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the global Frugal Innovation Skills course. We're really excited to have you all here, and we have a number of fantastic speakers from Are Collaborating organizations. So joining us on the court we have Will Bolton the past present of Gas sock and the course director. We have Doctor Garage who's past present of the Association of the Oral Surgeons of India, please. Who is the current president of Gas Sock? We have Joe Mitchell from the Royal College of Surgeons of Edinburgh. We have Chris to Ferguson from who is the global CEO of Life Box and joining us a little bit. Later on, we will have Angela Lamb, who's the innovation lead of the Association of Surgeons in Training? James Glazier, who's an NIH? Our research following in Global Surgery Unit Uh, and we will also have Zain Ahmad, who's the national strategic director from the Med Tech Foundation. We'd love to have lots of questions from all the audience, and there is time at the end for this, So please post them in the chat and we'll ask our panel at the end of the session. I'll now hand over to the course director will to give an overview. Of course, if you will. Thanks so much Girard for that introduction and for helping, you know, coordinate this, uh, this evening and getting us off the road here. So it's absolutely fantastic to see everyone, Um, uh, this evening on our on our launch event for this course, which has been, you know, a long time in the making. And, uh, it's something that is, you know, I think incredibly important. I think this course is completely unique. It's the first frugal innovation skills course, Um, for global surgery that I am that I've ever come across. Um, you know, I'm absolutely delighted that were finally able to, uh, do this promo event and get things get things started. So, uh, I'm going to do this talk with Doctor Manage, who will be coming, uh, muting and speaking in a second. But this really is just a quick overview of the course itself. I'm not going to go into too much detail about exactly what frugal innovation is, if you're not sure yet, but so you need to come to the course to find out more about that. But hopefully I'll be able to tell you how how all the modules fit together and what kinds of things you're hopefully going to get. Get out of it to take away and actually develop your own frugal innovations in your own settings. And this course is being coordinated by gas stock and our contact details, including our website and how to follow us on Twitter are just below, So do feel free to check it out and join our membership if you'd like, it's free. Um, and we do amazing things, including this course, but lots of other things as well. So I just want to start off actually by saying a really big thank you and jars mentioned, you know, a number of the organizations that have been involved in this one of the key things key groups I want to I want to thank is from the World Project Surgeons of Edinburgh and their Global Surgery Foundation, who have generously funded this course and the subsequent innovation project funding, which will be available for people who have taken part in the course after they've completed it. Um, without this, we just can't we can't put on these kinds of things. So, um so thank you. So much. It's just a really It's really great to see frugal innovation being supported and driven by such an incredible organizations such as the RCs Edinburgh. So thank you. And we also have a number of co, uh, co application organizations from Life Box, um, Medal, the National MedTech Foundation Asset and, of course, the HR global health unit on global surgery. So thank you for everyone putting together this, um, this this course and for actually making it a reality. So I just want to sort of start really any good innovation project Good innovation. Exercise should start with an unmet need. You should be trying to understand the problem that you want to solve before you. You're just going ahead, uh, and and trying to solve problems that may or may not exist. So really, the unmet need that we're trying to tackle by even running by even thinking about this course is that it still remains the case that less than 6% of all surgical devices actually has a surgeon as a co inventor and globally less than 10% ever make it to clinical trial. And that's the pivotal stage to get your technology or innovation adopted to widespread adoption. And that's where you really you know, you need it to get adopted to help. Help benefit patient's um and Med Tech is one of the largest contributors to the rising cost of delivering healthcare globally. So there's in lack of surgeons who are involved in the process, which leads, I think, in part, to a lack of proper evaluation and adoption. And this is driving up health care costs. And this disproportionately affects patient's who are already in low resource settings and low middle income countries. So, uh, the the unmet need from a technology point of view is, is stark from a surgeon point of view that, you know, certainly in my in my surgical training, apart from you know, me, seeking out actively opportunities like this. There is a lack of innovation skills training, to be quite honest, Um, and do you know, doing innovation properly, especially doing food innovation properly does take a set of skills that you may not have had access to. So, um, this results in a lack of surgical innovators globally, to be quite honest, um, and the other big barrier is that there's a lack of interdisciplinary collaborations. So to get your technology to a reasonable point, you will need to collaborate with industry, with engineers, with academics, maybe with policy makers and regulators to get it regulated in your different settings. So because we're not really taught how to do that, and we don't might not even know you know where to start, Um, you know, from a personal point of view, we feel disempowered and disenchanted. So, to the whole purpose of this course is to equip people with the skills and knowledge necessary to identify surgical unmet needs in there, setting innovate plausible solutions and test them to take them to the next stage. So with that, I'm just going to go to the next slide just to give the overview of the skills course, which, which I'll go through the modules in more detail. But I just if it's okay, I'd like to hand over to Doctor Gan Garage, who works in a number of low resource settings as a as a consultant surgeon. And he's a He's a world famous surgical innovator who has he has taught me, um, a huge amount about frugal innovation, So I'd just like to hand over to him to give his overview. If that's okay, I think. Can you and mute yourself, Doctor Garage. Thanks. Well, I've been working in, uh, neural areas for almost four decades, and we'll wanted, uh, summarize in four minutes. I think it's going to be difficult to us. So I'm going to just talk about two things. White frugal innovation and, uh, white training. My journey with frugal innovation started when we found that we had a lot of patient's with the end straits renal disease, and we were doing a countryman CPD authority in analysis for them, the Baxter Cathy ta's were very expensive. ₹40,000 at that day, and, uh, most of the oral patient's could not afford it, but it looks like an ordinary Silicon Capital. And despite being so much, it used to get blocked with auditions and, uh, momentum giving stuck. So then we contacted, uh, engineering college where my daughter was studying, Then be made a new Cathy to Silicon Cathy to for a few ₹100 which has the advantage that it was. They had a preformed shape, and, uh, we could put a still it and stretch it to release the additions. So what? Saturday is a small thing. Now we have come to a stage where be able to do laproscopic surgeries and very remote locations using the gas lis, uh, laproscopic device under the easily available and less expensive spinal anesthesia. Vidor's survey In a very remote area in the Himalayas, only 19 2% of the urology patient's are able to have any. I mean the test done for finding out what they have, uh, Cody urologist to have a necessary treatment. And the main reason is that the equipment images necessary even for diagnosis is very expensive. So we devised a laptop cystoscope, which just connects to any ordinary laptop. And we could manage effectively half the urology patient's and any OPD in any remote where they will have about 5% of, uh, urology patient's. So unless we have frugal animations, it's difficult to take all these, uh, new modern technology and the medical treatment to the poor and the neural areas coming back to the training. I mean, when we had, if you work in the area, there were plenty of C stomach and your esophagus. We wanted a gastroscopy, but he never had any time to go for any training. We just bought the Gastroscope. And then we had three nurses helping us, uh, for doing the gastroscopy. Want to push the gastroscope and said another Want to make sure that, uh, fibrotic still don't meant it's an as far as possible straight. And I was manipulating the thing, and we needed to when the monitors, so that then all the nurses can see. Then I realized that patient's are more comfortable with the nurse is doing the gastroscope picks rather than me trying to quickly finish and get out and do some other work. So we trained all the nurses to do all the gastroscope peas, and I had a monitor in front of me and I could watch what they're doing If there's any positive finding that used to go take over and take biopsies or do the needful and the normal cystoscopies done by the nurses, Okay. Certainly it was a low P capital I used to take after dissecting them, and if they're not perfect, still had some gaps, and, uh, they didn't look really perfect. Then I trained the carpenter to in several techniques and other things he'll come and choose the correct nuts and bolts and fixing 20 less than 20 minutes after me, dissecting and giving the thing. And he'll go off so once with training, it's possible, too, almost to train anyone who's interested to learn to deliver the innovation that we have. And I think this course will help you understand us. Uh, will be saying the need, which is there in the neural areas, and there is possible to innovate. And, uh, I mean, meet the needs which, uh, there and, uh, but then these are not sufficient. Unless we clean enough people to carry out innovations and, uh, take it forward. I think I exceeded already the film in the four minutes I was allocated. Thank you. And hopefully it can make good use of the course that we have. Thank you. Thank you so much, Doctor Garage. It's great. It's inspiring work. And it's I always love hearing your, uh, about your experience. Um, you know, it shows that it can be done. These these these technologies can be, you know, created in a cost effective way. And we can train people to use them even in very low resource harsh environment. So, um, I'm sure you'll be back through throughout some of these modules giving you'll you'll have. You'll have more time, I'm sure. So, thank you. Um So, guys, I'm not going to go through each of these modules in a huge amount of detail. I'm just gonna give you a whistle stop tour of kind of the topics that we're going to cover some of the key learning outcomes for you so you can hopefully get excited about it and get an overview about what we're going to cover. It's important to say this course is free for everyone. It's open to also, if you've got people that couldn't make it today or you're watching on playback or catch up and you want to send to someone else, please do feel free to send it to anyone. It's it's open to anyone, even outside of healthcare, inside of healthcare anywhere, uh, all disciplines, it's all going to be online. It's all available. We're gonna be running each module live, so we will have a live option for you to watch. If you did want to watch it, um, on the go, um, but you can also watch it and catch up or playback. So if you're busy, then you can always catch up later in the evening. So module one is going to be in March. It's gonna be aiming for it to be on the 16th of March. Um, so but there'll be a link at the end so you can sign up straight away for that. This is really where we're going to do an introduction and and and actually a relatively deep dive into frugal innovation what it actually means, what through your principles you need to start thinking about. I'm going to go through some key examples of frugal innovation to put the context into there, and you'll learn how to actually innovate in a responsible and a disruptive way module to is going to focus really deeply on understanding the unmet global needs. It's all well and good to think that you know what's going on, but you need to speak to people who are working in these low resource environment. So they're going to have people who actually face these needs day in, day out, um, so identifying where you can get needs from talking to surgeons and patient's who are in these low resource environment and also thinking about how you can look at the existing landscape, What's already out there? Has anyone tried to solve this? What barriers have they come up against? It's really an important first, you know, really? Then we're going to focus on the technology. So what are the key technology think, sort of design aspect are very particular for low resource settings. There's there's a number of key examples out there and obviously life boxes, one of our main partners and they produce you know it's their kit. Is that, you know, as far as I'm concerned, the gold standard for how to make a piece of technology for for low resource environment. So you understand how to develop things in a sustainable way and to collaborate across disciplines and to make sure you can transfer your technology to global health settings. Module four. It's going to be focusing on different innovating in different kinds of realms, so it's not all just about products and devices, but it could be about doing a system innovating a system differently, innovating a process differently. As Doctor gunners was saying, the training is super important, So how can we innovate in training to make better use of technologies that we do have, Um, Module five is going to be looking about. Once you've developed, you've identified uramit need. You've developed your solution being technology or system or process. And so on. What evidence do you need to put behind it to persuade people that to use it, that it's going to be safe, that's going to be effective and cost effective and so on. So we're going to have a number of research skills, um, sessions and you can talk about prints and we will talk about principles of designing global surgical trials and when they may or may not be needed. And so on Module six, we're going to have a showcase of different frugal innovation case today. So we're going to learn from key exemplars, recognize when things are and aren't frugal. And here I also think it's important to think about examples of frugal innovation across the world. So across the UK, America, Europe