Provision of opportunities for treatment to as many patients as possible
According to a survey by the World Health Organization, the leading cause of death in 2016 was ischemic heart disease, which claimed the lives of 9.4 million people and accounted for 17% of deaths in that year.*1 The number of deaths from this disease in countries categorized as low income or lower middle income has risen for the past 15 years.*2 One reason behind this situation is thought to be a lack of medical professionals capable of treating ischemic heart disease. Procedures for treating this disease include percutaneous coronary intervention (PCI) using catheters and cardiovascular surgeries. Performing these procedures requires a certain amount of knowledge, skills, and experience pertaining to the proper operation of the necessary medical devices. Medical training opportunities are scarce in certain countries, resulting in a lack of physicians and surgeons with the required knowledge and skills and of clinical engineers and perfusionists capable of managing and operating the medical devices needed for treatment.
To address this issue, Terumo is fulfilling its responsibility as a company that supplies catheter products for vascular interventional therapy including PCI and heart-lung machines for cardiovascular surgeries across the globe by developing systems for providing training to medical professionals worldwide. We thereby aim to enable patients in as many countries as possible to receive the treatment they need.
In Japan, Terumo established Terumo Medical Pranex, a facility that realistically simulates operating rooms, catheterization laboratories, and other hospital facilities, in 2002. Since then, this facility has been used as a site for the training of physicians, surgeons, nurses, clinical engineers, and other medical professionals from around the world. Terumo Medical Pranex receives around 12,000 visitors a year, 70% of which are medical professionals. As we provide training, we are able to glean insight into the needs of medical settings, which can be incorporated into the development of training simulators and the preparation and refinement of training programs.
Furthermore, a program was launched in 2014 to cultivate staff from among Terumo Group associates worldwide that are highly knowledgeable on the techniques and devices used when performing PCI and other vascular interventional therapies and who can function as trainers in their respective countries. As we implement this program, we are simultaneously cultivating medical professionals that can help administer training programs developed by Terumo. Currently, approximately 120 people around the world have completed this program, more than 20 of which are medical professionals.
The Terumo Group has recently been moving forward with efforts to have overseas Group companies establish training facilities at their sites. The goal of these efforts is to provide medical professionals with greater access to training opportunities matched to the levels and needs of the medical fields in these countries. Such training facilities have already been opened in the United States, Europe, South Korea, Vietnam, India, and Mexico, among other countries, and training programs matched to the medical needs of these respective countries are being offered. For example, a facility opened in India during 2018 is primarily conducting training programs on PCI and cardiovascular surgeries. An aggregate total of approximately 200 medical professionals took part in these training programs conducted at the facility in fiscal 2018.
Establishing and operating such training facilities requires a deep understanding of local medical needs in addition to a diverse range of other insight for selecting equipment, formulating training programs, choosing training simulators, and cultivating trainers. The know-how accumulated within Terumo Medical Pranex, which has provided countless training opportunities to medical professionals from all corners of the globe, is employed in this process.
Going forward, Terumo will continue to enhance its system for providing the training needed by medical professionals in order to ensure that as many patients as possible have access to the treatment they require. These efforts will be founded on an understanding of the levels of medical services and the needs of medical settings in each respective country.
Global Health Estimates 2016, World Health Organization, 2016; income categories based on definitions by the World Bank
Comment from Vietnam National Heart Institute
Dr. Nguyen Huu Tuan
Vietnam National Heart Institute
I was one of the first doctors in Vietnam to join the TTT (Train the Trainer) training program at Terumo Medical Pranex. I then applied for training programs at Terumo Vietnam Medical Equipment Co., Ltd., which are offered to young cardiology intervention physicians in the provinces, with courses spanning from basic to advanced levels. I found these courses to be outstanding and the most fruitful training courses I have ever taken. According to my assessment, training programs using models and simulators help young cardiovascular intervention specialists gradually improve their intervention skills pertaining to coronary artery lesions. The acquired skills and techniques will enable them to perform coronary intervention on their patients more accurately and to minimize complications during actual operations.
As expected, after the Terumo TTT training program, I had many opportunities to exchange and share my experiences regarding coronary intervention with many young physicians at national cardiology conferences. I realized that the knowledge and intervention skills acquired during the training program helped these young physicians overcome their psychological barriers in the implementation of complex coronary intervention cases on patients, a procedure that was previously the source of much confusion and anxiety. This demonstrates the considerable effectiveness of this training program.
Therefore, I am very confident that the TTT training program creates visible and practical results for physicians that facilitate their continuous contribution to society as healthcare professionals.