The document outlines the responsibilities and achievements of medical professionals, particularly in the field of telemedicine and audiology. It details the development of various telemedical technologies from 2000 to 2016, including teleconsultations and audiologic screening projects across multiple countries. The achievements include recognition through numerous awards and successful screenings of over 500,000 children.

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Ass. Prof. Piotr H. Skarzynski, MD, PhD, MSc
Maciej Ludwikowski, Henryk Skarzynski
Member of ISfTeH Board

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BACKGROUND
 Responsibility
 Quality of service
 Trust in medical
service
250 000 medical
consultations per
year
15 000 – 18 000
surgical procedures
per year
Costs
Clinic capacity

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TELEMEDICINE
local regional national global
All activities for diagnostic and treatment
of patient in distant place / other than specialist

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DEVELOPMENT
OF NEW TECHNOLOGIES
Year 2000 TELECONSULTATIONS
EXAMINATION ROOM CONSULTATION ROOM

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DEVELOPMENT
OF NEW TECHNOLOGIES
Year 2001 „I CAN HEAR”
~ 20 mln self tested
in 82 countries

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DEVELOPMENT
OF NEW TECHNOLOGIES
Year 2002 First life surgery on the Internet (PDT)

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DEVELOPMENT
OF NEW TECHNOLOGIES
Year 2004 HOME REHABILITATION CLINIC

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DEVELOPMENT
OF NEW TECHNOLOGIES
Year 2005 TELEOTOSURGERY

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DEVELOPMENT
OF NEW TECHNOLOGIES
Year 2005 TELEOTOSURGERY

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DEVELOPMENT
OF NEW TECHNOLOGIES
Year 2007 TELEFITTING

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TELEFITTING IDEA

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EXPERT TELEFITTING MODE
– Subsidiaries Selection

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KYRGYZSTAN

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NORMAL TELEFITTING MODE
– Motivation
 Normal telefitting procedure:
 Local ENT
 Local structured interview
 Local free field audiometry and speech tests
 Remote experts objective measurements (ECAP, ESR, Telemetry)
 Remote experts psychophysical measurements
 amplitude growth function
 threshold detection
 Remote experts creation of new map
 Remote experts live mode
 Remote experts instructions

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EXPERT TELEFITTING MODE
 Normal telefitting procedure:
 Local ENT
 Local structured interview
 Local free field audiometry and speech tests
 Remote experts objective measurements (ECAP, ESR, Telemetry)
 Remote experts psychophysical measurements
 amplitude growth function
 threshold detection
 Remote experts creation of new map
 Remote experts live mode
 Remote experts instructions

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NORMAL TELEFITTING MODE
– Motivation
 Advantages:
 Improvement of „quality of service” (travel time, cost, weariness)
(like in standard telefitting)
 Better access to specialists
 Still expert knowledge put into the procedure
 Flaws:
 Takes to much time – it not a method to save experts time
 Is not cost efficient (two specialists working with the patient)
 It’s not really a method to cope with growing number of patients

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RECOGNITION
21st Century Achievement Awards
in The Computerworld Honors Program
cathegory – Healthcare, Washington, USA, 2010

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GOLD MEDAL– GRAND PRIX of the International
Prix Galien Award in category of New Medical Tools for the First in the World
NATIONAL NETWORK OF TELEAUDIOLOGY, 2014

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DEVELOPMENT
OF NEW TECHNOLOGIES
Year 2007 – 2014 Over 500 000 school-age children
screened in Poland, Europe,
Central Asia and Africa

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POLISH PRESIDENCY IN EU
Brussels, December 2nd, 2011

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INTERCONTINENTAL
HEARING SCREENING
Year 2012 – 2016
WORLD HEARING
CENTER
Western Syberia
Tajikistan
Armenia
Uzbekistan
Kyrgyzstan
Azerbejdżan
Ivory Coast
Senegal
Rwanda
Tanzania
Moldova
Ukraine
Romania
Columbia

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PLATFORM FOR
SENSE ORGANS SCREENING
Gold Medal
IENA 2007
Nuremberg
Gold Medal
Salon
International
des Inventions
Genève 2010
Gold Medal
Concours Lépine
Paris 2010
Gold Medal
„Brussels Eureka”
Brussels 2009
Gold Medal
„ITEX”
Kuala Lumpur 2010
 Audiologic Questionnaire
 Pure Tone Audiometry
 Adaptive Auditory Speech Test (AAST)
 Tests of Central Processing Disorders (GIN, DDT)
 Tinnitus Questionnaire

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REALIZATION
REPORTING
MODULE
DIAGNOSTIC
DEVICE
INTERNET
STATISTICAL
MODULE
CENTRAL SYSTEM
QUESTIONAIRE
MODULE
MESEURMENT
CATALOG

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METHODS
SENSORY EXAMINATION
PLATFORM®
PURE TONE AUDIOMETRY
Gold Medal
Concours Lépine
Paris 2010
Gold Medal Salon International
des Inventions, Genève 2010
Positive was defined as any hearing impairment greater
than 20 dB HL in any ear, at any frequency from
500 to 8000 Hz

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TAJIKISTAN
 RECTOR PROF. UBAIDULLO AB
DULLOEVICH KURBANOV
 NOVEMBER 2012
 FIRUZA NAVROZSHUEVA, MD
 TAJIK STATE MEDICAL UNIVERSITY
OF THE NAME AVICENNA
 JAMOL KHOLMATOV, MD, PhD

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PILOT PROJECT
AUDIOLOGIC SCREENING OF SCHOOL-AGE CHILDREN
IN DAKAR – SENEGAL
March, 2014

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SUMMARY
PH SKARZYNSKI, J Hear SCI 2014

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AWARDS
FOR TELEMEDICAL PROJECTS
Frankfurt 2000 Sztokholm 2000
Paryż, 2003, 2004,
2005, 2007, 2009, 2010
Bruksela 2002, 2005, 2008, 2009
Norymberga
2007, 2010
Genewa
2007, 2008, 2010
Dublin 2004
Beijing
2008
Kuala Lumpur,
Malezja, 2010
Taipei, Taiwan, 2010
Seul, Korea
2010
Sewastopol,
Ukraina, 2010
Warszawa, 2012

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ORGANIZATION OF THE WORLD’S AND EUROPE’S
LARGEST CONGRESSES AND SCIENTIFIC
CONFERENCES
2019
II World Congress
of Otology
2020
XXXV World
Congress
of Audiology
22-24 May 2017
1st World Tinnitus Congress
XII International Tinnitus Seminar
21-25 May 2017
XXV International
Evoked Response
Audiometry Study Group
Biennial Symposium (IERASG)
6-7 April 2018
4th International Symposium
on Otosclerosis
and Stapes Surgery

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