as well as lower middle income countries as well, because there's a number of, uh, excellent applications of frugal innovation. No matter where you are, Number seven is looking at hackathons and forming teams globally. So how do you collaborate across borders and boundaries and time zones and what is a hackathon and how would you How would you effectively use the methodologies from hacks to develop solutions to problems? And finally, we were going to do a guided innovation hackathon together to actually come up with projects to really need you face that that we face when we're working in low resource environments to generate potential projects. And then we will hopefully match you to to some funding at the end of this so that you can actually take your ideas forwards and actually do some some innovative research. So, as I said, beyond this course, there is, um there is potential funding available, and we will also work with you and our partners on innovation, innovation, theology projects. And also, I hope that this course can empower your you know, your training and your surgical care for patient's in in Lovisa things or wherever you work. So that's what I wanted to say. I just want to thank thank everyone again for joining us and for speakers. I'm going to hand back over to Jay are now, and I look forward to the discussion at the end. Thanks very much Will. That was a great overview of the course. And it's really exciting time to be involved in this course and be involved with gas sock. And thanks also to Doctor Garage for for sharing your expertise with us. Uh, I'll just make one quick announcement announcement. Can the speakers just switch their cameras off until they're speaking? That will just help the audience. Uh, focus on the on the one speaker. Uh, and next speaker is head, please. Who's the current gas up? President's over to you, Helen. Thanks very much. Thanks very much for the introduction. Gerrard and everyone who's been involved in organizing this event is really, really exciting. Way to start this course so good to meet you all. As Jared said, My name is Helen, Please. And I am the new Presidente for gas like this year. And for those of you who don't know gas Och, we are the global anesthesia surgery and obstetric collaborative. And we're a group of trainees, mainly based in the UK but with a lot of international members and several committee members, um, increasing our global reach. So I'm just going to give you, um, a few introductory slides on, um, first of all, who we are, what our strategy is, um, what we're doing and why we are really excited to be, um, ko running this frugal innovations course. So, first of all, who is gay? Sock? We are an organization that was established in 2015. We don't make any profits. We've got a large committee of 24 people, um, some of whom are international, all of whom are trainees in either surgery anaesthetics or obstetrics and gynecology. And as this quote says, we are an all encompassing trainee group with a focus on global surgery. We aim to encourage those are in training to engage responsibly and impactful e in global surgery. And we really believe passionately that the Frugal innovations course will help all of us to do that. We also want to, um, increase training engagement in global surgery, um, towards a career long leadership commitment. So what is our strategy and how does it link to the course? So there's three main parts of our strategy, first of all, collaborating. And I think that's really evident from frugal innovations. Course as well has already listed lots of organizations involved. Life Box and HR or two got funding amazingly, from Royal College Surgeons Asset MedTech Foundation. So this is really core to our ethos. We want to share knowledge and experience to advocate for improvement in surgical outcomes in low middle income countries. Our second strategy is innovate. We want to generate new ideas to address global surgery issues, and that is exactly what this course is all about. Thirdly, we want to unite. Um, we want to do this through solidarity and partnership with like minded global organizations with bidirectional participation and involvement in capacity building in research and education Again. This course, um, is very dear to our hearts for this reason, um, working alongside academics, engineers and many others to really address the global crisis of lack of access to surgical care. So what do we do? There's a whole number of activities that were involved in, um, just going to highlight a few of them so you can see up in the top left corner. This is a banner from our recent um, annual conference, which this year we ran as a hybrid event and we had participants from over 50 different countries. We had over 100 people in person and over 100 online. And we have focused on sustainable global surgery, which is obviously, um, extremely important in the current times. Secondly, M. O U s. We have developed a number of memorandum of understanding with like minded organizations Um, ranging from, um, specialist groups such as gynie Fellow. Others such as rims, which the virtual reality, um, in Medicine Surgery group and many others. And we're really, really grateful for the close links we have with other organizations. The Doctor, Keith Travel Grant enables UK trainees to engage in global work. Our journal club. We've run by monthly and you can see in the center there. That's a flyer from one that we did that was focused on bioengineering by a group in Uganda who have been doing frugal innovation. Um, using a special medical device to, um, stop postpartum hemorrhage. Obviously, we got our frugal innovations course, which we're extremely excited to be launching. Um, and finally, I just wanted to highlight the brims course that we've been involved in both in the UK, Uganda, Kenya, and, um, we've got an upcoming um event in Kenya, which is linked to the I. C. I. G s conference, which is all about innovations in global surgery. So why frugal innovation? You may not be aware that there is an absolute critical public health crisis worldwide. When it comes to surgery, five billion people are unable to access surgical care and 100 and 43 million operations are lacking globally every year. It's believed that more people die every year due to lack of access to surgical care than what we usually think of as the big killers in global health. That's malaria, TB and HIV. Um so we now know that surgery is an indivisible, indispensable part of healthcare, and we believe that frugal innovation is part of the solution. It's part of the way that we can use what we already know within biomedical engineering and technology to share The Incredibles healthcare. That is, um, enjoyed in some countries with countries in which that is just an absolute luxury. The global surgery was really put on to the forefront of the medical world with the Lancet Commission in 2015. If you haven't read that, we would absolutely recommend you do, um So that's the answer. Really. We believe that frugal innovation is part of the solution to this critical global public health crisis. And for this reason, within gas up. We've really been working in the area of frugal innovations this year, firstly, in running this course which that picture on the right is just representing that it links up people from all different, um, sub specialist professions and then the left. You can see a screenshot of our frugal innovations virtual hub, which is growing on our gas stock website, and we're adding to it regularly examples case studies of, um, really