DELEGATE HANDBOOK - Institute of Medical Illustrators
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DELEGATE HANDBOOK IMI 2 21 Service and skills update IMI 2 Service and IMI 2 21 Service and skills update IMI Service a 17 Septem IMI 2 21 Service and skills update 01 Oct WORKSHOPS AND TRADE, WYBOSTON 17 Sept LAKES VIRTUAL DAY 1 CONTENTS
IMI 2 21 Service and skills update IMI 2 21 Service and skills update The Conference Team would like to express their thanks to the corporate members and trade exhibition partners. The conference is enormously enhanced by their presence and we place great value on IMI 2 21 IMI 2 21 their enthusiastic involvement and support. Service and skills update Service and skills update 17 September 01 October Contents 3 4 5 IMI 2 21 Welcome to Service and skills update The Institute of Conference Team Conference Medical Illustrators 01 Oct WORKSHOPS AND TRADE, WYBOSTON 17 Sept LAKES 6 VIRTUAL DAY 16 29 Virtual Scientific Workshop and Trade Show Programme – Trade Programme – Friday 17 01 October 2021 September 2021 37 39 40 Floor Plan & Acknowledgments Mindfulness Site Map colouring 2 CONTENTS
Welcome to conference Welcome to the 2021 IMI Service and Skills update here, online and in Bedfordshire. The conference planning teams have worked hard through a changing and challenging couple of years, where plans have needed to be very flexible as the global pandemic continuously altered the environment, we could work in. Consequently, we are offering our annual meeting over two dates – one part of it is virtual and the other face-to-face, combined with a trade exhibition and awards banquet. For the 17th September, Kathy McFall and her team have brought together an exciting and stimulating variety of virtual presentations including our popular ‘New Voices’ session, in a packed and interesting programme. We are very pleased to be able to offer this to our members as a free benefit of membership. On the 1st October, the team, jointly led by Emily Appleby and Jill Fell, have produced a programme of socially distanced, practical, face-to-face workshops which offer variety in all three streams - Photography, Video and Graphics; as well as time to break out to allow delegates to engage with our Trade exhibitors. If you are lucky enough to attend the workshop event then please spend as much time as you can visiting our Trade Stands and enjoy some valuable ‘face-to-face’ time. After so many online meetings and discussions, there is nothing nicer than a real (as opposed to a virtual) conversation/discussion to help you solve your technical problems or plan what equipment you need going forward for the future. For those of you for whom this is your first conference, I look forward to meeting you all in person at sometime during the event to hear how the last year has been for you. For those for whom this is a return visit I hope you value meeting up with old friends and colleagues, and benefit from the networking that this event always provides. Jane Tovey IMI Chairman 3 CONTENTS
The Institute of Medical Illustrators The Institute of Medical Illustrators was founded in 1968 to bring together the various disciplines of medical illustration, and since that time IMI has set and maintained standards for the profession. We represent Clinical Photographers, Healthcare Designers, Medical Artists and Clinical Video Producers both in the UK and internationally. For its members, IMI provides a rich network of fellow competitions each year, including the IMI Awards, an professionals, working together to improve and develop important showcase of members’ work that is displayed at medical illustration by means of conferences, courses, the Annual Conference. resources and regional meetings. For employers who care about standards, the IMI has worked closely with UK Universities to develop appointment of an IMI member offers a guarantee of truly and validate academic courses in Medical Illustration. professional performance. In addition, IMI offers advice These include the Staffordshire University Graduate and on grading and can recommend experienced members Postgraduate Certificates in Clinical Photography and to act as external assessors on interview panels. Graphic Design for Healthcare and Cardiff University’s Postgraduate Certificate in Clinical Photography. An The academic qualifications that were pioneered by apprenticeship route is currently in development. IMI are recommended as the entry qualifications of choice by the Department of Health. Indeed, most IMI provides its members with the umbrella of a Code major appointments in the field are now won by IMI’s of Professional Conduct and a Continuing Professional qualified members. At national level, IMI is the lead body Development scheme, which guarantee employers well for Medical Illustration in liaising with Government on qualified and up-to-date staff and a mentorship scheme Healthcare Science strategy and is represented on the supports practitioners through career progression. Academy of Healthcare Science (AHCS) Professional Bodies Council and its Registration Council. The Fellowship of IMI is the advanced practitioner grade and is a prized distinction, demonstrating outstanding In 2017 Medical Illustrators joined The Academy