Remote Medical Education in Indonesia: Analysis of 10 Years of Activities
Introduction: With ongoing development of technology, and especially amid the current COVID-19 pandemic, there is rapidly increasing need for remote communications, including in the field of medical education. This study aimed to evaluate our telemedicine activities between Japan and Indonesia. Methods: We retrospectively analysed the data acquired for the period 2010–2019 inclusive, looking at number of programmes, content, participating sites, and videoconferencing systems. We also digitally sent questionnaires to attendees to request their evaluation of image quality and programmes. Results: There were a total 135 programmes, with 29 participating institutions in Indonesia. The number of programmes increased rapidly in 2017, following a rapid increase of participating sites in 2016. Programmes included endoscopy (50 programmes, 37%), neurology (25, 19%), and dentistry (12, 9%). Between 5 and 10 sites connected with 81 programmes (60% of all), and more than 10 sites with 33 (24%). The most commonly used videoconferencing system was Vidyo (108, 80%), followed by Zoom (15, 11%). Participating institutions were located among 19 cities on the five major islands. Image quality received a favourable evaluation from 98% (504/516) of questionnaire respondents, with 100% (400/400) holding a favourable view of the programmes. Conclusion: Remote medical education expanded in Indonesia in the 10 years under review. This expansion is expected to continue to foster more specialists and it is anticipated to improve medical care nationwide.
United Nations Department of Economic and Social Affairs. (2020). Sustainable Development Goals. Available at: https://sustainabledevelopment.un.org/sdgs accessed 15 July 2020
Chen CH, Mullen AJ. COVID-19 can catalyze the modernization of medical education. JMIR Med Educ 2020;6(1):e19725. DOI: 10.2196/19725
Editorial. Going virtual. Nat Genet. 2020;52(6):549. DOI: 10.1038/s41588-020-0654-x
Price M. Scientists discover upsides of virtual meetings. Science 2020;368(6490):457-458. DOI: 10.1126/science.368.6490.457
Morrissey JH, Lillicrap D. A virtual ISTH Congress. J Thromb Haemost 2020;18(6):1237. DOI: 10.1111/jth.14883
Kudo K, Ueda S, Shitoh H, et al. Participants’ evaluation of a virtual academic conference: Report from the 24th Japan Association of Medical Informatics Spring Symposium. Proceedings of the 11th Biennial Conference of the Asia-Pacific Association for Medical Informatics 2020:71-76.
Merrell R, Doarn CR. Distance learning and telemedicine. Telemed J E Health 2014;20(6):505-506. DOI: 10.1089/tmj.2014.9987
Vidal-Alaball J. Impact of a telemedicine program on the reduction in the emission of atmospheric pollutants and journeys by road. Int J Environ Res Public Health 2019;16(22):4366. DOI: 10.3390/ijerph16224366
Paquette S, Lin JC. Outpatient telemedicine program in vascular surgery reduces patient travel time, cost, and environmental pollutant emissions. Ann Vasc Surg 2019;59:167-172. DOI: 10.1016/j.avsg.2019.01.021
Shimizu S, Han HS, Okamura K, et al. Technologic developments in telemedicine: state-of-the-art academic interactions. Surgery 2010;147(5):597-601. DOI: 10.1016/j.surg.2009.11.001
Ho SH, Rerknimitr R, Kudo K, et al. Telemedicine for gastrointestinal endoscopy: The Endoscopic Club E-conference in the Asia Pacific Region. Endosc Int Open 2017;5(4):E244-e52. DOI: 10.1055/s-0043-102935
Shimizu S, Nakashima N, Okamura K, et al. International transmission of uncompressed endoscopic surgery images via super-fast broadband Internet connections. Surg Endosc 2006;20:167-170. DOI: 10.1007/s00464-005-0282-7
Jurriëns E, Tapsell R, editors. Digital Indonesia: Connectivity and divergence. Singapore: ISEAS–Yusof Ishak Institute, 2017.
