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Article ; Online: Deliberate practice as a method of teaching surgery.

Ducournau, François / Liverneaux, Philippe A

The Journal of hand surgery, European volume

2021 Volume 46, Issue 8, Page(s) 912–913

MeSH term(s)	Clinical Competence ; Humans ; Internship and Residency
Language	English
Publishing date	2021-06-23
Publishing country	England
Document type	Journal Article
ZDB-ID	2272801-6
ISSN	2043-6289 ; 1753-1934
ISSN (online)	2043-6289
ISSN	1753-1934
DOI	10.1177/17531934211026068
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Article ; Online: Radiocarpal arthrodesis revision with a pyrocarbon implant.

Daoulas, Thomas / Nen, Dominique Le / Fernandez, Marie / Andro, Christophe / Ducournau, Francois / Letissier, Hoël

Hand surgery & rehabilitation

2023 Volume 42, Issue 6, Page(s) 553–554

Language	English
Publishing date	2023-09-13
Publishing country	France
Document type	Letter
ZDB-ID	2848776-X
ISSN	2468-1210
ISSN (online)	2468-1210
DOI	10.1016/j.hansur.2023.08.010
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Article ; Online: Relationship between surgeons' position and the duration of the procedure during minimally invasive osteosynthesis of distal radius fractures.

Ducournau, François / Letissier, Hoel / Xavier, Fred / Facca, Sybille / Sapa, Marie-Cécile / Liverneaux, Philippe

Hand surgery & rehabilitation

2022 Volume 41, Issue 3, Page(s) 324–327

Abstract: ... 213 left-sided (L). Surgeons stood either at the patient's head (H) or the feet (F). Procedure time ...

Abstract	This study aimed to assess the influence of the surgeon's position on procedure time in MIPO (Minimally Invasive Plate Osteosynthesis) for distal radius fracture. The hypothesis was that there was a correlation between procedure time and the surgeon's position in relation to the operated side. Thirteen surgeons (12 right-handed, 1 left-handed) operated on 421 distal radius fractures: 208 right-sided (R) and 213 left-sided (L). Surgeons stood either at the patient's head (H) or the feet (F). Procedure time and scar size were measured. Regardless of operated side (right or left), mean surgery time was 35.5 min (range, 14-71) with the surgeon at the head and 40.5 min (range, 11-119) with the surgeon at the feet. The difference (5 min) was statistically significant. When the right side was operated on, surgery time was 34.2 min (range, 14-66) with surgeon at the head and 41.1 min (range, 11-86) at the feet. The difference (6 min) was statistically significant. No other comparisons were significant. There was no correlation with surgeon's experience. Given that 1 min of operating room time costs between €10.80 and €29, savings of €54 to €145 per procedure can be achieved. The study hypothesis was confirmed, with a correlation between the surgeon's position in relation to the operated side and the duration of the operation. In conclusion, we recommend that surgeons position themselves at the patient's head for of distal radius fracture MIPO.
MeSH term(s)	Bone Plates ; Fracture Fixation, Internal/methods ; Humans ; Minimally Invasive Surgical Procedures/methods ; Radius Fractures/surgery ; Surgeons
Language	English
Publishing date	2022-02-19
Publishing country	France
Document type	Journal Article
ZDB-ID	2848776-X
ISSN	2468-1210
ISSN (online)	2468-1210
DOI	10.1016/j.hansur.2022.01.013
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Article ; Online: Learning a MIPO technique for distal radius fractures: Mentoring versus simple experience versus deliberate practice.

Ducournau, François / Meyer, Nicolas / Xavier, Fred / Facca, Sybille / Liverneaux, Philippe

Orthopaedics & traumatology, surgery & research : OTSR

2021 Volume 107, Issue 8, Page(s) 102939

Abstract: Background: Performance skills of a surgeon for a specific surgical technique range from 1 (novice) to 5 (expert). Mentoring can bring the surgeon to level 3. Simple experience rarely allows achievement of level 5, in contrast to deliberate practice, in ...

