# Innovation, Education & Digital Transformation in Pediatric Surgery — GCMD Library living collection

Updated: n/a · 35 episodes · 41 cited statements

## Episodes
### Surgical Education & Training
- [Virtual curriculum delivery in the COVID-19 era: the pediatric surgery boot camp v2.0](https://library.globalcastmd.com/watch/virtual-curriculum-delivery-in-the-covid-19-era-the-pediatric-surgery-boot-camp-15117) — article · [machine version](https://library.globalcastmd.com/watch/virtual-curriculum-delivery-in-the-covid-19-era-the-pediatric-surgery-boot-camp-15117.md)
- [Virtual Education in Pediatric Surgery during the COVID-19 Era: Facing and Overcoming Current Challenges](https://library.globalcastmd.com/watch/virtual-education-in-pediatric-surgery-during-the-covid-19-era-facing-and-overco-13277) — article · [machine version](https://library.globalcastmd.com/watch/virtual-education-in-pediatric-surgery-during-the-covid-19-era-facing-and-overco-13277.md)
- [Emerging technology and their application to paediatric surgical training](https://library.globalcastmd.com/watch/emerging-technology-and-their-application-to-paediatric-surgical-training-13281) — article · [machine version](https://library.globalcastmd.com/watch/emerging-technology-and-their-application-to-paediatric-surgical-training-13281.md)
- [Top 10 key takeaways from the 2021 pediatric surgery update course](https://library.globalcastmd.com/watch/top-10-key-takeaways-from-the-2021-pediatric-surgery-update-course-13274) — article · [machine version](https://library.globalcastmd.com/watch/top-10-key-takeaways-from-the-2021-pediatric-surgery-update-course-13274.md)
- [Educational implications for surgical telementoring: a current review with recommendations for future practice, policy, and research](https://library.globalcastmd.com/watch/educational-implications-for-surgical-telementoring-a-current-review-with-recomm-13326) — article · [machine version](https://library.globalcastmd.com/watch/educational-implications-for-surgical-telementoring-a-current-review-with-recomm-13326.md)
- [Barriers to the implementation of new guidelines among pediatric surgeons: online survey](https://library.globalcastmd.com/watch/barriers-to-the-implementation-of-new-guidelines-among-pediatric-surgeons-online-13325) — article · [machine version](https://library.globalcastmd.com/watch/barriers-to-the-implementation-of-new-guidelines-among-pediatric-surgeons-online-13325.md)
- [Storytelling for pediatric surgical education and beyond](https://library.globalcastmd.com/watch/storytelling-for-pediatric-surgical-education-and-beyond-13272) — article · [machine version](https://library.globalcastmd.com/watch/storytelling-for-pediatric-surgical-education-and-beyond-13272.md)
- [The Future of Surgical Education: A King, an Ox, & Elon Musk](https://library.globalcastmd.com/watch/the-future-of-surgical-education-a-king-an-ox-elon-musk-13425) — podcast · [machine version](https://library.globalcastmd.com/watch/the-future-of-surgical-education-a-king-an-ox-elon-musk-13425.md)

### Telemedicine & Telementoring
- [White paper: technology for surgical telementoring-SAGES Project 6 Technology Working Group](https://library.globalcastmd.com/watch/white-paper-technology-for-surgical-telementoring-sages-project-6-technology-wor-13285) — article · [machine version](https://library.globalcastmd.com/watch/white-paper-technology-for-surgical-telementoring-sages-project-6-technology-wor-13285.md)
- [Trans-Atlantic Telementoring with Pediatric Surgeons: Technical Considerations and Lessons Learned](https://library.globalcastmd.com/watch/trans-atlantic-telementoring-with-pediatric-surgeons-technical-considerations-an-13307) — article · [machine version](https://library.globalcastmd.com/watch/trans-atlantic-telementoring-with-pediatric-surgeons-technical-considerations-an-13307.md)
- [Transcontinental telementoring with pediatric surgeons: proof of concept and technical considerations](https://library.globalcastmd.com/watch/transcontinental-telementoring-with-pediatric-surgeons-proof-of-concept-and-tech-13313) — article · [machine version](https://library.globalcastmd.com/watch/transcontinental-telementoring-with-pediatric-surgeons-proof-of-concept-and-tech-13313.md)
- [Telementoring: the surgical tool of the future](https://library.globalcastmd.com/watch/telementoring-the-surgical-tool-of-the-future-13315) — article · [machine version](https://library.globalcastmd.com/watch/telementoring-the-surgical-tool-of-the-future-13315.md)
- [Telemedicine in pediatric surgery](https://library.globalcastmd.com/watch/telemedicine-in-pediatric-surgery-13288) — article · [machine version](https://library.globalcastmd.com/watch/telemedicine-in-pediatric-surgery-13288.md)
