The future of Medical and Surgical Education - Dr Rafael Grossmann
Summary
This on-demand teaching session, relevant to medical professionals, will discuss the ways in which technology, such as virtual and augmented reality, is rapidly changing the medical world and how it is being used to improve healthcare delivery, patient care, medical decision making, and training of the next generation of providers. Examples and demonstrations of these technologies in action, from Google glass to the Cardio Device and Magic Leap headset, will be provided, as well as a discussion on how to use these technologies in intelligent ways to bridge the healthcare access gap.
Learning objectives
Learning objectives:
- Describe different technologies used in healthcare today.
- Analyze the implications of using technology for patient care.
- Explain different applications for virtual and augmented reality in healthcare.
- Evaluate the effectiveness of using augmented and virtual reality technologies for medical training.
- Describe the potential of artificial intelligence and robotics for healthcare in the next five years.
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Computer generated transcript
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The following transcript was generated automatically from the content and has not been checked or corrected manually.
Oh, well, my name is rough grows one, and I'm a surgeon full times. And I have a passion for using technology in a smart way to improve what we do in healthcare as we, uh, talk about healthcare, we need to remind ourselves that we do six care that we really do help care. Too late. And there are many reasons for that. And one of the reasons is that we're not using the technology that we have a mail in order to improve too, um, and enhance health. These are the tools in the background that we're using today in healthcare a zoo. See the be our controller there. You know, it's not really a gimmick. It's not really something that is somewhat a a experimental. We have come far and things are becoming. Really, if you look at the vices like like this, right, the first issue itself not smart from itself. It could take a 30 phone numbers in the memory. A martyr. Cooper was inventor of this a wonderful device in the seventies, and we have gone far two devices like the super computer that we all carry in our pockets. You know, you can see In just a few years ago, we finally came a life with a life streaming off video, right with FaceTime. And that changed in a way, the way we connect and way we communicate And, you know, from FaceTime resume too many other things. A now into a pandemic, right? The disruptive a global problem to make us engaged with technologies that we had already in our hands for a number of years in order to connect and to communicate. If you remember devices like the a Google card right, which is a device invented for play but has become a device to really engage us in education and way we have seen doing the banana a terrible the reports of burn out in the difficulties community if called disconnecting difficulties learning difficult. This teaching. And all of those are the tools that we had available a some years ago. We started using them, you know, um, or more intelligent in a smarter if you see a more than our operating room or operating theater. Because in the UK, with all this incredible machines that technologies to do six care in a way, and we have to re imagine right how we do medicine and how we train the next generation off providers. They remember that by the time you finish medical school or residency or your training, you're gonna be already a behind devices that you using your daily lives, right? Like like a smart watch. Try like an apple watch your Fitbit or on, or a rain or or Haywood device. All those, uh, vices are becoming tools off care told off medicine. If you think over the over still Bible hng machines essentially machines and you see a device like that one like like like like the cardio device that I showed in there that can give you a six lead EKG, and then you see how the things are becoming more and more common, but we're not integrating your stool into the medical school curriculum on that is a somewhat a a problem. I am into a revolution for the medical school curricula, a revolution on how we teach our next generation of providers it use those stools that they use in their daily lives in order to improve a care in order to improve the medicine surgery and any other specialties A out there a you you know, you've heard of artificial intelligence and it's in the mouth of everyone talking about a I, uh, griffins and machine learning algorithms and natural language processing algorithms on all of that is becoming today a reality, a reality. So, behind the scenes, I've been talking about this things at me and many of my colleagues as well, while into exponential technologies. How we're talking about this technology is becoming now it tools that are really helping us a make medical decisions on improve the patient's outcomes on We are not there yet with artificial intelligence, but we're getting very, very close because the algorithms are becoming much, much better, much, much faster and really, really helpful in In in medicine A If you are trainees. And if you think of the operating room and how you have to stand behind a surgeon trying to see what the surgeon is doing so that you can learn, you can probably imagine the benefit off a something like a virtual reality right on demonstrating in there a device called the Value Headset Is that the most advanced virtual reality headset? You