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Chua JYX, Kan EM, Lee PP, Shorey S. Application of the Stanford Biodesign Framework in Healthcare Innovation Training and Commercialization of Market Appropriate Products: A Scoping Review. J Med Syst 2024; 48:44. [PMID: 38647719 DOI: 10.1007/s10916-024-02067-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Accepted: 04/11/2024] [Indexed: 04/25/2024]
Abstract
The Stanford Biodesign needs-centric framework can guide healthcare innovators to successfully adopt the 'Identify, Invent and Implement' framework and develop new healthcare innovations products to address patients' needs. This scoping review explored the application of the Stanford Biodesign framework for healthcare innovation training and the development of novel healthcare innovative products. Seven electronic databases were searched from their respective inception dates till April 2023: PubMed, Embase, CINAHL, PsycINFO, Web of Science, Scopus, ProQuest Dissertations, and Theses Global. This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews and was guided by the Arksey and O'Malley's scoping review framework. Findings were analyzed using Braun and Clarke's thematic analysis framework. Three themes and eight subthemes were identified from the 26 included articles. The main themes are: (1) Making a mark on healthcare innovation, (2) Secrets behind success, and (3) The next steps. The Stanford Biodesign framework guided healthcare innovation teams to develop new medical products and achieve better patient health outcomes through the induction of training programs and the development of novel products. Training programs adopting the Stanford Biodesign approach were found to be successful in improving trainees' entrepreneurship, innovation, and leadership skills and should continue to be promoted. To aid innovators in commercializing their newly developed medical products, additional support such as securing funds for early start-up companies, involving clinicians and users in product testing and validation, and establishing new guidelines and protocols for the new healthcare products would be needed.
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Affiliation(s)
- Joelle Yan Xin Chua
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, 10 Medical Drive, Singapore, 117597, Singapore
| | - Enci Mary Kan
- Singapore Biodesign, Agency for Science, Technology and Research, Singapore, Singapore
- Innovation & Entrepreneurship, Duke-NUS Medical School, Singapore, Singapore
| | - Phin Peng Lee
- Singapore Biodesign, Agency for Science, Technology and Research, Singapore, Singapore
- Innovation & Entrepreneurship, Duke-NUS Medical School, Singapore, Singapore
| | - Shefaly Shorey
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, 10 Medical Drive, Singapore, 117597, Singapore.
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Slatnick BL, Crum RW, Wu KC, Truche P, Ramos-Gonzalez G, Yang A, Kim HB, Modi BP, Demehri FR. Attitudes Toward Surgical Innovation Research in the Pediatric Surgery Fellowship Match. J Pediatr Surg 2023; 58:2006-2011. [PMID: 37393165 DOI: 10.1016/j.jpedsurg.2023.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Revised: 05/29/2023] [Accepted: 06/03/2023] [Indexed: 07/03/2023]
Abstract
INTRODUCTION Pediatric surgery applicants are increasingly pursuing research in non-traditional fields including surgical innovation. This study aims to evaluate the relative value that pediatric surgeons involved in fellow selection place on innovation experience compared to traditional research. METHODS A cross-sectional web-based survey of American Pediatric Surgical Association members involved in the selection of pediatric surgical fellows was conducted. Respondents reported their own innovation experience and were asked to identify valuable traits of applicants who completed an innovation fellowship. They rated the value of traditional research metrics including publications, presentations, and advanced degrees compared to patents and other innovation-related metrics. Comparisons were made between those with and without innovation experience with respect to gender, years in practice, and institutional role. RESULTS One hundred thirty respondents were involved in pediatric surgery fellow selection. Innovation work was felt to be equal to or more valuable than basic science by 75% of respondents (84% vs. clinical/outcomes, 93% vs. other non-traditional, 72% vs. other clinical fellowships). Commonly cited concerns included "fewer publications" (21%) and "preoccupation with financial reward" (19%). The most valuable innovation-related metrics were "developing a novel surgical procedure" (67%) and "developing a novel device" (58%). When asked if the respondent would advise a junior resident to pursue an innovation fellowship, 49% would, 9% would not, and 43% were unsure. Seventeen percent expressed concern for match success. CONCLUSION Innovation experience is generally viewed positively by pediatric surgeons involved in fellow selection. However, applicants and mentors would benefit from focusing on traditional academic outputs to ensure competitiveness. TYPE OF STUDY Cross-sectional observational study. LEVEL OF EVIDENCE III.