exciting, innovative answers to global health problems. So thank you all so much for listening. Um, if you want to know more about gas, okay, please do get in contact with us, or if you know anyone who think would want to be involved. Please do point them in our direction. We're really excited to be opening up more opportunities to our members soon with working groups which are going live two members in the near future. So do get in contact with us, and we can give you more information. Thanks very much. Thanks, Helen. That was a really fantastic overview of why this course is so important. Uh, and a great advert to get involved with gas stock. And I reiterate everything Helen said, That's a great team. So if you're interested, please do get involved. And so next up, we have Jo Mitchell, who is from the Royal College of Surgeons of Edinburgh, and we'll be telling us why they thought this course was important enough to fund of usual. Okay. Hi, there. Thank you very much for having me. And congratulations again to the course designers. Well done. I know how much work really goes into developing a course of congratulations. Uh, yes. My name is Jill Mitchell. I am the faculty manager for the faculty of Remote Ruhr Allow and Humanitarian Healthcare. And we're based within the Royal College of Surgeons of Edinburgh. I'll speak to you just a wee bit later on about the faculty. How that overlaps really nicely with this Rugal innovations course and how we'll work with gas. Och, to support the work that they're doing. Um, but first and foremost, I'll speak to you about the Global Surgery Foundation, which the college has been delighted to make an award to gas sock for this course. So this is a, uh, an area where people who are working within the course or have any projects or pieces of research which they would like to apply for funding. You can apply to this global Surgery Foundation. I'll give you a little bit more So the Global Surgery Foundation, the the kind of core purpose is really to build sustainable surgical capacity in communities which have been suffering from a chronic shortage of care. So we would look to invite applications for funding for projects that look to increase the surgical or dental capacity within low and middle income countries. Now there are two awards which we can make and people can apply for. The first is a smaller award of up to 3000 lbs, and then the second is a larger award for up to 12,000 lbs. And there's some key dates for your diaries if you do have projects which you are looking to gain funding for or some match funding. The first date is the 28th of February of this year, which is coming up very, very soon, and then the second date is the 20th of August. Um, and the college were delighted to make this award to gas sock. They really do want to have a commitment to the development of innovation within surgery and particularly within low resource settings and seeing what we can do to facilitate access to surgical care as well as dental care. Um, so if we go on to the next slide, there'll be an overview of the different projects which have received funding. Nope, there's not because it was a fancy innovation and this is a pdf Apologies. Um, so I'll just I'll speak to that last time. It's okay. You can go to the next slide. Thank you. But there's been a number of projects which has been funded globally for the Global Surgery Foundation. You can find wee bit more by going, and once I finished speaking a properly linked to the foundation and the guidelines for applicants as well. And there are some really fantastic projects have been funded. Um, and it might give you some inspiration for at the end of the course where you're looking at, design your own innovation work, or even to get in touch with some of the individuals who have delivered to the projects that have been funded by the Global Surgery Foundation because I think that's what the college and the faculty really want to do. They want to help connect individuals together and really facility the building of this community of best practice. So I'll move on now to speak about the faculty and where we kind of really feel there's some wonderful overlap. And we really are very keen to support individuals who are looking to develop their innovation skills. Um, so within the faculty, what we really want to do is to be a professional membership organization that looks to support the further professionalization of remote neural and humanitarian healthcare professionals. And this is multidisciplinary and will spoke about how you're working with innovation. You're working across different disciplines. So that's something we really want to recognize within the faculty and champion. Um, and within this work, we're looking to set standards for remote referral and humanitarian healthcare, and we're designing a capabilities framework, and within this framework, one of the capabilities is innovation. So that's something that we really want to signpost, too. So we'll absolutely be signposted to this course, encouraging individuals to get in touch and see how they can really develop that skill set because I think we all know working within global health, remote Ruhr, allow and humanitarian. It's not just about your kind of clinical training or the training you received as an engineer as a logistics expert, HR as a nurse or a physio. It's it's really there's so many additional skills that are on top of that to help you work within and sustain a role within remote neural and humanitarian healthcare and up on the side. Just now is a bit of work that we were able to deliver in 2021 that looks to support individuals working within remote dural and humanitarian healthcare. And you can see some of the locations of the different projects which we funded, so we can't run that fund again this year. However, maybe next year we might be able to run a second fellowship fund, so that would be up to 5000 lbs for individuals looking for support to maybe access training, maybe to travel, to deliver, to do some education, to present any work that they've done at conference, but also to support with innovation projects or any kind of research. So do keep your eyes and yours peeled, and we will also be looking to develop some resources that might support individuals. Um, so it's really about building this community and best practice to get different professions from different health care systems and different health care context, to come together and really learn from each other. And then just the last slide. Please. It's just a quick plug for a course, which we have developed within the faculty, which is the introduction to humanitarian healthcare, and that's a free to access course. So if anyone's looking for an overview of humor, Kantarian Healthcare, please do have a wee look online. Um, and yet just to say again, congratulations to the organizers and we're more than happy to support the work that you're doing. Um, we're here for any help that you may need, so thank you very much. And I'll pass back to Gerrard. Thanks very much. Joe is a great, uh, input from the college, and we are really, really grateful to have you guys on board and obviously helping us from this fantastic course. Um, so next up, we are honored and really privileged to have Crystal Gessen from Who is the global CEO of Life box? Chris with you. Thanks so much, jarred. Thanks. Well, thanks, everyone. First of all, congratulations for getting this, uh, course together, the concept getting the funding, thanks to the Royal College. Thanks, uh, to everyone who