Houston Methodist MITIE Annual Report 2012

T E x A S H O U S T O N ,

METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION & EDUCATION

T H E

M E T H O D I S T

H O S p I T A L

A d vA n c i n g t h e p r A c t i c e o f m e d i c i n e

YEAR IN REVIEw Houston, Texas

01 LEADERSHIp MESSAGE 02 ABOUT MITIE Mission and history 06 TIMELINE Developing a world-class Institute 08 DESIGN FOCUS Housing all essential elements for training and research under one roof 12 TECHNOLOGY AND RESEARCH Serving as a platform for advancing medical technology 14 INNOVATION Collaborating with leading institutions and scientists 16 EDUCATION Training more practicing health care professionals than any other institution 19 MOVING FORwARD Expanding medicine as the world knows it

Leadership Message

Dear Colleagues, Since MITIE began in 2007, it has been astounding to see the growth of the Institute.

In six short years we have progressed from a single room for robotic surgery training, to a world-class purpose-built facility that is among the most advanced in the world.

In fact, more than 15,000 learners across 26 specialties have already come through our doors. This level of activity led not only to initial accreditation as an Advanced Education Institute by the American College of Surgeons in our second year of existence, but also to re-accreditation in 2012!

We also have developed multiple research programs and garnered funding through organizations such as the National Science Foundation, the Department of Defense, national surgical societies, the Houston Endowment, and multiple industry partners.

The MITIE team has grown to include 15 full-time employees and contract personnel who provide incomparable service to members of the educational and research teams.

This progress is possible through tremendous support from The Methodist Hospital System and the hard work and dedication of the MITIE team.

This first annual report will take you through MITIE’s development, explain its unique role in medical education, and share its accomplishments. As you review the following pages, we know you will share our enthusiasm for the outstanding contributions of MITIE faculty and staff to leading medicine.

BARBARA LEE BASS, MD, FACS Professor of Surgery, Weill Cornell Medical College Chair, Department of Surgery John F. and Carolyn Bookout Distinguished Endowed Chair Executive Director, MITIE

BRIAN J. DUNKIN, MD, FACS Professor of Clinical Surgery, Weill Cornell Medical College John F., Jr. and Carolyn Bookout Chair in Surgical Innovation and Technology Medical Director, MITIE

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METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION & EDUCATION

About MITIE

years of medical school. Many trainees

that does not require being away

do additional subspecialty training

from one’s practice for an extended

Mission Statement: MITIE will be an educational resource for health care professionals seeking to maintain excellent clinical skills and acquire new ones. It will improve patient safety through these educational pursuits and conduct research on skills acquisition and technological development.

resulting in six to eight years of a

period of time. MitiE serves as this

postgraduate, hands-on experience

educational home.

TX

L O C AT E D I N T E X A S

G L O B A L LY K N O W N

focuses on developing validated measures of procedural skill for these professionals to provide

in a structured environment before independently caring for a patient. as a

since the methods of delivering a

result, physicians in the U.s. are among

meaningful educational experience for

the best trained in the world when they

procedurally based clinicians have not

complete their post-graduate work.

been fully developed, MitiE also serves as a place of research. One research

Once a surgeon goes into practice,

goal focuses on measuring a surgeon’s

learning new techniques and exposure

competence to perform a specific

to technology is left to an ad hoc system

procedure and understanding whether a

of attending medical meetings that

patient has a better outcome as a result.

may not offer hands-on training.

Compounding this problem is the

MitiE also serves as a platform for

meaningful feedback on their

unprecedented pace of advancements

advancing procedurally based medicine.

performance. the institute is

in surgical technology. Within a decade

it is logical for new procedures and

also advancing image-guided

of completing training, a surgeon who

technology to be developed in MitiE

surgery, making medical

has not actively worked to remain current

research operating rooms, tested in

will no longer be practicing the standard

a busy clinical environment such as

of care. Operative environments also

the Methodist hospital, and then

procedures of all types more accurate and less invasive.

are becoming more complex with the

brought back to the institute to educate

Why MitiE?

introduction of image guidance and

practitioners and their teams on how to

What is MitiE?

