panel e salud shimizu

1Kyushu University UI project Kyudai Taro,2007

Shuji Shimizu, MD

Director,Telemedicine Development Center of Asia,

Kyushu University Hospital, Fukuoka, Japan

PANEL

Shuji Shimizu, MD Director,Telemedicine Development Center of Asia,Kyushu University Hospital, Fukuoka, Japan

May 10, 2013, Cali-2, Columbia

Telemedicine over Academic Network- Lessons learned and future plans-

TelemedicineTelemedicine Doctors to patients Examination Tele-surgery

Doctors to doctors Consultation Education

4Kyushu University UI project Kyudai Taro,2007

1. APAN Medical Working Group

2. Possible case studies in Columbia

Topics

APAN: Asia-Pacific advanced network

Technology AreaApplication Area

• Non-profit international consortium in Asia-Pacific regions

• Formed in Jun 1997• One primary member from each country

• General meeting every 6 months

Medical WG was formally approved in 2005.

APAN-Medical WG @ Taipei 2005

Medical sessions at every APAN meeting

First multi-station live surgery to East Asia

2006.1.25

• Fukuoka• Tokyo• Seoul• Taipei

2006

DVTS & IPsec

@ APAN-Tokyo@ APAN-Tokyo

BangkokBangkok

BandungBandung

SingaporeSingapore

Kyushu Univ.Kyushu Univ.

HealthcareHealthcare

First connection to South-East Asia @APAN-Singapore

SingaporeSingapore

IndonesiaIndonesiaThailandThailand

JapanJapan

2006

First 8-station @ APAN-Manila• Manila venue• Peking U• Australia

National U• Stanford U• Nagasaki U• Chulalongkorn U• National Hospital

of Pediatrics / Hanoi

• Indonesia U

Bird flu teleconferenceBird flu teleconference

2007

Tokyo, JP

Singapore, SN

Manila, PH

Bordeaux, FR

Xian, CN

Sydney, AU

Seoul, KR

First connection to Europe @ APAN-Xian

Video

2007

Medical sessions every 6 months Medical sessions every 6 months in APAN in APAN

1. Adequate frequency

2. Enough bandwidth

3. Engineering help on site

4. Technical trials

5. Invite new hospitals

6. Discussion between doctors and engineers

Medical sessions at APAN-Thailand

13(M)

AM-1

AM-2

Lunch

PM-1

PM-2

Plenary

test

Endosc1,2

Endosc1,2

1Live, 2Quatre8, 3H323, 4MedRic, 5Quatre4, 6Vidyo, 7HD-SCR

Aug 15(W) 16(Th) 14(T)

test

test

test

test

Tech6

test

Cardiol1,5

Activity3

Health3*

Health3

Health4

Fetus2

17(F)

test

Surg1,7

General

General

Successful connection with 14 sites with DVTS

2013.1.14

HI

CN

VN

JP

HK

VN

SG

TW

VN

CL US

KR

VN

VN

Quatre

30Mbps X 14

Technical Challenge: Un-compressed HD

2007.3.23

Surgery/HDSurgery/HDOperating room/Operating room/

DVTSDVTS

Chairman

1.6G 1.6G

The first APHPBA CongressThe first APHPBA Congress

15Kyushu University UI project Kyudai Taro,2007

1. APAN Medical Working Group

2. Possible case studies in Columbia

Topics

We need chianpion doctors in COWe need chianpion doctors in CO

1. Clinica Reina Sofia- Dr Luis Sabbagh (Endoscopy)

2. Hospital Central Policia Nacional- Dr Elias Alfonso Forero Piñeros (Endoscopy)

3. Hospital Universitario Medico San Ignacio- Dr Claudio Brando (Surgery)

4. Centro Medico Imbanaco- Dr Reynado Carvajal (Epidemiology)

World Gastroenterology Organization- Endoscopic training centers Project-

Connecting all

Dr Luis Sabbagh

• Director, training center• Past president,

Colombian Society Gastrointestinal Endosc.

• President, Pan-American Society of Gastroenterol.

Annual Live Workshop from his hospital to Marriott Hotel

International Congress at Cartagena in 2014

No RENATA Connection

Dr Elias Alfonso Forero PiñerosDr Elias Alfonso Forero Piñeros1. Training experience in Japan and San Paolo

2. Live workshop late June3. “I think it's almost certainly my hospital finally will

coordinate with Renata and Rumbo to make our event´s transmission on time. The current difficulty is the time it takes the Police Hospital (state hospital) in doing all the contract process to generate their payment.”

4. Remote lecture from Japanwww.cursoendoscopiapolicia.com

Need more discussionNeed more discussion

1. Dr Claudio Brando - Head Medical Education- Universidad Javeriana is connected to RENATA- Hospital San Ignacio is not connected- Sandra/Rumbo, Jaime/JaverianaCali

2. Dr Reynado Carvajal - Virtual campus - http://www.imbanaco.com.co/

List of the hospitals to be connected• Argentina Medical School of La Plata• Bolivia Hospital de Clnicas• Brazil University of São Paulo Medical School• Brazil USP Ribeirão Preto• Brazil U State of Rio de Janeiro• Brazil U of Minas• Columbia Clinica Universitaria Colombia • Costa Rica U Autonoma de Centroamerica • Chile Universidad de Chile (Clínica Alemana?)• Mexico Instituto Nacional de Ciencias Med. y Nutr.• Uruguay Universidad de la República

ConclusionsConclusions

1. Doctors in Colombia strongly want to join the telemedicine activity.

2. We need to talk with them to start it.

3. We hope that more and more telemedicine programs will be available soon in Colombia and expand into all Central/Latin America.