disruptive technology and medical education · disruptive technology and medical education december...
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Disruptive Technology and
Medical Education
December 11, 2019
Assoc.Prof.Dr. Chailerd Pichitpornchai
M.D., Ph.D.
Director, Institute for Innovative Learning
Mahidol University
il.mahidol.ac.thhttps://geardo.com.au/Xiaomi-MI-Band-3
H.R.H. Prince Mahidol of Songkla
True success is not in the learning,
but in its application
to the benefit of mankind.
2Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University
孫武 Sūn Wǔ
รเขา รเรา รบรอยครง …
One who knows the enemy and knows himself will not be in danger in a hundred battles.
知己 知彼,百战不殆.
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University3
Topics…
Medical Education
Disruptive Technology
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University4
System Concept & Physiology
Input Process Output
Feedback
Afferents System Efferents
Feedback
Stimuli Response
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Environment
Environment
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University5
Input Process Output
1. Eye2. Ear
3. Nose
4. Tongue
5. Skin
6Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University
Output/Outcome Feedback
http://neurowiki2013.wikidot.com/group:music-and-the-brain
1. Muscles Skeletal m.
Smooth m.
Heart m.
2. Glands: Endocrine & Exocrine
3. Emotion & Feeling
4. Thinking, Learning & Memory
5. Forgetfulness & Sleep
7Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University
What is “Education”?
CP: The processes by which the learner
1. Input : Data/Information/Knowledgevia sensory perceptions to the brain for processing (recognition, thinking, analyzing, synthesizing, etc.)
2. Practicing via motor system and
3. Controlled and monitored by brain & mind(awareness, mindfulness, and wisdom) applying for the benefit of mankind
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University
https://il.mahidol.ac.th/th/i-Learning-Clinic/general-articles/นวตกรรมการเรยนรคอ/
I
P
O
P & F
Outcome
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Medical Education
Education related to the practice of being a medical practitioner
A medical doctor is required to be able to
Learn with 21st Century Skills
Communicate (languages, self & interpersonal relationship)
Take history & perform physical examination
Provide appropriate investigations, correct diagnosis, skilled treatment, advice and consultation; with great attitude, morale & ethics
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University9
Disruptive Technology
1. Network & Hardware
2. Software
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University10
1. Network & Hardware
SpaceX’s Starlink Broadband Satellite
1.1 5G Technology
1.2 Internet of Things (IoT)
1.3 Sensors
1.4 Biometric Sensors
1.5 Actuators / Robotics
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University11
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1.1 5G Technology
Speed : Gbps
Frequency : 50-100 MHz
Ultralow latency : 1-10 ms
Equipment handling: 1 mil/sq.km.or 1 equipment/sq.m
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University
1.2 Internet of Things (IoT)
https://en.wikipedia.org/wiki/Internet_of_things
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University13
Sensors
Internet & Electronic Connectivity
Remotely controlledand monitored
Actuator / Robots
I
P
O
P & F
1.3 Sensors
Analog Sensor
Digital Sensor
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University14
https://www.codrey.com/electronics/different-types-of-sensors/
1.3 Sensors (2)
Temperature sensor
Wind speed / Direction sensor
Solar radiation sensor
Humidity sensor
Light sensor
Rainfall / Water level sensor
Biometrics sensor
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University15
1.4 Biometric Sensors
Fingerprint Scanner
Face Recognition
Iris Recognition
Eye Tracking System
Health Wristband
Smart Phone
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University16
https://geardo.com.au/Xiaomi-MI-Band-3
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University17
Input Process Output…
Output/Outcome Feedback
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University18
http://neurowiki2013.wikidot.com/group:music-and-the-brain
1. Muscles
Skeletal m.
Smooth m.
Heart m.
2. Feeling & Emotion
3. Learning & Memory
4. Wisdom
- Forgetfulness, Sleep
1.4.1 Health Wristband
Health Monitoring สายรดขอมอเพอสขภาพ Heart rate
Step counter
Deep sleep
Body weight recorder
Goal setting
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University19
https://www.trustedreviews.com/reviews/xiaomi-mi-band-3
1.4.1 Health Wristband (2)
Health Wristband Bluetooth Smart Phone Clinic or Health Center Healthcare Advice
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University20
1.4.2 Emotiv Insight
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University21
http://issue247.com/products/emotiv-insight/
1.4.2 Emotiv Insight (2)
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University22
Electroencephalogram (EEG)
5 channels
Wireless SmartPhone
Used for developing stabilized emotion, decision making, attention, mindfulness
Used for relaxation & stress reduction
23Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University
1.4.3 MYO Armband for PT
A case study using gesture recognition application
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University24
https://www.semanticscholar.org/paper/MYO-Armband-for-physiotherapy-healthcare%3A-A-case-Sathiyanarayanan-Rajan/cbeb9717da6a3eb3d85a17897422591f1b25bfd9
1.4.4 Med. & Biomed. Engineering
Diagnosis & Treatment Suggestions
More accurate, timely
IBM Dr. Watson, Pathological Dx
Remote robotic surgery
Shorten travelling time
Microsurgery
Less hospitalization & Smaller wound
Brain-Computer Interface (BCI)
Sensory systems & Motor
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University25
1.4.4.1 Sensory - Vision
Artificial Retina,Bionic Eye
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University26
http://sites.ieee.org/futuredirections/files/2018/09/graphene-artificial-retina-blind.jpghttps://cdn.the-scientist.com/assets/articleNo/36747/iImg/15580/dc314ced-4ba6-490d-bf6c-e5e470c26cd5-bioniceye.jpg
