Medical Education and the Lambda Grid Parvati Dev, PhD Stanford University SUMMIT Lab Parvati Dev, PhD Stanford University SUMMIT Lab

Overview Problems faced by medical education Technology as one solution Where is networking going in medical education Advanced Distributed Learning Problems faced by medical education Technology as one solution Where is networking going in medical education Advanced Distributed Learning

Exponential growth of medical knowledge MD degree still 4 years One year internship 2-5 years specialization Maybe a fellowship MD degree still 4 years One year internship 2-5 years specialization Maybe a fellowship

Some specialties disappearing

Students are multichannel, multitasking Web surfing Instant messaging Interaction Mobile phone Music Audio Television Web lecture Visual

Overview Problems faced by medical education Technology as one solution Where is networking going in medical education Problems faced by medical education Technology as one solution Where is networking going in medical education

Why technology ? Content Virtual hospital CDs, Internet, Databases Simulations Books, Lectures Practice Precertified on procedure See one, do one, teach one

Some technologies Rich media and video with “presence” “Feeling” at a distance - haptics Simulation of medical situations Games and multiplayer gaming Rich media and video with “presence” “Feeling” at a distance - haptics Simulation of medical situations Games and multiplayer gaming

Rich media and visualization Networked resources Worldwide Visualizable, palpable Anatomy to molecules Networked resources Worldwide Visualizable, palpable Anatomy to molecules

Video for remote learning Collaboration - Net Meeting

Video for remote learning Access Grid

Video for remote learning Yesterday’s video from Keio University

Haptic imagery - “feeling” virtual objects At a distance Low latency Transmit force, field, model At a distance Low latency Transmit force, field, model

Used when training in the real situation is Unsafe Too Expensive Inefficient Non-standardized Unavailable elsewhere Used when training in the real situation is Unsafe Too Expensive Inefficient Non-standardized Unavailable elsewhere Immersive simulation based learning ?

Team based learning - with manikin Patient under anesthesia lapses into cardiac arrest

Virtual Emergency Room Multiple users (players) One 3D space Multiple users (players) One 3D space

Overview Problems faced by medical education Technology as one solution Where is networking going in medical education Problems faced by medical education Technology as one solution Where is networking going in medical education

Networking and medical education Next Generation Internet Supported the applications above Gigabit, QoS, multicast Scalable Information Infrastructure Applications adapt to network “weather” Grid computing and grid storage Lambda grids “Infinite” bandwidth Ready to move to this level Next Generation Internet Supported the applications above Gigabit, QoS, multicast Scalable Information Infrastructure Applications adapt to network “weather” Grid computing and grid storage Lambda grids “Infinite” bandwidth Ready to move to this level

Requirements for education Must support collaboration via IP? Across lambdas? Multicast??? Allow application level query of network parameters Allow application to adapt if necessary Must be easily supported on campus Must support collaboration via IP? Across lambdas? Multicast??? Allow application level query of network parameters Allow application to adapt if necessary Must be easily supported on campus

Global lambda What is wrong with this picture?

Global Medical Education Public health information needs worldwide network - SARS epidemic Similarly, medical education needs a global view: Global Development Learning Network (GDLN - World Bank) MedNET (India) Public health information needs worldwide network - SARS epidemic Similarly, medical education needs a global view: Global Development Learning Network (GDLN - World Bank) MedNET (India)

MedNET India Broadband network Link medical schools, hospitals, public health centers For Tele-education Telehealth Bio-informatics Research Grid Broadband network Link medical schools, hospitals, public health centers For Tele-education Telehealth Bio-informatics Research Grid

MedNET India Supercomputing in India Research Channel Internet2 Fiber donor IEEAF Health sciences

In conclusion Medical education is a fertile area for grid computing and lambda grid applications

Funded by: NLM, NHLBI, PATH, Wallenberg Fdn, Yamazaki-Yang Fdn,and others Funded by: NLM, NHLBI, PATH, Wallenberg Fdn, Yamazaki-Yang Fdn,and others