APAN 43: INDIA 2017 LEARNING EXPERIENCE Firstly, i would like to thank TEMDEC for inviting me to this wonderful meeting at the beautiful city of New Delhi, India. The meeting was held at the India Habitat Center (IHC) from 12th to 17th February 2017. The event is a 6 days event and I had joined the Medical Working Group Session. The event consists of preparation and testing on 12th, medical technology related session from 13th -16th and Engineering session from 16th to 17th February 2017. This is my fourth participation in APAN meeting after APAN 40 (Kuala Lumpur), APAN 41 (Manila) and APAN 42 (Hong Kong). I was invited as trainer, presenter and also as chairperson for the Technology and Engineering session. We had started with our program since the first day (12 Feb 2017) for setup and test the video conferencing equipment at the main venue. I had the opportunity to explore and know in detail the AV setup at the venue and hands on experience working with venue engineer from India, TEMDEC engineer and other trainer to setup the system and test as preparation for the live event next day. I was given an opportunity to co chair the Technology session with Mr Ti Chuang from National Taiwan University and Mr Dinesh from ILBS, India for the gamification technology and join view software. The topic for gamification was select by me and i had invited a speaker from Malaysia for the presentation. It was an eye opening to all participants that the technology can also be applied to medical and telemedicine activity as well. On the following day, each one of us was assigned under 5 teams which will take in charge of Venue, Presentation, Audio, Video and Network. Each of the group will take turn to in charge one of the role during each of the session for the APAN. This is totally new format and it can give the engineer the hands on experience to gained the skill on handling telemedicine session as well as experiences to troubleshoot the problem during the event. I was assigned as Trainer under group 5 with 2 trainees which are Mr Nabil from Singapore General Hospital and Mr Ishaq from JIPMER. For the medical session, I had gained and get to know the advancement of rural telemedicine technology which were presented by few delegates from other country on how they had applied to improve the healthcare services as well as research and medical training at the rural area. This is totally a new thing to me as Malaysia still do not started the telemedicine services to rural areas. I was assigned as the chief engineer with Mr Shunta for Endoscopy (ECE) session on Tuesday, 14th February 2017 1.30 – 3.00 p.m assisted by few more venue engineers with the specific roles. As a chief engineer, i have to make sure the technical condition at the venue and remote participant are ready and acceptable for the live session. The background work had started from few weeks before the APAN meeting and technical preparation was already conducted. The final test was done one hours before the event to make sure the event is run smoothly. There are 7 centers are joining the session using Vidyo software as usual. The overall ECE event was run successfully despite the Vidyo Room hardware at event venue disconnected few seconds times during the live session and power trip from Univeristy Malaya. On the last day of the meeting (Friday), which is my area of interest, is for the Engineering workshop. We had a very good and interactive session about the session review of the 4 days program in the morning. The session review is to discuss the issue and problem encountered during the live session, so we can further improve the technical and engineering to make the session even better in the future. I had presented the session review of the Endoscopy (ECE) event and discussed with other engineers about the problem and future improvement of the event. The session is very interactive as the engineers had expressed the opinion/comments about the problem and suggestion to improve the telemedicine experience. I was also been given an opportunity to close the Engineering session and this is a new experience to me as this will usually been done by Prof. Dr Shimizu himself! Finally, i think this is a very fruitful meeting and I had learnt a lot from others and at the same time share my experience and knowledge with other participants. I had also very happy to meet old and new friend during this symposium and expand my networking contacts to other countries. I hope to join the meeting again next time. Report by: NAME : MOHAMAD ZAHIR AHMAD PARTICIPANT TYPE : ENGINEER POSITION : HEAD OF INFORMATION TECHNOLOGY DEPARTMENT ORGANIZATION : UNIVERSITY OF MALAYA MEDICAL CENTER APAN 43 REPORT Information: Name: Minh Duc Cao Organization: VinaREN, National Agency for Science and Technology Information. Date: 11st-17th