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so I'm just going to run you through kind of a quick, whirlwind tour of brims, Uh, and what we managed to achieve bright. And this is, uh, the gas stock team who we formed a wonderful collaboration with demonstrating, uh, gas with laparoscopy. Um, and we we did this, uh, brims for as a proof of concept. Um, you know, I've been posting videos online for a few years now. Um, and, uh, it's culminated in looking at 3. 60 technology. I've got an introduction lecture, first of all, by professor in Hutchinson, who has funded your fellowships. Welcome to Brighton Medical School and Pediatric Hospital's Grinstead. You are the lucky ones, the 10 lucky ones who got here, and we're going to have four days of sheer jewelry using virtual reality in teaching. But of course, we also got over 1000 people all around the world will be coming in with their goals on doing this virtual reality project. This is ground breaking. This is going to change the world of teaching completely and saving faith is and the National Search Center are immensely proud to the partner of you and to do some funding towards it. as well. So I'll tell you a little bit about saving. Face is saving. Places were starting 22 years ago and was founded to do prospective randomized clinical trials on surgery. And we've done several over the years. But they're nationwide trials. They're not single servings of trials. We have done one on temperament. Joint disorders we've done once on pre malignancy done on malignancy. We've done one on facial trauma. We've done prevention studies was that there weren't more patients coming, not more more people coming in. But what was happening was that they were staying longer because they were looking at the paintings. And then they were going back to the stories of the patients and then going back to see the process of how the patient got from the previous treatment to post treatment. And then the comments books were full to the brim, with people saying how it had changed their lives to come into the exhibition. The record was four pages of a for for one person, so that's a brief bit about us. But this is much more about you. Once again, I want to reiterate we are immensely proud to be your partners, and we look forward to hearing about your experience. Thank you. So that's a big thank you to professor in Hutchinson from saving faces and enforce who have funded the fellows, Uh, a big thank you to Helen as well. Doctor, please. Who's out in Uganda at the moment without help, I think we would have really struggled to, uh, to deliver this course. The logistical exercise in this first pilot study and president is phenomenal. Actually, getting you all your visas has been quite quite a challenge getting you over here, thanks to Leona for coordinating the travel arrangements and the hotel and, uh, currently is organized the Wednesday evening. So thank you to the greater team. My colleagues be SMS, uh, and then to gastric as well. Um, so I've been filming quite a lot of my surgical procedures online. In fact, post them on my YouTube channel for a few years, and I guess that's where the journey started for me. And it's one thing to to film surgical videos. The lesson I learned from that is that the appetite to film live surgery. It's really difficult when you're procedures are very long and you need to shorten those. And that's the mindset that we will be constantly reminding all of the participants and demonstrators at this course. We can't just run a to three hour continuous VR stream. It's not tolerated very well. We need to run short short sessions so that we can create a library. The goal of this, uh, four day, uh, project is to create a library for you in Uganda with a resource that is accessible and an educational resource that you can tap into but to utilize 3 60 video so that you can use this for other rural doctors in, uh, in Uganda. But that's the important lessons that we've learned as we develop this program is that it's important to be mindful of your local resources. So our neurosurgery program, for example, has completely changed by an interaction with gyn and the neurosurgeons in Uganda, rather than to use fancy power tools, actually don't have access to power tools. So we've had to adapt what we demonstrate because the library has to be relevant to your local resources and your local pathology. Um, so I've been running this category courses, and I'm pleased to say that we're back on with hands on courses which we run here. A lot of those we develop academic surgical unit. Uh, and you know, this is all a manifestation of the pandemic for us, and it's nothing new. I don't profess to have been reinventing the wheel. I just applied it in an accessible and a scale of the way. Now that the concentration here is on the very edge dissection we need to be mindful of. And I'll reiterate that we are under Human Tissue Act regulations in the UK, which means that we have to be very respectful of the resources we have, but also that human tissue at regulation means that we can't just have it accessible freely. We will have the rims platform with more than 450 videos running during the course, with all of the registrants able to access that. And then we switched the platform off at the end of the day. But please avoid taking any photos if you can. That puts us in a compromised position for for running future courses. Um, so you know, you don't need to watch this content in the 3 60 Helen will have already debrief the Ugandan team. I've got a little video for Helen after this one to show, um, So she'll have debrief the Ugandan delegates who are on site and you can watch this content on your laptop. You can watch it on your desk top of the tablet and just to control the problem with the single kind of perspective is that it limits your view and you only get 3 60 perspective at that particular position. You don't need the 3. 