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Affiliation(s)
| | - Robert W Crum
- Department of Surgery, Boston Children's Hospital, Boston, MA, USA
| | - Kyle C Wu
- Department of Surgery, Boston Children's Hospital, Boston, MA, USA
| | - Paul Truche
- Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA
| | | | | | - Heung Bae Kim
- Department of Surgery, Boston Children's Hospital, Boston, MA, USA
| | - Biren P Modi
- Department of Surgery, Boston Children's Hospital, Boston, MA, USA
| | - Farokh R Demehri
- Department of Surgery, Boston Children's Hospital, Boston, MA, USA.
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Maddineni S, Kumar W. The need for need-finding in medical education. Nat Biotechnol 2023; 41:1028-1030. [PMID: 37452181 DOI: 10.1038/s41587-023-01855-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/18/2023]
Affiliation(s)
| | - Wasan Kumar
- Stanford University School of Medicine, Stanford, CA, USA
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Ouyang CH, Chen CC, Tee YS, Lin WC, Kuo LW, Liao CA, Cheng CT, Liao CH. The Application of Design Thinking in Developing a Deep Learning Algorithm for Hip Fracture Detection. Bioengineering (Basel) 2023; 10:735. [PMID: 37370666 PMCID: PMC10295587 DOI: 10.3390/bioengineering10060735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Revised: 06/05/2023] [Accepted: 06/12/2023] [Indexed: 06/29/2023] Open
Abstract
(1) Background: Design thinking is a problem-solving approach that has been applied in various sectors, including healthcare and medical education. While deep learning (DL) algorithms can assist in clinical practice, integrating them into clinical scenarios can be challenging. This study aimed to use design thinking steps to develop a DL algorithm that accelerates deployment in clinical practice and improves its performance to meet clinical requirements. (2) Methods: We applied the design thinking process to interview clinical doctors and gain insights to develop and modify the DL algorithm to meet clinical scenarios. We also compared the DL performance of the algorithm before and after the integration of design thinking. (3) Results: After empathizing with clinical doctors and defining their needs, we identified the unmet need of five trauma surgeons as "how to reduce the misdiagnosis of femoral fracture by pelvic plain film (PXR) at initial emergency visiting". We collected 4235 PXRs from our hospital, of which 2146 had a hip fracture (51%) from 2008 to 2016. We developed hip fracture DL detection models based on the Xception convolutional neural network by using these images. By incorporating design thinking, we improved the diagnostic accuracy from 0.91 (0.84-0.96) to 0.95 (0.93-0.97), the sensitivity from 0.97 (0.89-1.00) to 0.97 (0.94-0.99), and the specificity from 0.84 (0.71-0.93) to 0.93(0.990-0.97). (4) Conclusions: In summary, this study demonstrates that design thinking can ensure that DL solutions developed for trauma care are user-centered and meet the needs of patients and healthcare providers.
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Affiliation(s)
- Chun-Hsiang Ouyang
- Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, Taiwan; (C.-H.O.); (Y.-S.T.); (L.-W.K.); (C.-A.L.); (C.-H.L.)
| | - Chih-Chi Chen
- Department of Rehabilitation and Physical Medicine, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, Taiwan;
| | - Yu-San Tee
- Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, Taiwan; (C.-H.O.); (Y.-S.T.); (L.-W.K.); (C.-A.L.); (C.-H.L.)
| | - Wei-Cheng Lin
- Department of Electrical Engineering, Chang Gung University, Taoyuan 33327, Taiwan;
| | - Ling-Wei Kuo
- Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, Taiwan; (C.-H.O.); (Y.-S.T.); (L.-W.K.); (C.-A.L.); (C.-H.L.)
| | - Chien-An Liao
- Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, Taiwan; (C.-H.O.); (Y.-S.T.); (L.-W.K.); (C.-A.L.); (C.-H.L.)
| | - Chi-Tung Cheng
- Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, Taiwan; (C.-H.O.); (Y.-S.T.); (L.-W.K.); (C.-A.L.); (C.-H.L.)
| | - Chien-Hung Liao
- Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, Taiwan; (C.-H.O.); (Y.-S.T.); (L.-W.K.); (C.-A.L.); (C.-H.L.)
