A critical care system must be based upon three main aspects: quality of care, teaching, and research.

Our hospital program focuses on the search for total quality, which is based upon an integrated information network that uses Ariane and various interconnected registries. Total quality management can be done in a multidisciplinary and retrospective way through morbidity-mortality meetings. Metacognition is taught to students through these meetings. Several committees focus on prospective quality management by developing markers based upon an integrated information network.

From an academic point of view, practical teaching is provided through a kinesiological approach that constitutes the basis for our teaching (learning through mental decomposition and representation).

Different undergraduate, postdoctoral and continuing medical education teaching programs speak of continuity and repetitions of learned concepts. Some prerequisites exist prior to covering care units for residents and supervisors.

Distance education through telemedicine and tele-learning is privileged, as well as an education network for virtual consultants.

This aspect of continuing education helps us break down the isolation of practitioners in regions, enable us to improve the quality of our transfers, and provide us with a supraregional vocation in critical care and traumatology.

With regards to our research programs, they are, in terms of quality, at the interface level between the various registries to discover new quality markers and the fact that the integrated information network should bring us to consider the final product, i.e. social reintegration.

What are our long-term results?

The multidisciplinary aspect of the search for total quality is prioritized.

In continuing education, how to teach tele-learning and telepresence to virtual consultants?

In kinesiology, what is the role of the mental representation of gesture in learning retention?


The whole system is based upon the quality of care, quality of teaching and its continuity, and research productivity.

Kinesiologists, image engineers, directors of new technology assessment, quality engineers, and other health professionals work side by side.

We have briefly described our critical care system at the Université de Sherbrooke. This quality-based system has been discussed in various congresses in the province of Quebec, Canada, and the United States. We actually offer consulting services in the province of Quebec and the United States regarding the implementation of such a system.