Transcript REGIONAL DIFFERENCES IN BIOMEDICAL ENGINEERING …

REGIONAL BIOMEDICAL ENGINEERING
FROM A GLOBAL PERSPECTIVE
Herbert F. Voigt, Ph.D.
Professor, Biomedical Engineering
Boston University, USA
President, International Federation of Medical and Biological Engineering (IFMBE)
18 July 2015
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
Regional Differences facing the Medical &
Biological Engineering Profession I
• Resource-poor vs. Resource-rich Nations
– Quality and abundance of clean water and food
– Access to health care:
• Primary and Specialty Care, including diagnostics, medications
& therapies
• Imaging technology as well as medical devices
• General quality of the health care infrastructure
– Vulnerability to internal & external threats to homeland
security
• Enormous resources are being committed to develop
preventive capabilities for a wide spectrum of real and
perceived threats
18 July 2015
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
Regional Differences facing the Medical &
Biological Engineering Profession II
• Biomedical Engineering vs. Clinical Engineering
– Asia Pacific Rim countries have been certifying Clinical
Engineers for decades
– Latin America and Africa need basic infrastructure that
includes biomedical engineering techs to work in hospitals,
clinics, villages to maintain medical equipment
– US debates on certification of Clinical Engineers (and
Biomedical Engineers) continue
– In Europe, efforts continue to harmonize the educational
expectations of biomedical & clinical engineers working
within the European Community
18 July 2015
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
Regional Differences facing the Medical &
Biological Engineering Profession III
• Medical Device, Drug and Food Regulations
– In USA, the FDA is seen as crippling innovation and delaying
introducing both medical and drugs into the market place.
• “Valley of Death” for the Medical Device Industry
• Deciding safety and introduction of Genetically-modified organisms
into the food chain
• Expensive clinical trials moving outside of FDA jurisdiction to Europe,
Asia and other world regions
– In Europe, only safety, not efficacy, of new medical devices is
required.
• “Missing mile” is Europe’s “Valley of Death”
• Recent recall of the FDA-rejected J&J artificial hips that were
introduced into Europe, is an example of why international
perspectives are required
18 July 2015
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
Regional Differences facing the Medical &
Biological Engineering Profession IV
• Educational and Professional Issues
– Training of Medical and Biological Engineers
– Training and Certifying Clinical Engineers
– Training & Certifying Biomed Techs
– Accreditation Processes (ABET in USA)
– Medical Profession Training
– Cultural differences
– Ethical Issues
• Should Biomedical Engineers participate in Judicial Execution?
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
Essentially:
1) The IFMBE is an Non-governmental Organization
(NGO) for the World Health Organization.
2) The IFMBE is uniquely situated to influence the
delivery of health care to both resource-poor and
resource-rich Nations.
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
IFMBE Affiliated Organizations
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
IFMBE Membership
• The IFMBE is a federation of 53 national and
6 transnational BME societies, with more
than 120,000 members all over the world
• These are currently organized under an
IFMBE Societies Committee
• We intend to regionalize this organization
under a new structure called a
“Council of Societies”
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
IFMBE Affiliated Organizations
Argentina
Estonia
Malaysia
Thailand
Australia
Finland
Mexico
Ukraine
Austria
France
The Netherlands
United Kingdom
Belgium
Germany
Nigeria
United States
Brazil
Greece
Norway
Venezuela
Bulgaria
Hong Kong
Poland (2)
Canada
Hungary
Portugal
China
Iceland
Serbia / Montenegro ACCE
China - Taipei
Ireland
Singapore
CAHTMA
Columbia
Israel
Slovakia
EAMBES
Croatia
Italy (2)
Slovenia
ESEM
Cuba
Japan
South Africa
ICMCC
Cyprus
Korea
Spain
IEEE - EMBS
Czech Republic
Latvia
Sweden
Denmark
Lithuania
Switzerland
18 July 2015
Transnational Orgs.
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
IFMBE Regions
European Region
(EAMBES)
North
American
Region
Central and
South American Region
(CORAL Working Group)
18 July 2015
Asia-Pacific Rim
Working Group
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
Central and South American Region (CORAL Working Group)
IFMBE
Affiliated
Organizations
Argentina
Estonia
Malaysia
Thailand
Australia
Finland
Mexico
Ukraine
Austria
France
The Netherlands
United Kingdom
Belgium
Germany
Nigeria
United States
Brazil
Greece
Norway
Venezuela
Bulgaria
Hong Kong
Poland (2)
Canada
Hungary
Portugal
China
Iceland
Serbia / Montenegro ACCE
China - Taipei
Ireland
Singapore
CAHTMA
Columbia
Israel
Slovakia
EAMBES
Croatia
Italy (2)
Slovenia
ESEM
Cuba
Japan
South Africa
ICMCC
Cyprus
Korea
Spain
IEEE - EMBS
Czech Republic
Latvia
Sweden
Denmark
Lithuania
Switzerland
18 July 2015
Transnational Orgs.