- [What is "telemedicine" and what does it mean for a pediatric surgeon?](https://library.globalcastmd.com/watch/what-is-telemedicine-and-what-does-it-mean-for-a-pediatric-surgeon-13316) — article · [machine version](https://library.globalcastmd.com/watch/what-is-telemedicine-and-what-does-it-mean-for-a-pediatric-surgeon-13316.md)
- [Public Perception of Telemedicine and Surgical Telementoring in the Pediatric Population: Results of a Parental Survey](https://library.globalcastmd.com/watch/public-perception-of-telemedicine-and-surgical-telementoring-in-the-pediatric-po-13292) — article · [machine version](https://library.globalcastmd.com/watch/public-perception-of-telemedicine-and-surgical-telementoring-in-the-pediatric-po-13292.md)

### Knowledge Dissemination & Media
- [Journal of Pediatric Surgery: Effects of an automated social media strategy for knowledge dissemination](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-effects-of-an-automated-social-media-strategy-for-k-15118) — article · [machine version](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-effects-of-an-automated-social-media-strategy-for-k-15118.md)
- [Role of New Media for the Young Pediatric Surgeon: Fighting Exponential Knowledge Growth with Moore's Law](https://library.globalcastmd.com/watch/role-of-new-media-for-the-young-pediatric-surgeon-fighting-exponential-knowledge-13297) — article · [machine version](https://library.globalcastmd.com/watch/role-of-new-media-for-the-young-pediatric-surgeon-fighting-exponential-knowledge-13297.md)
- [New media in pediatric surgery: innovations that have changed the way we educate and communicate](https://library.globalcastmd.com/watch/new-media-in-pediatric-surgery-innovations-that-have-changed-the-way-we-educate-13317) — article · [machine version](https://library.globalcastmd.com/watch/new-media-in-pediatric-surgery-innovations-that-have-changed-the-way-we-educate-13317.md)
- [New multimedia advances in surgical information](https://library.globalcastmd.com/watch/new-multimedia-advances-in-surgical-information-13290) — article · [machine version](https://library.globalcastmd.com/watch/new-multimedia-advances-in-surgical-information-13290.md)
- [Modern, multi-media, advances in surgical information](https://library.globalcastmd.com/watch/modern-multi-media-advances-in-surgical-information-13310) — article · [machine version](https://library.globalcastmd.com/watch/modern-multi-media-advances-in-surgical-information-13310.md)
- [Online resources in pediatric surgery: the new era of medical information](https://library.globalcastmd.com/watch/online-resources-in-pediatric-surgery-the-new-era-of-medical-information-13314) — article · [machine version](https://library.globalcastmd.com/watch/online-resources-in-pediatric-surgery-the-new-era-of-medical-information-13314.md)
- [Journal of Pediatric Surgery Article Review: May 2019](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361) — video · 9:22 · [machine version](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361.md)
- [Commentary on shifting paradigms: The top 100 most disruptive papers in core pediatric surgery journals](https://library.globalcastmd.com/watch/commentary-on-shifting-paradigms-the-top-100-most-disruptive-papers-in-core-pedi-13278) — article · [machine version](https://library.globalcastmd.com/watch/commentary-on-shifting-paradigms-the-top-100-most-disruptive-papers-in-core-pedi-13278.md)

### Innovation & Leadership
- [Building Sustainable Innovation Programs in Academic Pediatric Healthcare](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384) — podcast · 38:14 · [machine version](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384.md)
- [Morbidity, mortality,... and innovation: Turning complications into patents](https://library.globalcastmd.com/watch/morbidity-mortality-and-innovation-turning-complications-into-patents-13269) — article · [machine version](https://library.globalcastmd.com/watch/morbidity-mortality-and-innovation-turning-complications-into-patents-13269.md)
- [Episode 197 | Todd Ponsky, Chief Innovation Officer at Cincinnati Children](https://library.globalcastmd.com/watch/episode-197-todd-ponsky-chief-innovation-officer-at-cincinnati-children-13420) — podcast · [machine version](https://library.globalcastmd.com/watch/episode-197-todd-ponsky-chief-innovation-officer-at-cincinnati-children-13420.md)
- [Pediatric Surgery: Todd Ponsky](https://library.globalcastmd.com/watch/pediatric-surgery-todd-ponsky-15116) — video · [machine version](https://library.globalcastmd.com/watch/pediatric-surgery-todd-ponsky-15116.md)
- [Unfortunately, We Must Say Goodbye… But Also say Hello…](https://library.globalcastmd.com/watch/unfortunately-we-must-say-goodbye-but-also-say-hello-13270) — article · [machine version](https://library.globalcastmd.com/watch/unfortunately-we-must-say-goodbye-but-also-say-hello-13270.md)