for professional achievement. Healthcare Science Accredited Register Programme to show commitment to maintaining standards of IMI’s major peer-reviewed publication, the Journal of education, competence and conduct and provides Visual Communication in Medicine, is widely recognised assurance for employers, patients and the public. as the leading European publication in the field, while Although this register is voluntary, registration is fully IMI News, its sister publication, carries up-to-the-minute endorsed by the AHCS and the Professional Standards reports of current activity within both the profession and Authority, which in addition to its scrutiny of the nine the Institute. statutory healthcare regulators, is responsible for the Accredited Registers Programme. All IMI members are entitled to apply for grants from the Pat Turnbull Travel Fund, which was established in memory of IMI will continue to robustly promote its standards to one of the profession’s former eminent members to provide Government, to employers and to potential members. travel expenses for members to attend conferences, Without doubt, IMI membership and qualifications courses and other personal professional development provide a solid foundation on which to build a successful activity. Members are also eligible to enter several significant career in Medical Illustration and from which to provide a service to healthcare of the highest quality. 4 CONTENTS
Conference Team We are delighted to welcome you to the Institute’s 52nd Annual Conference both online and in Wyboston, Bedfordshire. If you need any help during the conference, please ask one of the team. 17 September 2021 01 October 2021 Kathy McFall Jill Fell Emily Appleby Amy Lake Virtual Lead Conference Co-Chairman Conference Co-Chairman Conference Secretary Anthony Edwards Geoff Gilbert Paul Quinlan Jo Culley Virtual Stream Honorary Treasurer Trade Liaison Graphics Stream Cat Lamoon Richelle Lewton Ross Milligan Alice Milligan Virtual Stream Photography Stream Conference Treasurer Reception Manager and Social Media 5 CONTENTS
Friday 17 September 2021 10:00 Conference Opening Jane Tovey, IMI Chairman Opening Keynote 10:05 Understanding your healthcare environment: the impact of art on health and wellbeing Jo Breckon, Amy Lake, Ceri Llewellyn and Joe Moody 11:00 New Voices Chair: Simon Brown 11:00 Nephroptosis – the misunderstood kidney disease Caitlin La 11:10 Hirsutism – the process of developing and implementing a new protocol Caitlin O’Connell 11:20 Sensory Challenges and Dementia – the overlooked daily impact Laura-Jane Logue 11:30 Communication in Bereavement Photography Beathan Halbert 11:40 IMI Online Awards Presentation 12:00 IMI Annual General Meeting 12:45 Break Photography / Ophthalmology Graphics / Video Chair: Andrea Jones Chair: Mark Roughley 13:30 Teledermatology – the Bristol Experience A Stream Come True Christina Knights Simon Pase and Rob Grant 13:50 More than just a photograph Teaching During the Pandemic Marie Jones Caroline Erolin 14:10 Diagnostic imaging on treatment and care Game Changers for the Medical Illustrator Stephen Comiskey Paul Kelly An Image-based Lid Lesion Service Creating a gold standard video 14:30 Kirsty Lattka service from scratch (….or trying to) James Farley Closing Keynote 15:00 Sliding Doors – An Intersection Between Medicine and Art Mark Maio FOPS, InVision Inc. 16:00 Close Nick White, IMI Chairman Elect 7 CONTENTS
10:05 Keynote Address UNDERSTANDING YOUR HEALTH ENVIRONMENT THE IMPACT OF ART ON HEALTH AND WELLBEING Art in healthcare environments can improve wellbeing and health outcomes. It has the power to create stimulating, engaging, reassuring, welcoming spaces that can help reduce the worries of patients, their families and carers. Whilst for healthcare staff, artwork can help establish engaging work environments. As curators of the Arts Programme for Aneurin Bevan University Health Board’s (ABUHB) new Grange University Hospital, Studio Response developed partnership projects with clinical photographers which challenged them to use their skills to improve wellbeing at the hospital beyond their medical remit. Jo Breckon Studio Response worked with students from Cardiff University’s Postgraduate Certificate in Clinical Photography course, mentoring them to produce site-specific photography for the hospital. Facilitated sessions raised awareness of arts, health and wellbeing and encouraged students to consider the impact that the environment has on the wellbeing of staff, patients, their families and carers. Studio Response also worked with ABUHB’s own Clinical Photography and Medical Illustration department, setting them a live brief to move beyond their daily professional practice by creating artworks for the hospital, and in so doing highlighting the important work of this often-hidden department. Amy Lake These partnerships have resulted in a range of high quality, site specific photographs being installed at the Grange University Hospital; all successfully delivered against the backdrop of a global pandemic and a decision to open the hospital four months ahead of schedule. Importantly, the project’s outcomes go beyond the artwork itself and it has contributed to professional development, enhanced soft skills, a better understanding of healthcare environments and raised awareness of the importance of wellbeing. It has also allowed for reflection in terms of reconnecting with the photographer’s own arts practice and revisiting what they value and respond to as a creative consumer. In this session we will... Ceri Llewellyn • Set the scene with an introduction to arts, health and wellbeing and an introduction to the Arts Programme at the Grange University Hospital • Consider the process that supported the creation of the photographs and why this was important • Present the outcomes of the project • Look at the benefits of taking part Joe Moody 8 CONTENTS