Abstract	Background: Performance skills of a surgeon for a specific surgical technique range from 1 (novice) to 5 (expert). Mentoring can bring the surgeon to level 3. Simple experience rarely allows achievement of level 5, in contrast to deliberate practice, in which performance skills are improved by setting learning goals based on feedback about the trainee's previous performance. Hypothesis: When learning a technique for the internal fixation of distal radius fractures, the level of performance skills achieved is higher with deliberate practice than with mentoring or simple experience. Material and methods: Four surgeons each performed minimally invasive plate osteosynthesis (MIPO) of 15 distal radius fractures. The procedures were recorded by an HD camera. The first five fractures (step 1) were treated after mentoring, the next 5 fractures after reading an article and viewing a reference video (step 2), and the last 5 fractures after viewing and commenting 20 short videos highlighting possible errors (step 3). Each recording of the procedures performed by the surgeons was scored using the Objective Structured Assessment of Technical Skills (OSATS, 10 items on basic skills [B] and 10 on MIPO-specific skills [S]). Results: For the basic skills, the mean OSATS scores (on 50) were 31 for step 1, 31 for step 2, and 43 for step 3. For the specific skills, the mean OSATS scores (on 50) were 25 for step 1, 29 for step 2, and 48 for step 3. For overall skills (B+S), the mean OSATS score (on 100) was 56 for step 1, 60 for step 2, and 91 for step 3. Discussion: Our study confirms that the deliberate practice teaching method is more efficient in improving surgeon skills than simple experience. Deliberate practice consists of four essential steps: (i) setting a well-defined goal; (ii) being motivated to improve one's performance; (iii) receiving immediate feedback; and (iv) having multiple opportunities to repeat and gradually perfect one's performance. Our main hypothesis was verified, since the results of learning a MIPO technique, as assessed using the OSATS scale, were significantly better with a video-assisted deliberate practice technique than with mentoring or simple experience. Conclusion: Video-assisted deliberate practice deserves to be widely used in order to optimise learning curves and to improve risk management in surgery. Level of evidence: III.
MeSH term(s)	Bone Plates ; Fracture Fixation, Internal/methods ; Humans ; Mentoring ; Minimally Invasive Surgical Procedures/methods ; Radius Fractures/surgery ; Treatment Outcome
Language	English
Publishing date	2021-04-24
Publishing country	France
Document type	Journal Article
ISSN	1877-0568
ISSN (online)	1877-0568
DOI	10.1016/j.otsr.2021.102939
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Article ; Online: Correspondence-COVID-19: Initial experience of hand surgeons in Northern Italy.

Ducournau, F / Gouzou, S / Facca, S / Liverneaux, P A

Hand surgery & rehabilitation

2020 Volume 39, Issue 4, Page(s) 334–335

MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Humans ; Italy ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; Surgeons
Keywords	covid19
Language	English
Publishing date	2020-05-07
Publishing country	France
Document type	Letter ; Comment
ZDB-ID	2848776-X
ISSN	2468-1210
ISSN (online)	2468-1210
DOI	10.1016/j.hansur.2020.04.010
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Article ; Online: Methods of assessment of the level of surgeons for minimally invasive fixation of distal radius fractures: "expertise" versus "performance".

Ducournau, François / El Amiri, Laela / Vernet, Paul / Sapa, Marie-Cécile / Liverneaux, Philippe

International orthopaedics

2022 Volume 47, Issue 1, Page(s) 193–199

Abstract: Introduction: The results of surgical techniques vary depending on the level of the surgeon's experience. The level of expertise can be evaluated quantitatively or qualitatively. In this study, we evaluated the duration of the procedure and the size of ... ...