- [JPS Open: The Beginning of a New Era](https://library.globalcastmd.com/watch/jps-open-the-beginning-of-a-new-era-13271) — article · [machine version](https://library.globalcastmd.com/watch/jps-open-the-beginning-of-a-new-era-13271.md)
- [High-powered magnets still require high-powered vigilance](https://library.globalcastmd.com/watch/high-powered-magnets-still-require-high-powered-vigilance-13275) — article · [machine version](https://library.globalcastmd.com/watch/high-powered-magnets-still-require-high-powered-vigilance-13275.md)
- [Important information for our authors and readers](https://library.globalcastmd.com/watch/important-information-for-our-authors-and-readers-13276) — article · [machine version](https://library.globalcastmd.com/watch/important-information-for-our-authors-and-readers-13276.md)
- [Preface](https://library.globalcastmd.com/watch/preface-13301) — article · [machine version](https://library.globalcastmd.com/watch/preface-13301.md)

### Practice Trends & Workforce
- [Pediatric surgery - a changing field: national trends in pediatric surgical practice](https://library.globalcastmd.com/watch/pediatric-surgery-a-changing-field-national-trends-in-pediatric-surgical-practic-13306) — article · [machine version](https://library.globalcastmd.com/watch/pediatric-surgery-a-changing-field-national-trends-in-pediatric-surgical-practic-13306.md)
- [Unconscious Bias](https://library.globalcastmd.com/watch/unconscious-bias-13435) — podcast · [machine version](https://library.globalcastmd.com/watch/unconscious-bias-13435.md)

### History & Evolution
- [History Of Pediatric Surgery](https://library.globalcastmd.com/watch/history-of-pediatric-surgery-13445) — podcast · [machine version](https://library.globalcastmd.com/watch/history-of-pediatric-surgery-13445.md)

## Chapters
- [0:03](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=3) Post-operative Follow-up Optimization and Telemedicine (Ep 22)
- [3:26](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=206) Appendectomy Techniques: Intracorporeal vs Extracorporeal (Ep 22)
- [6:07](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=367) Shock Index Pediatric Adjusted (SIPPA) in Trauma (Ep 22)
- [0:00](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=0) Introduction and Evolution of Innovation at Cincinnati Children's (Ep 24)
- [3:09](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=189) New Innovation Models: Frontline, External Partnerships, and Health Service Ventures (Ep 24)
- [6:33](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=393) Morbidity, Mortality and Innovation Conference Model (Ep 24)
- [10:37](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=637) Frontline Engagement Challenges and Strategies (Ep 24)
- [13:53](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=833) Digital Solutions and No-Code Development (Ep 24)
- [17:45](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1065) Innovation's Organizational Position and Cross-Functional Collaboration (Ep 24)
- [23:15](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1395) Executive Cover and Organizational Culture for Innovation (Ep 24)
- [26:48](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1608) The Clay Mindset and Workforce Adoption of Innovation Tools (Ep 24)
- [34:10](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=2050) Identifying Natural Innovators and Advice for Innovation Leaders (Ep 24)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- Telemedicine follow-up allows surgeons to fit more new patients into clinic and get more cases. — Gibbons (opinion) [Ep 22 · 1:47](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=107)
- Telemedicine follow-up feasibility depends on patient population resources and education level. — Alex (opinion) [Ep 22 · 2:22](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=142)
- Children do excellent with both intracorporeal and extracorporeal appendectomy techniques, and outcomes are ultimately similar. — Alex (opinion) [Ep 22 · 5:35](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=335)
- At Todd Ponsky's hospital, a certain SIPPA number triggers immediate patient evaluation rather than using trauma score classification. — Todd Ponsky (clinical) [Ep 22 · 8:56](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=536)
- Cincinnati Children's Hospital received a philanthropic gift from William Proctor many years ago that has grown to support a healthy research foundation, enabling the institution to excel equally in clinical care and research. — Todd Ponsky (clinical) [Ep 24 · 1:24](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=84)
- Most traditional technology transfer programs at academic medical centers are not financially sustainable; they function more as academic support for researchers rather than profitable enterprises. — Todd Ponsky (opinion) [Ep 24 · 2:42](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=162)