1.4.4.2 Sensory - Hearing
Artificial Cochlear
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University27
https://www.cochlear.com/au/home/understand/hearing-and-hl/hl-treatments/cochlear-implanthttps://businessherald.co/wp-content/uploads/2019/03/Artificial-Cochlea-1.jpg
1.4.4.2 Sensory - Hearing (2)
Mobile ultrasound scanner
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University28
https://news.siamphone.com/news-26321.html
1.4.4.3 Sensory - Smell
Electronic Nose (e-Nose)
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University29
https://en.wikipedia.org/wiki/Electronic_nosehttps://readyforai.com/article/imitating-the-human-olfactory-system-to-make-ai-smarter/
1.4.4.4 Sensory - Taste
E-Tongue
Artificial Taste Sensors
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University30
https://lsre-lcm.fe.up.pt/projects/54
1.4.4.5 Sensory - Touch
Robotic Touch Sensing
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University31
https://www.nrl.navy.mil/itd/aic/content/robotic-touch-sensing-manipulation-and-fault-detectionhttps://www.cbsnews.com/news/scientists-develop-artificial-skin-that-can-feel-rain-and-the-touch-of-a-hand/
1.4.4.6 Output from Brain to Computer
Brain-Computer Interface (BCI)
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University32
https://transhumanistlibrarian.files.wordpress.com/2013/11/coevolution_brain_machine_interface.jpg
1.5 Actuators / Robotics
Brain-Computer Interface (BCI)
From brain, nerve, or muscle’s electrical activities Robots or Actuators
Exoskeletons
Artificial limbs (hand/arm/leg)
Robot-Assisted Surgery: Human control
Da Vinci Surgical Robots
Sensors Cloud Computing Robots
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University33
1.5.1 Artificial arm & hand
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University34
https://www.economist.com/sites/default/files/images/print-edition/20141011_STP002_0.jpg
1.5.2 Exoskeleton
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University35
https://ai2-s2-public.s3.amazonaws.com/figures/2017-08-08/8ee956157d572ae89fda4149bda63dd22b74dacc/2-Figure1-1.png
1.5.3 Da Vinci Surgical System
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University36
https://robocatz.com/daVinci-surgical.htm
1.5.4 3D Bio-Printing
3D Organ Printing
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University37
https://www.slideshare.net/Drimran13/3d-organ-printing-technology
2. Software
Speech-To-Text (STT)
Voice Recognition
Identification (ID)
Voice type, Voice search
Natural Language Parser AI
Sound Recognition: Heart sound, Breath sound
Text-To-Speech (TTS)
Listening to texts (e-books, e-journal, e-doc.)
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University38
2. Software (2)
Pattern Recognition
Anatomy: Histology, Blood smear
Electrophysiology: EEG, ECG, EMG
Gait recognition
Artificial Intelligence (AI)
IBM’s Dr.Watson, Machine learning
Augmented Reality (AR)
Brain-Machine Interface (BMI)
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University39
2. Software (3)
Online Learning Aids
Massive Open Online Course (MOOC)
EdX, MUx
Coursera
Udemy
Khan Academy
YouTube
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University40
2. Software (4)
Data Analytics
Big Data
Cyber security
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University41
1. What is the future effect of disruptive technology in MedEd ?
Overwhelming of Data, Information, and Knowledge over the Internet
Q1. How to input these DIK into the brain quickly and efficiently?
Answer:
ICT & Language Literacy
Speed reading/listening
Speed note taking
Contemplative Education
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University42
1. What is the future effect of disruptive technology in MedEd ? (2)
Q2. How to organize these DIK into an efficient and retrievable database?
Answer:
Learn to strategic search, sort,
categorize (metadata, tag)
Learn to take note: text, voice, graphics
Learn to use appropriate tools(HHD, Tablet, Pen computing)
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University43
1. What is the future effect of disruptive technology in MedEd ? (3)
Q3. How much of these DIK is needed to be remembered in our own memory?
Answer:
Learn how to learn
Learn to prioritize DIK minimize
dataset needed to be memorized Learn to recall, apply, and create
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University44
1. What is the future effect of disruptive technology in MedEd ? (4)
Q4. What will the medical care be?
Answer:
Electronic Medical Record (EMR) Electronic Health Record (EHR) Telehealth, Telemedicine
Legal & ethical aspects
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University45
2. Which disruptive technology will be the first coming change in MedEd, and why?
HHD + 5G + IoT, AI/AR, TTS, STT
Mobile Ultrasound Scanner
Image, Voice & Sound Recognition
Self-pace learning: Online/Adaptive Learning
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University46
2. Which disruptive technology will be the first coming change in MedEd, and why? (2)
Overwhelming of DIK limited with slow input to the brain with low capacity of human memory
Machine dependence
No NW, No HHD, No Energy No Memory
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University47
3. How would med school/teacher prepare for disruptive technology?
Learn ICT Literacy & Languages
Identify minimal dataset for memorizing
Cyber Security
Medical Morale & Ethics
Learn how to Teach & Learn
Brain-Based Learning (BBL)
https://il.mahidol.ac.th (27-28 Jan 2020)
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University48
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University49
https://il.mahidol.ac.th/th/il-shortcourse-brain-based-learning-3/
Q&A and Challenges
Questions & Answers
千里之行,始于足下
A journey of a thousand milesbegins with a single step
หนทางไกลนบหมนล ตองเรมตนทกาวแรก
Copyright 2019 Assoc.Prof.Dr. Chailerd Pichitpornchai Mahidol University50
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About the speaker
Assoc.Prof.Dr. Chailerd PichitpornchaiM.D., Ph.D.
1. Director, Institute for Innovative Learning
2. Dept. of Physiology, Fac. of Medicine Siriraj Hospital
Mahidol University
Mobile: 086-363-1539
Email: [email protected]
Web: https://il.mahidol.ac.th