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
North American Region
IFMBE
Affiliated
Organizations
Argentina
Estonia
Malaysia
Thailand
Australia
Finland
Mexico
Ukraine
Austria
France
The Netherlands
United Kingdom
Belgium
Germany
Nigeria
United States
Brazil
Greece
Norway
Venezuela
Bulgaria
Hong Kong
Poland (2)
Canada
Hungary
Portugal
China
Iceland
Serbia / Montenegro ACCE
China - Taipei
Ireland
Singapore
CAHTMA
Columbia
Israel
Slovakia
EAMBES
Croatia
Italy (2)
Slovenia
ESEM
Cuba
Japan
South Africa
ICMCC
Cyprus
Korea
Spain
IEEE - EMBS
Czech Republic
Latvia
Sweden
Denmark
Lithuania
Switzerland
18 July 2015
Transnational Orgs.
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
Asia-Pacific Rim Working Group
IFMBE
Affiliated
Organizations
Argentina
Estonia
Malaysia
Thailand
Australia
Finland
Mexico
Ukraine
Austria
France
The Netherlands
United Kingdom
Belgium
Germany
Nigeria
United States
Brazil
Greece
Norway
Venezuela
Bulgaria
Hong Kong
Poland (2)
Canada
Hungary
Portugal
China
Iceland
Serbia / Montenegro ACCE
China - Taipei
Ireland
Singapore
CAHTMA
Columbia
Israel
Slovakia
EAMBES
Croatia
Italy (2)
Slovenia
ESEM
Cuba
Japan
South Africa
ICMCC
Cyprus
Korea
Spain
IEEE - EMBS
Czech Republic
Latvia
Sweden
Denmark
Lithuania
Switzerland
18 July 2015
Transnational Orgs.
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
IFMBE Regions
European Region
(EAMBES & others)
North
American
Region
Central and
South American Region
(Coral Working Group)
18 July 2015
Asia-Pacific Rim
Working Group
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
European Region 31 Countries! (EAMBES and others)
IFMBE
Affiliated
Organizations
Argentina
Estonia
Malaysia
Thailand
Australia
Finland
Mexico
Ukraine
Austria
France
The Netherlands
United Kingdom
Belgium
Germany
Nigeria
United States
Brazil
Greece
Norway
Venezuela
Bulgaria
Hong Kong
Poland (2)
Canada
Hungary
Portugal
China
Iceland
Serbia / Montenegro ACCE
China - Taipei
Ireland
Singapore
CAHTMA
Columbia
Israel
Slovakia
EAMBES
Croatia
Italy (2)
Slovenia
ESEM
Cuba
Japan
South Africa
ICMCC
Cyprus
Korea
Spain
IEEE - EMBS
Czech Republic
Latvia
Sweden
Denmark
Lithuania
Switzerland
18 July 2015
Transnational Orgs.
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
IFMBE Mission
• The objectives of the International Federation for Medical
and Biological Engineering are scientific, technological,
literary and educational.
• The IFMBE’s mission is to encourage, support, represent
and unify the world-wide Medical and Biological
Engineering Community in order to promote health and the
quality of life through the advancement of research,
development, application and management of technology.
• Within the fields of medical, clinical and biological
engineering, IFMBE aims are to encourage research and the
application of knowledge, to disseminate information and
promote collaboration.
18 July 2015
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
IFMBE Goals 1
• To act as the leader in representing the
international community of medical and biological
engineering.
• To promote the development of the medical and
biological engineering profession.
• To strengthen the recognition and to rise awareness
of the profession in the public domain.
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
IFMBE Goals 2
• To advance collaboration between national,
international and transnational societies and
organizations, industry, governments and nongovernmental organizations engaged in health care
and in biomedical research and its applications
• To recommend policies and provide guidelines in
appropriate professional, educational and ethical
areas
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
Current
IFMBE
Structure
IFMBE
General Assembly
AC
International
Academy
Committees
Divisions
Working Groups
Asian-Pacific
Clinical Engineering
CORAL
Developing Countries
Healthcare
Technology Assessment
Industry
Global Citizen Safety
Cellular Engineering
18 July 2015
Others/Ethics
IFMBE Strategic Planning Meeting, Brussels
Federation Journal
Finance
Constitution & Bylaws
Publications & Publicity
Societies
Conferences
Women in MBE
IFMBE Administrative Council
• The affairs of the Federation are administered by an
Administrative Council (AC), whose voting members
are:
– the officers,
– the immediate Past-President, and
– eight members, elected by the General Assembly from
the membership of the Member Organisations.
