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Education


The New Trend of Training for Medical Professionals
- Live surgery broadcasted via satellite -

Professor Joo Han Oh’s team in Seoul National University Bundang Hospital (SNUBH) was invited to the “2016 Shoulder Arthroscopy Skill Course V” held in China and conducted a live surgery for the arthroscopic rotator cuff repair of shoulder, a successful second consecutive year as the representative scholars of the world shoulder society.


“2016 Shoulder Arthroscopy Skill Course V” was held from September 7th to 10th, organized by the Dr. Guo-qing CUI in the Peking University. This symposium, presently in its 5th year, poised to become a symposium, teaching basic knowledge and advanced arthroscopic shoulder surgery procedure to novice surgeons in China. Dr. Thay Q Lee from USA, Dr. Hiro Sugaya from Japan and others scholars from China, Taiwan, and Hong Kong had been invited to the symposium in this year. Clinical knowledge including recent updates in the field of shoulder arthroscopic surgery was covered in lectures and discussions.

[Agenda of 2016 Shoulder Arthroscopy Course V in China]

The Professor Oh has invited in this course for 4 consecutive years, in fact. Last year’s activity was highlighted by two arthroscopic surgeries for rotator cuff tear and anterior instability conducted by him, which was broadcasted via live satellite. In this year, the surgery which was also broadcasted live from the SNUBH’s operating theater to Beijing, China, gained great response and interest by the delegates of the symposium, with more active questions, answers and discussion regarding the operation.

[These figures exhibit the lists of surgeons who were invited to this symposium. Professor Oh has been invited to attend this symposium for 4 consecutive times.]

Every Friday is the surgery day of Professor Oh. On the day of live surgery, 8 patients were scheduled from 8:00 AM with a variety of shoulder procedures which included shoulder arthroplasty, arthroscopic rotator cuff repair, and fracture management. The live surgery was supposed to start at 2:30 PM in Korean time (1:30 PM local time in China). Thve Operating team that included the anesthesiologist as well as the operating nurses were well coordinated to facilitate the scheduled procedures with no delays, however there was tremendous stress in the operating team as they had to finish the scheduled surgeries without delay in order to proceed the live surgery on time. At the same time, the technical broadcasting team of SNUBH were preparing for the setting up video/audio equipment and internet transmission for the live surgery.

[The operating team was preparing the surgery during the technical team of SNUBH set up equipment and instruments.]

The live streaming broadcasting surgery began with Chairman Dr. Guo-qing Cui as the moderator, which started on time and ended successfully as planned which lasted for 1 hour. Owing to several experiences of successful live surgery in SNUBH and their advanced technology and equipment, the audio and video transmission of the surgery from operating room in SNUBH, Korea, to the conference room in China, was very clear.

[Professor Oh conducted the live surgery explaining the procedure in detail through his microphone.]

[These figures are the arthroscopic view conducting acromioplasty and showing the rotator interval with camera view watching the surgical filed. They were converted alternatively as needed to increase understanding of the audience.]

[The screen in China showed the live surgery broadcasted from Korea.]

During the arthroscopic surgery, Professor Oh showed and described the massive rotator cuff tear including supraspinatus, infraspinatus and subscapularis tendon, and demonstrated the surgical know-how and techniques for successful repair of the extensive and difficult type of tear.
The live surgery received high acclaims by the audience in China due to the direct communication with the audience and the surgeon. The Chinese and foreign doctors who attended the symposium praised the Professor Oh for the great opportunity to demonstrate the arthroscopic shoulder surgery and directly respond to their questions while watching attentively. It was the same reaction of the audience in last May 2016, during his shoulder arthroplasty surgery in the International Congress of Shoulder and Elbow Surgeons (ICSES) held in Korea. They also admired and were envious of the clean operating room environment and cutting-edge surgical equipment of SNUBH.

[The audience in China concentrated on the live surgery.]

This live surgery broadcasted via satellite is expected to take place in the future as an important form of education system. Recorded video lectures such as “Youtube” or “PowerPoint” presentations have made a pillar in the development of modern medical education. However, this training approach in the form of viewing the actual surgery live can impart critical decision making procedure, very important general knowledge and skills necessary in various situations. The benefit of observing a skilled mentor cannot be overstated. Live surgical performances offer a unique educational experience to enhance surgical skills and disseminate information. Based on state-of-the-art technology and equipment for video support of SNUBH, Professor Oh’s team plans to create an educational program including live surgery to educate foreign physicians around Asia and continue to expand gradually.