MITIE was built to serve a specific need

robotics and operative teams are larger

safely use this new technology.

the Methodist institute for technology,

in the medical workforce – maintaining

and more diverse than ever.

innovation, & Education (MitiEsM) is a

top performance of practicing health

world-class institute, focused on helping

care professionals who treat patients.

a busy practicing clinician needs an

practicing health care professionals stay

Medical training in the U.s. immerses a

“educational home” where one can return

at the top of their field throughout their

future clinician in a rich environment with

intermittently throughout a career to learn

careers. MitiE creates an “educational

progressive independence performing

from experts both through observation

home” where procedurally-based

procedures and using technology over

and hands-on practice. ideally the

clinicians intermittently return to

a relatively long period of time. General

institute would form a relationship with the

learn innovative techniques and use

surgery training alone requires five years

clinician to understand his or her skills and

new technologies. MitiE research

of immersion in patient care beyond four

training needs and provide an experience

MITIE was built to serve a specific need in the medical workforce – keeping practicing health care professionals who do procedures on patients at the top of their game.

T H E M E T H O D I S T H O S P I TA L RESEARCH INSTITUTE

BY THE NUMBERS

SqUARE FEET

STORIES

LAB BENCHES

MEMBERS

CREDENTIALED RESEARCHERS

I N PAT I E N T S I N 2 0 1 2 *

IN NIH FUNDING IN 2012

N U M B E R O F A RT I C L E S B Y METHODIST RESEARCHERS *Projected

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METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION & EDUCATION

What MaKEs MitiE UNiQUE? step into MitiE’s 35,000-plus square feet of education and research space, and it becomes obvious that there is no other place quite like it. the facility was built specifically for practicing health care professionals who are serious about remaining current in their field and providing leading care for their patients.

While parts of the functional spaces of MitiE are similar to other training institutes, only MitiE gathers all the elements – procedural training laboratory, virtual hospital, and research core – together under one roof. this allows for a logical progression from procedure development to training and dissemination all within the institute. MitiE’s capacity for training also is unparalleled with an infrastructure and professional support team to train hundreds of practitioners simultaneously.

MitiE’s physical location in the heart of the texas Medical Center is an advantage, providing access to world-class health professionals from various specialties who work within blocks of the institute. its central location in the U.s. and in

MITIE’s capacity for training is unparalleled with an infrastructure and professional support team to train hundreds of practitioners simultaneously.

houston, the fourth largest city in the country, also allows for easy access by visitors internationally.

Square feet of E D U C AT I O N and R E S E A R C H S PA C E

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METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION & EDUCATION

J O H N F. , J R . A N D C A R O LY N B O O K O U T C H A I R I N S U R G I C A L I N N O VAT I O N A N D T E C H N O L O G Y held by Brian Dunkin, M.D., F.A.C.S.

The John F., Jr. and Carolyn Bookout Chair in Surgical Innovation and Technology was established to foster the clinical, educational and research missions of MITIE and The Methodist Hospital. Dr. Brian Dunkin has held this chair since its inception, in recognition of his invaluable leadership in the development and program growth of MITIE.

2008

2009

Ju n e 2008 – MI TI E is a c c r e di t e d as an Am er ican Co lle ge of S u rgeo ns Level One e duc a t i on in s titute.

Robot i c s ur gi c al t ra i n i n g e x pa nde d t o t h re e ro b o t s.

Ju ly 2008 – West Pav i l i on ren ova tions ar e com p l e t e d.

MIT IE no w enco m pa s s e s 17,000 squar e f eet f o r r e s e a r c h, train ing and education.

M I TI E t r a i ns n e a rl y 1 , 0 0 0 c l i ni c i a ns t hi s y e a r – mo re t h a n 2 , 3 0 0 s i nc e i nc ep t i o n .