11:00 New Voices NEPHROPTOSIS - THE MISUNDERSTOOD KIDNEY DISEASE Nephroptosis is a condition where the kidney descends more than five centimetres or two vertebral bodies during a position change from supine to upright. It can be a common finding primarily in women (20%) but is rarely a cause of nephrotic symptoms. In the rare cases of patients who experience symptoms from Nephroptosis, diagnosis and treatment for this condition can be extremely difficult. Nephrotic pain is the main symptom associated with this condition which can be temporarily relieved by laying in the supine position. Other symptoms can include, severe flank pain, tachycardia, nausea and vomiting, haematuria and reduced urine output, these are usually associated with Dietl’s Caitlin La crisis. Depending on the position of the kidney, patients can often feel a heavy dragging sensation along with a moveable mass in the abdomen. Patients with Nephroptosis can be treated with a laparoscopic surgical procedure called a Nephropexy, which attaches the kidney with sutures to either the psoas major or quadratus lumborum muscle. Due to the rarity of this condition sufferers often have to wait several years and see a vast number of specialists before diagnosis and subsequent treatment. Published articles written on Nephroptosis, have described it as being one of the most controversial conditions in the field of urology. Dating back as far as the 9th century when the condition was first described, many associations have been tied to the actual belief of the condition and the ineffectiveness of Nephropexy for surgical treatment. Unfortunately, today there are still sufferers who are being denied surgery and some urologists dismissing Nephroptosis as a cause of their symptoms. Although, with careful patient selection and rigorous diagnostic scans in the supine and upright position, Nephropexy for Nephroptosis can be entirely successful and a large proportion of patients report complete symptom relief. HIRSUITISM - PROCESS OF DEVELOPING AND IMPLEMENTING A NEW PROTOCOL This talk discusses the process and reasoning behind developing a new protocol for the condition hirsutism - the excessive growth of facial and body hair in female patients, within a studio environment. During this talk, I will discuss the research, planning and the ultimate implementation of generating an up-to-date protocol, alongside collaborative input from colleagues and specialist consultants. I will also discuss any equipment purchased, any infection control considerations and ethical considerations taken when documenting patients with excessive hair growth. I Caitlin O’Connell believe the feedback and ultimately the results of implementing this new protocol has been positive for patients, clinicians and clinical photographers involved. 9 CONTENTS
SENSORY CHALLENGES AND DEMENTIA - THE OVERLOOKED DAILY IMPACT The prevalence of dementia in the UK is increasing. It is predicted that by 2025, one million people in the UK will have dementia1. Despite this growing number, the characteristics and symptoms of dementia are often underrepresented or misunderstood. Sensory challenges are some of the most overlooked aspects of dementia. We use our senses to perceive, navigate and understand the world around us. Therefore, sensory impairment or difficulty with sensory perception can have a large impact on daily life. The Living with Sensory Challenges and Dementia, project aims to raise awareness Laura-Jane Logue of these issues amongst a wide audience. The work consists of a thesis and online resource which hosts an animation series and educational materials. The animations tell the stories of four people living with the effects of dementia and sensory challenges. Making use of 2D/3D animation, a 3D interactive brain model, illustrations and interactive elements, the resource aims to educate, inspire, and promote consideration of the sensory impact of dementia. The more we understand the lived experience of dementia, the more we can do to support, respect, and connect with those effected. Together we can help to create a brighter future for people living with sensory challenges and dementia. 