olympus AI and presentastion

1. Middle East Training Plan
• Modular approach of teaching
• Generic Principles
• Specific techniques
• Real time pre-recorded videos
• Live streaming
• Tissue model & Synthetic model based
training

2. • Training Vision for Olympus Training Centre
• (to be called advanced interventional Endoscopic Training center)
• There is the endoscopic mucosal resection EMR for polyps which are large polyps which we can resect it however some of our colleagues have been referring to Cleveland clinic while we
can perform this in house
• There is also the endoscopic and surgical resection ESD which is removing cancers from the colon and the upper GI endoscopic leave without the need for surgery.
• Transoral incisionless fundoplication where patients will not have any further surgeries for the hiatus hernia and persistent reflux or cough despite multiple medications they are having
and they are suffering this improves their quality of life
• There is also the endoscopic sleeve which we have excellent outcomes and feedback There is also the new clips to stop the bleeding or even he will patients that have perforated. These
clips are approved from the FDA and the European Council and they prevent resection of the colon and there was a perforation as the staff of clips perform a suture like endoscopically
• As you are aware we also have the Spyglass even with the Spyglass or also train for Olympus ERCP now that they are new in innovations that can detect cancer within the new
accessories
•
• All this and more to come hence now the need for a collaboration with experts from abroad that are Leaders in these innovations and up-to-date research we have Professor Pradeep
Bhandari and Professor Alessandro Repici. They are the reference for the European Society, the British Society and the American Society hence they would be ideal if we have a
collaboration directly with them.
•
•
• The vision was to provide Expert (Second opinion) consultations, assess complicated cases (Professor Pradeep is willing to come to the UAE every 6-8 weeks for an OPD clinic)
• Set up Bowel and upper Gi screening programmes as per the UK standards,
• Initiate various advanced endoscopic procedures,
• Link up with your MDT meetings on a regular basis and potentially expand it to involve non mediclinic hospitals in UAE as well as other centres in Middle east (Kuwait, Bahrain and KSA)
where I have a lot of links.
• Start academic / educational programmes for Middle east clinicians and that can become our way of attracting more patients requiring advanced endoscopic procedures (Higher tariff) to
mediclinic. He is willing to bring the patient is here from the Middle East instead of taking them to the UK at Harley Street where he performed his procedures
• Transfer patients requiring procedures in the Middle East instead of coming to the UK we can perform them in Parkview Hospital
• Mentoring and supervising completely endoscopic cases for MediClinic
• Link to a training centre such as Olympus as they have offered 4 hands on training
• Initiate courses and training for the doctors as I mentioned previously in my previous email that giving a man a “Fish that feeds for one day however teaching a man to fish we will feed
for life”
•

3. Nurses Training (Industry led)
• Scope handling
• Scope cleaning
• Infection control
• Accessories
• Assessing in TIF
• Assessing in ESG
• Assessing in Variceal Bleed

4. Advanced Endoscopy nursing
• Endoscopic Resection
• ERCP
• TIF
• ESG
• EUS
• Bowel cancer screening TIPS

5. Diathermy
• Basic Concepts
• ABC of Diathermy
• Practical recommendations
• Demonstration of Diathermy in models
• Diathermy settings standard and fixed

6. Lower Gi
• Loop Resolution & use of Scope Guide
• Technology Demonstration: NBI, TXI, RDI, CAD
• Scope Demo: 190 vs 1500

7. Polyp: Assessment
• Paris
• Kudo’s classification
• NICE
• JNET

8. Polyp: Resection
• Polypectomy technique (Cold vs Hot)
• Snare demo

9. Polyp: Resection
• EMR Techniques
• Cold EMR
• Hot EMR
• Underwater EMR

10. Polyp: Resection
• ESD knives
• Classical ESD technique
• Pocket Creation
• Tunneling
• Traction

11. Demonstrating Endoscopy essentials
• CO2 generators
• Water jet
• Diathermy
• Coag-grasper
• Clips
• Loops
• Snares
• Needles
• Different scopes and utility

12. Liver
• Fibroscan (for Olympus)
• Double channel scope
• Super sucker
• Histocryl glue and banding

13. Small intestine assessment
• Capsule endoscopy Small intestine
• Colonic capsule endoscopy
• Enteroscopy balloon double balloon and spiral
Demo

14. Third space Endoscopy
• POEM Training
• G-POEM
• Z-POEM
• STER

15. Requirements
• Scopes (190 & 1500)
• All accessories
• Diathermy
• Synthetic models (technique and loop resolution)
• Tissue models (Pig or Dog Stomach / colon /
Oesophagus)
• Projector
• Internet