The paradigm shift that is assuming the introduction of the MIS in clinical routine requires a change in the patterns of training new professionals.

Telm@ has created a new training strategy based on knowledge management, cooperative work and information and communication technologies in order to improve the effectiveness of the training process (initial and ongoing) of surgeons.

A new learning environment based on web technologies has been developed, providing a custom learning service to users and allowing them to create, share and reuse didactics contents in compliance with specific learning needs. For the above reasons, the use of the laparoscopic video is at the core of the didactic contents, adding them educational value by using an authoring tool tailored to the needs of surgeons. 

"The environment enhances the didactic value of surgical videos by editing them, giving the user a more interactive role in their initial or ongoing training and fostering collaboration between users with different surgical experience”

Inicial training

• Society demands greater investment in training and raising awareness of doctors and patients about the MIS benefits, which will increase its safety use.
• It is critical the development of training methodologies and the effective transfer of skills from the training environment to the doctors, in order to standardize the training and accreditation in MIS.
• Society demands effective training programs, which take into account the complex stages in the training of surgeons. Currently, such training processes for new surgeons are very demanding, extensive and costly
• During the early stages of training, teaching should focus on the acquisition of knowledge outside the operating room, so that patient safety is not compromised due to medical errors resulting from a lack of preparation.
• Training programs with objective assessment that provide feedback to students on their progress in the learning curve are needed.
• Nowadays there is a video repository of surgeries that are not used for doctors training but have great educational potential.

Ongoing training

• Informal training for professionals who require little or no supervision.
• Fostering the exchange of knowledge among professionals for dissemination and training in new techniques of MIS.

 “The active participation of students in their learning processes, the reproducibility of the tasks and teaching flexibility are key requirements to reduce the learning curve”

Health policy impact: in the West, 50% of revenues are due to possible complications and postoperative convalescence. The arrival of MIS techniques, with any or short hospital stay reduces the social and economic costs. In USA, a 10% of the 15 million annual surgical procedures are performed with these techniques. In Europe it is estimated that in five years a 25% of all operations will carried out by MIS.

• Outpatients' facilities and university hospitals: only in Spain, more than 150 university hospitals is a unique niche market for the proposed solution.
• Specialized training centers: large training centers (CCMIJU, IAVANTE), with hundreds of students a year, which offer in classroom  and long distance learning
• Medical & Surgical Associations: could be interested in offer to its members our training programs.
• Surgeons

• Customized training: personalized learning content recommendation focused on training pathways linked to specific learning processes.
• Efficient management of knowledge: the solution monitors processes and interactions in the training environment, allowing the creation, capture, storage and distribution of information, turning it into reusable knowledge.
• Content management: content ingestion, automatic transcoding of new content to different qualities. Content retrieval based on medical thesaurus.
• Objective assessment of skills: the solution provides valid and reliable data about student performance automatically, instantly and objectively.
• Enrichment of surgical videos: the solution provides an authoring tool that allows the creation of educational content based on the editing and processing of surgical videos.