1 Alzheimer’s Society (2014). Dementia UK: Update. Second Edition. ISBN: 978-1-906647-31-5 COMMUNICATION IN BEREAVEMENT PHOTOGRAPHY Photographing infantile bereavements can be one of the hardest, and most emotionally intense situations clinical photographers can find themselves in. It can bring thoughts of incredible sorrow and may require training to be able to communicate effectively. Communication skills are the basis of all good healthcare practice, including clinical photography. Some clinical photographers, especially those just starting their careers, may find it difficult to communicate with no prior knowledge or experience when undertaking bereavement photography. Beathan Halbert This presentation is based on the research conducted for my work-based project for the Postgraduate Certificate in Clinical Photography at Cardiff University. The project’s aim was to determine whether clinical photographers felt there was a need to develop guidance for communication, whilst undertaking bereavement photography. An online survey was distributed to clinical photographers around the United Kingdom and Republic of Ireland. Results supported the development of communication guidance for bereavement photography. This presentation will discuss the results and findings of this survey. 10 CONTENTS
13:30 Photography/Ophthalmology TELE DERMATOLOGY THE BRISTOL EXPERIENCE - COVERING TWO WEEK WAIT SKIN CANCER REFERRALS THROUGH THE PANDEMIC During this presentation, I will explore our journey and share our experiences, the challenges we have faced and how these have been overcome. Focusing on a few case studies will help us unpack the benefits this new way of working has for both patients and dermatology. Prior to 2020, the team in Bristol had explored the teledermatology pathway for 2WW skin cancer referrals. We had undertaken trials in 2018/19 and had a basic process outlined, and conversations with the team at BDC on turning all dermatology’s two week wait referrals to teledermatology appointments took place at the end of March 2020; Christina Knights however, it was decided not to start this pathway, due to COVID 19 safety concerns. Once infection rates started to drop in early summer 2020, work started again on the teledermatology pathway. The first clinics were held in Bristol, during July and August, and we have now rolled out these teledermatology clinics to cover as far south as Taunton. We are undertaking teledermatology 5 days a week, in 5 different locations, with the whole team involved. MEDICAL PHOTOGRAPHY - MORE THAN JUST A PHOTOGRAPH An increasing number of patients requiring treatment or surgical procedures are unable to obtain this routinely on the NHS in the U.K. As a medical photographer, the author developed a service that provides medical photographs to support a patient’s application for treatment or surgery. This presentation describes the process for applying for NHS funding, methods of photography and details cases where medical photographs were considered essential evidence by the panel making the decision to agree or deny funding. Marie Jones 11 CONTENTS
OPHTHALMIC PHOTOGRAPHY - THE CHANGING ROLE OF THE CLINICAL PHOTOGRAPHER AND HOW GOOD QUALITY IMAGING IMPACTS PATIENT TREATMENT Ophthalmic photography and ophthalmic diagnostic scanning has developed at such rapid pace since I began my career back in 2009. In this time my job as medical photographer has evolved from standard retinal and corneal photography with some studio work thrown into the mix, into a diverse array of different imaging systems to enable clinicians to image almost every part of the eye in vivo. Ophthalmology is an area of medicine that is directly driven by advancements in technology and ophthalmic photography is no different. Stephen Comiskey In this presentation I am going to give you some insight into the field of Ophthalmic imaging and my role as Medical Photographer for the Photographic Department in The Royal Victoria Eye & Ear Hospital Dublin. Our main area of work is in Ophthalmology but we also provide services for Otolaryngology including pre & post op photography. As technology has evolved and advanced so too has the role of the clinical photographer. Our skillset has become widened as we are presented with many different types of machinery to image our patients, each photo and scan are part of jigsaw to image the patients pathology in its entirety. We will look at some of these machines, the images they produce and the quality of the images. Our profession is no longer a passive role, gone are the days of only recording images for clinicians to review. Now we are involved in scan interpretation to enable us to assist in virtual clinics with our nursing colleagues and other healthcare professionals. Finally as image makers we need to be aware that quality is key for best patient diagnostic outcome. We must be self critical about the images we produce and choose the appropriate camera or scanner to suit the patients condition or physical needs and image the pathology correctly. The quality of our images affect the clinicians ability to make a diagnosis and provide treatment. We are no longer “just” photographers, we are diagnostic technicians, screeners and an intricate part of a patients care. AN IMAGE-BASED LID LESION SERVICE This presentation describes the photographer’s role in a newly established Image-based Lid Lesion Management Service within NHS Greater Glasgow and Clyde. We’ll discuss the initial pilot study and its outcomes, the learning curves for our service, and the successful implementation of the photo-led clinics across three hospital sites. Almost a year, we’ll describe the benefits to patients, oculoplastic services and to our own service. Kirsty Lattka 12 CONTENTS