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Hicks JL, Boswell MA, Althoff T, Crum AJ, Ku JP, Landay JA, Moya PML, Murnane EL, Snyder MP, King AC, Delp SL. Leveraging Mobile Technology for Public Health Promotion: A Multidisciplinary Perspective. Annu Rev Public Health 2023; 44:131-150. [PMID: 36542772 PMCID: PMC10523351 DOI: 10.1146/annurev-publhealth-060220-041643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Health behaviors are inextricably linked to health and well-being, yet issues such as physical inactivity and insufficient sleep remain significant global public health problems. Mobile technology-and the unprecedented scope and quantity of data it generates-has a promising but largely untapped potential to promote health behaviors at the individual and population levels. This perspective article provides multidisciplinary recommendations on the design and use of mobile technology, and the concomitant wealth of data, to promote behaviors that support overall health. Using physical activity as anexemplar health behavior, we review emerging strategies for health behavior change interventions. We describe progress on personalizing interventions to an individual and their social, cultural, and built environments, as well as on evaluating relationships between mobile technology data and health to establish evidence-based guidelines. In reviewing these strategies and highlighting directions for future research, we advance the use of theory-based, personalized, and human-centered approaches in promoting health behaviors.
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Affiliation(s)
- Jennifer L Hicks
- Department of Bioengineering, Stanford University, Stanford, California, USA;
| | - Melissa A Boswell
- Department of Bioengineering, Stanford University, Stanford, California, USA;
| | - Tim Althoff
- Allen School of Computer Science & Engineering, University of Washington, Seattle, Washington, USA
| | - Alia J Crum
- Department of Psychology, Stanford University, Stanford, California, USA
| | - Joy P Ku
- Department of Bioengineering, Stanford University, Stanford, California, USA;
| | - James A Landay
- Department of Computer Science, Stanford University, Stanford, California, USA
| | - Paula M L Moya
- Department of English and the Center for Comparative Studies in Race and Ethnicity, Stanford University, Stanford, California, USA
| | | | - Michael P Snyder
- Department of Genetics, Stanford School of Medicine, Stanford University, Stanford, California, USA
| | - Abby C King
- Department of Epidemiology and Population Health, and Department of Medicine (Stanford Prevention Research Center), Stanford School of Medicine, Stanford University, Stanford, California, USA
| | - Scott L Delp
- Department of Bioengineering and Department of Mechanical Engineering, Stanford University, Stanford, California, USA
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Warty RR, Smith V, Patabendige M, Fox D, Mol B. Clarifying the unmet clinical need during medical device innovation in women's health - A narrative review. Health Care Women Int 2023; 45:811-839. [PMID: 37000043 DOI: 10.1080/07399332.2023.2190983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Accepted: 03/10/2023] [Indexed: 04/01/2023]
Abstract
Medical technologies are pervasive across women's health, spanning across obstetric and gynecological care. FemTech, the sector responsible for developing these technologies, is growing at 15.6% per annum. However, there are concerns of disconnects between new product development (NPD) and the care afforded to women in consequence of implementing these innovations. The most crucial stage of NPD involves understanding the clinical need. Without a clear need and clinical use case, innovators risk developing solutions which do not address the issues women and caregivers experience. Thus, the product will miss the market and experience limited uptake. Tools for performing clinical needs assessments and defining the use case are being developed. This review provides an analysis of their strengths and weaknesses to inform FemTech innovators of the available resources. We further discuss concepts for creating a unified approach to assessing unmet needs such that technologies have a higher chance of improving women's healthcare.
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Affiliation(s)
- Ritesh Rikain Warty
- Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia
| | - Vinayak Smith
- Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia
| | - Malitha Patabendige
- Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia
| | - Deborah Fox
- Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia
| | - Ben Mol
- Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia
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Reddy A, Sieg J, Ristevski E, Polaconda SS, Buck J, Guenther R, Jones AM, Sweet L, Williams MR, Drummond CK. Co-curricular Immersion as a Public-Private Capacity Building Activity. BIOMEDICAL ENGINEERING EDUCATION 2023; 3:1-14. [PMID: 36686625 PMCID: PMC9844937 DOI: 10.1007/s43683-022-00098-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 12/05/2022] [Indexed: 01/18/2023]
Abstract
The COVID-19 pandemic exacerbated the already increasing challenge of establishing immersive, co-curricular activities for engineering students, particularly for biomedical-related activities. In the current work, we outline a strategy for co-curricular learning that leverages a private-public partnership in which methods for capacity-building have enabled mutually beneficial outcomes for both organizations. A contemporary issue for many non-profits is identifying effective ways to build capacity for consistent service delivery while at the same time embracing the volunteer activities of students; a challenge is that the lifecycle of a university student is often not aligned (much shorter) with the needs of the non-profit. The public-private partnership simultaneously meets the service motivation of students with the needs of the host. This paper includes two case studies that illustrate the implementation of the methods for capacity-building and related outcomes.