put it together, the curriculum looks amazing and very excited and privileged, uh, to represent life box and, um, looking forward to having a role in a successful delivery of the course and just thought I would say a few words about Life box. And, um, what we do and how we we we will hopefully benefit from those who take this course, but already also our approach to, uh um, frugal. And so, first of all, um, continue to out go through them pretty quickly. Um, life box is a nonprofit organization. Um, we're based in the US, the UK, Ethiopia, and now recently just registered in Liberia as well. We've been in existence just over a decade, and our focus is really around, um, access to safe surgery and anesthesia. So, um uh, one of the previous speakers outlined the problem in access to, um, surgery in general, um, so life boxes obviously working on increasing access. But we're also looking to make sure that the surgery that does take place throughout the world, particularly in low and middle income countries, is, um, safe, Uh, for, um, uh, the patient's. So our focus is on patient safety and, um, ensuring, um uh that, uh, providers have the tools, the training and the know how to be able to provide the safest care possible for their patients'. So we've been over a decade. We've worked in about over 100 countries. We believe we've trained at least 12,000 healthcare providers and hopefully made, um, close to 200 million operations safer for patient's next slide, please. Many of you who have read the work of Dr To Go Wander who helped to found the organization are also and all of you who are part of gays are are very familiar with the surgical safety checklist. Uh, life boxes very much born out of the checklist in many ways, because in a very direct way in that, um, one of the one of the important aspects of the checklist is to was to ensure that there wasn't too much technology or too many too many aspects of the check technology. The checklist that were out of would be out of reach for, uh, providers of surgical care. Uh, in many places all around the world, Um, one of the pieces of technology that they did put on the checklist, however, was insisted on by anesthesia providers is the is the pulse oximeter, which all of you are familiar with. Um, at the time that the checklist was put together in 2008, uh, federal were well over $1000 totally unavailable for most operating rooms throughout the low low and middle income countries. And anesthesia was taking place without it, something that no anesthesia provider or surgeon or anyone working in an operating room would even think about, uh, doing in a high income country. So the authors of the checklist insisted on putting um, pulse oximeter on the checklist. And then the founders of Life Box, um, said, Hey, if we can't get access to pulse oximetry, let's figure out a way to do it and form Life box as a tool for both putting out a product, uh, both investigating how to get a lower cost pulse oximeter and how to get a pulse oximeter than met specifications for low resource settings, as Doctor Gyanendra's joe also mentioned, and then also how to get it in the hands of providers with the tools that they need and the training they need to use it. Well, So Life Box was born basically as a vehicle to help increase access first two pulse oximetry and then to chip away at other parts of the checklist next slide. So today we have a number of programs that are organized around three pillars. Um, anesthesia Safety remains core to our work because it's one of the unfortunately is one of the highest causes of mortality morbidity around surgery related to surgery. So we continue to innovate on, uh, on approaches to safe anesthesia. We work on teamwork and communication in the operating room is also a well known um uh, when there's lack of it, a well known cause for errors in in surgery and and third, we work on reducing surgical infection. Um uh uh, in the particularly on surgical site infection and have a program on that. And so just on our next slide on the on the our approach to frugal innovation. I think this echoes what was said earlier, Um, that, um, a frugal innovation as you'll learn in this course and was already mentioned. It's not always about something new. I think we often think about innovation as being always What's new, What's the next technology. But for Life Box, it's very much to look at what's most needed by the L. M. I see. Something will already mentioned. What do they need to improve their safety and quality of surgical delivery? It often already exists, but the problem is access to it, and that can be due to price it can do to be due to the adaptability of it to the context and then other realities of the global supply chain. Many of the parts of of surgery, as you know, require consumables that require a big supply chain or the prices are too high and they're just not accessible for low income countries and the markets just don't don't drive that innovation to them. So I think the life box approach to frugal innovation is really about adapting evidence based tools and quality improvement approaches to the specific needs of L M I C. Surgical teams, and I'll just run through a few of ours that were well known for the technology. But we also and this echoes what will, uh, um, mentioned the course Will will look at as well, You know, uh, it's not only about tools, it's also about training. And, um and, um, uh, improving systems. So if you go to the next slide, you can run through the others pretty quickly, Gerard, I appreciate it. Well, we're well known for our pulse oximeter. Uh um, just just just 32,000. And it's not just the cost of reduced. We also increased the usability of it, the durability of it. And we have also innovated around how we distribute it to, um, anesthesia providers, usually with a training and with follow up, too. The ones on the of, uh, Spanish, the Jha. Next, we're now just launching a surgical headlight. Believe it or not, something as simple as lighting is still a real challenge for, um, many in low resource settings where electricity is not at all a given. And it can greatly, uh, inhibit. Um, safety. Next, um, you can go through the next one quickly and most excitedly for those who are Anestis these provider zones on the slide you'll week about to launch together a capnograph solution, um, to helping, um, provide even better monitoring for patient's under anesthesia in low and middle income countries. Something that's been requested for many years from Life box. And we're just getting there. So and then finally, our last innovation that I think will be hopefully these will all be good. Uh uh. Good topics in the in the course, um, is our approach to surgical site infection, which is also a evidence based approach. But it's an innovative approach that helps to use a very low cost methodology to improve compliance with six essential peri operative infection prevention processes. So I'll leave it there. Um, very excited. Um, that life box would be part of this course, and, um, look forward to engaging with many of the participants. Thanks very much, Chris. It's amazing. All the work that life box you're doing, Uh, and we're really, really pleased to to have you on board. Um, so we're very grateful until your time this evening. Thank you. Next up. In a slight change, the program James Glaze be is going to talk next. James is a I h r research fellow at the NIH are researching on global surgery based out of Birmingham. There's also an academic general surgery Registrar, uh, may just need a moment of time