probably seen the Oculus a headset Nicholas request to which is a virtual reality, immerses you in a vegetable in reality that you can make it whatever it is in that they are chronic. Several platforms on there that proof how we learn and how we teach in virtual. Yeah, A. You probably will have a laptop laptop with a desktop. You know, I comes in that that is computer as we did it in the past today computers space, you have a device. Is that simple? The magic leap right? And this is a ah show off The Magic League, which is a a mental reality or Mex really have meant the reality that you can interact with. So these devices are in the special computer and really, where you can make your best stop right this space around you in the imagine submerging patients in specific situations that somewhat check or modified the making use of the plasticity of the presence brains in order to use virtual reality as a tool to heal to hill to prevent pain who are talk to a medicate. Imagine learning the step of surgeries because this is with them. They have to be our platform from the mental. A surgery a learning the steps of surgery. Before you even touch a patient, that is something radically different. That is, with the future. Surgical training is gonna be a surgical theater off the past, right is no longer a viable is no longer past. There is a A, especially in the times like now when we can connect and communicate and be physically in spaces where we were before. We have to make use of this technologist in order to enhance our connectivity in Has are learning collectivity among humans on our connectivity with a data and places that don't have the capabilities because of the inequality in the access of health care or inequality in the axis of medical medication. We use this technology in order to enhance that access on make those healthcare tools. It does a off the current a 21st century. Then we're gonna be able to a somehow a decrease that this stuff divide we all talked about. You probably heard of medical reality is my good friend Shafie. Um, it is one of the first companies in that virtual reality, in a way, has a taken over a vacation in general, especially medical education. back in 2013, I did the first operation with Google Glass on. All I did was stream the operation that I was doing two. A group of students situated a nearby, and they were watching from my perspective exactly what I was seeing. They were seeing and they were listening. They were, in a way, transported virtually to where I was. I could best them. They could ask me questions. They could see the perspective. They exactly a focal point of what I was doing on that, in a way, established a change in the paradigm of how we connected in the operating. If you see devices like they ignited the Halloween store right, which were demonstrating in there. That is the ultimate device for X are for extended reality, which is being used clinically in order to a make use of that special computing, and that is being used in surgeries being used in surgery to maximize how we connect with the distal data. How we do an operation, not a like in the old times when you have to go look at the computer or look at the image or distract yourself you can in a more better economic, a human factor way. You can actually make use of these technologies in order to make surgeries potentially safer on if you add a artificial intelligence algorithms and you have those algorithms be somewhat off your concierge or your guy during surgery, then you know the results are going to be a you know much, much better. And all this technology is are becoming a very slowly validate mawr on more stories on a mental reality or virtual reality on extend the realities of being produced in medicine. Know that validate the data so that we can use the stores really to learn to teach, to diagnose and to keel or to treat patients. This is a device, a platform called Novedex in France, and they're using a mental reality in order to enhance the way the paramedics communicate from the field. Using a very low bandwidth up to even five G or a WiFi technology, they can connect the patient on the less expert person to the very expert person. So this is again way to a use technology in a smart way in order to do a healthcare, not a seeker. So this is just that to me, Fascinating, because it's a device that was created away for play on Now is becoming a device. Off work is a device that potentially is a going to be saving lives, right? Love you. A seemingly new. And this is the new the floor device, which basically it's a completely a detached, and it brings a virtual reality into a mobile fashion. You can have everything you have on your phone. You can have on a device like this, and you can learn on on the go. So this's again. The Magic leave device, with an application called Brain Lock Brain Lab is one of the if not then most common application for a surgical A navigation and be able to a vessel lives, images and the guide surgeons, neurosurgeons, orthopedics surgeons during surgery. Well, you can bring all of the radiologic images to spatial computing with the way of, by the way of magically and enhance the user experience and prevent some What a. The mistakes that you might it make a otherwise. So this is something that is being used clinically in a flu Klay in a few places, but it's actually becoming a tool in surgery. In this very complex work, we're adding the stools that are improving, how we communicate amongst ourselves and how we communicate with the digital, really, with the data that is so important in patient care. So a this's journey for me has been a very