1. 1Kyushu University UI project Kyudai Taro,2007
Shuji Shimizu, MD
Director,
Telemedicine Development Center of Asia,
Kyushu University Hospital,
Fukuoka, Japan
PANEL

2. Shuji Shimizu, MD
Director,
Telemedicine Development Center of Asia,
Kyushu University Hospital,
Fukuoka, Japan
May 10, 2013, Cali-2, Columbia
Telemedicine over Academic Network
- Lessons learned and future plans-

3. TelemedicineTelemedicine
 Doctors to patients
 Examination
 Tele-surgery
 Doctors to doctors
 Consultation
 Education

4. 4Kyushu University UI project Kyudai Taro,2007
1. APAN Medical Working Group
1. Possible case studies in Columbia
Topics

5. APAN: Asia-Pacific advanced network
Technology Area
Application Area
•Non-profit international
consortium in Asia-
Pacific regions
•Formed in Jun 1997
•One primary member
from each country
•General meeting every 6
months
Medical WG was formally approved in 2005.

6. APAN-Medical WG @ Taipei 2005
Medical sessions at every APAN meeting

7. First multi-station live surgery to East Asia
2006.1.25
• Fukuoka
• Tokyo
• Seoul
• Taipei
2006
DVTS
& IPsec
@ APAN-Tokyo@ APAN-Tokyo

8. BangkokBangkok
BandungBandung
SingaporeSingapore
Kyushu Univ.Kyushu Univ.
HealthcareHealthcare
First connection to
South-East Asia @
APAN-Singapore
SingaporeSingapore
IndonesiaIndonesiaThailandThailand
JapanJapan
2006

9. First 8-station @ APAN-Manila
• Manila venue
• Peking U
• Australia
National U
• Stanford U
• Nagasaki U
• Chulalongkorn U
• National Hospital
of Pediatrics /
Hanoi
• Indonesia U
Bird flu teleconferenceBird flu teleconference
2007

10. Tokyo, JP
Singapore, SN
Manila, PH
Bordeaux, FR
Xian, CN
Sydney, AU
Seoul, KR
First connection to Europe @ APAN-Xian
Video
2007

11. Medical sessions every 6 monthsMedical sessions every 6 months
in APANin APAN
1. Adequate frequency
2. Enough bandwidth
3. Engineering help on site
4. Technical trials
5. Invite new hospitals
6. Discussion between doctors and engineers

12. Medical sessions at APAN-Thailand
13(M)
AM-1
AM-2
Lunch
PM-1
PM-2
Plenary
test
Endosc1,2
Endosc1,2
1
Live, 2
Quatre8, 3
H323, 4
MedRic, 5
Quatre4, 6
Vidyo, 7
HD-SCR
Aug 15(W) 16(Th)14(T)
test
test
test
test
Tech6
test
Cardiol1,5
Activity3
Health3*
Health3
Health4
Fetus2
17(F)
test
Surg1,7
General
General

13. Successful connection with 14 sites with DVTS
2013.1.14
HI
CN
VN
JP
HK
VN
SG
TW
VN
CL US
KR
VN
VN
Quatre
30Mbps X 14

14. Technical Challenge: Un-compressed HD
2007.3.23
Surgery/HDSurgery/HD
Operating room/Operating room/
DVTSDVTS
Chairman
1.6G1.6G
The first APHPBA CongressThe first APHPBA Congress

15. 15Kyushu University UI project Kyudai Taro,2007
1. APAN Medical Working Group
1. Possible case studies in Columbia
Topics

16. We need chianpion doctors in COWe need chianpion doctors in CO
1. Clinica Reina Sofia
- Dr Luis Sabbagh (Endoscopy)
1. Hospital Central Policia Nacional
- Dr Elias Alfonso Forero Piñeros (Endoscopy)
1. Hospital Universitario Medico San Ignacio
- Dr Claudio Brando (Surgery)
1. Centro Medico Imbanaco
- Dr Reynado Carvajal (Epidemiology)

17. World Gastroenterology Organization
- Endoscopic training centers Project-
Connecting all

18. Dr Luis Sabbagh
• Director, training center
• Past president,
Colombian Society
Gastrointestinal Endosc.
• President, Pan-American
Society of Gastroenterol.
 Annual Live Workshop
from his hospital to
Marriott Hotel
 International Congress
at Cartagena in 2014
No RENATA Connection

19. Dr Elias Alfonso Forero PiñerosDr Elias Alfonso Forero Piñeros
1. Training experience in Japan and San Paolo
2. Live workshop late June
3. “I think it's almost certainly my hospital finally will
coordinate with Renata and Rumbo to make our
event´s transmission on time. The current difficulty
is the time it takes the Police Hospital (state
hospital) in doing all the contract process to
generate their payment.”
4. Remote lecture from Japan
www.cursoendoscopiapolicia.com

20. Need more discussionNeed more discussion
1. Dr Claudio Brando
- Head Medical Education
- Universidad Javeriana is connected to RENATA
- Hospital San Ignacio is not connected
- Sandra/Rumbo, Jaime/JaverianaCali
1. Dr Reynado Carvajal
- Virtual campus
- http://www.imbanaco.com.co/

21. List of the hospitals to be connected
• Argentina Medical School of La Plata
• Bolivia Hospital de Clnicas
• Brazil University of São Paulo Medical School
• Brazil USP Ribeirão Preto
• Brazil U State of Rio de Janeiro
• Brazil U of Minas
• Columbia Clinica Universitaria Colombia
• Costa Rica U Autonoma de Centroamerica
• Chile Universidad de Chile (Clínica Alemana?)
• Mexico Instituto Nacional de Ciencias Med. y Nutr.
• Uruguay Universidad de la República

22. ConclusionsConclusions
1. Doctors in Colombia strongly want to join the
telemedicine activity.
2. We need to talk with them to start it.
3. We hope that more and more telemedicine
programs will be available soon in Colombia
and expand into all Central/Latin America.