Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

Hello, everyone. Um, this is a very fun time of tea time, isn't it? So but we're going to make it a slightly more informal, and we're gonna have a chat about a few collaborations that we have in stock. Um, I think there are some sort of teas around, but we promise you we're going to make this fun. Um, if you need to do some star jumps, feel free. L m I c. You can still do star jumps. Um, and I'm just gonna introduce everyone's here, and then we're gonna start from there. So my name is John. I'm an anesthetic registrar in London. Um, my role in my hat at Gastro is I'm one of the UK anaesthetic representatives over there. We've got Helen, who is one of our events coordinator. She's come back from Uganda for this. So well done. Um and then we've also got Cathy. Oh, mg, right? Yeah. She's the u k o N g. Rep. Got that right. So what we So the agenda of today is we have a few collaborations that we're having gas stock, of which we will have a chat about. We have a few slides about um And then, yeah, and then we have a few fun announcements at the end, so wait till the end. All right? Are they Are they all on this one on? Hello. Hi. My favorite date night would be This is how it feels. Lovely little Italian restaurant. Wonderful. So hello. We have the guy new fellow that we need to talk about. Just got a few questions. Let me pull it up first. And obviously we're going to do like we did earlier, so I'll keep a close eye on the medal questions. But seeing that you guys are in person, you are allowed to do in person human contact and ask me questions from the floor as well. And then we'll repeat the question on the stage as well. So if you want to keep looking at us, we are all fine with your looking at us instead of your phone. Um, so, Cathy, I've heard about the gynie fellow project. So can you tell me a bit more about the tiny fellow project? The collaboration, Because it's an established collaboration with gas stock. Tell us why gynie disease and what tiny fellow is. All right. Thanks, Jean. uh, my name's Cathy. How're and one of the obstetric registrars working as absorb for gas? Uh, we've recently formed a really exciting collaboration with tiny Fellow. Approximately 4.5% of the overall global burden of disease can be attributed to gynecological disease. Um, and that exceeds that of major global health priorities such as malaria. 1% TB at 1%. Uh, ischemic heart disease and maternal conditions even 3.5%. But as in, um, most specialties, there's a health workforce crisis as we've been discussing today. And that means that there are few specialists, um, and people ready to treat women's gynecological conditions. Um, and this is what I'm really passionate about. Um, and as is Dr Alison, um, so in particularly education, particularly surgical gynecological training, so tiny fellow is led by Mr More a Dallas. Um, unfortunately, it could be with us today, but he is a consultant gynecological oncologist, surgeon at Oxford University Hospitals UK also based, uh, and lives in leads. Mr. Al Exam is an expert in complex gynecological surgery, including ultra radical surgery for ovarian cancer and advanced minimal access surgery. He regularly hosts International Master classes for trainees all over the world and is dedicated to medical and surgical education and access for all. Um so tiny fellow is a comprehensive gynecological education training resource. Who's cornerstone is the focus on education? Multiple educational resources are posted on the website to equip members with the knowledge to perform surgery in the most efficient and effective ways, and aims to provide members with community support to enable them to perform surgeries with mentorship and monthly discussion forums. The content generated is aimed at undergraduate and postgraduates of medical education in high middle and low income countries. It's now well understood that surgical techniques can be taught very effectively through virtual reality, which is what we've been talking about today in practical demonstration and on the tiny fellow website for a small membership fee. Video content of practical demonstration is already available and being used by over 3000 members. Yes, and I heard with gas up, we get a discount codes to tell us about this. That's right. Uh um, yes, it's a fee paying website, but through our collaboration gas are members, um in high income countries will get a 50% discount if they want to sign up using their guinea. Sorry. Using their gas stock membership code. Um, And using this the QR code, um, and gas are members living in l M I. C s can receive up to a 75% discount on this. Quoting there's classic membership. Wonderful. That sounds absolutely amazing. Um, that is great. And we talked about VR, so might jump over to the er side. Um, obviously, um, and also the other events update. So shall we. Let's start with the journal club first. So it's sort of uses collaboration. We'll talk about the eye in a moment. So I don't know if some of you know yours truly has hosted a journal club a while back. We've also just had a surgical journal club. So, Helen, do you want to update us? What journal club is how it came about? And then we'll we'll see where we go from the great, So