genius comes from gaming and well I’m
going to take you to there are some some
logos in sides don’t be shaken or
anything I’m not sponsored but I always
do this to honor the collaborations we
do in the AMC just out of curiosity what
do you think was the most cited suite of
the AMC this year anyone has an idea
almost almost it was about Pokemon and
you know we are a very big academic
center we are proud of ourselves and we
say we are the best academic center we
are the ax from from med school and it
was about Pokemon and why is it that
people are so intrigued by games or by
playing well Einstein already said it
games are the most elephant most
elevated form of Investigation when you
play you explore you don’t have to teach
animals to play you don’t have to teach
children to play we all play I play if I
show the slides of students I ask them
what’s your reference does anyone know
this under let’s say under 20 to play
back to take this right if you show this
to elementary school they say it’s to
write a name on the white tag they don’t
know you use the pencil to wind up your
tape so it’s all about reference well we
have two generations in here Generation
Y which is you I suppose your are used
to replication to peer orientation your
hard-working you want instant
gratification you want it now and you
need stimulating work environment in all
the fate of technology and you’re less
in need of guideline guidelines then my
generation is and we have been raised to
choose security of
opportunity to have strong work ethics a
deal is a deal you have to deliver and
you need to work with guidelines and
directions and you are most often loyal
to the employee so basically your
generation is not mine it’s not bad it’s
not good just a little bit different and
students that I teach I simply no no
were the people that the educational
system was once designed for at least I
thought the ones I was trained with so
it’s really hard if you have people
trained in an old curriculum to get a
message across to people who are born
differently they are just disconnected
which is the theme of today so how to
convince someone who is actually
classically trained that’s what it’s all
about
and if I start about serious gaming they
can follow that I’m a professor although
I’m female and I’m wearing jeans and
stuff and my mates think I’m a little
bit weird to take and full of because I
do the same type of surgery but if I
start about serious gaming they go well
they tune out basically so I have to
explain to them what is the difference
the difference between reality virtual
reality and simulation reality is a
representation that is close to what’s
in the real world virtual reality of
simulation
mimics reality at best way and similarly
this is gaming actually I hope this
works yes
puts a layer over reality so you give a
different meaning to what’s underneath
and you can play and toy around with it
but in the end we have to get the same
type of people if you talk about
training medical residents we need to
have a competent professional you need
to have people who have the same
abilities as the ones who are
classically trained in fact there’s a
guideline because my generation was
raised with guidelines that the surgeon
must possess at a good level of
knowledge skills and behavior in order
to do the job
and how do you cool closer
I would I would take someone like that
into training in a heartbeat so um it’s
about deliberate practice by doing
things repeatedly over and over and over
again until you become that good now how
do you train surgeons preferably not on
patients so you have to give them
something to get very good at so we gave
them a simulator because we were
thinking simulators work virtual reality
you mimic the tasks you do in real life
so we gave them a simulator to to grow
their psycho dexterity and we even made
it obligated and why because this is how
we found to simulate a back after four
months it was a very expensive thing it
was only us for 136 minutes in four
months among 30 residents which is
nothing and how is that possible because
they if you put them behind the thing
they say how it’s fun and it’s nice to
do it but they lacked the innate ability
to do it so at that time that was my PhD
and I was thinking why is it so hard for
people to do something which they know
they will be getting better if they do
it so I was thinking what what what
being thoughts do we all like to be
educated we don’t like to be educated we
like to we like to find out but we don’t
like to be educated most of us don’t I
hate the word teaching myself so we have
to unlearn teaching now what’s the power
of play can can someone get the common
excitement yeah emotion it triggers
emotions
you cannot play without without facial
expression which is a reflection of your
emotions so it triggers your emotions
and the triggers emotions in everybody
in all people in your own people in
people like you and I so we have to get
it through the message to self learning
that’s what I like to call it to make
sure the people learn without them
feeling being taught and you have to get
them in the flow zone which is the zone
in which you learn ultimately because
you’re engaged it was too difficult it’s
too anxious you cannot learn if it’s not
difficult enough you get bored so you
have to get into that specific street
this is what we did in fact a better
surgeon is a gamer
they just a Nintendo Wii to warm us up
and so we played with the wind until we
and then we had to do described tasks at
the hour and they were much much better
we went further on this because in
laparoscopic surgery you you need
dexterity if you move if you move the
thing is you put into the abdomen to the
right in the abdomen it goes to the left
and the other way around so you have to
go like after that in pokhara to drive
backwards all the time which is
difficult so you can you could teach
this in a game lemme see or I got a lot
of movies you know only 80 minutes I’ll
[Music]
so get them home right so this is much
more fun than being answers on some kind
of stupid simulate simulator but we
doesn’t fit in your pocket and as always
listen to your mother mine always said
use what you got always you can
deliberate about how much you got but
use what you got and you got an iPhone
your pocket or an Android or whatever so
maybe you should start making fun in
such a way as short intimate so does
someone know what this is
someone from Stockholm maybe no fat fat