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Affiliation(s)
- Anish Reddy
- Case Western Reserve University, Cleveland, OH USA
| | | | | | | | | | | | - Alisa M. Jones
- Cuyahoga County Board of Developmental Disabilities, Cleveland, OH USA
| | - Laurene Sweet
- Cuyahoga County Board of Developmental Disabilities, Cleveland, OH USA
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Chen W, Zheng J, Qi W, Wu Y, Chen H. A General Education Course in Medical Devices Innovation at Zhejiang University. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2022; 2022:3295-3298. [PMID: 36085822 DOI: 10.1109/embc48229.2022.9870935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Innovation and development in medical devices are of great significance for overcoming the problems such as the increasing costs of healthcare and the widening societal inequity in medical technologies. This paper presents the design and outcomes of a general education course in medical devices innovation offered for an eight-week quarter each year since Spring 2018 at Zhejiang University. The course consists of two modules, lectures and team project, both of which are well designed based on the entire innovation process spanning needs finding, concept generation, prototyping, and strategy development. A professional teaching team with eight experts from various disciplines and institutes has been established as well. Since its inception, 296 students from 34 majors have participated and 71 original projects have been proposed. The results of self-assessment questionnaires showed that the course had equipped students with broader fundamentals and specialized knowledge, and stronger skills in innovation and teamwork, which provide a solid foundation for students' future innovation practice.
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9
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Nakao K, Umezu M, Iwasaki K. Biodesign program introduction in Japan: promotion of entrepreneurship and viewpoints of education on medical technology innovation. J Artif Organs 2022; 25:350-359. [PMID: 35239081 DOI: 10.1007/s10047-022-01317-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 01/27/2022] [Indexed: 11/24/2022]
Abstract
The Stanford Biodesign program was first introduced in Japan in 2015 at three national universities to develop medical technology innovation and its talent. This study aimed to (1) show the outcomes of leadership talent development, (2) indicate the educational results of the program, and (3) objectively analyze the ways in which the program executed in Japan, effectively promoted entrepreneurship orientation and the origination of new businesses. The latter is especially relevant as Japan has low entrepreneurial awareness and new business entry rates compared to the United States and Europe. Herein, fellows were subjected to questionnaires, interviews, and a survey based on academic papers, extant literature, and treatises issued by the Nihon Biodesign Gakkai (Academic Society of Japan Biodesign). Overall program performance showed notable results, despite indicating a need to improve business-related programs and team learning which is greatly influenced by Japanese culture. An externship program, planned and developed in Japan, was most inspiring and served to expose participants to role models. Comparing Japan Biodesign education elements to factors of general entrepreneurship promotion in Japan, sampled and organized from relevant White Papers, proved its educational effectiveness in entrepreneurship promotion from an objective viewpoint. Within the 4-year timeframe, the results indicated that leadership talent was indeed developed. Medical device innovation should progress through the stages of establishing new ventures, followed by contriving medical devices with novel, impactful value. This study revealed that Japan Biodesign education provides a platform for achieving these goals, despite the challenging Japanese new business environment.
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Affiliation(s)
- Koji Nakao
- Cooperative Major in Advanced Biomedical Sciences, Joint Graduate School of Tokyo Women's Medical University and Waseda University, Waseda University, 2-2 Wakamatsucho, Shinjuku, Tokyo, 162-8480, Japan
| | - Mitsuo Umezu
- Institute for Medical Regulatory Science, Waseda University, Tokyo, Japan
| | - Kiyotaka Iwasaki
- Cooperative Major in Advanced Biomedical Sciences, Joint Graduate School of Tokyo Women's Medical University and Waseda University, Waseda University, 2-2 Wakamatsucho, Shinjuku, Tokyo, 162-8480, Japan.
- Institute for Medical Regulatory Science, Waseda University, Tokyo, Japan.
- Department of Integrative Bioscience and Biomedical Engineering, Graduate School of Advanced Science and Engineering, Waseda University, Tokyo, Japan.
- Department of Modern Mechanical Engineering, School of Creative Science and Engineering, Waseda University, Tokyo, Japan.