2010 A p ri l 2 0 1 0 – M IT IE re ce i v e s a ccre d i t a t i o n fro m t h e S o ci e t y o f A me ri ca n G a st ro i n t e st i n a l a n d E n d o sco p i c S u rg e o n s.

2011 Ja n uar y 2011 – MI TI E ho st s a g rand o peni ng i n i t s new 3 5 , 0 00 squar e- f o o t si t e f o r a p p r o xi m at el y 250 g uest s f r o m a l l o v er t he w o r l d.

A u g u st 2 0 1 0 – M IT IE b e g i n s i t s mo v e t o t h e 5 t h fl o o r o f t h e n e w M e t h o d i st H o sp i t a l R e se a rch In st i t u t e .

Ju n e 2011 – MI TI E i s re a c cr edi t ed by t he Am er i can C o ll eg e o f Sur g eo ns.

M IT IE t ra i n s mo re t h a n 2 , 5 0 0 cl i n i ci a n s t h i s y e a r.

M ITI E t r ai ns 4,400 cl i ni ci ans t h i s y ear.

2012 Mar ch 2012 – The J o hn F. and C ar o l y n Bo o ko ut C hai r i n Sur g i cal I nno v at i o n and Techno l o g y i s est abl i shed at The Met ho di st H o spi t al . I t i s aw ar ded t o MI TI E Medi cal D i r ect o r D r. Br i an D unki n.

Apr i l 2012 – D r. Bar bar a Bass pr esent s “Wh a t i s t h e S u rgeo n ’s F l i gh t S i m u l a t o r ?” at TED MED 2012.

Sept em ber 2012 – MI TI E ho st s o v er 200 cl i ni ci ans f o r hands- o n t r ai ni ng i n a si ng l e day.

Sept em ber 2012 – MI TI E sur passes 15,000 t r ai nees.

D ecem ber 2012 – MI TI E br eaks g r o und o n a co m bi ned MR I and r o bo t i cal l y g ui ded X- r ay o per at i ng sui t e f o r r esear ch and educat i o n.

Timeline of Technology, Innovation & Education

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METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION & EDUCATION

Design Focus MITIE is designed to house all the essential elements for training and research under one roof. Located in The Methodist Hospital Research Institute (TMHRI) in the heart of the Texas Medical Center, MITIE is directly connected to The Methodist Hospital.

ProcedurAL SkiLLS LAb houses 15 operating and endoscopy environments where numerous medical and surgical procedures are taught using state-of-the-art models. each skills station features tools to conduct procedures across multiple specialties.

This area includes the Medical Presence Suite – an immersive environment where learners can observe live procedures across the entire Methodist campus.

• 15 small-scale operating rooms • Medical Presence Suite VirTuAL HoSPiTAL uses simulation technology to recreate a patient care environment, including a hospital’s critical care areas, such as an or or icu. Full-body patient mannequins that breathe, blink, talk and respond to medications are used to recreate patient care situations, including low-frequency, high-

The educational process usually begins with attendance of

risk events which typically offer few opportunities for training.

lectures by experts in the field followed by live procedure

Audiovisual recording in the virtual hospital also allows for

demonstration projected from an operating room into an

debriefing after simulations.

immersive viewing environment known as the Medical Presence

• Pre-brief/debrief rooms

Suite. Afterward, “learners” move into the Procedural Skills

• Simulation suites

Laboratory for hands-on training using life-like models and state-

• Partial task training areas

of-the-art equipment. Multispecialty team training is conducted

• inanimate skills lab

in the Virtual Hospital, to allow all members of a procedure team to gather and rehearse.

reSeArcH core contains multiple image and robotically guided operating rooms for technology and procedure development.

• research ors

Only MITIE brings all the elements – procedural skills laboratory, virtual hospital, and research core – together under one roof.

