Monitoring the technical progress of endoscopy trainees is essential to ensure the quality of care in hepatology and gastroenterology. The cumulative sum learning curve (LC-CUSUM) method allows for dynamic assessment of skill acquisition. Launched in 2022, the SPARTApp application, promoted by the University of Montpellier and supported by the SFED, aims to improve the collection of procedures, performance monitoring and access to educational tools (Figure A). This study evaluates its use, limitations, and the impact of LC-CUSUM on the perception and monitoring of interns' technical progress in endoscopy.

A national survey was conducted between March and June 2025 among French interns registered on the SPART-App application. They were contacted by email via an emailing list extracted from the application's database. The questionnaire focused on the use of SPART-App, its comprehensiveness, obstacles encountered, suggestions for improvement, and perceptions of the integrated LC-CUSUM progression curve. Participation was voluntary and anonymous.

Of the 307 interns contacted, 102 responded in 20 university towns (Figure B). Almost all of them were familiar with the application (98%) and 92.2% reported using it to record their endoscopic procedures. The completeness of the data collection was rated as high to perfect by 43.6% of users, and average to perfect by 63.8% (Figure C). In centres where data collection was considered mandatory, these figures rose to 67.7% and 83.9% respectively (Figure C). The main obstacles reported were forgetting to enter data (67.7%), lack of time (39.4%), technical malfunctions (34.3%) and the absence of institutional requirements (32.3%). Among the 55 interns who suggested improvements, the majority of suggestions concerned offline operation, the user interface and educational enrichment. Finally, 63.7% (65/102) used the LCCUSUM feature to track their technical progress, and 55.8% (48/86) considered the curve to be consistent with their own perception of learning.

SPART-App is widely and satisfactorily adopted among French interns. However, data collection is still uneven due to various organisational, technical and practical obstacles. This survey suggests that the LCCUSUM assessment is relevant for tracking technical progress in endoscopy, offering real-time monitoring of skills.