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Berger G, Epstein D, Kobi G, Braun E, Azzam ZS, Halberthal M. Career Trajectory of Physicians Following a Fellowship Program: A Descriptive Study. Rambam Maimonides Med J 2021; 12:RMMJ.10432. [PMID: 33576732 PMCID: PMC8092956 DOI: 10.5041/rmmj.10432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION A clinical and/or research fellowship abroad has become a prevalent choice among Israeli physicians. However, the influence of fellowship programs on the career path is unclear. We evaluated the role of physicians returning from fellowship in the organizational hierarchy and their professional and academic status. METHODS This was a retrospective, descriptive, cross-sectional study of physicians who completed a survey after accomplishing a fellowship. The survey included questions about the physicians' attitudes toward the program, programs' details, and the physicians' current academic, professional, and administrative status. Information about scientific publications was also collected. RESULTS Of the 106 physicians receiving the questionnaire, 101 responded. The majority completed a two-year fellowship in North America. Forty percent participated in an integrated program (research and clinical), and 40% participated in clinical programs. Subjectively, the physicians attributed a significant value to the fellowship and positively recommend it. Most of the physicians held managerial positions, academic appointments, and had generated significant research. DISCUSSION The subjective perspective of all physicians participating in the study was that attending a fellowship program had a positive impact on their careers. Objectively, the accomplishment of a fellowship program empowered the studied physicians to become scholars, senior executives, and opinion leaders in their professional field.
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Affiliation(s)
- Gidon Berger
- Department of Internal Medicine “B”, Rambam Health Care Campus, Haifa, Israel
- Hospital Management, Rambam Health Care Campus, Haifa, Israel
- Rappaport Faculty of Medicine, Technion–Israel Institute of Technology, Haifa, Israel
| | - Danny Epstein
- Department of Internal Medicine “B”, Rambam Health Care Campus, Haifa, Israel
- To whom correspondence should be addressed. E-mail:
| | - Galit Kobi
- Hospital Management, Rambam Health Care Campus, Haifa, Israel
| | - Eyal Braun
- Department of Internal Medicine “H”, Rambam Health Care Campus, Haifa, Israel
- Rappaport Faculty of Medicine, Technion–Israel Institute of Technology, Haifa, Israel
| | - Zaher S. Azzam
- Department of Internal Medicine “B”, Rambam Health Care Campus, Haifa, Israel
- Rappaport Faculty of Medicine, Technion–Israel Institute of Technology, Haifa, Israel
| | - Michael Halberthal
- Hospital Management, Rambam Health Care Campus, Haifa, Israel
- Rappaport Faculty of Medicine, Technion–Israel Institute of Technology, Haifa, Israel
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DiMeo AJ, Afamefuna CJ, Ward SJ, Weilerstein P, Caro E, Germer M, Carroll AJ. Biomedical Engineering Professional Skills Development: The RADx SM Tech Impact on Graduates and Faculty. IEEE OPEN JOURNAL OF ENGINEERING IN MEDICINE AND BIOLOGY 2021; 2:163-169. [PMID: 33987557 PMCID: PMC8115220 DOI: 10.1109/ojemb.2021.3070831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
There are many benefits of the RADxSM Tech initiative worth exploring beyond that of the current acceleration of diagnostic tests being developed and deployed to the nation. One of those benefits has been the impact on work readiness for recent biomedical engineering (BME) graduates who have been hired by RADx Tech as Assistant Project Facilitators (APFs) and to the students and faculty members on applicant teams. This paper includes a literature review of the current status of BME professional skills development in traditional academic and clinical settings. The organizational structure of RADx Tech teams is described, including how recent BME graduates are integral to the process. Opportunities are discussed on how the RADx Tech structural model can be leveraged to improve professional skills education. It is concluded that the RADx Tech organizational structure and process including APFs may be replicable. Further research is planned to explore its impact.
