Abstract:

Introduction:
We have instituted a knowledge management section with an innovative program including an in situ simulation laboratory for team learning on cadavers coupled with a team mentoral system and an augmented cognition program including 1) BCI for (brain computer interfaces) with EEG and neurofeedback for mental imagery practices, mindfulness program and sleep memory consolidation. This teaching program was intertwined with a specific Enhanced Recovery After Surgery(ERAS).

Methods:
The data collection and the implementation of this program was partly realized by quality engineering master students.The results presented will be compared with 12 other institutions in Canada and will be stratified according to the socio-economical status of our population(SES).

Discussion:
The SES of our population being very low, our results would be lower than usual.This is why we have intensified this ERAS program with the use of a continuous at work knowledge management oriented towards the needs of our treating teams in operating rooms, emergency rooms and intensive care units.

Conclusions:
Contextualisation and personnalisation of our teaching at work meeting our needs and respecting metacognition and styles of learning has been our strategy to respond to the needs of our population definitely sicker with a very low SES.

Keywords:

Surgical pathways, in situ simulation laboratory, augmented cognition, ERAS program and low SES.