• Two robotic training labs • Proprietary-technology development rooms • cT-capable or • Mri-capable or • robotically guided x-ray imaging or

Team Structure MiTie employs an open access model for developing educational and research programs. This allows experts both internal to The Methodist Hospital System and external to utilize the institute to develop and disseminate best medical practice. To support this model, MiTie employs an integrated team to manage all aspects of program development from the more complex, such as research or educational design, to the more logistical such as transportation and housing. MiTie’s “one-stop-shopping� model makes it easy for users to host events.

Administration

Operations

Support

Research

Administrative director

Project specialist

Lead lab tech

uH liaison

operations manager

Project specialist

Associate lab tech

outcomes researchers

business manager

Project specialist

Associate lab tech

MiTie surgical skills researcher

iT specialist

research fellow

Project coordinator

research fellow

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METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION & EDUCATION

Unprecedented growth has enabled MITIE to achieve significant milestones over the last year. Here we share key accomplishments in Technology, Innovation, and Education.

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METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION & EDUCATION

Technology MITIE serves as a core facility for state-of-the-art work in less invasive and more accurate surgical procedures. since its inception, researchers from the Methodist hospital system, the texas Medical center, the university of houston and rice university have used the sophisticated surgical and simulation environments in Mitie to foster their work. While impossible to list every project, examples are provided within three key areas: Measuring technical expertise in an ideal world, when a surgeon comes to Mitie to learn a new procedure he or she would leave with a valid measure of competence that would reassure patients and credentialing bodies of readiness to perform real cases. Yet, the current methods of measuring competence take years to develop for each individual operation and require teams of researchers to validate. Dr. Barbara Bass, chair of Methodist’s Department of surgery, and Dr. ioannis pavlidis, a computer scientist from the university of houston, have teamed up to create a better method of measuring procedural competence using thermal imaging. a special camera is focused on a surgeon’s face while performing a surgical procedure and quantitatively measures the surgeon’s level of stress. the scientists have proved that stress correlates with performance; less skilled surgeons exhibit more stress than experts. By measuring a surgeon’s reaction to performing a procedure rather than measuring the procedure itself, Dr. Bass and Dr. pavlidis have discovered a new method of measuring procedural competence that can be rapidly adapted to any procedure. this novel work was published in the journal Scientific Reports, a primary research publication from the publishers of

Scientists can point a special camera at a surgeon’s face while he or she is performing a procedure and quantitatively measure their level of stress.

Nature.

SuPPorTing SurgeonS during THeir FirST ProcedureS even with advanced training, most surgeons welcome expert guidance when first performing a new procedure on a patient. ideally, an expert would guide a novice surgeon during his first cases in the or at his own hospital -- an arrangement that, today, is difficult to support.

ProcedurAL A sophisticated research environment allows MiTie scientists to develop and rehearse new

A lack of mentorship while learning a new procedure is a significant

procedures on simulators rather than real patients. once perfected, the procedure then

barrier to successful adoption into practice. To address this, MiTie

can be performed safely on patients.

researchers have developed technology that allows practicing surgeons to communicate wirelessly with MiTie experts. After a

For example, dr. gerald Lawrie, a Methodist cardiovascular surgeon, sought to perform

surgeon completes training, he or she returns to a home hospital

robotically assisted mitral valve repair surgery for his patients. He had traveled the

with a suitcase-sized telementoring platform. inside the suitcase is

world and watched the handful of surgeons performing the procedure and had ideas on

a computer, backpack and headset with a microphone and high-

improving it. dr. Lawrie and his operating room team came to MiTie and perfected his

definition camera. during a procedure, the surgeon switches on the

approach using the same robot he has in the operating room and a simulated open-heart

computer and wears the backpack and headset. At MiTie, an expert

surgery model. He and his team practiced the technique, measuring simulated pump

surgeon working on a laptop computer communicates with the

times -- the time required for the patient to be on a heart-lung machine to complete the

novice surgeon over the internet, sees what the surgeon sees, and

valve repair -- comparing them to his usual open procedures. When the team reached

guides him or her through the new surgical procedure.