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Affiliation(s)
- Andrew J DiMeo
- North Caroline State University, Raleigh, NC 27695 USA.; CanvasGT Inc, Raleigh, NC 27601 USA
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Fuerch JH, Wang P, Van Wert R, Denend L. Turning Practicing Surgeons Into Health Technology Innovators: Outcomes From the Stanford Biodesign Faculty Fellowship. Surg Innov 2021; 28:134-143. [PMID: 33599567 DOI: 10.1177/1553350620984338] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background. The Stanford Biodesign Faculty Fellows program was established in 2014 to train Stanford Medical and Engineering faculty in a repeatable innovation process for health technology translation while also being compatible with the busy clinical schedules of surgical faculty members. Methods. Since 2014, 62 faculty members have completed the fellowship with 42% (n = 26) coming from 14 surgical subspecialties. This eight-month, needs-based innovation program covers topics from identifying unmet health-related needs, to inventing new technology, developing plans for intellectual property (IP), regulatory, reimbursement, and business models to advance the technologies toward patient care. Results/Conclusion. Intake and exit survey results from three years of program participants (n = 36) indicate that the fellowship is a valuable hands-on educational program capable of improving awareness and experience with skill sets required for health technology innovation and entrepreneurship.
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Affiliation(s)
- Janene H Fuerch
- Division of Neonatal and Developmental Medicine, 10624Stanford University School of Medicine, Palo Alto, CA, USA
| | - Paul Wang
- Division of Cardiovascular Medicine, 10624Stanford University School of Medicine, Palo Alto, CA, USA
| | - Ryan Van Wert
- Division of Pulmonary, Allergy & Critical Care Medicine, 10624Stanford University School of Medicine, Palo Alto, CA, USA
| | - Lyn Denend
- 10624Stanford University School of Medicine, Palo Alto, CA, USA
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Perrone KH, Blevins KS, Denend L, Fan R, Huelman J, Wall JK. Initial experiences with virtual reality as a tool for observation in needs-driven health technology innovation. ACTA ACUST UNITED AC 2020. [DOI: 10.1136/bmjinnov-2018-000308] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
The Stanford University Biodesign Innovation Fellowship teaches a needs-based methodology for the innovation of health technologies. This involves the direct observation of patient care in a variety of settings, ranging from the hospital to the home, to identify unmet needs that can be addressed via innovative new technology-based solutions. Expanding this model to educate a larger population of undergraduate and graduate students is limited by access to real clinical observations, partly due to hospital policies and patient privacy concerns. We hypothesise that the use of virtual reality (VR) can be an effective tool to provide students access to a variety of clinical scenarios for identifying needs for innovation. In this preliminary study, two undergraduate students observed clinical care live in the operating room (OR) and using VR headsets. The students identified needs in both settings and compared the two experiences with a short survey. While VR did not offer a complete replication of the OR experience, it served as a viable tool for learning how to make observations. VR merits further investigation as an educational tool for needs finding and as a proxy for live clinical observations.
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Stanford's Biodesign Innovation program: Teaching opportunities for value-driven innovation in surgery. Surgery 2019; 167:535-539. [PMID: 31862172 DOI: 10.1016/j.surg.2019.10.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Revised: 07/25/2019] [Accepted: 10/21/2019] [Indexed: 11/23/2022]
Abstract
The Stanford Biodesign Innovation process, which identifies meaningful clinical needs, develops solutions to meet those needs, and plans for subsequent implementation in clinical practice, is an effective training approach for new generations of healthcare innovators. Continued success of this process hinges on its evolution in response to changes in healthcare delivery and an ever-increasing demand for economically viable solutions. In this article, we provide perspective on opportunities for value-driven innovation in surgery and relate these to value-related teaching elements currently integrated in the Stanford Biodesign process.
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Trumbower RD, Wolf SL. A Forward Move: Interfacing Biotechnology and Physical Therapy In and Out of the Classroom. Phys Ther 2019; 99:519-525. [PMID: 30690519 PMCID: PMC7325447 DOI: 10.1093/ptj/pzz008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2018] [Accepted: 12/20/2018] [Indexed: 11/14/2022]
Abstract
Ongoing advances and discoveries in biotechnology will require physical therapists to stay informed and contribute to their development and implementation. The extent of our profession's involvement in how physical therapists engage biotechnology is determined by us. In this Perspective article, we advocate the need for our profession to educate clinicians alongside scientists, technologists, and engineers and empower them to collectively think more as codevelopers and less as "siloed" builders and consumers of biotechnology. In particular, we highlight the value of augmenting the physical therapy curricula to provide students with new levels of knowledge about the converging fields of engineering and physical therapy. We present successful examples of how such a concept can occur within physical therapist professional education programs and propose strategies to overcome perceived challenges that may stymie this possibility.