Feb, 2017 Venue: India Habitat Centre, New Delhi, India Schedule: 10th: come to India; 11st-12nd: setting up equipment and testing; 13rd– 16th: attend APAN medical sessions; 17th: attend Medical Working Group engineer session. Session attended: Feb 13(Mon) Feb 14 (Tue) Feb 15 (Wed) Feb 16 (Thu) Feb 17 (Fri) AM1 MIS HPB Rural Engineer AM2 Opening Healthcare Ophthalmology Engineer Plenary 2 PM1 Technology ECE Dental Engineer PM2 Jipmer Test Ophthalmology Job completed: - Support other engineer for session preparation. - Take care of overall during session. - Chair engineer workshop. - Local engineer for Technology and MIS session. Other activities: - Discuss with engineers about technical issues and future plan. - Train new engineers about video conferencing technology. Achievement: - Take part in medical session in Apan 43. - Had new issues about future plan for MWG and telemedicine activities in Vietnam. - Share experience with engineers and doctors. Suggestions: - We should have back up plan for each session (plan and equipment). - We should let new engineer practice more during each session. Trip Report by Ti-Chuang Chiang (NTU): My trip to 43rd APAN – New Delhi, India. From 11~18 February. 2017. On 12th afternoon. All trainer and trainee met at the venue to support videoconferencing devices setup still evening. It’s a good opportunity for us to learn how to solve the problem as a team. The setup work continued till next day morning. In the afternoon, I chaired the Technology session with my new cochairmen Mohamad Zahir Ahmad from Malaysia. This is our first time cooperation. The speaker Dr. Ali Imran recommended by Zahir gave all participants from 12 remote connecting sites and local venue audiences a very good introduction about Gamification. The new video server platform “JoinView” was demonstrated on the second part of the technology session. One nice demonstration was from Mexico by our engineer partner De Dios Harold. We had a wonderful discussion among us and planned the future use of this server. I also co-chair the Rural Healthcare session on 16th morning with Dr Saroj K Mishra together with remote site’s chairman Dr. Saroj Dhital from Nepal. During other session, I work together with my trainee Repu Daman Chand and Ibrahim Gani as a team. Although my role is team leader but there are many good experiences we can learn from each other. We monitor every session’s videoconferencing quality and provide the records to each session’s chief engineer. I participated Engineering Workshop from 16th afternoon till 17th morning. Ms. Kuriko Kudo from Kyushu University Hospital joint with me remotely chaired the review session from chief engineers 1. My teammates gave a very good presentation about things they learned during this APAN meeting. It was a great time can met our old friends and knew more new friends. This meeting will deepen our friendship and build a good team to support Asia Pacific region’s medical community telemedicine activity. February, 17 2017 108 Military Central Hospital’s Report 108 Hospital stated to connect the VINAREN network in 2008. We had more require of infrastructure, devices communication and supporting technical. At that time, we basically understood teleconference systems in several workshops. In 2013, 108 Hospital had the LifeSize communications. Images and videos from operating room can transfer to the meeting room which improving many training courses. We gained some experiment through join some events. During the APAN 43, we are happy when working together in the each workshop sessions. We are not only theoretical but also practical. Each trainee is assigned responsibility to a conference session is very helpful. For me, I am is venue’s engineer for Health care, Rural secssion. Besides the APAN 43, we had a opportunity to realize international telemedicine event. At the planning stage, engineers prepared teleconferencing systems. Their skill were excellent at diagnose trouble, troubleshoots, work in stressful situations. They had expressed the collaboration, responsibility, flexibility. In almost sections, there were 5 to 6 station from many institutes, universities, hospitals which updating the information and sharing their experiment. It is shown that there were a lot of attention for medical, education, other research. Finally, all of stations were look forward to join in next time. We appreciate TEMDEC’s invitation which help us opportunity to change our mind. It is not simple to develop the Telemedicine systems but we have to move on. We hope in the future, we will have more opportunity to attend the training courses of APAN. Some pictures from APAN 43. APAN 43 Activity Report By Tunggul Laksono INDIA…. Finally I came to this country, for the first time arriving in India at night we directly go to our hotel.