chance
well this is a street in Stockholm in
which people drove too hard all the time
and they put on fines and they put in
police agents and nothing worked so what
they did they did a contest and they put
a pole there and if you would drive the
exact speed limits you would get a
lottery ticket with a chance on 10% of
it’s brilliance because no one drove too
slow and no one drove too hard Jesus
right so it was awarded with lots of
awards and the effort speech was reduced
by 22% really smart thinking now about
smart thinking in the MC yeah go back
again people think they are smart so
what they do they say how people have to
move more because sitting is the new
smoking so you have to move more that’s
why I do all the time this and they put
posters on the elevator this is our old
chief Marshall AV and they put the
poster of muscle Navy on the elevator
because they were thinking we would take
the stairs the crazy names so this is a
good example for what does happen if you
really think well about how to engage
it goes on and on if you want to try for
yourself this one I’ve altered um now
too so having settled this does it make
a difference because if you have to
convince those grail band you have to
show them evidence because you have to
think how they think so in order to
convince them so you have to do your
system as greedy search and we do more
evidence there’s a lot of crap out there
and maybe there’s good stuff out there
which is not being employed right way so
you have to do it right so you have to
do think collaborations this is one we
did it goes about surgical mastering it
goes about challenging your educator by
getting higher scores and sharing this
is an example of actually the monitor we
use in the scope of surgery we just play
a game that everyone likes like this
type of cannon chorus which you cannot
solve unless you know what’s behind
because the monitor in here is actually
what’s on the screen so if the screen
gets blurry you need to know how to
solve it and to check whatever you did
if the family day it is because
validation is key I mean I can say it
works but I could see si I’m a size
eight which I’m not and so you need a
mirror and you need to see if that
really works so that people who are
surgeons indeed solve it better than
people who just start out because
otherwise what are you doing a surgeon
should have better results if the game
is valid also the time to solution
insurgents is much much less Interphone
and by deliberate practice you learn
which already said and what was
surprising like the tweet that I started
with that it was actually the second
most downloaded article on which general
surgery now British general surgery is
like some kind of holy grilled you know
so I was amazed that so many people who
are looking at it now do you always need
to build a game no you can also use the
gaming principles now you don’t have to
build a game but you have to think like
a game builder too
hijack the brain you have to go from
game to game if occasion now you just
saw the top tower that we use in
laparoscopically
which is a terrible tower you can get in
a whole lot of mess if you don’t
understand the tower well so actually
what we did in training our residents
with laparoscopic surgery we said them
okay we going to up your tower you
have to find and if you can
find a sucker she had to circle the
other ones that were which is crazy a
lot of fun so
here is again a wonderful wonderful bow
what can we do this with eLearning
it’s much deeper elearning is a PDF
behind glass that’s how I like to call
it it is no fun it’s just like PDF
behind glass sometimes I have to do a
learnings for instance this one on
resuscitation which I hate it I just I I
looked up all the answers I didn’t even
anyway we can do much better so we did a
360 degree video game placing people in
the AMC to do research cetacean
themselves let me see well I’m over time
anyway you can see you can find it on
YouTube but actually push you in the AMC
and you have to do resuscitation it’s
great it’s really good and you can
download it for free okay so for free
wonderful but what’s in it for me they
say it’s student stuff what’s in it for
me oh you don’t have to be disconnected
theme of today Pokemon which I like my
okay
it’s more sunlit it came and actually
works they’d abandoned pokemons out of
the AMC they say they didn’t but it
gives people connected actually it made
me more much more than I didn’t so if I
have to go back to serious can we use it
in the operating room yes we can and how
can we use it by using solutions that
are already out there like for instance
if you see industry that’s why I had a
disclosure at the beginning and they say
Energy slogan look at healthcare
differently and then they have a surgeon
pointing at the monitor if there’s
anything you shouldn’t do as a surgeon
it’s pointing in a monitor because then
you risk sterility which is Holy Grail
man surgery you cannot be in sterile so
if I do this this is not me you know
that this doesn’t work so why not take a
game controller that’s more fun
[Music]
so what you see me doing is actually
wearing a game controller in order to
operate the CT scan without hacking
anything it’s just a remote Mouse how
difficult can it be but you don’t need
expensive stuff to you know to think
about how you can make things better and
how to use it on patients for instance
if patients have broken their wrists we
have not started the clinical trial with
this and they actually starts they are
anxious how can how much can I move how
we build this game in order for them to
practice also with the relatives and
actually we can monitor quite precisely
how the angles are and it’s a really
nice environment for especially for
children to practice all the wrist
movements again and for us to collect
the data on how well the wrist is doing
after surgery so I’m at the end so if
you want to be surgeon you wanna be a
professor you must be stay curious and
play that’s important but you have to
learn the rules of the game you have to
understand that people who train you are
thinking differently and then you have
to play better than everyone else so you
have to play in a team these are my PhD
students and this is someone that took
us my plus one today he’s a professional
gamer and he’s going to hopefully start
on a top sport scenario in in the MC as
an e gamer because learning is so much more fun when you connect thank you