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REGIONAL BIOMEDICAL ENGINEERING FROM A GLOBAL PERSPECTIVE

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) .

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REGIONAL BIOMEDICAL ENGINEERING FROM A GLOBAL PERSPECTIVE

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  1. 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) 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  2. 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 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  3. 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 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  4. 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 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  5. 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? 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  6. 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. 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  7. IFMBE Affiliated Organizations 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  8. IFMBE Membership • The IFMBE is a federation of 53national 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” 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  9. IFMBE Affiliated Organizations 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  10. IFMBE Regions European Region (EAMBES) North American Region Central and South American Region (CORAL Working Group) Asia-Pacific Rim Working Group 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  11. Central and South American Region (CORAL Working Group) 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  12. North American Region 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  13. Asia-Pacific Rim Working Group 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  14. IFMBE Regions European Region (EAMBES& others) North American Region Central and South American Region (Coral Working Group) Asia-Pacific Rim Working Group 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  15. European Region 31 Countries! (EAMBES and others) 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  16. IFMBE Mission • The objectives of the International Federation for Medical and Biological Engineering are scientific, technological, literary and educational. • The IFMBE’s mission isto encourage, support, represent and unify the world-wide Medical and Biological Engineering Communityin 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, IFMBEaims are to encourage research and the application of knowledge, to disseminate information and promote collaboration. 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  17. IFMBE Goals 1 • To act as the leaderin 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. 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  18. IFMBE Goals 2 • To advance collaborationbetween national, international and transnational societies and organizations, industry, governments and non-governmental 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 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  19. Federation Journal Finance Clinical Engineering Asian-Pacific Constitution & Bylaws CORAL Publications & Publicity Developing Countries Societies Healthcare Technology Assessment Conferences Women in MBE Cellular Engineering IFMBE General Assembly Current IFMBE Structure AC International Academy Committees Divisions Working Groups Industry Global Citizen Safety Others/Ethics IFMBE Strategic Planning Meeting, Brussels

  20. 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. 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  21. Administrative Council 2009 - 2012 • Officers:Prof. Herbert F. Voigt, USA, PresidentProf. RatkoMagjarevic, Croatia, Vice-President (President-elect)Prof. James Goh Cho Hong, Singapore, Secretary-GeneralProf. 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 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  22. 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! 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  23. IFMBE Regions Represented on the AC 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  24. 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. 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  25. 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. 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  26. Two IFMBE Specialized Divisions • 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 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  27. 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 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  28. 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). 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  29. Liaisons ICSU International Council for Science WHO IUPESM International Union for Physical and Engineering Sciences in Medicine 30 Scientific Unions and 121 National Scientific Members IFMBE International Federation for Medical and Biological Engineering IOMP International Organization for Medical Physics Asia/ Pacific CORAL EAMBES AIMBE/ Canada 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  30. UN UNIDO WHO National MBE societies International MBE societies Individual members Individual members Individual members UNESCO E-healthInitiative World Alliance for Patient Safety Standardisation IUPESM ISO IEC CEN IFMBE IOMP CENELEC

  31. 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 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  32. WHO’s First Global Forum on Medical Devices; September 2010, Bangkok

  33. 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. 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  34. 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 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  35. 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. 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  36. 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 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  37. 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 • NetworkingFellowships for Assistant Professors • Asia Pacific Rim Program going strong! • Need to establish programs for Europe, CORAL and North America! (Maybe by 2015?) 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  38. 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) YonseiUnversity 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  39. 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  40. World Congress on Medical Physics and Biomedical Engineering September 13-18, 2009, Munich, Germany http://www.wc2009.org/ 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  41. 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 under-graduates engaged in design/production of medical devices for use in resource-poor Nations. YES! Funding from 4 sources: • IFMBE, BMES, IEEE – EMBS & EWH 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  42. WC 2015 Toronto, Canada 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  43. 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 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  44. 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. 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

  45. Visit IFMBE @ www.ifmbe.orgThank you for your attention! 48 1st EAMBES Fellow Symposium: "The European Potential in Engineering for Health“ Belgium Academy of Science

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