13:30 Graphics/Video A STREAM COME TRUE Visitor and travel restrictions, and a dislocated workforce during COVID-19, has forced teaching and research hospitals, such as The Royal Children’s Hospital in Melbourne, to move into the virtual space for education and engagement. With our own in-house multicam television studio, the RCH Creative Services team was able to deploy its facilities Simon Pase Rob Grant and expertise to support virtual events. It is, however, a resource-intensive approach. In our presentation we share both the benefits and drawbacks of taking a conventional television studio production workflow to the virtual space, share learnings and improvements from the past 12 months, and offer practical suggestions on how aspects of this approach can be scaled to match the resources of smaller production environments. TEACHING DURING THE PANDEMIC This talk will give a behind the scenes look at how teaching on the MSc in Medical Art at the University of Dundee has changed due to the impact of COVID-19. Planning for blended learning began in May of 2020 and over the summer a massive effort was made was made by all staff to be ready for the incoming students in October. All lectures and passive learning were moved online, while on campus teaching was prioritised for practical workshops. Lecturing staff had to learn a large number of new skills, and fast! Dr Caroline Erolin The talk will outline both the pedagogical approach and practical steps taken to ensure that despite the pandemic students still received full training in the field of medical art. Topics covered will include; planning the move to blended learning, creating educational videos, creating software tutorials, 3D anatomy scanning at home, using Blackboard Ultra to deliver online content, and the importance of maintaining face to face and live teaching. Finally, we will take a look at what the future of education might look like in a post pandemic world. What elements will we want to keep and what will we want to change? 13 CONTENTS
GAME CHANGERS FOR THE MEDICAL ILLUSTRATOR Paul Kelly is a Certified Medical Illustrator with 10 years of industry experience. After graduating from the Biomedical Communications masters program at the University of Toronto-Mississauga, Paul began working in textbook illustration and established his freelance business. Since 2012, Paul has worked at the Toronto Video Atlas of Surgery as a Senior Biomedical Communications Specialist, creating 3D animation-enhanced surgical teaching videos for hepato-pancreatico-biliary (HPB), multi-organ transplant (MOT), ObGyn, and ENT surgical procedures. Recently, Paul launched the “Medical Illustration Podcast”, which can be found Paul Kelly on most major podcasting platforms. You can learn more about Paul’s work, side projects, and podcast on his personal website at PKVisualization.com. CREATING A GOLD STANDARD VIDEO SERVICE FROM SCRATCH (….OR TRYING TO) This presentation will talk about starting an ambitious video service for Buckinghamshire Healthcare Trust. Going from a department with no video equipment but a huge demand from plastic surgery and the National Spinal Centre to starting a new service and innovating with the specialist requirements of the Trust. Winning funding from Health Education England allowed the purchase of a Polecam system and has subsequently permitted the creation of a unique service where we are able to build patient treatment pathways and use the equipment to its fullest for patient records and medical education resources. Examples will be shown of the progression in the videos we produce and discuss how I have James Farley innovated with surgical filming; creating high-definition video, live streaming in theatre and streaming to the education centre and international teaching conferences. 14 CONTENTS
15:00 Keynote Presentation SLIDING DOORS - AN INTERSECTION BETWEEN MEDICINE AND ART Mark Maio has built a successful career in imaging in ophthalmology and in his personal photography, spanning both medicine and art. After high school he considered becoming an apprentice in print media, until he discovered his passion for photography. Inspired by the American photographer Ansel Adams and the current events/documentary publication, Life Magazine, Mark quickly shifted his career goal to becoming a B&W documentary photographer. Then as fate would have it, happenstance led him to the medical specialty of ophthalmic Mark Maio, photography, which presented an opportunity to use his love of photography to help save President, InVision, Inc. the sight of others. Mark is widely known for his expertise/skill in photography of the eye. He is also recognized within the art community for his memorable B&W photographs. Throughout his career, rather than abandon one in pursuit of the other, Mark has found a way to attain both of his photographic goals – playing a role in saving sight and pursuing his personal art. Mark Maio is President of InVision, Inc., an imaging consulting and education service. Former positions include Director of Diagnostic Sales and Marketing at Haag-Streit, USA, Director of Strategic Technology for ORBIS International’s Flying Eye Hospital, imaging consultant for