Abstract	Introduction: The results of surgical techniques vary depending on the level of the surgeon's experience. The level of expertise can be evaluated quantitatively or qualitatively. In this study, we evaluated the duration of the procedure and the size of the incision of minimally invasive fixation of distal radius fractures as a means of grading expertise and surgical performance. The null hypothesis of our study was that the level of expertise did not match the level of performance. Material and methods: The study included 52 surgeons split in five levels of expertise who had performed 467 minimally invasive fixations of distal radius fractures. The performance of the surgeons in terms of duration of the procedure and size of the incision were scored according to the five levels of surgical experience using four different methodologies: clinical (setting limits compared to data found in literature), statistical (setting statistical limits of comparison in percentiles (20th, 40th, 60th, 80th) for each of the two parameters measured), arithmetical (setting limits compared to equal intervals for each of the 2 variables), and success rate (setting a threshold for each of the 2 variables). Results: Our results showed a great disparity between levels of experience depending on the method used. The scores for levels 1 and 2 were 72% for expertise, 13% for performance according to the clinical method, 75% for the statistical method, 0% for the arithmetical method, and 57% according the success rate. The rate of level 3 was 23% for expertise, 41% for performance by the clinical method, 17% by the statistical method, 17% by the arithmetical method, and 15% by the success rate. The rates of levels 4 and 5 were 5% for expertise, 46% for performance clinical method, 8% by the statistical method, 83% by the arithmetical method, and 28% by the success rate. Discussion: The null hypothesis of our study was confirmed by the results which show that there was no correlation between levels of expertise and performance. The clinical method of assessment appears to reflect best the true level of performance of the surgeon. Conclusion: Publications reporting the results of a surgical technique for a given pathology should always mention the level of performance as measured on a clinical scale.
MeSH term(s)	Humans ; Fracture Fixation, Internal/methods ; Wrist Fractures ; Minimally Invasive Surgical Procedures/methods ; Bone Plates ; Radius Fractures/surgery ; Surgeons ; Treatment Outcome
Language	English
Publishing date	2022-10-20
Publishing country	Germany
Document type	Journal Article
ZDB-ID	80384-4
ISSN	1432-5195 ; 0341-2695
ISSN (online)	1432-5195
ISSN	0341-2695
DOI	10.1007/s00264-022-05609-5
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Article ; Online: Description of a Case of

Merle, Sylvain / Bland, Stéphane / Bénéjat, Lucie / Ducournau, Astrid / Jehanne, Quentin / Bessède, Emilie / Jauvain, Marine / Heluwaert, Fréderic / Lehours, Philippe

Microbial drug resistance (Larchmont, N.Y.)

2023 Volume 30, Issue 4, Page(s) 164–167

Abstract: Resistance ... ...

Abstract	Resistance in
MeSH term(s)	Humans ; Anti-Bacterial Agents/pharmacology ; Helicobacter Infections/drug therapy ; Helicobacter pylori/genetics ; Bismuth/pharmacology ; Bismuth/therapeutic use ; Microbial Sensitivity Tests ; Tetracycline/pharmacology ; Tetracycline/therapeutic use ; Tetracycline Resistance/genetics ; Drug Therapy, Combination ; Metronidazole/pharmacology
Chemical Substances	Anti-Bacterial Agents ; Bismuth (U015TT5I8H) ; Tetracycline (F8VB5M810T) ; Metronidazole (140QMO216E)
Language	English
Publishing date	2023-12-07
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1290490-9
ISSN	1931-8448 ; 1076-6294
ISSN (online)	1931-8448
ISSN	1076-6294
DOI	10.1089/mdr.2023.0247
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Article: Cutaneous manifestations of COVID-19 in the Franche-Comté region of France: A monocentric study.

Jacquin-Porretaz, C / Ducournau, A / Dupond, A-S / Nardin, C / Aubin, F / Courtieu, C

Annales de dermatologie et de venereologie

2021 Volume 148, Issue 2, Page(s) 124–126

MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; COVID-19/complications ; COVID-19/diagnosis ; COVID-19 Nucleic Acid Testing ; Chilblains/etiology ; Exanthema/etiology ; Female ; France ; Humans ; Male ; Middle Aged ; SARS-CoV-2/immunology ; Skin Diseases, Viral/etiology ; Symptom Assessment ; Young Adult
Language	English
Publishing date	2021-01-09
Publishing country	France
Document type	Letter
ZDB-ID	391805-1
ISSN	2214-5451 ; 0151-9638
ISSN (online)	2214-5451
ISSN	0151-9638
DOI	10.1016/j.annder.2020.12.002
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Article: Evaluation of CAMPYLOBACTER QUIK CHEK™ rapid membrane enzyme immunoassay to detect Campylobacter spp. antigen in stool samples.

