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OBGYNTech.pptx

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OBGYNTech.pptx

  1. 1. Technology in OBGYNPractice The Digital ERA
  2. 2. It is already there
  3. 3. Even Surgery
  4. 4. Outline • Practice • Research • Training
  5. 5. Practice : Digital tools • Online appointments •Vezeeta https://ganna.simplybook.me
  6. 6. Consultations : • require social interface • Scheduling system • Commitment • fees
  7. 7. Cloud clinic • Chat consultation Monthly • Video consultation session • Secretary online • Cloud Storage • ~400% growth rate 2021-2022
  8. 8. Target • Sudan • Gulf area • Africa : Rowanda • ?? Europe
  9. 9. Applications : Guidelines
  10. 10. Contraception
  11. 11. Soon : Egypt OBGYN Guidelines
  12. 12. ● Quipp application ● Cervical length at 18 ws <20 > 31mm ● Absent breathing movements over 45 minutes scan Applications : PTL
  13. 13. http://www.amc.nl/prognosticmodel http://www.amc.nl/prognosticmodel
  14. 14. Clinical consequences • Couples with prognosis <30% = IVF • Couples with prognosis > 40% = expectant management • Couples with prognosis 30-40% = IUI
  15. 15. IVF Secure System Manual double witnessing Electronic witnessing – Matcher – bar codes – RI Witness
  16. 16. intelligent computer software to analyze precise pattern and timing of embryo division and solve the algorithm of embryo selection. A.I for Embryo selection EEVA
  17. 17. Just 2500 Euro • Denmark • Healson comp
  18. 18. Outline • Business • Research • Training
  19. 19. How would Technology help ? • Before conducting the study • During • After
  20. 20. Before conducting the study • Trial registration • authorship or order of authors • Sample size calculation • Estimated time to end recruitment
  21. 21. Title & Protocol Registration • to avoid Duplication • Authorship rights from the start • www.clinicaltrials.gov • Many others
  22. 22. Sample size calculation • G Power software • Free to download • To avoid type 2 error
  23. 23. During conducting the trial • Monitoring the progress • RedCap software • Avoid data falsification
  24. 24. But • RedCap software for universities & academic centers • Mainly for projects but can be applied to research papers • Free but u have to get access from university admin • Alternative is Google sheets
  25. 25. Google sheets 2022
  26. 26. After ?
  27. 27. After doing the work • Plagiarism detection software
  28. 28. Preprint copy release • Ivermectin paper scandal • Research square platform • detecting research misconduct
  29. 29. Journals : Hi-Tech • Detecting and preventing peer-review fraud • ScholarOne Manuscripts includes a program to detect unusual submission and peer review activity that may warrant further investigation by the journal.
  30. 30. I.P.D • The new era
  31. 31. To avoid Fabrication • File number • Patient I.D • Electronic file storage (scan OR electronic system)
  32. 32. After?
  33. 33. After publication • new platforms and approaches allowing commenting on published research (Pubpeer)
  34. 34. After publication : Retraction database
  35. 35. Research retention time : 6 yrs • Keeping ur data : Cloud based • Accessible any where any time
  36. 36. Technology can help • Duplication • Registration • Falsification • RedCap • Plagiarism • Turnitin
  37. 37. Technology can Help • Fabrication • I.P.D • Storage • Cloud-base • Retraction • Web-based
  38. 38. Outline • Business • Research • Training
  39. 39. New Paradigm
  40. 40. Endoscopy Training
  41. 41. Skills • Entry • Ports • Hand eye coordination • Two hand movement • Depth perception • Camera handlining • Multifunction use of instruments • Instrument's movement
  42. 42. Skills • Suturing: • Needle insertion • Mounting • Positioning • Suturing • Tissue exiting • Knot tying • Different suturing technique (ipsilateral, contralateral and central) • Needle extraction
  43. 43. Procedures • Salpingectomy • Ovarian cystectomy • Myomectomy • Hysterectomy • Adhesiolysis • Excision of nodular endometriosis • Excision of endometrioma
  44. 44. Structure of the training • Home simulation training: • Each candidate is given basic simulator • Practice on the home simulators for the same tasks and exercises
  45. 45. Structure of the training • Simulation centre attendance • Minimal 100 hours • 20 exercises covering all the skills • Competence based assessment
  46. 46. Available
  47. 47. TelePack
  48. 48. Life animal training workshop : LRC • Minimum of 4 days operating on anaesthetised animals to implement the identifiable skills in a very close environment to live theatre
  49. 49. Quiz applications
  50. 50. US quiz
  51. 51. Ultimate Goal : Health equity Nation Wise Hospital Automation
  52. 52. Rwanda model : 2010 • Based on Technology (Babyl) • powerful internet connection • H.M.S • Very well monitored
  53. 53. Start
  54. 54. Telehealth
  55. 55. Fig 1 Uptake of maternal and child health interventions in Rwanda, 2000–1018 19 20 21. Paul E Farmer et al. BMJ 2013;346:bmj.f65 ©2013 by British Medical Journal Publishing Group
  56. 56. Simulators
  57. 57. End Result : MMR
  58. 58. Egypt
  59. 59. THANK You

Notas do Editor

  • Fig 1 Uptake of maternal and child health interventions in Rwanda, 2000–1018 19 20 21

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