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
Administrative Council 2009 - 2012
• Officers:
Prof. Herbert F. Voigt, USA, President
Prof. Ratko Magjarevic, Croatia, Vice-President (President-elect)
Prof. James Goh Cho Hong, Singapore, Secretary-General
Prof. Shankar M. Krishnan, USA, Treasurer
Prof. Makoto Kikuchi, Japan, Immediate Past – President
•
Elected Members:
– Prof. Said Jorge CALIL, Brazil
– Prof. Ákos JOBBAGY, Hungary
– Dr. Sun I. KIM, Korea
– Prof. Jan WOJCICKIT, Poland
– Prof. Marc NYSSEN, Belgium
– Prof Olof LINDAHL, Sweden
– Dr. Guru MADHAVAN, USA
– Prof. Luis KUN, USA
18 July 2015
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
Administrative Council 2009 - 2012
• Officers:
Prof. Herbert F. Voigt, USA, President
Prof. Ratko Magjarevic, Croatia, Vice-President (President-elect)
Prof. James Goh Cho Hong, Singapore, Secretary-General
Prof. Shankar M. Krishnan, USA, Treasurer
Prof. Makoto Kikuchi, Japan, Immediate Past – President
• Elected Members:
•
•
•
•
•
•
•
•
Prof. Said Jorge CALIL, Brazil
Prof. Ákos JOBBAGY, Hungary
Dr. Sun I. KIM, Korea
Prof. Jan WOJCICKIT, Poland
Prof. Marc NYSSEN, Belgium
Prof Olof LINDAHL, Sweden
Dr. Guru MADHAVAN, USA
Prof. Luis KUN, USA
5 of 13 (38%) of the IFMBE AC members are European!
18 July 2015
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
IFMBE Regions Represented on the AC
Regions
0
23.1%
30.8%
7.7%
Asian/Pacific
CORAL
European
North America
38.5%
18 July 2015
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
IFMBE Societies Committee
• Responsibilities of Society Members
– Appoint a member of their executive committee, usually the
President (Preferably!) or Secretary, to be a member of the
Committee of Societies, and to act as a liaison officer to the
Federation;
– Disseminate to all their members any Federation calls for papers,
calls for information, news releases, conference notices, or other
materials for general circulation;
– Provide the Federation with information on their own meetings
and activities to be published in the IFMBE NEWS and on the
IFMBE Website.
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
The International Academy for Medical and
Biological Engineering (IAMBE):
– The Academy is to conduct programs that will
serve to encourage young people entering the field
and assist their development in the early stages of
their career.
– The Academy, upon request of the IFMBE
Administrative Council, also shall serve as a
resource for IFMBE and its various units.
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
Two IFMBE Specialized Divisions
1.
2.
Clinical Engineering Division
Health Care Technology Assessment Division
• established to address continuing and long term needs
in these fields
• active in supporting the development of health care
• education and training of medical and technical staff in
the health care facilities in African and other developing
countries
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
VLADIMIR ZWORYKIN
The IFMBE Founder-President
• Best known to the public
through his invention of
the cathode-ray tube, at
that time called the
kinescope, in 1929.
• In 1954, he was appointed
director of the Medical
Electronics Center at
Rockefeller University
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
History
• Later, as national societies were formed, these societies
became affiliates of the Federation.
• Name changed to International Federation for Medical and
Biological Engineering (IFMBE) in the mid-sixties.
• Close association with the International Organization of
Medical Physics (IOMP).
• These two international bodies have established an
International Union for Physical and Engineering Sciences in
Medicine (IUPESM).
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
Liaisons
ICSU
International Council for Science
WHO
IUPESM
30 Scientific Unions and
121 National Scientific Members
International Union for
Physical and Engineering Sciences
in Medicine
IFMBE
IOMP
International Federation for
Medical and Biological Engineering
International Organization
for Medical Physics
Asia/
Pacific
CORAL
18 July 2015
EAMBES
AIMBE/
Canada
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
UN
WHO
World Alliance for
Patient Safety
UNESCO
E-health
Initiative
Standardisation
ISO
IEC
CENELEC
CEN
IUPESM
IFMBE
National MBE
societies
Individual
members
UNIDO
IOMP
International
MBE societies
Individual
members
Individual
members
World Health Organisation
IFMBE has major interests in:
• patient safety issues
• human resources program
– strengthen the position of clinical engineers and biomedical
engineers whose workplace is within the healthcare system
• e-health programs
• health technology assessment and management
• evidence based medicine
IFMBE is representing the WHO in international standardization
bodies
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
WHO’s First Global Forum on Medical Devices;
September 2010, Bangkok
18 July 2015
Clinical Engineering and Patient Safety
• IFMBE Goals:
– Mandatory clinical engineering certification and
registration under the umbrella of the IFMBE
– Mandatory employment of certified and
registered clinical engineers in all hospitals
– Find best practices that exist and share them
• e.g., Asia Pacific rim nations have been certifying
clinical engineers for over a decade.