- The Frontline Innovation program was created because most innovation was coming from full-time researchers, while busy clinicians lacked the bandwidth and experience to innovate despite having valuable insights. — Todd Ponsky (clinical) [Ep 24 · 3:37](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=217)
- The Morbidity, Mortality and Innovation conference model produced six provisional patents in a few months by converting surgical complications into innovation opportunities. — Todd Ponsky (clinical) [Ep 24 · 4:29](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=269)
- External partnerships allow companies to collaborate with Cincinnati Children's for pilots and testing, creating joint ventures or shared upside arrangements that involve clinicians and researchers. — Todd Ponsky (clinical) [Ep 24 · 4:48](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=288)
- Health Service Ventures examines daily hospital operations (service lines, pharmacy, pathology, sterile processing) for optimization opportunities that could be scaled into for-profit entities through partnerships with other hospitals, capital partners, or industry. — Todd Ponsky (clinical) [Ep 24 · 5:22](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=322)
- Quality improvement and innovation traditionally sit far apart in organizations, but mirroring them allows complication conferences to identify unmet needs where no existing solution exists. — Todd Ponsky (opinion) [Ep 24 · 6:52](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=412)
- When an unmet need is identified through M&M conferences, the team first searches to see if a solution already exists (often it does but was unknown), and if not, consults external partners to validate the problem's significance before creating a solution. — Todd Ponsky (clinical) [Ep 24 · 7:34](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=454)
- Engaging frontline staff in innovation is harder than initially expected; busy clinicians and especially nurses lack time despite being most aware of problems and having creative solutions. — Todd Ponsky (opinion) [Ep 24 · 9:07](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=547)
- Active embedded pursuit—sitting where frontline staff already work rather than waiting for them to come to innovation offices—is necessary to engage busy clinicians. — Todd Ponsky (opinion) [Ep 24 · 9:30](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=570)
- Aligned incentives (financial, academic, or other benefits) are necessary to motivate frontline staff to participate in innovation, as innovation is not currently celebrated in academic promotion processes. — Todd Ponsky (opinion) [Ep 24 · 9:46](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=586)
- Frontline innovation engagement has been easier on the physician side than the nursing side, despite nurses being most aware of frontline problems. — Todd Ponsky (clinical) [Ep 24 · 10:07](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=607)
- Chief Nursing Officer Barb Tafani provides exceptional support for nursing innovation engagement, stating 'we just have to' when asked how to overcome barriers. — Todd Ponsky (clinical) [Ep 24 · 12:28](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=748)
- Nurse practitioner Abby Hess leads frontline nursing innovation efforts and has successfully moved several initiatives forward. — Todd Ponsky (clinical) [Ep 24 · 12:49](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=769)
- Innovation opportunities are prioritized based on whether the problem is widely felt across organizations, as this indicates a potential market; narrow-focus problems may be directed to alternative paths like publication or philanthropic funding. — Todd Ponsky (opinion) [Ep 24 · 13:15](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=795)
- Clinical innovation at Cincinnati Children's focuses primarily on device and digital solutions rather than drug discovery. — Todd Ponsky (clinical) [Ep 24 · 13:57](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=837)
- Traditional medical device development requires prototyping, testing, FDA approval, and can take many years and significant money, whereas digital solutions can be rapidly developed using no-code platforms. — Todd Ponsky (clinical) [Ep 24 · 14:23](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=863)
- No-code/low-code ('vibe coding') platforms allow individuals with zero coding experience to create functional applications by describing problems to a chatbot, with solutions completed within a day. — Todd Ponsky (clinical) [Ep 24 · 14:43](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=883)
- Cincinnati Children's CEO promotes a 'how might we' culture of cross-collaboration that percolates down through the organization, with IT teams never saying no but instead exploring possibilities. — Todd Ponsky (clinical) [Ep 24 · 15:31](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=931)