used to upload and share his slides. But James, great to have you on board and over to you. Thank you. Hi, Gerard. How are you doing? And thank you so much. Everyone before the invitation. Can you see my slides? Okay. Yeah, that's great. Perfect. Thank you so much. And I'm really excited about this program. I think it really is a world first, as you've always said and to pull together such like a diverse community of organizations and interdisciplinary commissions. I think it's a really exciting initiative and very excited to play a a small part in it and to introduce a little about the in our chart label surgery unit. Uh, we are an international group of frontline clinicians involved in the care of surgical patient's, uh, surgeons beneath this critical care doctors, trainees, medical students, and that's been over 20,000 collaborators involved in our studies over the past decade and we're now core funded and and really run. Um, uh, large scale, late phase randomized trials. Um, for patient benefit. Um, So what we do is take prioritization cycles where we identify areas of high need across global surgical community things that affect all of our patient's in, you know, in in every hospital, regardless of resourcing. Um, and we with with these topics at the center of our research agenda, we designed studies to address them. Uh, model is very much one of D collaboration and shared leadership across settings. Uh, really. At the heart of what we do is evaluation of Friedel healthcare technology. So either taking existing tack and applying them across different settings, including a novel health economic evaluation, which I think is really important in deciding whether to adopt healthcare technologies in the surgical space and also evaluating emerging technologies and new models for care across a range of settings. Uh, more and more. We're also looking at the carbon cost of of applying different healthcare technologies. Um, we've got a new trial that's launching shortly, uh, which actually has a primary outcome measure related to, uh, to carbon cost. Um, and we think that's gonna be an important thing for, uh, for innovation. Um, in the future, Uh, reason why I'm here really is very passionate about research and innovation were more kinda the late phase of things. So after you've got an, uh, evolving evidence based your technology and how do you get it taken up across hospitals around the world? But we're always looking for a new collaborations which we think will be high impact for our patient's. And hopefully, perhaps some of the things that become part of this program could feed into the units agenda, Uh, in the future, Uh, a couple of examples of things that we've worked on recently and have been around wind infection, um, things like should be routinely change gloves and instruments at the time of factional closure and two different novel technology or two existing technologies. Quite, uh, seven different countries to see whether they work across very diverse settings. Uh, are kind of high impact topics at the moment. Are things around corruptive care and cancer care? Uh, and including things like the the surgical workforce and and sustainable surgery. So it's a really diverse research agenda, uh, one which we think will continue to, you know, continue to evolve. Uh, so we're really excited to be part of this program and contribute towards the kind of late phase evaluation and and design of global surgical trials, part of the the teaching program, and, uh, yeah, really excited to be part of this collaboration. Thanks, James. That was a great talk. And there's loads of really amazing work coming out of your unit in Birmingham. We're all really excited to see where that goes in future. Um uh, from the med Tech Foundation. We're very grateful to have the strategic director of the organization. Uh, Suzanne. Ahmad. Thanks for joining us over to you. Can you guys see my camera? Hello? Yeah, we can see you in here. Great. I'm just gonna share my slides now. So, first of all, thank you, everyone. Thank you. Gas stock for inviting us and thank you to our founder, William Bolton and advisor as well for giving us this platform. So to start off with, I thought I'd talk a bit about how m t f or the Med Tech Foundation came about. If you haven't heard of us. So I guess the NHS and, uh by proxy. The government acknowledged that within the NHS itself and within medicine, uh, at least in the UK, we've struggled to have our own capacity for innovation when it comes to med Tech. Uh, and that led led to some funding being allocated to the NIH are to come up with a mix or med tech and in vitro diagnostic cooperative's, which are kind of hubs to kind of foster this innovation. So on the bottom left, you can see, uh, we have one in Newcastle in Sheffield in Cambridge in leads which also have different purposes. And our one is called the NIH, our surgical MedTech cooperative. Uh, and from that came, came about the Med Tech Foundation, which is an engagement initiative for students and early career professionals. And why we chose that was that I feel I feel that the the mix that were already in existence served mid career professionals and consultants and people, uh, in the middle of their careers. But there wasn't really a space or a supportive environment for people without experience to, uh, engage and learn about innovation within healthcare and in med tech. So that led to the creation of multiple spokes around the country, starting off with leads and then Cambridge. And as you can see, uh, we have a few dotted around the country, including London, Bristol, Lester, Nottingham, Aberdeen and me and the other people on the national side. We sit above those spokes, uh, kind of controlling the national operations. Uh, so each spoke has their own events, their own hackathons, their own talks, their own lectures that they do, uh, trying to promote innovation within healthcare in their own universities, in their own communities. But we also do things on the national scale as well, which I'll talk about now. So our vision is to try and promote an interdisciplinary community and to make training and innovation within MedTech more open access and to widen the scope of these opportunities. And I feel that that's important because in healthcare, innovation at times can feel very silent. You have the pharmaceutical industry, you have biomedical engineering, you have academia, and then you have the kind of on the ground clinical care, and I feel that in the past, those different disciplines haven't interacted in the best way for innovating and patient care and technology. So we are trying to fill that gap and trying to get people to collaborate at an earlier stage than they might have done before. And our mission is to build a community which we're doing on social media, Uh, and on our website and, uh, and through our events as well, and to allow people to connect with us and the people that are members of M T F to learn from experts like, uh, William Bolton and others who advise us, but also to collaborate across industries. So we have people who have done PhD s. We have people who are biomedical engineers. We have business students, obviously doctors, physicians, medical students as well. So we're trying to be a place for everybody to come together with a shared interest in Med Tech. So what do we actually do? We have four main facets to our organization. One is our innovation program, which is a six week program which takes people with no experience in business, no prior knowledge of how to come up