Remote Training of Neurointerventions by Audiovisual Streaming : Experiences from the European ESMINT-EYMINT E-Fellowship Program

Autor: Uta Hanning, Matthias Bechstein, Johannes Kaesmacher, Grégoire Boulouis, René Chapot, Tommy Andersson, Edoardo Boccardi, Marios Psychogios, Christophe Cognard, Marta de Dios Lascuevas, Marta Rodrigues, Isabel Rodriguez Caamaño, Sergios Gargalas, Davide Simonato, Vedran Zupancic, Cornelia Daller, Lukas Meyer, Gabriel Broocks, Helena Guerreiro, Jens Fiehler, Mario Martínez-Galdamez, Vladimir Kalousek
Rok vydání: 2022
Předmět:
Zdroj: Hanning, Uta; Bechstein, Matthias; Kaesmacher, Johannes; Boulouis, Grégoire; Chapot, René; Andersson, Tommy; Boccardi, Edoardo; Psychogios, Marios; Cognard, Christophe; de Dios Lascuevas, Marta; Rodrigues, Marta; Rodriguez Caamaño, Isabel; Gargalas, Sergios; Simonato, Davide; Zupancic, Vedran; Daller, Cornelia; Meyer, Lukas; Broocks, Gabriel; Guerreiro, Helena; Fiehler, Jens; ... (2023). Remote Training of Neurointerventions by Audiovisual Streaming : Experiences from the European ESMINT-EYMINT E-Fellowship Program. Clinical neuroradiology, 33(1), pp. 137-145. Springer-Verlag 10.1007/s00062-022-01192-9
ISSN: 1869-1447
DOI: 10.1007/s00062-022-01192-9
Popis: Background Remote access of trainees to training centers via video streaming (tele-observership, e‑fellowship) emerges as an alternative to acquire knowledge in endovascular interventions. Situational awareness is a summary term that is also used in surgical procedures for perceiving and understanding the situation and projecting what will happen next. A high situational awareness would serve as prerequisite for meaningful learning success during tele-observerships. We hypothesized that live perception of the angiographical procedures using streaming technology is feasible and sufficient to gain useful situational awareness of the procedure. Methods During a European tele-observership organized by the European Society of Minimally Invasive Neurological Therapy (ESMINT) and its trainee association (EYMINT), a total of six neurointerventional fellows in five countries observed live cases performed by experienced neurointerventionalists (mentors) in six different high-volume neurovascular centers across Europe equipped with live-streaming technology (Tegus Medical, Hamburg, Germany). Cases were prospectively evaluated during a 12-month period, followed by a final questionnaire after completion of the course. Results A total of 102/161 (63%) cases with a 1:1 allocation of fellow and mentor were evaluated during a 12-month period. Most frequent conditions were ischemic stroke (27.5%), followed by embolization of unruptured aneurysms (25.5%) and arteriovenous malformations (AVMs) (15.7%). A high level of situational awareness was reported by fellows in 75.5% of all cases. After finishing the program, the general improvement of neurointerventional knowledge was evaluated to be extensive (1/6 fellows), substantial (3/6), and moderate (2/6). The specific fields of improvement were procedural knowledge (6/6 fellows), technical knowledge (3/6) and complication management (2/6). Conclusion Online streaming technology facilitates location-independent training of complex neurointerventional procedures through high levels of situational awareness and can therefore supplement live hands-on-training. In addition, it leads to a training effect for fellows with a perceived improvement of their neurointerventional knowledge.
Databáze: OpenAIRE
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