August 20-22, 2015, Los Angeles, California Final Program

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1 Project 6 Summit SAGES TELEMENTORING INITIATIVE August 20-22, 2015, Los Angeles, California Using telementoring to virtually stand side-by-side in support of surgeons and patients in the OR. Final Program

2 Project 6 Summit SAGES TELEMENTORING INITIATIVE The difference between telemedicine and surgical telementoring Telemedicine is providing a service directly to a patient over distance. Telementoring is a quality initiative for the practicing surgeon and requires three essential elements: 1) An established relationship between the mentor and the mentee. This makes telementoring different from teleconsultation where there is not an established relationship prior to the event, or telemedicine which is the direct interaction between the patient and the expert. In telementoring the skills and knowledge of both mentor and mentee are understood through a relationship developed prior to the telementoring event. 2) Telementoring occurs within an educational framework. Both the mentor and mentee have worked together within this framework and been properly prepared for the mentoring experience. 3) Telementoring is done with a competent mentee. This means that the mentee is completely capable of managing the patient s disease as if the mentor were not there just with a different technique or using a different technology. The mentoring session is to help adopt a new technique or technology into clinical practice, but always with a safe fall back plan if anyone is uncomfortable with how the procedure is progressing. Thank you to our sponsors!

3 PROGRAM AGENDA Thursday, August 20, :00 pm 7:30 pm Registration Red Carpet 6:30 pm 8:00 pm Welcome Reception Blvd 16 Restaurant Friday, August 21, :30 am 7:30 am Registration Red Carpet 7:00 am 7:30 am Breakfast Red Carpet 7:30 am Noon General Session Premiere Ballroom 7:30 am Welcome to Project 6 Brian Dunkin, MD 7:45 am Introduction and Objectives Christopher Schlachta, MD Telementoring Presentations (20 minutes + 10 minutes for discussion) 8:00 am CSTAR Telementoring Experience Christopher Schlachta, MD 8:30 am Sleeve Gastrectomy Telementoring Experience Ninh Nguyen, MD 9:00 am MITIE Telementoring Experience Brian Dunkin, MD 9:30 am Akron Children s Hospital Telementoring Experience Todd Ponsky, MD 10:00 am Current Technology Review Etai Bogen, MD and Ted Trus, MD 10:30 am Group Discussion Christopher Schlachta, MD Telementoring experience in other centers Additonal challenges/opportunities Priming for Working Groups Noon 1:00 pm Luncheon Blvd 16 Restaurant 1:00 pm 5:00 pm Case Based Working Group Discussions Group 1: Legal/Regulatory Opportunities Michael Marohn, MD and Steven Rothenberg, MD The Director s Room Medical liability of the mentor performing telementoring from a remote site Regulatory issues regarding the practice of medicine across state-line Hospital credentialing or hospital indemnification of the mentor Liability of the proctor in giving medical advice (what if there is disagreement?)

4 PROGRAM AGENDA CONTINUED Group 2: Technology Opportunities Ted Trus, MD, Ozanan Miereles, MD and Etai Bogen, MD Cannes Film Festival Currently available technologies for telementoring Cost-effective platforms for telementoring Reliability, security and quality of service for network connections Basic vs. Optimal requirements Bandwidth Firewall Wireless/Wired What is the best telementoring platform? Group 3: Communication/Education Opportunities John Paige, MD Determining the requisites of an educational process during the telementoring session Number of training session required Evaluation tool for the training session Qualifications to be a mentor/mentee Qualifications to obtain a certificate of completion (mentee) Demonstrating skills improvement Group 4: Business Model/Proving Value Opportunities Todd Ponsky, MD and Dmitry Oleynikov, MD Cost of running a telementoring program How the cost can be offset by the trainee/hospital/industry? The need for a CPT code/third-party payers coverage Proving the value of telementoring (HTA Quality improvement) Quality assurance (overlap with education) Group 5: Logistics Opportunities Ninh Nguyen, MD and Diego Camacho, MD Sundance Film Festival L.A. Film Festival Outfest Film Festival Organizing the entire process of telementoring Defining the qualifications to become a mentor (overlap with Education) Method of establishing mentor/mentee relationship Determine a system for scheduling of cases Optimal methods for communication between mentor and trainee on the day of surgery Establish a central system for communication and announcement of upcoming cases. How to manage time zone differences Matching system 5:00 pm 7:00 pm Reception Blvd 16 Restaurant

5 Saturday, August 22, :30 am 7:30 am Registration Red Carpet 7:00 am 7:30 am Breakfast Red Carpet 7:30 am Noon General Session Premiere Ballroom 7:30 am Day 1 Review and Day 2 Objectives Christopher Schlachta, MD Case Based Working Group Summaries Working Group Leaders 8:00 am Legal/Regulatory Opportunities 8:30 am Technology Opportunities 9:00 am Communication/Education Opportunities 9:30 am Business Model/Proving Value Opportunities 10:00 am Logistics Opportunities 10:30 am Planning White Paper Christopher Schlachta, MD 11:15 am Recommendations for Future Directions Christopher Schlachta, MD 11:45 am Closing Comments Brian Dunkin, MD, Ninh Nguyen, MD, Todd Ponsky, MD and Christopher Schlachta, MD Noon Adjourn Summit Hotel Hotel Palomar Los Angeles-Westwood Wilshire Boulevard Los Angeles, CA PHONE: , ext FAX:

6 FACULTY Brian Dunkin, MD SAGES President Houston Methodist Hospital Houston, TX Christopher Schlachta, MD Telementoring and Program Chair London Health Sciences Centre London, ON Ninh Nguyen, MD Telementoring Co-Chair University of California Irvine Orange, CA Todd Ponsky, MD Telementoring Co-Chair Akron Children s Hospital Akron, OH Etai Bogen, MD University Hospital of Northern Norway Tromsø, Norway Diego Camacho, MD Montefiore Medical Center Bronx, NY Michael Marohn, MD Johns Hopkins University School of Medicine Baltimore, MD Ozanan Meireles, MD Massachusetts General Hospital Boston, MA Dmitry Oleynikov, MD University of Nebraska Medical Center Omaha, NE John Paige, MD Lousiana State University Health Science Center New Orleans, LA Steven Rothenberg, MD Rocky Mountain Hospital for Children Denver, CO Ted Trus, MD Dartmouth-Hitchcock Medical Center Lebanon, NH I ve got your six In the military, got your six means I ve got your back. The saying originated with World War I fighter pilots referencing the rear of an airplane as the six o clock position.

7 FLOORPLAN

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