Remote Training of Neurointerventions by Audiovisual Streaming: Experiences from the European ESMINT-EYMINT E-Fellowship Program
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Remote Training of Neurointerventions by Audiovisual Streaming: Experiences from the European ESMINT-EYMINT E-Fellowship Program. / 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; Martínez-Galdamez, Mario; Kalousek, Vladimir.
In: CLIN NEURORADIOL, Vol. 33, No. 1, 03.2023, p. 137-145.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Remote Training of Neurointerventions by Audiovisual Streaming: Experiences from the European ESMINT-EYMINT E-Fellowship Program
AU - Hanning, Uta
AU - Bechstein, Matthias
AU - Kaesmacher, Johannes
AU - Boulouis, Grégoire
AU - Chapot, René
AU - Andersson, Tommy
AU - Boccardi, Edoardo
AU - Psychogios, Marios
AU - Cognard, Christophe
AU - de Dios Lascuevas, Marta
AU - Rodrigues, Marta
AU - Rodriguez Caamaño, Isabel
AU - Gargalas, Sergios
AU - Simonato, Davide
AU - Zupancic, Vedran
AU - Daller, Cornelia
AU - Meyer, Lukas
AU - Broocks, Gabriel
AU - Guerreiro, Helena
AU - Fiehler, Jens
AU - Martínez-Galdamez, Mario
AU - Kalousek, Vladimir
N1 - © 2022. The Author(s).
PY - 2023/3
Y1 - 2023/3
N2 - 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.
AB - 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.
U2 - 10.1007/s00062-022-01192-9
DO - 10.1007/s00062-022-01192-9
M3 - SCORING: Journal article
C2 - 35829740
VL - 33
SP - 137
EP - 145
JO - CLIN NEURORADIOL
JF - CLIN NEURORADIOL
SN - 1869-1439
IS - 1
ER -