a proficiency level that resulted in pump times close to open valve repair times, they performed their first human case. Within months, dr. Lawrie successfully performed over

dr. brian dunkin has been awarded a grant from the department

35 robotically assisted mitral valve repairs.

of defense to support the development of this “wearable� telementoring technology. Working in MiTie, dr. dunkin has

Work is currently underway to develop new procedures in other areas of cardiovascular

developed the mobile platform and tested it on multiple surgeons

medicine as well as gastrointestinal, transplant, and hernia surgery.

proving that he can effectively help them safely adopt a new surgical procedure, with expert guidance over distance.

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METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION & EDUCATION

Innovation Modern medicine requires collaboration among experts in medicine and in the fields of computer science, mathematics, and engineering.

such collaboration, requires that these diverse groups speak a common language.

MITIE is leading this effort by creating a new scientific discipline called Computational surgery, (www.computationalsurgery.org). Under the direction of dr. Marc Garbey, and in collaboration with the University of houston, the University of Florida at Gainesville, and two European institutions (the Ecole Nationale supÊrieure de Physique de strasbourg and the Politecnico di Milano), a master’s degree program has been developed, three international conferences held, two books published, and the Journal of Computational surgery created. this exciting program is forging a way for scientists and surgeons to collaborate to build the next generation of medical technology.

MitiE also is forming a collaborative platform between industry and academia to foster the development of novel medical technologies. MitiE, the University of houston, and the University of Florida at Gainesville, in collaboration with key industry partners, are working to create the first National Science Foundation Industry and University Cooperative Research Center, (I/UCRC), focused on creating a computer infrastructure in the operating room that will optimize performance and lead to improved patient outcomes. a planning grant meeting was held with the NsF reviewers in the spring and approval of the Center is expected by the first quarter of 2013. as an international leader in education and research, MitiE is a consultant institution helping develop national simulation centers in the United arab Emirates and the Kingdom of saudi arabia. surgical training programs have already been piloted at King

C OM P UTATI ONAL S U RG ERY n ew s cientif ic discipl i ne

Fahad Medical City in riyadh where saudi arabian surgeons enhance their mastery of minimally invasive surgery.

Developing cutting-edge medical devices is an interactive process between industry and medicine. MITIE serves as a platform for joining these partners.

METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION & EDUCATION

16

Education MITIE has become the busiest procedural education Institute in the world with more than 6,400 medical professionals coming through our doors in 2012 and more than 15,000 since inception. Our learners cross 26 specialties and hail from all over the globe.

more than

6,400 LEARNERS in 2 0 1 2 more than

15,000 LEARNERS since inception

TRAINEE GROWTH 8000 7000

6403

6000 5000

4447

4000

0

2514

989

886

1000

38

2000

471

3000

2006 2007 2008 2009 2010 2011 2012

26

S P E C I A LT I E S from across the world

COURSE GROWTH

730

800

578

600

38

301

200

256

441

400

0

805

1000

2006 2007 2008 2009 2010 2011 2012

sPONsOrEd MEEtiNGs

tExas MEdiCaL CENtEr PrOGraMs

thE dEbaKEy iNstitUtE FOr

MitiE has hosted multiple state and national meetings for

MitiE is a core resource for education and

CardiOVasCULar EdUCatiON aNd

the american College of surgeons, the society of american

research benefitting Texas Medical Center

traiNiNG (diCEt)

Gastrointestinal and Endoscopic surgeons, the society for

institutions. the University of texas Md

the debakey institute for Cardiovascular

robotic surgery, the Computational surgery international

anderson Cancer Center conducts an

Education and training (diCEt), the

Network, and the texas association of surgical skills

annual “boot camp” for incoming surgical

educational arm of the heart center,

Laboratories.

fellows to quickly get them up to speed

is a first-of-its-kind institute for

with new technology and techniques that

comprehensive training in cardiovascular

they will use in patient care. Methodist’s

disease. the didactic college offers

department of Medicine conducts

practical instruction, while the skills

a similar boot camp for its incoming

academy provides procedural simulations

residents and fellows. in 2012, more

using a team approach. diCEt provides

than 100 Md anderson fellows and 40

training for cardiovascular professionals

Methodist internal medicine residents and

at every stage of their medical career,

fellows perfomed hands-on training in

collaborating with MitiE for hands-on

MitiE during two-day training courses.

training activities. to learn more, visit debakeyheartcenter.com.