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Affiliation(s)
- Randy D Trumbower
- Department of Physical Medicine and Rehabilitation, Harvard Medical School and Spaulding Rehabilitation Hospital, Boston, MA (USA),Address all correspondence to Dr Trumbower at:
| | - Steven L Wolf
- Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Georgia; and Atlanta VA Center in Visual and Neurocognitive Rehabilitation, Decatur, Georgia
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Wang JK, Roy SK, Barry M, Chang RT, Bhatt AS. Institutionalizing healthcare hackathons to promote diversity in collaboration in medicine. BMC MEDICAL EDUCATION 2018; 18:269. [PMID: 30458759 PMCID: PMC6245929 DOI: 10.1186/s12909-018-1385-x] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2018] [Accepted: 11/09/2018] [Indexed: 05/21/2023]
Abstract
BACKGROUND Medical students and healthcare professionals can benefit from exposure to cross-disciplinary teamwork and core concepts of medical innovation. Indeed, to address complex challenges in patient care, diversity in collaboration across medicine, engineering, business, and design is critical. However, a limited number of academic institutions have established cross-disciplinary opportunities for students and young professionals within these domains to work collaboratively towards diverse healthcare needs. METHODS Drawing upon best practices from computer science and engineering, healthcare hackathons bring together interdisciplinary teams of students and professionals to collaborate, brainstorm, and build solutions to unmet clinical needs. Over the course of six months, a committee of 20 undergraduates, medical students, and physician advisors organized Stanford University's first healthcare hackathon (November 2016). Demographic data from initial applications were supplemented with responses from a post-hackathon survey gauging themes of diversity in collaboration, professional development, interest in medical innovation, and educational value. In designing and evaluating the event, the committee focused on measurable outcomes of diversity across participants (skillset, age, gender, academic degree), ideas (clinical needs), and innovations (projects). RESULTS Demographic data (n = 587 applicants, n = 257 participants) reveal participants across diverse academic backgrounds, age groups, and domains of expertise were in attendance. From 50 clinical needs presented representing 19 academic fields, 40 teams ultimately formed and submitted projects spanning web (n = 13) and mobile applications (n = 13), artificial intelligence-based tools (n = 6), and medical devices (n = 3), among others. In post-hackathon survey responses (n = 111), medical students and healthcare professionals alike noted a positive impact on their ability to work in multidisciplinary teams, learn from individuals of different backgrounds, and address complex healthcare challenges. CONCLUSIONS Healthcare hackathons can encourage diversity across individuals, ideas, and projects to address clinical challenges. By providing an outline of Stanford's inaugural event, we hope more universities can adopt the healthcare hackathon model to promote diversity in collaboration in medicine.
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Affiliation(s)
- Jason K. Wang
- Mathematical and Computational Science Program, Stanford University, Stanford, CA USA
| | - Shivaal K. Roy
- Department of Computer Science, Stanford University, Stanford, CA USA
| | - Michele Barry
- Department of Medicine, Stanford University, 269 Campus Drive, Stanford, CA 94305 USA
- Center for Innovation in Global Health, Stanford University, Stanford, CA USA
| | - Robert T. Chang
- Department of Ophthalmology, Stanford University, Stanford, CA USA
| | - Ami S. Bhatt
- Department of Medicine, Stanford University, 269 Campus Drive, Stanford, CA 94305 USA
- Department of Genetics, Stanford University, 269 Campus Drive, Stanford, CA 94305 USA
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Wang JK, Pamnani RD, Capasso R, Chang RT. An Extended Hackathon Model for Collaborative Education in Medical Innovation. J Med Syst 2018; 42:239. [PMID: 30328518 DOI: 10.1007/s10916-018-1098-z] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2017] [Accepted: 10/09/2018] [Indexed: 10/28/2022]
Abstract
To support the next generation of healthcare innovators - whether they be engineers, designers, clinicians, or business experts by training - education in the emerging field of medical innovation should be made easily and widely accessible to undergraduate students, graduate students, and young professionals, early in their careers. Currently, medical innovation curricula are taught through semester-long courses or year-long fellowships at a handful of universities, reaching only a limited demographic of participants. This study describes the structure and preliminary outcomes of a 1-2 week "extended hackathon" course that seeks to make medical innovation education and training more accessible and easily adoptable for academic medical centers. Eight extended hackathons were hosted in five international locations reaching 245 participants: Beijing (June 2015 and August 2016), Hong Kong (June 2016, 2017, and 2018), Curitiba (July 2016), Stanford (October 2017), and São Paulo (May 2018). Pre- and post-hackathon surveys asking respondents to self-assess their knowledge in ten categories of medical innovation were administered to quantify the perceived degree of learning. Participants hailed from a diverse range of educational backgrounds, domains of expertise, and academic institutions. On average, respondents (n = 161) saw a greater than twofold increase (114.1%, P < 0.001) from their pre- to post-hackathon scores. In this study, the extended hackathon is presented as a novel educational model to teach undergraduate and graduate students a foundational skillset for medical innovation. Participants reported gaining significant knowledge across all ten categories assessed. To more robustly assess the educational value of extended hackathons, a standardized assessment for medical innovation knowledge needs to be developed, and a larger sample size of participants surveyed.