Haag-Streit, USA, Director of Science and Technology at OIS (Ophthalmic Imaging Systems) and President of Escalon Digital Solutions. He has a Bachelor of Science degree in Biomedical Photography, a Master of Arts in Humanities and a Master of Fine Arts in Photography and Communication Design. In over 35 years working in the field of ophthalmic imaging he has held positions as Director of Ophthalmic Photography at Emory University, Clinical Assistant Professor of Ophthalmology at the State University of New York at Buffalo where he instituted the only Bachelor of Science degree program in ophthalmic photography and Adjunct Professor of Photography in the Biomedical Photography program at Rochester Institute of Technology. In 2012 he was awarded the Outstanding Contribution to Ophthalmic Photography by the Ophthalmic Photographers’ Society. In 1999 he developed the first high-resolution digital imaging system in ophthalmology and started Escalon Digital Solutions and has continued working in the commercial sector since then. His photographic work is divided between ophthalmology and fine art and has been exhibited in museums and galleries across the United States in addition to being included in many public collections. In October of 2007 a (12) print portfolio of his work was purchased by the George Eastman House International Museum of Photography for their permanent collection. Mark divides his time between Atlanta, Georgia and the Isle of Skye, Scotland. 15 CONTENTS
Workshop and Trade Programme Friday 01 October 2021 16 CONTENTS
01 October 2021 SAGE ROSEMARY SILVER WILLOWS SUITE Photography Graphics Video Trade Show 08:00 Delegate Registration Opens 09:00 09:00 – 10:00 09:00 – 10:00 09:00 – 10:00 Retinal Imaging Considerations Mandala Drawing IMI CPD Review and contraindications when Joanna Culley Lucy Tinniswood going from idea to a CE marked device Dr Craig Robertson 10:00 10:00 Official Trade Opening by IMI Chairman 10:30 – 12:00 Video for Photographers 10:45 – 11:45 10:45 – 11:15 Matt Cass 3D Adobe Photoshop Pop-up Cross Polarisation 11:00 11:00 – 12:30 Catherine Sulzmann Sam Evans Dermoscopy Masterclass David Bishop, Ceri Llewellyn, Andrea Jones & Tommy Walsh 11:30 – 12:00 Looking through the Mirror(less) Bobby Gavin, Wex 12:00 12:30 Lunch and dedicated Trade time 13:00 13:15 – 14:45 Audio for Video 13:30 – 15:00 Matt Cass Adobe Illustrator Masterclass 13:45 – 14:45 Dr Andrew Mason LED Creative Lighting 14:00 – 14:30 14:00 Bobby Gavin, Wex Skin Analytics DERM Software to provide Dermatology Triage Services Skin Analytics with Jane Tovey 15:00 15:30 – 17:00 15:30 – 17:00 Cross polarised imaging Video Triage for the photography of NAI Matt Cass 16:00 bruises in children 16:00 – 17:00 Sam Evans Introduction to Oil Painting Cordell Garfield 17:00 17:10 Close of Conference 18:30 Conference Photograph: Delegates to assemble in the Willows bar 19:00 19:30 Pre-Dinner Drinks Awards Banquet } Lakeview & Fountains – Waterfront Hotel 17 CONTENTS
Sage: Photography RETINAL IMAGING – CONSIDERATIONS AND 09:00-10:00 CONTRAINDICATIONS WHEN GOING FROM IDEA TO A CE MARKED DEVICE Because it provides a window on both vasculature and the nerve tissue, the retina is arguably the most information dense area of the body when viewed diagnostically. However, taking useful images of retinal tissue is technically complex as it can only be done through the body’s own optical system which is very high power and likely to be aberrated. It has thus been a relatively expensive and onerous task only undertaken on by experts. Devices capable of providing a recorded image have traditionally been expensive and unwieldy, often occupying their own table in a clinic. Recent strides made in optics, Dr Craig Robertson sensors, microprocessors and computing power have the capability to change that landscape. Epipole have been at the forefront of developing products in this space using sophisticated optics and electronics to deliver devices that can not only produce very high resolution diagnostic images, for finding retinal pathologies, but also full-speed video. Video has allowed clinicians and scientists to view the retina as living, moving tissue for the first time and has led to exploratory research in the areas of retinal blood-flow, intra- cranial pressure and early stage neurodegenerative diseases. This session will describe the journey towards building a new kind of retinal imaging device from idea to manufacture and then provide hands-on experience with the device. It will talk about the process of design and how design decisions need to be informed by consideration of patient safety, clinical utility, appropriateness and cost. By detailing how Epipole have arrived at their ground-breaking devices, we hope to give an insight into the whole medical device development process. 18 CONTENTS