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METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION & EDUCATION

TOTAL LEARNERS BY TYPE in 2012 LEARNER TYPE

NUMBER OF LEARNERS

%

Physician

2097

32.75%

Nurse

1102

17.21%

Resident

915

14.29%

Fellow

820

12.81%

Industry

449

7.01%

Medical Student

359

5.61%

Multi-disciplinary

215

3.36%

EMT

211

3.30%

Anesthesia Assistant

68

1.06%

Respiratory Therapist

62

0.97%

Physical Therapist

41

0.64%

Physician Assistant

35

0.55%

Other

29

0.45%

Grand Total

6403

100.00%

T O TA L 16% Orthopedic LEARNERS B Y S P E C I A LT Y 6% Obstetrics in 2 0 1 2

1% 1% Plastics Pulmonary

1% Quality 2% Anesthesiology 14% Cardiovascular 4% Emergency medicine

Gynecology 16% Nursing

27% General surgery

1% Neurology 8% Multi-disciplinary

5% Medicine

T O TA L COURSES B Y S P E C I A LT Y in 2 0 1 2

6% 6% Plastics Orthopedic

1% Quality

19% Anesthesiology

6% Cardiovascular 1% Emergency Medicine

20% OB/GYN

8% Nursing 2% Multi-Disciplinary

1% Urology

7% Medicine

22% General Surgery

Looking Ahead

MITIE continues to grow and innovate in unprecedented ways.

In December 2012 MITIE “broke ground” on a combined suite of MRI and Hybrid radiology operating rooms exclusively dedicated to education and research.

This first in the world program brings key

The conference will focus on three issues:

industry partners together to create an

1 a marked variation in outcomes across the

operating environment where both magnetic resonance and three dimensional robotically guided x-ray imaging can be used during

U.s. for both established procedures and surgical innovations.

2 Pressures and incentives placed on

a surgical procedure to perform operations

surgeons and hospitals to improve

with improved safety and accuracy. this suite

patient outcomes.

will come on-line in MitiE in 2013 – in time to

3 Learning opportunities and policies that are

partner with Memorial hermann hospital to

needed for practicing surgeons to update

host the first national conference on Trauma

skills and use new technology.

hybrid Operating rooms (thOr).

Leaders from all stakeholders in delivering Houston Endowment

high quality surgical care will come together

through a generous grant from the

during this conference to map the way

houston Endowment, MitiE will host a

forward in supporting continuing education

national conference entitled “40 years of

and training throughout a surgeon’s career.

clinical practice? Ensuring a lifetime of high quality surgical performance: incentives, pressures, technology.”

MRI-Hybrid Suite construction

MRI-Hybrid Suite construction

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METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION & EDUCATION

MEthOdist EdUCatiONaL PartNErs MITIE partners with educational groups within The Methodist Hospital System to provide a hands-on training venue for their professional education.

The DeBakey Institute for Cardiovascular Education and Training (DICET) The educational activities of the Methodist DeBakey Heart and Vascular Center are housed within DICET, which promotes training and education for cardiovascular professionals during all phases of their careers. Established in 2010 through a generous gift from the DeBakey Medical Foundation, DICET incorporates a didactic college, skills academy, public education, and an educational forum. DICET collaborates with MITIE for hands-on learning. To learn more about DICET, visit debakeyheartcenter.com/education.