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Affiliation(s)
- Jason K Wang
- Mathematical and Computational Science Department, Stanford University, Stanford, CA, USA
| | - Ravinder D Pamnani
- Stanford Byers Center for Biodesign, Stanford University School of Medicine, Stanford, CA, USA
| | - Robson Capasso
- Stanford Byers Center for Biodesign, Stanford University School of Medicine, Stanford, CA, USA.,Department of Otolaryngology - Head and Neck Surgery, Sleep Surgery Division, Stanford University School of Medicine, Stanford, CA, USA
| | - Robert T Chang
- Stanford Byers Center for Biodesign, Stanford University School of Medicine, Stanford, CA, USA. .,Department of Ophthalmology, Stanford University School of Medicine, Stanford, CA, USA. .,Stanford Byers Eye Institute, 2452 Watson Ct. MC 5353, Palo Alto, CA, 94303, USA.
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McGloughlin EK, Anglim P, Keogh I, Sharif F. Innovation for the future of Irish MedTech industry: retrospective qualitative review of impact of BioInnovate Ireland's clinical fellows. BMJ INNOVATIONS 2018; 4:32-38. [PMID: 29599999 PMCID: PMC5867442 DOI: 10.1136/bmjinnov-2016-000184] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Revised: 10/17/2017] [Accepted: 11/03/2017] [Indexed: 11/17/2022]
Abstract
Clinicians have historically been integral in innovating and developing technology in medicine and surgery. In recent years, however, in an increasingly complex healthcare system, a doctor with innovative ideas is often left behind. Transition from idea to bedside now entails significant hurdles, which often go unrecognised at the outset, particularly for first-time innovators. The BioInnnovate Ireland process, based on the Stanford Biodesign Programme (Identify, Invent and Implement), aims to streamline the process of innovation within the MedTech sector. These programmes focus on needs-based innovation and enable multidisciplinary teams to innovate and collaborate more succinctly. In this preliminary study, the authors aimed to examine the impact of BioInnovate Ireland has had on the clinicians involved and validate the collaborative process. To date, 13 fellows with backgrounds in clinical medicine have participated in the BioInnovate programme. Ten of these clinicians remain involved in clinical innovation projects with four of these working on Enterprise Ireland funded commercialisation grants and one working as chief executive officer of a service-led start-up, Strive. Of these, five also remain engaged in clinical practice on a full or part-time basis. The clinicians who have returned to full-time clinical practice have used the process and learning of the programme to influence their individual clinical areas and actively seek innovative solutions to meet clinical challenges. Clinicians, in particular, describe gaining value from the BioInnovate programme in areas of ‘Understanding Entrepreneurship’ and ‘Business Strategy’. Further study is needed into the quantitative impact on the ecosystem and impact to other stakeholders.
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Affiliation(s)
| | - Paul Anglim
- BioInnovate Ireland, National University of Ireland Galway, Galway, Ireland
| | - Ivan Keogh
- Department of Otolaryngology, University College Hospital, National University of Ireland Galway, Galway, Ireland
| | - Faisal Sharif
- BioInnovate Ireland, National University of Ireland Galway, Galway, Ireland
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Lee SSJ, Jabloner A. Institutional culture is the key to team science. Nat Biotechnol 2017; 35:1212-1214. [PMID: 29220032 DOI: 10.1038/nbt.4026] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Sandra Soo-Jin Lee
- Stanford Center for Biomedical Ethics, Stanford University School of Medicine, Stanford, California, USA
| | - Anna Jabloner
- Center for Research on the Ethical, Legal and Social Implications of Psychiatric, Neurologic and Behavioral Genetics, Columbia University Medical Center, New York, New York, USA
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