hi, everyone I've already met met you earlier when I was sharing that session. And so we're just getting the slides up now. I think so. Journal club has been going since the start of gas stock in 2015. It initially started as an in person opportunity to do critical appraisal of papers. Um, obviously, academic analysis is so important in our training now, and it was initially sort of across multiple cities. But then, as you went into Cove ID, it went fully online. And since the beginning of this year, we have done, um, just go forward one more. Yeah, thank you. And so these are the journal clubs we've done since the beginning of this year. It's a two monthly journal club. It's all online. On Zoom, you can join from any country. We have chosen to do it on different days throughout the week, different times so that we can try to facilitate people from the time zone being able to join for some. We alternate between OMG surgery and anesthetic topics, and we tried to do cross specialty. So, for example, the obstetrics one was led by somebody who had written a paper in bioengineering, looking at how engineering can help sort of BPH management. And we've had some speakers come and speak about their research and then had some sort of discussions about that research. We've had speakers from India, Uganda, Cameroon, we've partnered with other people, like the world Orthopedic consult. So it's a fantastic opportunity for us to come together and talk about what we're passionate about, which is a global surgery. Um, academia. So what? We're going forward. So, so two monthly. So we have one next and what we're doing next. Yeah. So we've got the next one is obstetrics and gynecology, which is actually gonna be led by Cathy. So I'll let her tell you what the topic is, and that will be end of November. Then we've got one in January, which will be anesthetics, and one in March, which would be surgery. So keep an eye on our social media page. So, Cathy, what is the topic going to be for November? Uh, yeah, really exciting. We've got Doctor Sandy Clark. She's from London hospitals, and she's going to be talking to us about management of, um, underweight pregnant women and then their care. So specifically aimed at the resource countries as well. Fantastic. Thank you. And I'll just pop back one page. And this is a paper which was published by some of the committee members from gas stock showcasing the journal club. Obviously real buzz words back in the early pandemic. Bidirectional trainee lead partnerships through technology assisted journal Club. I mean, if you're not inspired to become part of the committee at some point, this is, Yeah, I think it's really exciting work that's come out. That's wonderful. Shall we move onto rims? So rims. For people who don't know it's a virtual reality in medicine and surgery. I've got that right. So we are. We have a fair few branches for rims, so tell me more about what we are doing for rims, and then we're going to go from there. Great. So, yes, there's lots of things to update you on on events, and they're all they're all listed here. As we speak about Journal Club, we'll go into the rims now and then. There are a few other things to to touch on, so exactly as you said Virtual reality of medicine surgery. It's a group in Brighton led by a guy called Jag Dander. Who's the maxilla facial surgeon And, UM, really, it was being used mainly for UK trainees to be able to learn about surgical technique at a distance, and obviously that came into its own when we were launched into a pandemic where you couldn't go into theater very often. Um, when I saw this technology, I thought this needs to go global and it turns out other people in this room like Will Bolton and Noel had already had the same conversations with JAG. Um, I was going out to Uganda for six months and it felt like the perfect opportunity to bring those things together. So essentially we ran a course in the UK and Uganda at the same time, um, the aim of which was to use virtual reality as an innovative surgical training platform in Uganda. So really, the question it was addressing the problem it was addressing. As many of you will know, training surgeons or obstetricians or anesthetist takes a lot of money, time, human resource and equipment. Essentially, it's a resource intensive, and the problem is, the burden of global surgical disease is in rural areas. So, for example, in Uganda, 75% of the population liberally but 80% of the surgeons are in urban areas. So you've got people who are not very highly skilled, necessarily in rural areas dealing with the surgical burden of disease. So the idea was to use virtual reality, too. Upscale rural surgeons. And how do you do that? Or the smartphone? You probably know more people have access to a smartphone than to a toilet globally. Um, so if you can use a smartphone to deliver high end educational resources to rural doctors, which exactly what we did is a proof of concept. You take a smartphone, you take a low end cardboard headset. You put them together. You create basically a low resource version of virtual reality device. Use high end resources somewhere in the UK, for example, we did in Brighton. That's in the lower left corner, and it means that somebody in a rural area, or