with, uh, business solution, and we take them to being able to do a dragon's den, pitch for a product or a and innovation, Uh, and I'll talk about that more later. But another one is our Medex style talks similar to Ted talks that you might have seen on the Internet, where we get people to talk about, um, subject matters that they have domain expertise and and thirdly, we also run internships, and I'll let you in on the secret that we have a few exciting things going on in the background for 2023. So if you're you are interested in internships in, uh, Med Tech, then please do connect with us on social media because we are going to release some information on that soon. Hopefully and fourthly, we also run workshops a bit like today, But more hands on, we go to lots of conferences, and we also run our own hackathon, which I will talk about later. So just a bit more about the innovation program we like, I've mentioned help people develop their own medical device or their own innovation solution, and that will be in a group of students or a group of peers working together on the same health care problem. And this will be in person with interactive workshops delivered by experts and the kinds of things that maybe you don't get taught typically in a stem, uh, degree at university. So how to develop a prototype, how to come up with a business pitch, how to come up with the concepts that you want to build in the first place, and that's also backed by the support that we provide. So as I mentioned, we have some advisers and some mentors who we can provide from a clinical background, an engineering background and also business experts as well. And I think a real experiential learning point for the people who have taken part is the final Dragon's den pitch where people can pitch their idea and try to be the best solution on the day, Uh, and try to impress some judges, which is always fun. And that's a screenshot from, uh, one that took place online, Um, in Cambridge. So, Medex, I'm going to skip over this just because of time. But, um, we have historically hosted talks, uh, for example, that one on soft tissue hardware in Cambridge. We have slowed down on this in recent months, but we hope to try and, uh, pick that back up this year. So if you are, uh, interested in delivering a talk with the M T f. Then do let us know. Uh, that is something that we want to pick up this year. And I guess that maybe this might excite some people. Um, internships are great, and I think it's a space that we wanted to work in because you can have publications you can work clinically. But if you come from a healthcare background or in a from a research background, you might not necessarily have the chance to implement what you've been learning and what you've been practicing in a business context. So we we partnered with companies like Olympus, like the n a h r, like the University of Leeds, uh, and zeros as well. Uh, and this year we have a few exciting things as well. So, uh, if you are interested in getting internship experience, that is something we can provide, and this is probably the most exciting thing for me. In March, the 25th and 26th of March, we're hosting another hackathon based in Leeds, and it will be a two day event with workshops and an opportunity for people to work in groups to come up with an innovation solution. Um, and again, pitch it in front of people, uh, to, uh, hopefully win a prize, if that's what you're interested in. But I also think that supported learning environment isn't really given to people in healthcare. Um, anywhere else, it's quite hard to come across hackathons within MedTech. So, um, that's a space that we're feeling. And we're grateful for our support from a C incision UK, NHs, England health education, England, and obviously gas stock as well. I know that was a bit speedy, and I apologize for that, but conscious of time. So if anything I said interested you, uh, or if you liked listening to me speak, please reach out to me. Or please follow us on social media on instagram on Facebook on LinkedIn and do visit our website. We've spent quite a bit of time redesigning it as well. So thank you, everyone. Thanks, Jane. That was a great talk and highlights the importance of multidisciplinary collaboration, which is what we're all about in gasoline. And it's what we're all about on this course as well. And so I'm delighted to say that Angela lamb from acid has managed the, uh, finished her on call a little bit earlier and will be joining us. Uh, and so she is going to be, uh, speaking on behalf of Asset. The association with the training is she is the innovation. Thanks very much. Angela, over to Hi. I'm so sorry I'm late. I am in the hospital. Um, so I think I would just give a very quick rundown of what we do, asset. And just talk about Just need a moment just to share her slides. We can see you now, Angela. That's all right. Also, let me know if I'm not being loud enough because I'm in a very big moment. Angela. Uh, Judge, I can hear her. I don't know. Can you hear her? You guys hear me. Otherwise I'll just shout. There we go. Great. We can hear a judge. Cool. Um, how do I share my slides? Just very quickly. Uh, I can do it. Don't worry. Five buttons at the bottom middle. One present now. Yeah, two seconds. Cool. I hope you guys can see that. Amazing. So, um yeah. So I'm the innovation lead at the Association of Surgeons and training. Very quickly. Uh, for you, for those of you haven't heard of us at asset, Um, we are a UK based organization that is dedicated towards promoting excellence in surgical training. Um, so we started off about 50 years ago, almost a few registrars together in a room talking about surgical training and realizing, Actually, we probably need a national organization that oversees at all. Uh, and that's how assets started as a forum for people to get together as surgical trainees and talk about some of the issues that we're facing as a group. And over the years, we have grown massively. So I've got a few numbers up there. We've got over 50 people sitting on our council. Uh, and we are the only organization that represents all surgical specialties across all grades. Um, in both UK and Ireland. Um, So, uh, in terms of what we do, our role is to represent the voices of surgical trainees across, um, over 60 sort of external meetings. And this also includes meetings held at the four UK Royal Surgical colleges. Places like the J. C. S t. The B M A and the I S E P. So we really try and have an influence over what we can provide in terms of surgical training and where the future future of surgical training will go. On top of that, we also host a few events. Um, so back in November, we hosted our inaugural not inaugural Sorry, our second innovation summit at the Future of surgery show. And we have an annual conference that happens every year. So if you are interested in seeing what we do asset and you want to learn more, um, you want to be sort of get extra educational events, then come along to our conference in March, which will be in Liverpool? That's our annual conference. Um, that was a super quick rundown of asset, but I'm aware that we are short on time. So I thought I'd focus a bit on innovation. And what I do is the innovation lead, uh, asset and why I'm actually so excited for this innovation skills course. Um, as the innovation lied. I'm a big, big believer that the only way that we can really advance what we do and provide in terms of surgery and in terms of health care in general is to advance it and to innovate what we do in our practice. So, um, but