DERMOSCOPY MASTERCLASS - WHAT IS 11:00-12:30 DERMSOCOPY, THE PHYSIOLOGY OF SKIN LESIONS AND SETTING UP AND USING YOUR DERMATOSCOPE A workshop with a difference, the Dermoscopy Guidelines team have got together for this years’ conference to present a two in one workshop. Tommy will present some of the key highlights from his and Carmel Blakes ’Introduction to recognition of skin lesions using a dermoscope’ from the 2019 Belfast conference and Andrea and David will discuss ‘how you can get the best out of your dermatoscope with the Dermoscopy Guidelines team on hand to help everyone in the practical workshop. Key highlights will include: David Bishop • What is Dermoscopy • Key uses for Dermoscopy • A guide to common lesions • What are pigmented and non-pigmented lesions • Vascular patterns and pigmented networks • What equipment is available • How the dermatoscope is attached to the camera • How to get the best field of view Ceri Llewellyn • Focusing, exposure, white balance and colour • Equipment maintenance and infection control This will be followed by a short open forum discussion to enable everyone who has previously used a Dermatoscope to share their Dermsocopy experience and then working in small groups, the guidelines team will assist the groups in a variety of exercises with a view to exploring the different techniques employed in order to capture excellent Dermoscopy photographs. Including how to take multiple images of large lesions and how to take photographs in difficult to reach areas. The workshop will conclude with a discussion of the new Dermoscopy guidelines and Andrea Jones Q&A session. The IMI Dermoscopy Guidelines team presenters are: Andrea Jones, Medical Photographer, Royal Preston Hospital Ceri Llewellyn, Senior Medical Photographer, Royal Gwent Hospital David Bishop, Medical Photography Supervisor, The Royal Free Hospital Simon Wells, Senior Medical Photographer, Royal Alexandra Hospital Tommy Walsh, Senior Medical Photographer, Tallaght University Hospital Tommy Walsh 19 CONTENTS
13:45-14:45 LED CREATIVE LIGHTING In hands-on, practical demonstrations, the presenters will strip away some of the misconceptions regarding LED and show how lighting from various manufacturers can be used creatively in stills and video. LED technology has allowed photographers & videographers to move away from the old incandescent light sources, and the market now offers a massive choice of LED lighting. Often though these lights tend to be used as a flat light source, and setting the light colour isn’t always as simple as it seems. The workshop will help delegates move away from that point and shoot approach, and show how continuous light can be used Bobby Gavin, Wex creatively by using different combinations of shapers & modifiers in tandem with the power and colour outputs. Delegates will be shown a brief overview of the different types of LED’s available in the market, and the presenters will give a background to why cheap lights will always give bad results, and explain why expensive lights might not guarantee good results unless they’re set up properly! The workshop will be interactive, with Canon providing a range of cameras and the presenters will be delighted to help delegates set up real-life shooting scenarios to compare LED options with traditional flash shooting. THE USE OF CROSS POLARISED IMAGING 15:30-17:00 FOR THE PHOTOGRAPHY OF NON- ACCIDENTAL BRUISES IN CHILDREN Bruising is a common abusive injury in children, and it is standard practice to image and measure them for analysis, yet there is no current standard for measuring bruise size consistently. A series of studies were carried out to identify the optimal method to resolve two issues. 1. What is the best imaging method for consistently creating high quality images of bruises. 2. What is the most precise method of measuring photographic images of bruises, including computerised measurement techniques. This workshop will present the findings of the work and demonstrate to delegates the techniques discovered in the research conducted. Sam Evans 20 CONTENTS
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Rosemary: Graphics MANDALA DRAWING 09:00-10:00 Come and spend a reflective hour drawing and colouring in Mandala geometric designs and patterns to represent the cosmos or deities in various heavenly worlds. Find peace in the symmetry of the universe by creating your own Mandala design. Materials will be provided. Joanna Culley 10:45-11:45 3D ADOBE PHOTOSHOP Photoshop is well known for digital painting and image manipulation, but it also has powerful, useful, and easy to use 3D tools. We will start with an exploration of the 3D interface in Photoshop along with a review of some of the terms and concepts unique to working in 3D. Next we will see how it can be integrated in to your everyday medical artworks by importing 3D data files and using the fun 3D extruded text elements. After completing this workshop, it should give you the confidence to tackle 3D projects in Adobe Photoshop. Catherine Sulzmann 22 CONTENTS