at least from a rural area visiting the Capitol City can effectively go into the operating theater virtually and learn how to do an operation. So, Helen, how do you know it's going to work, then? Yeah, that that's a good question. So there's obviously a lot of barriers to overcome. Um, I'm from the UK, but I've visited Africa a lot, and, um, anyone else here who's who's from there will be in there. There's obviously in most of them. I see lots of challenges. So, um, what we did was we ran a pilot. Um, that was July last year, which was based in the UK and focus on the bell weather procedures of C section laparotomy and open fracture treatment, as well as a few other key, um, global surgical interventions. Um, we made it free for any doctors worldwide. And, um, rims has now built up a library over 400 surgical anesthetic procedures, and we are now starting to film those. The plan is to fill them in L m I C s as well. That's wonderful. But tell me about this simultaneous Brighton Uganda conference. How did that work out? Yes, that's a good question. You were there, weren't you? Brighten or Uganda? Um, yes. It was quite a complex program design. Thankfully, I've taken six month sabbatical had a lot of free time to play with. Essentially, the way it worked was there were two physical centers and one remote location, as it were. So in Brighton, at the Bright and Sussex Medical School, we used the dissection room to film operative procedures on cadavers. And this was done by an expert faculty of surgeons that was in collaboration, obviously rims, but also with a sock. Then in Kampala, um, we ran an in person virtual reality. Um, course. Essentially, by live streaming the content from Brighton to Kampala, we got together training surgeons, consultant surgeons, medical students, um, four day course, which included obstetrics, gynecology, trauma, neurosurgery, orthopedics, anesthetics. All the key stuff for what you need to be able to do to manage a take in a rural setting. Um, and actually as well as that. We got 10 scholarships for East African rural surgeons to go to Brighton to be there in person, hands on experience. And if that wasn't enough, we also took it globally. So it was freely accessible to any doctor worldwide to access either on the high end headset if they had one, or on their smart phone with the cardboard headset or just on a plane device. Not in three D, but in two D that would be so. It was quite a feat. That's wonderful, I think. Cathy, you were there. How did that go? What? What what were your thoughts? Uh, yeah. So there was myself and consultant Dr John Dalton doing the Friday session. Um on obstetrics and emergency obstetric and gynecological care. Um, in collaboration with consultants from Mango Hospital Uganda, who can be seen in the photo here. I think that was the absolutely fantastic thing about it was the fact that we had our colleagues over from Mango Hospital. So everything we did, every procedure we demonstrated, um, and every emergency. So scenario we went through, we had the experiences of our Ugandan colleagues. We were using equipment that was readily available in there setting as well as in ours. Um, and therefore, we think the feasibility the sort of eight it could be two people in some settings where perhaps they're seniors aren't freely available and ready to come in, which can be many settings. Um, could be invaluable. Really? Um, and, uh, we had a great fun day at the same time. Hopefully, you do it again. Oh, that gives me something to talk about. However, I was paying attention to your power point. I saw there were some numbers and some TV screens. So do you want to talk to me about what actually have been there? And that would be wonderful to share to everyone else? Yeah. So These are not numbers of people who engaged. Obviously, this was a proof of concept, of course. Four days. So in Brighton, we we actually have nine scholars in the energy to a visa issue with one, and that was from a pool of 130 applicants. So really just the appetite, something like this is huge. We had to Uganda faculties. Kathy's mentioned from Mango Hospital, which is where I was working clinically at the time and far more than 15 UK faculty involved in Kampala. We had about 20 doctors and medical students per day over four days, which is a total of 79 individuals and remotely, we had about 100 about over 500 individuals who registered, sometimes for multiple days. Um, with over 1000 registrations. And I think this shows that there is appetite for this. Um, it was a huge, huge team that was involved from the UK from Uganda and really cross specialty Um, there was a in Kampala. There is actually a virtual reality research group, amazingly, who were incredible support to us running the conference Mega hospital. The Ugandan Christian University both acted as venues and provided amazing support. We've got people who are qualitative researchers who are donors, who our founders of the organizations Metaverse fellows, all sorts of people involved. And for me, this highlights what is sustainability in global health. It's networks of people just like all of yourselves here today who are passionate, who are engaged, who are innovative. And that's the only way that we're going to solve complex