60 to demonstrate that techniques. Uh, you can use that within the 3 60 space for additional streaming. So this is one of the early feasibility videos that I did when I got a lower limit to demonstrate the fibula free flap. And of course, the stability of the image is more than adequate as well as the resolution to see for anatomy. Um, that some of you may well have access to these headsets. They're quite uncomfortable. They tolerated for short durations because they're just uncomfortable on the bridge of the nose. But also they don't have an adjustable pillory distance and a phone call depth. So these 20 lb headsets um, we'll let you all experience this as well here to watch some of the live streaming on one of these headsets because we want to know what your feedback is. Uh, in that regard, um, these are much more comfortable. Allow an adjustable popular depth, uh, focal depth. But of course, now what? You It's the mobile phone that is the headset. And so you have to show you how to use your mobile phone. Helen will have dealt with this for the Ugandan delegates, but in case there are anywhere destroyed, not in Uganda. What you need to do is have your, um, your the YouTube downloaded on your mobile phone. This video is on rooms dot tv the website. So if you miss it, it's there for you to debrief yourself. You click on the link that we send. We'll put some QR codes during the day for the live stream. And essentially you'll have a 3 60 video, which is no more than a camera in front a lens behind and in front. And so you enlarge the image, click on the goggles icon in the bottom right, and you've got a binocular view, and that is your VR headset, and you can simply put it into your headset and you'll get that 3 60 experience. And with these headsets, you're going to just a local depth and the popular distances, I said. So you get a much clearer image. Uh, at the end of the video, I'll show you how to increase your resolution. You need at least 10 80 to see the fine anatomy. Your bandwidth will be a big factor as to what you can. Can't watch If you've got three G, that will be adequate for 10 80. But if you've got anything less than that you're struggling, you might be very low resolution. So to recap, YouTube downloaded on your phone clicking the links with the QR codes of the live streaming parts of the course of the next four days. And then you just simply tap and scroll on your tablet, or you can enlarge it landscape of you kicking the goggles on the bottom, right. Find out for the view into your headset, and then you've got your VCR view. Yeah, so just the lining up to the center line. Yeah, hi. And then it goes and correct you're into the distance and the total debt And so for the resolution, you just need to click on the icon, drop down and in the top right hand side. I'm going to speak a little bit slower, actually. Just a reminder to speak slowly. Uh, so top righthand side quality slow. You need to increase that quality to at least 10 80 to get the resolution that you need. So now what we're describing is a very scalable way of delivering medical education that is both affordable, accessible and, uh, using just your mobile phone. Uh, it's the mobile phone that is the headset with a very cheap attachment. So what's different with this course and what's unique about the approaches that we don't just use a single camera perspective? If you imagine this is the surgeon standing next to the cadaver with your 3. 60. As I described with a single camera, you only have a fixed perspective. But what we do is we use the redundant space. If you imagine you're the students or the trainee, your view is fixed at that 3 60. We can use the additional space in that 3 60 to overlay additional views. So we imagine and over camera with overhead light with a camera can be overlaid above the cadaver. We can have zoom lens is going right into the action, uh, and overlay that to the left and we can have laptops views. And I think we've got a couple of days where we've got external faculty in the zoo meeting in that 3 60 space, which is a wonderful way of discussing complex cases and an interaction. There'll be a Q and A session as well. You'll be able to post your questions on the go to plan platform, and we'll keep an eye on that. But Helen's also set up some WhatsApp groups as well to help with logistics and technology. So that's the flat screen version of what you're going to see multiple camera perspectives and when you imagine you put your headset on, essentially, when you put your head sits on, you look to the left and the right. You'll see these additional camera perspective. This is a clamshell thoracotomy by the helicopter emergency team in London, and you've got all these wonderful, different perspectives, and so essentially you choose the view you want to watch by just simply turning your head, and that's our cameras set up. So the platform, the rims platforms switched on. At the moment, there's more than 400 videos on that from multiple specialties, so you can dip I/O throughout the day. You can go to re stream or you can go to live stream. You just simply go to the website and all the content is on the website. Um, so we'll have that available for you. Um, just as a final summary, I think that this nicely demonstrates the idea of having a dedicated at which were nearly ready to to reveal in which will have all of this content will be able to see who's watching that satisfy HTA regulations. And then it means that you have a resource of not only convention. Webinars is lots of webinars from lots of surgeons, which gives you a bit of a debrief introduction. And then you've got your single camera 3 60 perspective for clinical examination, which makes you feel like you're in the on the war ground as certain to demonstrate procedures. But you also have the got a very demonstration of techniques, um, as well. So if you imagine, I'm MFS surgeon with the head of the interest, and I want to learn about perforated flaps. Uh, perforating the webinar and 3 60 videos are there. So, um, we've we've tried this before, and I had some great results. I'm gonna, uh, again, this is kind of the feasibility work and the work to deliver this, and there's Helen with the Ugandan team, and we're going to be actually going to qualitatively evaluate this as a resource.