The Methodist Hospital Department of Nursing As a Magnet® designated institution and one of America’s leading health care facilities, Methodist Nursing is committed to achieving national prominence in clinical practice, education and research by advancing the art and science of nursing worldwide.

Methodist Nursing conducts hands-on training in MITIE as part of their ongoing educational programs.

• Nurse Residency Program: Often a nurse graduate is thrust into clinical care situations with little or no quantifiable

background. This program has been established to assist with this transition. Through formal and clinical instruction, the Nurse Residency Program focuses not only on strengthening proficiency, but also on ensuring the nurse’s role in improved patient safety and patient outcomes. All new graduate nurses at Methodist must participate in the Nurse Residency Program and experienced nurses transitioning into specialty areas are strongly encouraged as well. Each program is individualized based on the specialty area and specific learning needs. Nurse residents are paired with a formally trained clinical preceptor and meet weekly to ensure that milestones are met. Throughout the program, multiple topics are covered in a classroom setting and traditional learning experiences are supplemented by high fidelity simulation experiences in MITIE to improve teamwork, communication, decision making and situational awareness.

• The Methodist Advancement into Professional Practice Program (MAPP): This salaried program is offered to baccalaureate nursing students to enhance their learning and understanding of their chosen profession through a practical internship. Nurses in the program experience hands-on training while working along side lead Registered Nurses in direct patient care. This training is supplemented with skills practice in MITIE. To learn more about Methodist nursing opportunities, visit methodisthealth.com/nursing.

thE MEthOdist hOsPitaL bOard OF dirECtOrs Ewing Werlein, Jr. Chairperson

Joseph C. “Rusty” Walter III Assistant Treasurer

John F. Bookout Senior Chair

Morrie K. Abramson

Marc L. Boom, M.D. President & CEO David M. Underwood Vice Chair

Emily A. Crosswell Mary A. Daffin Connie Dyer Gary W. Edwards

Gregory V. Nelson Secretary

Eric J. Haufrect, M.D. President of the Medical Staff

Robert K. Moses, Jr. Assistant Secretary

Mark A. Houser

Carlton E. Baucum Treasurer

Bishop Janice Riggle Huie Lawrence W. Kellner Rev. Kenneth R. Levingston

Vidal G. Martinez

Life Members

Dr. Thomas J. Pace, III

Jack S. Blanton

Keith O. Reeves, M.D.

Ernest H. Cockrell

C. Richard Stasney, M.D. Advisory, President-Elect of the Medical Staff

James C. Dishman

Elizabeth Blanton Wareing

Isaac H. Kempner, III

Dr. Stephen Wende

Nat S. Rogers

Rev. B.T. Williamson Advisory Sandra Gayle Wright, RN, Ed.D.

Charles W. Duncan, Jr.

1

2

18

17

3

16

15

1

14

4

5

13

12

6

7

11

1

Administration

10

MRI-Guided Operating Suite

2

Brief/Debrief Rooms

11

Fifteen Procedural Training Stations

3

Principal Investigator Offices

12

Collaboration Area

4

Reception

13

Research Scientist’s Office

5

Breakout Area

14

CT Scan-Guided Operating Room

6

Coffee Bar

15

Confidential Research Suite

7

Virtual Surgical Amphitheatre

16

Surgical Robotic Suite

8

Locker Rooms

17

Simulation Suites

9

Board Room

18

Partial Task Training Suites

8

9

10

9

01

8

7

6

11

5

4

21

31

1

3

41

2

51

61

1

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ACADEMIC pArTnErS The University of Houston Department of Computer Science The Department of Computer Science at the University of Houston was founded in 1967 and is one of the first established in the country. It is among the top 50 in the U.S. according to the 2011 Academic Ranking of World Universities.

Dr. Marc Garbey has a joint appointment with Methodist’s Department of Surgery and has led a series of collaborations in education and research. These range from establishing a new discipline of computational surgery to developing image recognition technology to track operative tools real-time during surgery.

This collaborative work is described in the Technology / Research section of this report.

