Interest of Simulation as Part of the Procedure Tracheobronchial Aspiration

Health simulation is in full development on the national territory (France). The medical profession and nurses use this mode of learning in initial training to improve the students skills The report of Pr Granry allowed an inventory of the simulation in France with as Leitmotiv "never the first time for the patient". It has also put in place priorities for the coming years, one of which is to develop simulation in initial and in-service training. This learning technique is interesting according to several parameters. First,is the safety of care. A novice who has already practiced on a mannequin or in the context of the simulation will be able to better understand the situation of care in the clinical field. The quality of care is also improved by the practice of simulation including communication skills, psychomotor skills, respect for procedures and theoretical knowledge. This more or less faithful reproduction is all the more necessary as the duration of clinical placements is decreasing. Simulation is a way to mitigate this lack is allows a faithful immersion in the care environment. Despite all these positive points, physiotherapy is not yet very affected by the simulation as shown in the literature Gordon's review (2015). Initial training, continuing education has not to this day largely developed this teaching method . Some timid uses have taken place and for the most part in Anglo-Saxon countries with various modes of simulation. In France, certainly linked to the specificity of the profession, its implementation is delicate, even complicated. It remains anecdotal to this day.

Inclusion criteria

• Learners: All second year students enrolled in initial training of the Institute of kinesitherapy of Toulouse during the year 2017-2018. In total 45 students.
• Patients :All adult patients with tracheotomy, and able to communicate. Patients hospitalized in the University Hospital de Toulouse

Exclusion criteria

• Learners: Students absent on the day of the reading of the procedures
• Patients:Adolescent patients, child patients, Patients with a communication deficit, Patients under respirators