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
EDUCATION
• BIOMEDEA
• Biomedical Engineering Preparing for the European Higher
Education Area
• Results:
Guidelines for:
• harmonized higher MBES education and training
• the accreditation of academic MBES programmes in Europe
• the certification and registration of biomedical/clinical engineers in
Europe, and
• continuing education (life-long learning) in MBES
Status report on MBES in Europe
Student and teacher’s guide for all local and
international MBES programmes in Europe with
special emphasis on mobility
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
Regional Activities
• Asia-Pacific APCMBE Kuala Lumpur, Malaysia June 2011
• Europe (European Alliance for Medical and Biological Engineering and
Science – EAMBES)
• Nordic – Baltic Alborg, Denmark – June 2011
• Mediterranean – MEDICON 2010 – May 2010 Greece
• Latin America (CORAL) – V CLAIB May 2011
• Africa
• Developing Countries
• Developing a close partnership with “Engineering World Health,” who
have established programs in Central America and Tanzania.
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
Regional Co-sponsored IFMBE Conferences
• Organized in a three-year cycle (almost!)
• Regional members of the Societies Committee
decide on the venue
• Host some of the official IFMBE meetings (Officer
Meetings, Societies Committee Meeting, etc.)
• Guidelines for Conferences and Proceedings
provided by the Federation
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
Benefits for Affiliated BME Societies Members
• BME research is a top priority:
– Publication of scientific publications & Free access to 4
Springer Journals, including MBEC
– Free access to IFMBE Proceedings & IFMBE NEWS
– Organizing and sponsoring scientific events
– Work in scientific working groups, committees & Divisions
– Address Women in MBE issues globally
– International Networking
– Policy Papers can be published in new IUPESM Journal
– Awarding distinguished researchers
– Awarding Young Medical & Biological Engineers
• Young Investigators Competitions
• Networking Fellowships for Assistant Professors
– Asia Pacific Rim Program going strong!
– Need to establish programs for Europe, CORAL and North
America! (Maybe by 2015?)
18 July 2015
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
IFMBE Asia Pacific Working Group Networking
Fellowship Program for MBE Assistant Professors
Traveling Schedule
Route:
Singapore (17th to 20th August)
National University of Singapore
Nanyang Technological University
Hong Kong, China (20th to 22nd August)
Chinese University of Hong Kong
Hong Kong University of Science and Technology
Hong Kong Polytechnic University
Tokyo, Japan (22nd to 24th August)
AIST (National Institution in Tsukuba)
University of Tokyo
Joint Graduation University of Tokyo Women's Medical
College/ Waseda University
Tainan, Taiwan (24th to 26th August)
National Cheng Kung University
Seoul, Korea (26th to 1st September)
Yonsei Unversity
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
World Congress on Medical Physics
and Biomedical Engineering
September 13-18, 2009, Munich, Germany
http://www.wc2009.org/
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
WC 2012 – Beijing, China
• Networking Fellowships for Assistant
Professors from:
• Asia Pacific Rim – YES!
• Coral (Central/South America) – No
• North America (Canada & USA) – No
• Europe – No
• New Special Sessions focused on undergraduates engaged in design/production
of medical devices for use in resourcepoor Nations. YES! Funding from 4
sources:
• IFMBE, BMES, IEEE – EMBS & EWH
18 July 2015
1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“
Belgium Academy of Science
WC 2015 Toronto, Canada
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
Conclusions
• Yes, there are regional differences in medical and
biological engineering issues regarding:
– Recognition of the Medical and Biological Engineering
professionals
– Education of Biomedical, Medical and Biological and
Clinical engineers
– Regulation of medical devices and drugs (safety,
efficacy, clinical trials, etc.)
– Availability of medical devices and health-care
delivery infrastructure
– Ethical, gender and cultural issues
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
Conclusions
• These differences need to be appreciated and
addressed at an international level
• We can learn from each other, but not if we
do not talk to each other
• The diversity of our approaches and solutions,
in fact, makes us stronger and more likely to
have important continuing impact on health
care delivery in both resource-poor and
resource-rich nations.
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
Visit IFMBE @
www.ifmbe.org
Thank you for your attention!
18 July 2015
1st EAMBES Fellow Symposium: "The
European Potential in Engineering for
Health“ Belgium Academy of Science
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