- The organization is exploring development of an internal no-code platform where every individual could create their own solutions for patient triage, response time, and workflow efficiency. — Todd Ponsky (clinical) [Ep 24 · 15:55](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=955)
- Process-focused innovations are handled by the Anderson Center, a separate group within the hospital with its own innovation function. — Todd Ponsky (clinical) [Ep 24 · 17:29](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1049)
- Innovation at Cincinnati Children's requires true triangulation between innovation, IT, operations, quality, and clinical teams rather than being housed solely within IT. — Todd Ponsky (opinion) [Ep 24 · 18:25](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1105)
- Regular meetings with IT focus on collaborative agreement about what needs to be done rather than ownership disputes, though there are defined lanes of responsibility. — Todd Ponsky (clinical) [Ep 24 · 18:56](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1136)
- Cybersecurity review is integrated into all innovation projects through partnership with the cybersecurity team, providing necessary checks and balances. — Todd Ponsky (clinical) [Ep 24 · 19:44](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1184)
- While all CEOs claim to believe in innovation, real executive cover is proven by tolerance for failure, with Cincinnati Children's leadership (Oliver Ryan and Steve Davis) actively requesting to see failures as evidence of sufficient risk-taking. — Todd Ponsky (opinion) [Ep 24 · 21:06](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1266)
- Angel Ho assists with cross-stakeholder conversations, helping bring stakeholders together when innovation initiatives might otherwise step on toes or face resistance. — Todd Ponsky (clinical) [Ep 24 · 21:59](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1319)
- People instinctively resist innovation out of fear rather than genuine opposition; effective leadership removes that fear by making staff feel safe to take risks. — Todd Ponsky (opinion) [Ep 24 · 22:26](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1346)
- Organizations that plan endlessly without executing do so because staff are afraid of missing something that could go wrong; executive cover that ensures safety reduces this paralysis. — Todd Ponsky (opinion) [Ep 24 · 24:27](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1467)
- A small number of healthcare leaders are actively testing and playing with new tools, posting about successes and failures, and this hands-on experimentation is necessary to understand tools well enough to apply them appropriately. — Anthony Guerra (opinion) [Ep 24 · 25:53](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1553)
- Ponsky seeks novel solutions to daily problems regardless of whether they involve AI, focusing on cutting-edge, easy-to-use technology that anyone can use without technical background. — Todd Ponsky (opinion) [Ep 24 · 26:57](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1617)
- Despite conducting workshops promising to make attendees 10% more effective with AI tools, adoption remains challenging as people find the technology overwhelming even when shown it's accessible. — Todd Ponsky (clinical) [Ep 24 · 27:57](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1677)
- The 'clay mindset'—viewing the world as malleable rather than static and actively looking for inefficiencies to fix—is a worldview that drives innovation behavior. — Anthony Guerra (opinion) [Ep 24 · 29:04](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1744)
- Educating the workforce about innovation tools will not automatically create innovators; those with a clay mindset are likely already innovating, while others may need their unmet needs identified and solutions provided for them. — Anthony Guerra (opinion) [Ep 24 · 30:18](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1818)
- The clay mindset can be learned through exposure and environment, as evidenced by Ponsky's father inventing things and all siblings developing similar approaches, suggesting it's contagious when people see successes. — Todd Ponsky (opinion) [Ep 24 · 31:31](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1891)
- Surgeons should think 'how could we have done that better' after finishing cases rather than immediately moving to the next case. — Todd Ponsky (opinion) [Ep 24 · 32:00](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1920)
- The key to workforce innovation adoption may be helping staff articulate unmet needs and finding solutions for them rather than expecting everyone to independently identify and solve problems. — Todd Ponsky (opinion) [Ep 24 · 32:15](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1935)