a fun, you know, from a 20 years ago when I started doing robotic surgery to see how the robotic surgery did not went, for example, has evolved to. Now we have an explosion of devices on explosion off options to do the different robotically assisted surgeries is some of them are empowered by a a eye on Williams. So the future of surgery in the next five years of soak is going to be really like science fiction on. We need to remind ourselves that all these technologies make help. They're better. We cannot forget that the focal point of health care of medicine is the patient on. We need to make sure that this technologies do not separate us from the patients like we have been in the last couple of decades. With just a half, we need to make sure that these technologies are used in order to a rescue the time, the while until the time that we have with a patient, so that is very, very important. A. The EMR electronic medical records have been way separated us on the basis and that we need to make sure that that is not the case with this top off signal. This is a rendering off. A proof of concept. Usually hold hands for homecare. Imagine the potential for bringing the hospital to the homes and the congestion be clogging in the hospital. So that's somewhat and you bring everything you need from the hospital, including they provided the position of the nerves. You can bring it to the home and improve the experience of that patient, avoiding the costly trip for the difficult trip for the painful trip to the hospital. Simple from the nursing home or from the from the place of the patient lives. So that is, using technology in a smart way and also rescue in that user experience. For me, that is the most important thing, the most important tools of a physician on really her ability to have empathy and to be compassion, and that that doesn't say that this stools are going to be a separate us from patients the stores are going to arrest. You are time. I'm like I said, the quality of our time with patients making us much better. Physicians overall using tools that, if used in this month way, can make us do better medicine, but at a swell as more a humane. So you have to remember that most of the world doesn't have in the type of health care and the blessings that we take for granted. Five billion people could simple don't have. Have you been access to safe or affordable surgery? A five billion people? That's more than two thirds of the world's population. We have to remember that the stools can be used now just to improve the line that they once they already have a lot. We have to use the stools in order to include the ones that don't have access to occasion or to healthcare. I am very up a convinced that this tools can really a in a way and almost part OxiClean diminished that distal divide the diesel divider. We talk about it something that if we act inactivity and consciously a smart way, we can actually decrease the gap between A. They want to have one, so don't. And we need to make sure that helped. Caress is distributed in a more balance and more equitable way. And again convinced that the stools can do that and they're during your training, you have to continuously it. Remind yourself that again, most of the world doesn't have the the benefit, the blessings off the healthcare that we many attacks they take for granted. And it's very easy to they think differently and to start practicing not a seeker anymore, but practice helping. So I, uh, I'm not sure how much time do we have, but I really wanted to have some time to a save it for questions. So if you have any questions, I love to really talk to you and interactive. Yeah, hi. Hi, Doctor Grossman. We've got plenty of questions, but I think we've only got time for one, unfortunately, but your talk has been fantastic, and it's inspired so many. We've got one from Amanda. I think that's completely at random, she asks. How can we, as medical students, lead the way to better education with Viane and inspiring our seniors to do the same. I find that some healthcare workers are still very resistant to these innovative solutions. Well, I think it's really a a difficult task, but not impossible. I think that events like this are events that somewhat promote the exploring different aspect of a medicine and technology and the future health care. I think that it be coming or staying curious and connecting and networking and exploring platforms like Twitter and leave then and I'm going to conferences and I trying to disrupt the part times that you are see around you is really the the most most important it part off training and healthcare. Today in 2020 I think that it is not difficult to convince people once they see the benefits. I think that that it is a very, uh, you know, you probably heard that a You have a lot of power. You also have a long that a lot of responsibility. Well, you have the most power any medical student generation have had ever, and I think that that worries you the most A responsibility And again, I think that the best way to to change the status quo the part I'm healthcare today is staying a curious, a connecting and not a really taking anything for granted. Disrupt assistant in a creative way is say, the best advice that I can give you. Thank you so much. Um, that was very inspirational. I have to say, um, if you could please june into the chat and answer some of the questions because there are so many. Otherwise, I think we'll email them to you, if that's okay. Yeah, absolutely. Yeah. I don't see really questions in the chart right now, but yeah, let me know. I'll be glad to, uh, engage after the fact something