's like in all the uh the the the the senators that we do
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uh and uh that that can be a added implemented by the by the teacher
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so i put already of course is quite interesting because it gives you a lot of
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possibilities and uh to to create recreate environments that would not
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be easy to recreates than the first time uh
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this one is one but of course you can recreate an alarm you can we create the are you can we
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create um situations like for example by was right big and there's a lot that can be created so
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uh it's summer save of course uh you can learn to control the processes and procedures i you can
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recreate as the set complex environments we have also um created that the model where you can play
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as it would many players about so many actors in the same virtual environments and that's that that can be done
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without being in the same room like one could be in laws and bill one in baldwin the third one in copenhagen
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you will be in the same room the exact same room and be able to
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communicate and you know that will be voted for example quite interesting to
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trained on interdisciplinary uh courses and non technical skills
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and then of course uh you there's always this division part that is a very important to us
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augmented reality very soon very quick sorry uh we don't use that much of an integrated c. uh
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for training it's much the the use of a yard it's much better for clinical practised
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uh and there's been a lot of uh i'm not press and and uh on
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for surgeries that were made with bills classes so the amended rarity as opposition to the virtual reality is the the fact
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that you when you put these goggles long you can still see the environment where your brain but to put
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um was digital things you will have uh some object or some data on the image that
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you're seeing so that for example uh if you operate for example uh enough media shoulder
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you can get all the data from the patient you can get the pictures of the scans
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the m. right from the activation that you are uh and that is on the table
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so the others that others work be going from left here theory up to practised skills back to practical skills sorry
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this time i'm here will consent all different steps that
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are importance that technical reasoning the technical skills
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the manic whence the majority and and internship and where we focus
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us as far as we're concerned is here and here
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can be adapted of course to any kind of backed this you can do that when you're home
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you can do that when you're in the or it can be blended learning as we said
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mixing parts what that are uh in person in real and parts very you wanna remotes a stage
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uh and as i said as i said i'm better start ups
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well but here uh yeah you can learn theoretical learning legal reasoning so a bit your knowledge this can work
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for example with don a there recently with different side of cartilage in paris for the congress uh the
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training would you on there with me uh that was quite high level in terms of
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uh expectations so that was for a very a mature and and experience a cardiologist
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uh that uh at a real uh very good success it could be a lot easier of course for students if if needed
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uh and here you can see the difference uh options that was mentioning
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so that the screen based on technical um the the virtual consultation
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this the v. r. the v. r. multiply yours as you can see here in this little image here and from remote to in person training
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so it has to be person eyes of course uh and it really implies active training
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so that if it's the benefits or you have the tools imitation for of training are
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numbers and there's more and more studies that are coming in the paper it's quite very new if we talk about v. r.
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two years ago v. r. was almost non existing with some bits and pieces were there but it's really a getting it bigger and bigger
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so of course well at least what feedback that we have in this that
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it's enjoyable people like to do it's getting a lot more into it
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if i go back to the example under your project production though was talking a few minutes ago
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what's the people that were working with and this is something where you can gets uh you you actually gets
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actor the certification out of this training so the the the company we've worked with used to see that
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most of the time position wouldn't the training it would be applied to nurses to maybe different people
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because it would take wouldn't take the time to spend half a day good training centre
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let's get their cracked is and and you know uh do the testing no they can do that in three or four modules
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of twenty minute each wherever they are started modules finish it is stop it's uh come back to it and everything
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the the the the um the the rates of vision is is much is much better
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that it allows to diversify at a digital approaches that you can mix
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all of these techniques of course depending on what you wanna do
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and it's of course a lot more flexible uh depend and it really uh about the learning methods about
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the content modification and the technology and the technological supports i've mentioned smart form that it's in computer
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to be honest we don't do a lot on smart phones because the screen is too too small uh to gets um a lot of
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feedback as far as training is concerned but we were talking previously about a patient and
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i'm patient education smart from then uh take all their um their their place
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very good word what what we do uh at some point else to
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to to to do that's what we propose to our customers is
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to creates to be able to create their own virtual consultation cases from our platform everything is
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also not that from comic active is here so you can create your own nonsense
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we also can help you with timit developments and and those
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companies that you created after options either you share them with your faculty would you students and their years in the
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the content the creation and the the whole thing is free and that there's no problem but that's or
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we have added a third eye level to the to the ship would say to the to the to the rockets
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an online store where you could either cell contents to other universities i guess
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that that he will then if you uh develop some contents at
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some point it could uh enter it could be of some interest in
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geneva or in the or or whatever and uh a vice versa
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i'm almost done
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nothing to very quick if you have the people that were working with animals get the last details
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because i think we're running out of time thank you uh much x. m. no problem
00:19:05
hi i don't see any reason why we should not train our students or young remote
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hodges um with uh using p. r. what what do you think about this
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other comments questions
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if not thank you very much welcome thing when you're very clear so uh the next speaker is on the client
00:19:27
uh from alan and we we continue with virtual reality and this one was one
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of the topics that um you know i was bit postulates because there
00:19:36
was a there was not a lot right in in the field of from
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apologies i was very very happy um you know that we met you
00:19:44
and that you will talk about v. on remote apology and pain medicine
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