Franco, Justine / Bénejat, Lucie / Ducournau, Astrid / Mégraud, Francis / Lehours, Philippe / Bessède, Emilie

Gut pathogens

2021 Volume 13, Issue 1, Page(s) 4

Abstract: Campylobacter spp. enteritis is the most frequent bacterial enteritis in both adults and children and is sometimes a source of severe complications. Its diagnosis by culture suffers from a lack of sensitivity and delays the result, preventing an early ... ...

Abstract	Campylobacter spp. enteritis is the most frequent bacterial enteritis in both adults and children and is sometimes a source of severe complications. Its diagnosis by culture suffers from a lack of sensitivity and delays the result, preventing an early initiation of optimal antibiotic therapy in some cases. Our aim was to test a new rapid immuno-enzymatic method for Campylobacter spp. diagnosis in comparison to a composite reference standard (CRS). Stool samples from the French National Reference Center for Campylobacter and Helicobacter were tested with the CAMPYLOBACTER QUIK CHEK™ (Abbott). The CRS used to consider a case positive for Campylobacter spp. was a positive culture and, in case of a negative culture, a positive result obtained with both an ELISA and a molecular test. One hundred and eight stools were included: 53 were positive according to the CRS. If performed alone, culture would have missed 5 cases which the CAMPYLOBACTER QUIK CHEK™ detected. Finally, the CAMPYLOBACTER QUIK CHEK™ showed a sensitivity of 96.2% and a specificity of 94.5% and is relevant for clinical practice. Given the characteristics of the new method, it can be used as a screening method for Campylobacter spp. detection.
Language	English
Publishing date	2021-01-22
Publishing country	England
Document type	Journal Article
ZDB-ID	2478277-4
ISSN	1757-4749
ISSN	1757-4749
DOI	10.1186/s13099-021-00400-0
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Article ; Online: Real-time PCR for Helicobacter pylori diagnosis. The best tools available.

Bénéjat, Lucie / Ducournau, Astrid / Lehours, Philippe / Mégraud, Francis

Helicobacter

2018 Volume 23, Issue 5, Page(s) e12512

Abstract: Background: Knowledge of antimicrobial susceptibility, especially to macrolides, has become crucial for the management of Helicobacter pylori infection. Our aim was to evaluate two new PCR kits able to detect H. pylori in gastric biopsies as well as the ...

Abstract	Background: Knowledge of antimicrobial susceptibility, especially to macrolides, has become crucial for the management of Helicobacter pylori infection. Our aim was to evaluate two new PCR kits able to detect H. pylori in gastric biopsies as well as the mutations associated with macrolide resistance. Materials and methods: Two hundred successive biopsies (received from gastroenterologists all over France) were used. The two new kits tested were Amplidiag H. pylori+Clari Results: Culture was positive in 68 cases (34%), and with our in-house real-time PCR in these 68 cases plus 5 others (N = 73, 36%). All were also detected by the two new kits. In addition, RIDA Conclusions: These two new kits which have an excellent sensitivity and specificity are convenient to use, adaptable to different thermocyclers, provide quick results, and deserve to be used in H. pylori diagnosis for a better choice of treatment regimen.
MeSH term(s)	Biopsy ; Helicobacter Infections/diagnosis ; Helicobacter pylori/genetics ; Helicobacter pylori/pathogenicity ; Humans ; In Vitro Techniques ; Real-Time Polymerase Chain Reaction/methods
Language	English
Publishing date	2018-08-28
Publishing country	England
Document type	Journal Article
ZDB-ID	1330665-0
ISSN	1523-5378 ; 1083-4389
ISSN (online)	1523-5378
ISSN	1083-4389
DOI	10.1111/hel.12512
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