issues. Wonderful. And the TV screens? Oh, yeah, the TV moment. So, um, there are lots of ways that we advertise this the majority was word of mouth and also social media. And what I learned in Uganda is that in their culture, most professional and, um, academic communications done by WhatsApp. So we advertised widely on WhatsApp. And then at some 0.1 of the surgeons made an introduction to the national TV company. So next thing I knew we were on national TV in a prime time slot. So I got all the key people in Uganda involved and they interviewed us. So we got Billy, who's one of the obstetricians doctor who is who is a general surgeon myself, the er team. So how do you think is the P I Grace Mike. So lots of Yeah, lots of excitement about that. And then suddenly the registration went up by about 100 a day, and I suddenly had to get the gas out committee to help me with the registration because we were just inundated, but yeah, really exciting moment. Wonderful. That's amazing. And Kathy, you talked about going forward. So, Helen, you want to update us what we're going to do? Going forward? Yeah. So, um, what I would do is get forward to this. May be so on the far right. You can see how the rims is going to be going forward. So, um, we've obviously done the global pilot back in July of last year. We've done the UK Uganda conference. We're now really excited to be doing the next event in Kenya. So we're running a pilot of that in November. And then in April there is the I see I g s conference in Kenya. If you don't know about it, please look at right now, it's going to be a really exciting conference. And as many of you who can should go, maybe start walking Now, if you want to be really sustainable. Um, And we've also got Soham over there by the pillar who's our new rims? Surgical rims, gas rep. Because obviously the work is quite a lot and then going forward in other areas of events in gas. Okay, we've got the journal club, So watch our social media for the updates on that. We're really excited. We've won a grant for a frugal innovations course, so we're going to be running a course, which is all about how to use engineering and other specialties to frugally innovate. So how to make things better tailored for a low resource setting that will be launching January 2023? We got regional events upcoming, and if anyone is interested in helping or has an idea for a regional event, we'd love to hear from you. It's not just the gas up committee. We want all of our gas up members to be involved in running events. So come and speak to me and the events rep. I will empower you, enable you to run a course. If there's anything you want to run a course on, I put down the bottom left Gastaut Committee positions available. If you're here today you're obviously injured in global health. Why not join the committee one day? A couple of years ago, I was thinking the same thing. Should I join the committee? And here I am now. And it's just been a fantastic journey. Wonderful group of people. So, um yeah, that's kind of the near future of gas stock. That's wonderful. And the nearer, nearer future. I'm just going to update you now, so, um, I might stand up, actually. So, um, for the exciting lot, Um, we're going to wrap up this conference. However, for those who would like to work up your liver a little bit, we're going to the piano and picture at 6. 30 and the dress code is dressed to impress. So I'll let you take that however you want. Um, so that's tonight. And for those who are keen been and I don't know how I got roped into this. Um, we've got seven o'clock. Fun run tomorrow morning. Um, so we're all going to meet outside the Sheffield City hall. You, Kathy, you planned a five k roots, so we're going to do a five k fun run in time for an 8 30 registration tomorrow morning. So today it's going to be 6. 30. We're going to go to piano and picture Some of the some of the exhibition sponsors are also coming, so we're going to have some fun. Um, it's actually nicely sponsored by the Royal College of Surgeons of Edinburgh. Um and then tomorrow, be there or be square seven o'clock fun run, and then we'll have the 8. 30 registration. Um, so, um, that's it for now. I didn't see anything on metal in terms of questions. And I'm sure you guys can grab us for those in, um, in person to ask us for those questions. Any other questions for the global thing of this note? So that yes, sir. And people, how do we join the committee? So when the committee vacancy, So 1st, 1st join the mailing list. That's the number one. So go on to the website, join the mailing list, and then you'll get all the, uh, subscriptions and everything will be there. And that's how I joined gas stock. So I joined the mailing list, and then they got a position came up, and then you just follow accordingly. Obviously. Go to your website Twitter, instagram, Facebook. Everything else. But first thing is actually joined a mailing list and you go from there. Anything else? We all got our little badges around, and you probably know all of us by us being on stage. Now feel free to grab any of us, but I think everyone wants to go and get change, dress the impress and come to a piano and picture. So that concludes today. So thank you, everyone. Thank you very, very much.