Dec 11, 2019 @ASREN, Abu Dhabi, UAE
Shuji Shimizu, MD, PhD
Telemedicine Development Center of Asia,International Medical DepartmentKyushu University Hospital, Fukuoka, Japan
http://www.imed.med.kyushu-u.ac.jp/en/index.html
Telemedicine
in Asia and beyond- Experiences over 15 years -
Key-hole operation:
Open Endoscopic
Many doctors want to learn the new surgeries.
1990sRevolution!
Visiting hospitals・・・
▪ Time
▪ Expenses
▪ Limited number of people
▪ Few occasions
Especially to abroad
Teleconference/Live demo
Expensive!
SatelliteInternet
Poor image!
1990s
Situations changed dramatically in
Network revolution!
Big Internet
(2G).
Japan
Korea
Hub in
Kyushu U
2002
Cheap and User-friendly
Video camera
PC
DVTS: free software
Good for
developing
countries!
OR Surgical movie
NCC, KoreaKyushu Univ., Japan
Endoscopic Surgery for Gastric Cancer
Aug 1, 2003
The first live demonstration of surgery
2003
Live surgery: TV news reportsAug 22, 2003
TNC in the evening news
RKB
KBC
NHK
KBC
Asia-Pacific Academic Network (APAN)
International R&E Network (REN)
Advanced Internet
around the world
Secretariat of
Medical WG
KR
China
Gastric cancer
Bhutan
Thailand
India
Vietnam
Malaysia
JP
Singapore
Nepal
Recovery
Less cost
Back to work
Endosc
Early
Admission
Recurrence
Death
Ope
Advanced
Diagnosis and
treatment
Early detection is essential!
Myanmar
China-Japan Early Gastric Cancer Teleconference
Tokyo/JPFukuoka/JP
Shanghai/CNSince 2007
Beijing/CN
Video
Big Population!
Global endoscopic conference
2012.8.28
IN
LKTW KR
GEIN KRSG
HK
Video
Expansion
of Network
to South
Africa
2010
First to Cape Town in South Africa
Kyushu U, JP
Cho Ray, VN
U Cape Town, ZA
2011.9.21 2011.3
14,000km
Video
Orthopedics Teleconference with Uganda
Makerere Univ./UG
2015.3
Fukui Univ./JP
Midwife Teleconference in Tanzania
Tokyo/JP
Muhimbili Univ/TZ 2018.1.5
Mortality of Gastric Cancer (Male)
Teleconference with Latin America
Osaka, JP
INNCZ, MX MXBR Alemana, CL
Cali, CO
La Paz, BO
KUH, JP
CR
VIDEO
Since 2013,
17 times
2018.7
4th Russia-Japan Endoscopy Teleconference
Yaroslavl
Tokyo, JP
Fukuoka, JP
Bishkek, KG
Nizhniy
Yaroslavl VologdaKhabarovsk
Moscow
Vladivostok
Novosibirsk
Bishkek, KG
12 sites (8 months later)
2004.7
Sapporo
2004.1
Beijing
2004.12
2005.1
Tokyo
Bangkok
Shanghai
Singapore
Kuala Lumper
NUS
2004.7
2004.1
Brisbane
ManilaPhilippine U
BandungITB
2005.11
2005.6
Iwate 2005.7
2005.11
Taichung2005.11
New DehliERNET
2004.10
HaLong
2006.6
2006.7
2006.7
Taipei
MumbaiTata MH
2003.2Jilin
Jakarta, UI
Hanoi
Melbourne
Sydney
Auckland
2007.3
CanberraANU
Hawaii
Ho Chi MinCho Rai Hosp
2007.1
2007.1
Before 2005
After 2008
2006 - 2007
2007.1Adelaide
Flinder’s Hosp
2005.11
2007.3
California
2007.1
Stanford, UC IrvineHong
Kong
Brazil
FukuokaYokohama
Cairnes
EgyptCairo U
2007.8＜Asia Medical Project＞
70 countries
738 institutions
1095 programs
Seoul
Europe
South Africa
Endoscopy32%
Surgery21%
Pediatrics5%
Fetus5%
Student4%
Nurse3%
Healthcare3%
Pancreas3%
Technology2%
Transplantation2%
Medical Infomatics
1%
Cardiology1%
Oriental Medicine1%
Hepatology1%
Dental1%
Neurology1%
Oncology1%
Hematology1%
Urology1%
Chest Surgery1%
Ophthalmology1%
Robot1%
Infection1%
Others9%
Others:
・Gynecology
・Neurosurgery
・ENT
・Pathology
・Orthopedics
Contents
N=703
31 subspecialties
Infection: Bird Flu Teleconference2007
Indonesia
VietnamPhilippines
Australia
USA
China
Thailand Japan
•Dengue
•Ebola
•MERS
•Zika
Dental teleconf.
Kagoshima UKyushu U
Airlangga Univ.
Harapan Kita
Hospital
Indonesia
Video
2015.3
Nurse teleconferences
Malaysia タイThailand
Singapore
Australia
Russia
Japan
Medical Students 2017.6
KU-1
KU-2
KU-3
St Luke’s U, PH
Mahidol U, THJapan
Key for the success
1. Access
2. Needs
3. Skills
Internet
Engineers
Doctors
Engineers Medical Staff
ASREN
Training
Champions
On-the-Job Training @APAN
2018.3.25-29
SG
2018.8.5-9
NZ2019.2.18-23
KR
Hands-on training for many medical sessions.
Train-the-Trainers @TEMDEC
Lectures
Hands-on Ope Rm
Endosc RmCertificate
Foster the leaders in each country after going home.
Aug 2016
Domestic Workshop Indonesia
Doctors
Engineers
Philippines Vietnam Nepal Myanmar Kyrgyz
Telemedicine Project
Ensure inclusive and
equitable quality education
and promote lifelong
learning opportunities for all
Ensure healthy lives
and promote well-being
for all at all ages
Time to start!
FIFA2022 in Arab!
