Remote Medical Education in Asia-Pacific - Possible expansion to Mexico-
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1 Remote Medical Education in Asia-Pacific - Possible expansion to Mexico- Shuji Shimizu, MD Director, Telemedicine Development Center of Asia, Kyushu University Hospital, Fukuoka, Japan April 17, 2013 connected to CUDI, MX
2 Beijing KOREA Sapporo CHINA Busan Seoul Tokyo Shanghai Fukuoka Osaka Taipei 500 km East Asia 1000 km JAPAN 1500 km
3 Today s menu Background Activities Korea-Japan Global expansion Challenges Kyushu Univ., Fukuoka
4 Surgical revolution: One example Open Endoscopic
5 HUGE demands in education! Many hospitals do not have all the specialists. Many young doctors do not have enough chances. Remote education Save time & travel expenses Scalability: Easy repeat & Large audience <Economical & Effective!> But, NOT popular in medical community yet Why not?
6 Int l Teleconf/Live demo 1990s ISDN/Narrow Satellite Poor image! Expensive!
7 Situations dramatically changed in 2002 We use BIG Internet! Korea Good Team Japan QGPOP Big Broadband Network: Bandwidth 2G
8 Key technologies 2000s DVTS (Digital video transport system) Academic network (Research and education network) Science 1986, Computer Networking for Scientists
9 Point Actual 1: bandwidth Clear & Smooth in each streaming network 30 Mbps 30 Original quality Compressed, degraded D: Digital V: Video T: Transport S: System ISDN DVTS Digital Video Internet
10 DVTS: Cheap and Simple Surgical instrument DV Camcoder DVTS PC Internet IEEE1394 UTP(Ethernet) >30Mbps Microphone Audio DVTS: free but powerful software No special teleconferencing equipments BROADBAND network is essential!
11 Point 2: Academic Network Mexico: CUDI Only for Research and Education
12 Today s menu Background Activities Korea-Japan Global expansion Challenges Kyushu Univ., Fukuoka
13 The first live demonstration of surgery OR Surgical movie Aug 1, 2003 Needs! Laparosc. Surg. Security software used Kyushu Univ., Japan NCC, Korea
14 TV news reports Aug 22, 2003 RKB KBC NHK TNC in the evening news KBC
15 Casual setting to neighbors New endoscopic procedures (ESD) Kyushu Univ Nagasaki Univ.
16 Live Surgery from Korea to Japan Seoul => Fukuoka International Convention Center
17 Routine Int l Case Teleconference Kyushu Univ., Japan Seoul Univ., Korea
18 Today s menu Background Activities Korea-Japan Global expansion Challenges Kyushu Univ., Fukuoka
19 International academic network (APAN) Asia-Pacific Advanced Network Non-profit organization
20 Endoscopic Congress JP-1 JP-2 - Korea GI Meeting - Korea JP New technical breakthrough
21 Continuous Medical Education in Asia Fukuoka, JP Cho Ray Hospital Ho Chi Minh, VN Shanghai, CN Cancer Institute Tokyo, JP
22 China-Japan Early Gastric Cancer Teleconference Regular meeting Fukuoka/JP Tokyo/JP Video Fudan U, Zhongshan Hosp/CN PUMCH/CN
23 More extensions Seattle/US To India Hyderabad/India To US
24 Endoscopic Demonstration with Europe Kyoto, JP France Italy Belgium Czech Spain Norway VIDEO Xian, CN Fukuoka, JP Seoul, KR Hamburg, GR Kuala Lumpur, MY Bangkok, TH Taipei, TW
25 Expansion of Network to South Africa 2010
26 First to Cape Town in South Africa 14,000km Kyushu U, JP U Cape Town, ZA Cho Ray, VN VIDEO
27 Latin America: Preliminary trials Not so good TX BR U San Paolo, BR CL MX Seattle
28 Network in Latin America
29 Endoscopy teleconf. with Central/Latin America Hawaii APAN venue Dr Yao Dr Uedo Brazil UERJ Dr Fatima Mexico UNAM Dr Tanimoto Chile REUNA Dr Ignacio
30 <Asia Medical Project> 34 countries 220 institutions 355 events Egypt Cairo U ERNET Mumbai Tata MH New Dehli Bangkok Kuala Lumper South Africa Before After Singapore NUS Beijing Shanghai Hong Kong Hanoi Europe HaLong Ho Chi Min Cho Rai Hosp Sapporo Seoul Tokyo Fukuoka Yokohama Manila Philippine U Bandung ITB Taipei Jakarta, UI Jilin Taichung Adelaide Flinder s Hosp Canberra ANU Melbourne Sydney Iwate California Stanford, UC Irvine Hawaii Cairnes Auckland Brisbane Brazil
31 Today s menu Background Activities Korea-Japan Global expansion Challenges Kyushu Univ., Fukuoka
32 New Technologies 2010s 1. Smaller bandwidth for better quality - better compression system 2. Mobile technology - anytime, anywhere Generalization!
33 Global endoscopic conference with Vidyo IN VIDEO IN SG KR GE TW LK HK KR
34 CUDI announced network expansion to hospitals in MX Good timing to join the project! You need Engineers - who make it possible Doctors - who make it meaningful
35 Engineers 1. Network to the very end 1) International network 2) Domestic (NREN) 3) Campus Network Point APAN RedClara Network Point CUDI/MX RNP/BR Internet2/US Network Point Firewall Big academic network Connected to hospital? Support of engineers Big enough and stable network at all steps
36 Engineers 2. Setup the systems Videocamera DVTS PC Microphone Projector Speaker Sound IEEE1394 Ethernet (i-link) Sending DVTS PC 15pin Ethernet Sound Receiving Internet Meeting size HD-H323 Vidyo
37 Doctors: Needs & variety contents Surgery/Endoscopy Cardiac intervention Healthcare Fetus Bird flu, SARS, HIV Basic Science Nursing Medical students, etc. A lot more
38 Int l Endoscopic Nurse Teleconference U Malaya Thailand Kyushu U Singapore Brisbane
39 Team building Medical Doctors Local Engineer (Network & Audio-visual) National REN Engineers Medical Doctors Local Engineer (Network & Audio-visual) National REN Engineers The success depends on how good team you can make.
40 Conclusions 1. To preserve good image quality for moving images is essential in telemedicine. 2. R&E network has made the clear and smooth medical streaming possible with low cost. 3. Best timing to establish continuous medical education programs in MX. Le us work together!
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