USE OF REACTS IN MEDICAL SIMULATION COLLÈGE DES HAUTES ÉTUDES EN MÉDECINE

www.reacts.com

Use of the Reacts platform in medical simulation

training at the Collège des Hautes Études en

Médecine (CHEM) in France.

Better communication.

Better e�ciency.

Better care.

The use of medical simulation as a learning method allows the various

healthcare team members to receive basic and advanced practical

and theoretical instruction from controlled scenarios without putting

patients at risk.1

It is increasingly more common to practice simulation scenarios

in situ rather than in a dedicated simulation centre in order to allow

participants to practice in a more realistic context, with their colleagues

and in their regular work environment (e.g. ICU, operating room, care

unit). The use of Reacts in this context is particularly beneficial for both

trainers and learners as it optimizes the learning experience, whether

on site or at a distance.

Simulation training provided by the Collège des Hautes Étudesen Médecine

The Collège des Hautes Études en Médecine (CHEM), founded in

Brittany in 1988, is one of the very first French organizations accredited

for continuing professional development (CPD). Today, it is a leader in

continuing development for healthcare professionals in France and

other European countries.

In 2015, CHEM’s programs (face-to-face, e-learning, simulations) had

over 14,000 enrolments: physicians, pharmacists, registered nurses,

physiotherapists, chiropodists, midwives, speech therapists, orthoptists,

etc.

. . .

• OVER 32,000ENROLMENTS

in face-to-face and distance CPD programs (2014-2016)

• 13,200 participants in face-to-face programs

• 9,500 participants in the 20 e-learning programs

• A network of over 300 training leaders and experts

• 70% of simulation training is provided

in situ

https://www.chem-sante.fr/

The clinical need

Facilitate live supervision and recording during clinical simulations, allowing review of session videos to provide

interactive feedback to participants (debriefing).

The technological need

• Secure communication tools that allow training sessions to

be recorded, annotated and reviewed (debriefing).

•A solution that is a�ordable, flexible, mobile and easy to deploy.

The CHEM has close to 30 years of experience and relies on a

permanent team of about 40 members and a network of

300 experts, training developers and experienced facilitators.

About 70% of the simulation training o�ered by CHEM is provided

directly in the participants’ hospitals, in their own care units (in situ),

while the other 30% takes place at the CHEM learning centre in Brest.

In-situ training is given to groups of up to 10 people per session, with

four scenarios per day.

The CHEM team also conducts 5-day train-the-trainer sessions across

France as well as in other French-speaking countries (e.g. Belgium,

Switzerland, Réunion), in addition to providing a program to remain

in contact with learners following their training (asynchronous

monitoring). The versatility of the Reacts platform allows them

to do all of this and much more.

. . .

. . .

The simulation training given by the CHEM team is very popular.

For instance, from September 2016 to December 2017, the CHEM team

gave 165 days of simulation training, in addition to the more than 41 days

of train-the-trainer training.

The Reacts platform is used by CHEM instructors at each training

session. They have incorporated Reacts in their sessions as a tool that

enables them to supervise live clinical simulations and to review the

session videos during debriefing sessions with participants. The fact

that Reacts enables them to stream video feeds from several cameras

and/or medical devices simultaneously (e.g. monitors, ultrasound

machines) in addition to streaming the audio, allows them to observe

the participants’ actions and interactions from multiple angles.

The application is also used to create templates of checklists

or reports to assess and document the participants’ performance.

. . .

The solution

Adoption of a versatile collaboration platform capable of recording

multiple video inputs simultaneously during training sessions, for both

real-time and asynchronous applications.

. . .

“The solution provided by Reacts is versatile, easy to deploy,

and can be applied in minutes using simple and low-cost equipment

(e.g. computers, webcams). Reacts also stands out due to its

a�ordability when compared to ‘standard’ solutions that are

hardware-centric and can cost more than €30,000.”

– Dr. Morgan Jaffrelot,ER doctor,

Simulation Program Director, Collège des Hautes Études en Médecine

CHEM trainers mainly use Reacts in situ during their training sessions in

order to better grasp the finer points of the learners’ experience.

However, they could use also Reacts remotely, in a similar capacity, in

order to supervise sessions and provide their expertise without having

to be on site.

The solution provided by Reacts is versatile and easy to deploy: it takes

only a few minutes to set up using simple low-cost equipment (e.g.

computers, webcams). Reacts also stands out due to its a�ordability

when compared to hardware-centric solutions, which can cost more

than €30,000. Reacts is very easy to acquire since you only need to

register and download the application on the website.

The benefits

Reacts allows CHEM trainers to directly monitor the action during

clinical simulations, as well as allowing them to provide interactive

feedback to participants (debriefing). The use of Reacts in this context is of

great value to both trainers and learners by optimizing the learning

experience, whether on site or remotely.

A few videos showing the use of Reacts for simulation:

• In situ session

• Session with distance supervision

• Use of checklists

(other videos on YouTube > Reacts App > Reacts in Action)

Sources :

1) The Literature on Health Care Simulation Education: What Does It Show? Patient Safety Network, David A. Cook, MD, MHPE, College of Medicine, Mayo Clinic, mars 2013, https://psnet.ahrq.gov/perspectives/perspective/138

2) Collège des Hautes Études en Médecine, https://www.chem-sante.fr/

. . .The CHEM team’s use of Reacts in medical simulation clearly shows the

added value that the application provides for both trainers and learn-

ers. Other centres throughout the world use Reacts in medical simula-

tion, a field that is constantly evolving. Reacts creates many new

opportunities for developing and implementing innovative medical

simulation teaching models, including tele-simulation, which will help

optimize the dissemination of knowledge and expertise while reducing

costs and the need for on-site presence.

https://www.youtube.com/watch?v=dviIUunbQMc&list=PLxvRQI_TwuM7JA4j5xmPLK_NveFbi26F4&index=40

https://www.youtube.com/watch?v=zzsIEk5C304&list=PLxvRQI_TwuM7JA4j5xmPLK_NveFbi26F4&index=15

https://www.youtube.com/watch?v=HjLBVPw9M9g&list=PLxvRQI_TwuM7JA4j5xmPLK_NveFbi26F4&index=41

Reacts (Remote Education, Augmented Communication, Training

and Supervision), is a secure, integrated and collaborative platform

created by Quebec-based Innovative Imaging Technologies Inc. (IIT).

It was designed to suit the multiple collaboration needs of

healthcare professionals and patients, and incorporates unique

and unparalleled interactive features, such as augmented reality

for remote virtual guidance, supervision and training.

Reacts is presently deployed in 28 countries, across various medical

disciplines in both clinical and educational settings, for applications

ranging from secure messaging, remote wound care, tele-ultrasound,

and teleconsultations, to interactive tele-surgical assistance and

remote procedural supervision. Strategic partnerships include

medical device manufacturers and healthcare innovation focused

organizations such as Joule, a Canadian Medical Association

company. For more information, visit: www.reacts.com .

About Reacts

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www.reacts.com© 2018 Innovative Imaging Technologies Inc. All rights reserved.

Better communication.

Better e�ciency.

Better care.