The Bone and Joint DecadeSICOT

Cyril D Toma, MDBJD Ambassador, Chairman SICOT Young Surgeons Committee

Prince Court Medical Centre, Kuala Lumpur – Malaysia

Department of Orthopaedic Surgery, Medical University of Vienna, Vienna - Austria

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

Patient

Payer

Pharma

Hospital

Physician

MedicalSociety

The Bone and Joint Decade - 2000-2010

• Where do we stand today• What are the future perspectives• What is going to happen beyond 2010• What have we learnt• Conclusion – if we can draw one

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

EndorsementMusculo-skeletal disorders are the most common causes of severe long-term pain and physical disability affecting many millions of people across the globe.They have an enormous impact on the individual, society and health care social systems

There are effective ways to prevent or treat these disabling conditions.But we must act on them now.

November 1999

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

“The Burden of Musculoskeletal Conditions at the Start of the New Millennium”

Dr Gro Harlem BrundtlandDirector General, WHO

“Musculoskeletal diseases or rheumatic diseases are the major cause of morbidity throughout the world.

These diseases have a substantial influence on health and quality of life and they inflict an enormous cost on health systems”

January 2000

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

Formal Launch of the Decade – Jan 13, 2000

Goal of the Decade

To improve the health related quality of life for people with musculoskeletal disorders

throughout the world

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

Goal of the Decade

To improve the health related quality of life for people with musculoskeletal disorders

throughout the world

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

Goal of the Decade

To improve the health related quality of life for people with musculoskeletal disorders

throughout the world

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

Goal of the Decade

To improve the health related quality of life for people with musculoskeletal disorders

throughout the world

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

Goal of the Decade

To improve the health related quality of life for people with musculoskeletal disorders

throughout the world

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

Goal of the Decade1. Raising awareness of the growing burden of musculskeletal disorders on

society

2. Empowering patients to participate in decisions on their care

3. Promoting cost-effective prevention and treatment

4. Winning additional funding for research to improve prevention and

treatment

5. Advance Understanding of Musculoskeletal Disorders and Improve

Prevention, Diagnosis, Treatment and Rehabilitation through Research

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

More!

BJD-FoundationTraining

Policy Makers

Patient Empowerment

Research

NANs

BJD2000-2010 Ambassadors

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

What will happen after 2010• BJD International Steering Committee decided to carry on

beyond 2010

• “Our resolution for continuing as an organisation is to ensure that the valuable achievements, unique programmes and networks which have been built up since the Decade’s initiation, will have a communication platform on which to continue and flourish even after the end of this decade” (Prof. Lars Lidgren, Chairman BJD ISC)

• NANs continue to play a vital role

What will happen after 2010

Bone and Joint DecadeDisorders

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

What will happen after 2010

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

• Will operate as a foundation (a non-profit organisation) which is a status that the BJD has already obtained and is free to carry on with.

• BJD has obtained the status of a WHO Collaborating Centre and the plan is to capitalise on that.

• The idea is to give leverage at the national / local level based on the status as a global movement.

• Ideas will be adapted on a regional basis and implemented through regional councils.

What will happen after 2010

• First Step

– To establish a structure for initiating a global musculoskeletal forum.

– Continue to be a multi-discipline, multi-nation network which acts as a facilitator and a catalyst for change.

– Aim to operate as a ‘think-tank’ – the officially recognised source of expertise and information in the global musculoskeletal arena.

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

What will happen after 2010

• Second Step

– BJD will encourage increased regional collaboration.– Regional councils (Europe, Africa, Asia-Pacific, and the

Americas) may be formed to take the lead on regional issues, and use the existing networks and regional organisations to influence regional policy for musculoskeletal health and science.

– Their focus will be in harmony with the central mission of the BJD, but with a local flavour.

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

What will happen after 2010

• Second Step (cont.)

– Foster the development of patient advocacy by the use of existing organisations to assist new organisations, particularly across regions, and in developing countries.

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

The Vision beyond 2010

A society where prevention, treatment and care of people with musculoskeletal disorders are of high standard and

accessible around the world

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

The Mission beyond 2010

Promoting musculoskeletal health and science worldwide

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

Gap Analysis• 61 Supporting Governments• 61 National Action Networks• 1250 Corporate Partners and participating organisations• Web site www.boneandjointdecade.org• An internet portal project was initiated to develop a web-based

communication and education system between the BJD, its professional societies, their members and patients of the members (15.000 hits / month).

• Newsletter (12.000 Physicians)

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

Gap Analysis

• 61 National Action Networks

• 96 BJD National Coordinators

• 35 countries in which the networks are not yet recognised by

their own ministers of health as a priority or as deserving

support - even that of the non-financial kind

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

Gap Analysis

• What are the barriers to policy change? Why doesn’t evidence translate into action?

• Why do policy makers sign on, and then fail to do anything?• We have to face the reality that just talking about the aims of the

decade simply is not enough!!!!

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

La Société Internationale de Chirurgie Orthopédique et de Traumatologie The International Society of Orthopaedic Surgery and Traumatology

SICOT

• SICOT is an international not-for-profit association • The aim is to advance the science and art of orthopaedics and

traumatology at an international level and to foster and develop teaching, research and education.

• SICOT organises Annual International Conferences, World Triennial Congresses and Trainees' Meetings. It publishes a scientific journal, International Orthopaedics, and a Newsletter. The SICOT Telediagnostic, SICOT Education Centre, SICOT World Portal and the SICOT Awards and Fellowships/Scholarships offer unique opportunities for education and exchange. In 2001, SICOT launched the Young Surgeons Committee. In 2003, it held the first SICOT Diploma Examination.

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

The Organisation

SICOT

• Robert Lovett (Boston), Vittorio Putti (Bologna) and Hans Spitzy (Vienna)

• Lovett was a member of the American Orthopaedic Association, the oldest of all orthopaedic associations (founded in 1887)

Founding Members

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

SICOTThe founders of SICO, 10 October 1929 - Hotel Crillon, Paris, France

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

SICOT1936 3rd SICOT Congress Bologna - SICO - changes to SICOT (TTraumatology)

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

SICOT

• Road Traffic Accidents• Land Mine Trauma• Gun Shots• Posttraumatic Deformities• Tuberculosis, Infections• Malformations• Fracture Treatment

Focus in L/MI Countries

Trauma Committee

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

SICOT

• SICOT as the leading international organization for orthopaedics– 3,000 members– 105 countries

• has members in both developed and developing countries– Traditional means of communication can be slow and

unreliable– North / South information & knowledge transfer very

important

Membership

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

SICOTThe role of the Internet

A survey among SICOT members found:

•88% have access to the Internet•87% want to use Internet for education•87% want to use Internet to keep up with latest research developments•77% want to use Internet to support colleagues working in developing countries•58% want to use Internet as forum for debate

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma

“Shrinkthe

WorldofOrthopaedics”

BJD / SICOT World Booth at Paris Annual Conference

Thank you!

Carl T Brighton Annual Workshop, Dec 11-14, 2007. Ahmadabad, India – Dr Cyril Toma