- Finding frontline workers who have both domain expertise and a clay mindset represents the 'golden goose' for innovation—perhaps 1 in 10-15 people—and these are the individuals to pull into innovation efforts. — Anthony Guerra (opinion) [Ep 24 · 32:50](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=1970)

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- Guyan and Yonker from Alberta Children's Hospital studied optimizing post-operative follow-up by examining why patients show up, clinical relevance, and costs. — Ray summarizing the discussion [Ep 22 · 0:27](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=27)
- More complex cases were associated with higher likelihood of post-operative follow-up attendance. — Ray summarizing the discussion [Ep 22 · 0:43](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=43)
- Orchidopexy was one of the most common reasons why patients wanted to follow up post-operatively. — Ray summarizing the discussion [Ep 22 · 0:49](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=49)
- Follow-up visits were more clinically relevant if the patient had a more complex operation or something happened requiring earlier-than-expected follow-up. — Ray summarizing the discussion [Ep 22 · 0:54](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=54)
- D'Antonio and Lanning at Children's Hospital Richmond used iPads for telemedicine post-operative follow-up and found patients and families were happy with it. — Ray summarizing the discussion [Ep 22 · 1:22](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=82)
- There was no difference in diagnosis between telemedicine and in-person follow-up in the Richmond study's small cohort. — Ray summarizing the discussion [Ep 22 · 1:29](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=89)
- Al Bahiri and Merritt from Western University in London, Ontario conducted a retrospective review of appendectomy techniques for simple appendicitis with over 200 patients in the intracorporeal 3-port group and about 70 in the extracorporeal group. — Gibbons summarizing the discussion [Ep 22 · 4:00](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=240)
- There was no difference in wound infection rates between intracorporeal and extracorporeal appendectomy methods. — Gibbons summarizing the discussion [Ep 22 · 4:37](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=277)
- Extracorporeal appendectomy was shorter than intracorporeal by about 17 minutes. — Gibbons summarizing the discussion [Ep 22 · 4:46](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=286)
- Extracorporeal appendectomy was cheaper than intracorporeal by about 30%. — Gibbons summarizing the discussion [Ep 22 · 4:46](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=286)
- In the Western University study, about 80% of intracorporeal appendectomies used a retrieval bag and 20% pulled the appendix out through the port. — Gibbons summarizing the discussion [Ep 22 · 5:07](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=307)
- Only one of four surgeons in the Western University study performed extracorporeal appendectomy; the other three did exclusively intracorporeal, which is a study limitation. — Gibbons summarizing the discussion [Ep 22 · 5:19](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=319)
- A study calculated shock index pediatric adjusted (SIPPA) using EMS pre-hospital information and tracked short and longer-term outcomes. — Alex summarizing the discussion [Ep 22 · 7:14](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=434)
- Pre-hospital SIPPA and the delta change between pre-hospital and ED SIPPA were statistically and clinically significant for predicting need for ICU, intubation, ventilation, and transfusions. — Alex summarizing the discussion [Ep 22 · 7:35](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=455)
- The SIPPA study was limited to patients with injury severity score (ISS) of 16 or greater. — Alex summarizing the discussion [Ep 22 · 8:38](https://library.globalcastmd.com/watch/journal-of-pediatric-surgery-article-review-may-2019-13361?t=518)
- Thomas Friedman's book 'Thank You for Being Late' contains a metaphor that sitting passively in a kayak on rough water leads to flipping, while paddling (being proactive) prevents it. — Todd Ponsky summarizing a resource [Ep 24 · 36:32](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=2192)
- Adam Grant's concept of 'confident humility'—being confident you'll find answers while humble enough to seek help from those who've already solved similar problems—is essential for innovation leadership. — Todd Ponsky summarizing a resource [Ep 24 · 37:18](https://library.globalcastmd.com/watch/building-sustainable-innovation-programs-in-academic-pediatric-healthcare-13384?t=2238)

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