How to use technology to upgrade our Obstetrics & gynecology practice. There is a room to improve it whether in research, training or even business

1. Technology
in
OBGYNPractice
The Digital ERA

2. It is already there

3. Even Surgery

4. Outline
• Practice
• Research
• Training

5. Practice : Digital tools
• Online appointments
•Vezeeta
https://ganna.simplybook.me

6. Consultations :
• require social interface
• Scheduling system
• Commitment
• fees

7. Cloud clinic
• Chat consultation Monthly
• Video consultation session
• Secretary online
• Cloud Storage
• ~400% growth rate 2021-2022

8. Target
• Sudan
• Gulf area
• Africa : Rowanda
• ?? Europe

9. Applications : Guidelines

10. Contraception

11. Soon : Egypt OBGYN Guidelines

12. ● Quipp application
● Cervical length at 18 ws <20
> 31mm
● Absent breathing movements
over 45 minutes scan
Applications : PTL

13. http://www.amc.nl/prognosticmodel
http://www.amc.nl/prognosticmodel

14. Clinical consequences
• Couples with prognosis <30% = IVF
• Couples with prognosis > 40% = expectant
management
• Couples with prognosis 30-40% = IUI

15. IVF Secure System
Manual double witnessing
Electronic witnessing
– Matcher – bar codes
– RI Witness

16. intelligent computer software to analyze precise pattern and
timing of embryo division and solve the algorithm of embryo
selection.
A.I for Embryo selection
EEVA

17. Just 2500 Euro
• Denmark
• Healson comp

18. Outline
• Business
• Research
• Training

19. How would Technology help ?
• Before conducting the study
• During
• After

20. Before conducting the study
• Trial registration
• authorship or order of authors
• Sample size calculation
• Estimated time to end recruitment

21. Title & Protocol Registration
• to avoid Duplication
• Authorship rights from the start
• www.clinicaltrials.gov
• Many others

22. Sample size calculation
• G Power software
• Free to download
• To avoid type 2 error

23. During conducting the trial
• Monitoring the progress
• RedCap software
• Avoid data falsification

24. But
• RedCap software for universities & academic centers
• Mainly for projects but can be applied to research papers
• Free but u have to get access from university admin
• Alternative is Google sheets

25. Google sheets 2022

26. After ?

27. After doing the work
• Plagiarism detection software

28. Preprint copy release
• Ivermectin paper scandal
• Research square platform
• detecting research misconduct

29. Journals : Hi-Tech
• Detecting and preventing peer-review fraud
• ScholarOne Manuscripts includes a program to detect unusual
submission and peer review activity that may warrant further
investigation by the journal.

30. I.P.D
• The new era

31. To avoid Fabrication
• File number
• Patient I.D
• Electronic file storage (scan OR electronic system)

32. After?

33. After publication
• new platforms and approaches allowing commenting on published
research (Pubpeer)

34. After publication : Retraction database

35. Research retention time : 6 yrs
• Keeping ur data : Cloud based
• Accessible any where any time

36. Technology can help
• Duplication
• Registration
• Falsification
• RedCap
• Plagiarism
• Turnitin

37. Technology can Help
• Fabrication
• I.P.D
• Storage
• Cloud-base
• Retraction
• Web-based

38. Outline
• Business
• Research
• Training

39. New Paradigm

41. Endoscopy Training

42. Skills
• Entry
• Ports
• Hand eye coordination
• Two hand movement
• Depth perception
• Camera handlining
• Multifunction use of instruments
• Instrument's movement

43. Skills
• Suturing:
• Needle insertion
• Mounting
• Positioning
• Suturing
• Tissue exiting
• Knot tying
• Different suturing technique (ipsilateral, contralateral and central)
• Needle extraction

44. Procedures
• Salpingectomy
• Ovarian cystectomy
• Myomectomy
• Hysterectomy
• Adhesiolysis
• Excision of nodular endometriosis
• Excision of endometrioma

45. Structure of the training
• Home simulation training:
• Each candidate is given basic simulator
• Practice on the home simulators for the same tasks and exercises

46. Structure of the training
• Simulation centre attendance
• Minimal 100 hours
• 20 exercises covering all the skills
• Competence based assessment

47. Available

48. TelePack

49. Life animal training workshop : LRC
• Minimum of 4 days operating on anaesthetised animals to implement
the identifiable skills in a very close environment to live theatre

50. Quiz applications

51. US quiz

52. Ultimate Goal : Health equity
Nation Wise
Hospital Automation

53. Rwanda model : 2010
• Based on Technology (Babyl)
• powerful internet connection
• H.M.S
• Very well monitored

54. Start

56. Telehealth

57. Fig 1 Uptake of maternal and child health interventions in Rwanda, 2000–1018 19 20 21.
Paul E Farmer et al. BMJ 2013;346:bmj.f65
©2013 by British Medical Journal Publishing Group

58. Simulators

59. End Result : MMR

60. Egypt

61. THANK You