Indonesia Research and Education Network. (2020). Available at: https://idren.id/ accessed 5 July 2020
Kudo K, Tomimatu S, Houkabe Y, et al. Five-year progress of technological changes in remote medical education. J Int Soc Telemed eHealth 2017;5:e10. https://journals.ukzn.ac.za/index.php/JISfTeH/article/view/317/793
The first Indonesia telemedicine workshop 2016. (2016). Available at: http://www.temdec.med.kyushu-u.ac.jp/img/katsudo/domestic/2016ID/2016ID_program_linked.pdf accessed 15 July 2020.
Makmun D. Present status of endoscopy, therapeutic endoscopy and the endoscopy training system in Indonesia. Dig Endosc 2014;26(Suppl 2):2-9. DOI: 10.1111/den.12245
Hegar B. Pediatric resident training in Indonesia. Southeast Asian J Trop Med Public Health 2014;45(Suppl 1):9-10. PMID: 25423777.
Asou T, Rachmat J. Pediatric cardiac surgery in Indonesia. Cardiol Young 2008;8(4):437-439. DOI: 10.1017/s1047951100007071
Wilamarta KV, Yuniadi Y, Rachmat J, et al. Adult congenital cardiac surgery in Indonesia. Cardiol Young 2011;21(6):639-645. DOI: 10.1017/S1047951111000552
Shimizu S, Kudo K, Antoku Y, et al. Ten-year experience of remote medical education in Asia. Telemed J E Health 2014;20(11):1021-1026. DOI: 10.1089/tmj.2014.0018
Tomimatsu S, Kudo K, Moriyama T, et al. How to prevent technical issues in large multiparty medical videoconferencing. J Int Soc Telemed eHealth 2018;6:e10. DOI: https://doi.org/10.29086/JISfTeH.6.e10
Kudo K, Moriyama T, Tomimatsu S, Ueda S, Shimizu S. A Train-the-Trainers (TtT) program for engineers for hosting multiparty international clinical teleconferences. J Int Soc Telemed eHealth 2019;7:e16. DOI: 10.29086/JISfTeH.7.e16
Kudo K, Antoku Y. (2017). Telemedicine conferencing: An introductory guide for engineers. Available at: http://www.univ-hosp.net/english/internationalization/teleconference/ accessed 5 April 2020
Shimizu S, Kudo K, Tomimatsu S, et al. International telemedicine activities in Thailand. Siriraj Med J 2018;70(5):471-475. https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/152771/111945
Yaghobian S, Ohannessian R, Mathieu-Fritz A, Moulin T. National survey of telemedicine education and training in medical schools in France. J Telemed Telecare 2020;26(5):303-308. DOI: 10.1177/1357633X18820374
Edirippulige S, Brooks P, Carati C, et al. It’s important, but not important enough: eHealth as a curriculum priority in medical education in Australia. J Telemed Telecare 2018;24(10):697-702. DOI: 10.1177/1357633X18793282
Edirippulige S, Armfield NR. Education and training to support the use of clinical telehealth: A review of the literature. J Telemed Telecare 2017;23(2):273-282. DOI: 10.1177/1357633X16632968
Ishibashi Y, Juzoji H, Kitano T, Nakajima I. ITU e-health training program for Pacific island community with the support of the Sasakawa Peace Foundation. J Med Syst 2011;35(3):345-351. DOI: 10.1007/s10916-009-9371-9
Shimizu S, Kudo K, Moriyama T, et al. Telemedical education in Asia. In: Ray PK NN, Mukkamala RR, Ahmed A, Ro SC, Soshino Y, editors. Mobile technologies for delivering healthcare in remote, rural or developing regions. London: The Institution of Engineering and Technology; 2020;179-188.
Copyright (c) 2020 Shuji Shimizu, Shunta Tomimatsu, Kuriko Kudo, Shintaro Ueda, Aria Kekalih, Dadang Makmun, Riwanti Estiasari, Aqsa Sjuhada Oki, Tomohiko Moriyama
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