a lot of people don't really know how to do that. We aren't trained as conditions to be able to do it, and most of us don't actually know where to start. So a big part of my role asset is to provide, um uh, to focus on, uh, innovation, training and, uh, specifically for surgical trainees. But I also branch out to collaborate with other organizations as well. Um, and it's to help us become sort of the innovative doctors of tomorrow. Um so a large part of my strategies to provide educational opportunities for surgeons and other clinicians and healthcare professionals to develop these innovation skills to really make a positive difference for our future surgical practice and also for patient care. So we're asset. We've really organized a few innovation courses, um, innovation events and also national hackathons. And for those of you who haven't taken part in a hackathon before, I cannot recommend it enough because actually really exciting way to one. Meet new people and to work on real world problems. And if you do join the frugal innovation skills course you will have an opportunity to take part in that. So if anything, sign up for the course just just to take part in a hackathon. Um, but innovation isn't sort of just about, you know, the new and exciting technology that comes out. People tend to think that innovating is all about trying to find, um, trying to find the next, uh, interesting or shiny or cutting edge technology to introduce into your practice. But actually, uh, innovation can also be about translating new techniques and technologies into especially, there are resource settings where they wouldn't have, uh, the such access to advanced technologies that we have here in the UK and Ireland. So, um, it really is focusing on how we can improve, uh, care for patient's globally. And to me, global and frugal innovation really presents a completely new challenge for those who are conventional innovators and and those from past world countries. Uh, to try and apply what you've learned to new settings, um, and to work out a way that we can be cost effective and frugal with what we do as well. Um, so, you know, at the, uh, at the end of this course, if you do sign up. I I hope that it really does challenge the way that you think and does lead you to new perspectives. And I've, as I've mentioned, you also have a chance to participate in a live hackathon, uh, where you will be able to work within small teams to work on real problems that your face and healthcare. Uh, so I have absolutely no doubt that you'll leave the course feeling like, um, you are energized and challenged by what you learn. Uh, and I'm really quite excited to see the kinds of things that all of you come up with by the end of it all. Uh, so just to round it all off the course will provide you with, hopefully lots of value for your future careers. Uh, and for our future patient's as well, you can take away any of the stuff that you learn into your future practice. I'm very, very excited to be a part of it. Uh, and I'm really pleased to be here to be able to support it, and I hope to see many of you sign up, so thank you very much. Um, and that's time for me I think. Stunned to silence. Yeah. Hi, Angela. Thanks. That was great. Sorry for having some delay switching my camera microphone back on. And apologies for any comments. Issues at the start. I can believe some reason that it turns out was only me. It was great talking. We're really pleased to have asset with us on this course and well done for doing it so quickly as well. So we've probably got time for two questions. Um, so the first question will ask you, Doctor Banana Raj, and? And the question we're going to ask is one from Will Bolton. Who? Um, I wanted to ask on on why you think it's so important that non healthcare professionals such as engineers should be involved in frugal innovation. See, one of the if someone looks at my CV, it looks very impressive with the many national and some international awards. But I feel very bad about it sometimes because we may just be having some communication. Uh, doctor, uh, we can see you, but we can't hear you at the moment unless it's my audio again. All right. It's just you. I can hear him. I'll be quiet. Sorry. Carry on doctor cash. Okay, Sat again. If someone looks at my CV, he looks very interested with the many prestigious engineering awards, both national and international level. But I sometimes feel very bad about it, because my contribution is very little in terms of, uh, telling what I need, Uh, the problem which you find in neural areas. And these people provide the solutions, and I just write it up and get their words. So most of the time, all these, uh, interesting and the innovative things come from nonmedical people who can really guide this, For example, the gas lis laproscopic surgeries. Well, I mean, I just wanted them to design, and they did all the work, and I can't stand it myself. Same thing with we had some, uh, computer guys. We told them the problem that we have in a neural mission. Hospitals. Then we developed a softer, which immediately gave about 40 50% increase in income in the hospital was, uh, be able to keep track of all the spending and so on. So the important thing in, uh, innovation is to who you find who you contact. You tell them what you need and they'll give you the solutions, and it's very simple. If you put it in practice, it will succeed. Thanks. Great. That's fantastic. Uh, cancer doctor Gan androgen. We're really excited to learn from such a wonderful experience as part of this course. So we have one last question before we finish, and this one is going to be asked to Helen, please. And this is from Nigel Roster, and it's a question on gas. Och, who asked is the surgical aspect of gas up? Just general surgery? Um, I don't want to ask you, Jared, but can you all hear me? Even I can. Great news. Um, so that's a fantastic question. I'm really glad you asked that. And no, is the short answer and gas sock is open to trainees. Um, from across all surgical specialties. In fact, one of our current, um, surgical reps is, um, orthopedic trainee. And, um, we've got others from different specialties. So it's, um, all surgical specialties, anesthetics and obstetrics and gynecology. Um, at the moment, we're mainly trainees, um, and sub consultant level. But there is also opportunity for medical students to get involved in some ways through the working groups, which are upcoming. So, um yeah, Anyone who's interested in surgery can get involved. Thanks, Helen. Great answer. Um, we're a little bit over time, but I think that should bring our session to a close. I hope you enjoyed the session. And I hope we're all looking forward to the course itself as much as I am. Uh, thanks. Everyone who attended and thanks very much to those who can speak at our course. Uh, feedback will be shared with you after we bring this sent your clothes and your certificate will be automatically generated after you complete the feedback. And hopefully you will now interested in signing up for module one. And if you scan that QR code that will take you straight to the page where you can site for the first module, which is an introduction to frugal innovation. You can also follow Ghatak on social media on Twitter. They're at gas. Och, underscore 2015. Um and we will post more about the course in due course. But remember, if you do miss any of the modules, you can watch it back. Thanks to our friends at medal who are supporting us with this course. Thanks, everybody, everybody for joining and goodbye