Learn more by visiting computationalsurgery.org.

Rice University Department of Mechanical Engineering and Materials Science The Mechanical Engineering Department was founded in 1913, one year after the university opened. In 1962 the department was renamed the Department of Mechanical Engineering and Materials Science (MEMS). MEMS faculty specialize in a wide number of areas including biomechanics, materials, heat transfer, and computational fluid dynamics, control systems/ robotics, mechanics, C.A.D., aero/astronautics, and applied mathematics. MITIE research teams have partnered with Marsha O’Malley, Ph.D. from MEMS to develop validated measures of procedural competence in robotic and endovascular surgery.

Learn more about MEMS by visiting memsweb.rice.edu.

InDuSTry pArTnErS Behind every new surgical device developed to improve patient care is a multidisciplinary collaboration among medical professionals, research scientists, and the medical device industry. MITIE’s success is not only a result of the innovative spirit within the organization, but also of the technology and support provided by our industry partners. Some of the industry leaders whose support has helped MITIE to thrive include: Boston Scientific Endoscopy Boston Scientific Endoscopy seeks to be a global leader in the development of innovative medical technologies used to diagnose, palliate, and treat a variety of digestive diseases.

The long-standing commitment of Boston Scientific Endoscopy to advance the field of endoscopy is reflected in a broad spectrum of diagnostic and therapeutic devices for disease states throughout the GI tract. Boston Scientific Endoscopy has committed to be one of three founding partners in the development of a National Science Foundation funded collaborative industry-academic center that will utilize MITIE as an experimental platform for developing novel technology in the areas of surgery, gastroenterology, and education.

Covidien Covidien is a global healthcare products leader dedicated to creating innovative medical solutions for better patient outcomes.

Covidien pioneered endomechanical devices for minimally invasive surgery and is a world leader in energy platforms and soft tissue repair products. Covidien was an inaugural education partner with MITIE and has fostered the development of multiple educational events benefiting thousands of practicing health care professionals.

Image Stream Medical Inc. Image Stream Medical provides products targeted at minimally invasive surgery image management. Over the last decade ISM has developed the most advanced network-based image management and virtual collaboration solutions to share medical video throughout hospitals. Image Stream has been a key partner in developing the audio-video integration platform in MITIE which allows real time, high definition linkage to all procedural environments in Methodist. Image Stream also collaborates with MITIE on research projects to develop wearable technology for surgeon-tosurgeon proctoring in the OR. Karl Storz Endoskope Since its founding in 1945, Karl Storz Endoskope has established itself as a highly regarded international company that produces medical instruments and devices. The company has developed a comprehensive and extremely sophisticated range of endoscopes and instruments for the fields of internal medicine, general surgery, urology, gynecology and pediatric surgery. Storz was an inaugural partner with MITIE, and the first industrial collaborator to support and dedicate resources to the Institute. MITIE and Storz collaborate on a broad range of educational and research initiatives.

Olympus Olympus is an international company focused on improving people’s lives through innovation. As a precision technology leader, Olympus designs solutions in medical and surgical products. Olympus has particular expertise in flexible gastrointestinal endoscopy and has partnered with MITIE to advance the field of endolumenal surgery – a new method of performing surgical procedures from inside the GI tract to avoid pain and scars.

Siemens Siemens is a world leader in providing health care products for image-guided procedures. The company has particular expertise creating advanced operating rooms that combine the imaging capabilities of a radiology department with state-of-theart surgical devices. The combination allows surgeons to perform more accurate and less invasive procedures. Siemens has partnered with MITIE to develop two experimental operating rooms – an MRI-capable operating suite, and a “hybrid” operating room that includes advanced, robotically guided X-ray imaging. These combined imaging operating rooms bring to MITIE advanced image-guided capability beyond that of any other Institute.

Steris Steris Healthcare provides operating room surgical equipment and sterile processing equipment. It has partnered with MITIE to innovate technologies around operative booms and lights for efficient procedural environments.

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