13:30-15:00 ADOBE ILLUSTRATOR MASTERCLASS This workshop will explore the capabilities and utility of Adobe Illustrator from the creator and end-user perspective. As a vector-based drawing tool, Adobe Illustrator has a wide range of uses in Medical Art ranging from simple iconography, technical drawings of medical instruments and devices and on to detailed anatomical based drawings – these will be demonstrated with a range of examples. By developing a drawing from the start to near completion, this workshop will review and demonstrate many of the key Adobe Illustrator tools. The workshop will start with the basics of art-board set-up and the initial drawing Dr Andrew Mason process to create vector lines and shapes using the pen and pencil tools. Building on this, the session will progress to refine shapes and explore the range options for managing the stroke characteristics (including variable widths and in stroke gradients). The use of different fill techniques including the creation and use of custom fill patterns will be explored alongside the application of gradient and mesh tools. The modification and build of complex shapes will be discussed – in particular the use of the pathfinder tool set. Finally, the session will examine the use and application of text tools, blend tools, customised brushes and the demonstrate the scope and use of the 3D tools that are available within Adobe Illustrator. Alongside the full version of Adobe Illustrator, the workshop will conclude by exploring the use of Adobe Illustrator for the iPad, its advantages, limitations and integration with the desktop version. This session is aimed at those who have no or little experience with Adobe Illustrator and those who wish to update on the use of this software. 16:00-17:00 INTRODUCTION TO OIL PAINTING Traditional art skills are as important now as they have ever been, even in this digital age. This oil painting workshop run by professional artist Cordell Garfield will involve working on your own oil painting as well as being taught insights on mixing cool and warm colours, creating light and dark and form in your work, learning insights applicable to all forms of illustration. Materials will be provided. Cordell Garfield 23 CONTENTS
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Silver: Video VIDEO FOR PHOTOGRAPHERS 10:30-12:00 Introduction to video for photographers; this workshop will look at the differences between shooting video and stills, for those that have to shoot video on occasion but are mainly a stills photographer. Topics will include those such as camera movements i.e. pan, tilt, dolly and crane. As well as topics covering pulling focus and aperture, the types of shots to shoot and how to put Matt Cass these together into a sequence, to tell a story. Finally we will look at ‘crossing the line’, b roll and cutaways. Attendees are invited to bring any kit they would like assistance with or to practice using. AUDIO FOR VIDEO 13:15-14:45 In this session we will look at the different ways audio can be captured, and the advantages and disadvantages of each. This will be done by setting up a talking-head shot and then recording with different microphones and different methods of capture, and examining the advantages and disadvantages of each. We will finally look at syncing audio and video and the use of buzz tracks. Attendees are invited to bring any kit they would like assistance with or to practice using. VIDEO TRIAGE 15:30-17:00 A critique of video work; In this session participants are to bring a short (no more than 2 minute clip) that they have shot in the past with the story behind it. As a group we can then we look at what worked, what could have been done better and answer questions that arise; this is very much a group exercise. 25 CONTENTS
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Willows Suite: Trade Show 09:00-10:00 IMI CPD REVIEW During this dedicated workshop I will be giving a brief overview about what should be included in your CPD, the different types of activities that can be done and the changes that are happening to the audit process for those of you registered with the AHCS. Feel free to bring your portfolio with you so I can answer any queries you may have. Below are a few questions to get you thinking about the available content over both days and to help with your reflective writing: Lucy Tinniswood • What should you be doing to keep up-to-date with CPD? • Is there anything new to be aware of? • How does this benefit your practice as a Medical Illustrator? • Notes: POP-UP CROSS POLARISATION 10:45-11:15 If you miss out on the opportunity to attend the afternoon’s Cross Polarisation workshop, join Sam Evans at the pop-up stand where he will be available to answer any questions and demonstrate his set-up. Sam Evans LOOKING THROUGH THE MIRROR(LESS) 11:30-12:00 With support from Canon – The introduction of the mirrorless camera has arguably been the biggest change in photography since the move from film to digital. And it’s a technology that continues to move at a pace, with the latest models allowing end-users to take advantage of features such as eye recognition and built-in wireless file transfer. Despite that new technology (or perhaps because of it?) there is still a degree of uncertainty over mirrorless cameras. This workshop, supported by Canon UK, will help delegates understand the differences and similarities between mirrorless and DLSR. The presenter will also show some of the innovative features available on mirrorless systems, Bobby Gavin, Wex and how they can be utilised to enhance both stills and video outputs. 27 CONTENTS
SKIN ANALYTICS DERM SOFTWARE TO 14:00-14:30 PROVIDE DERMATOLOGY TRIAGE SERVICES Artificial Intelligence specialists, Skin Analytics, have been developing an innovative approach to the detection of cancerous skin lesions. Join Skin Analytics at their trade stand for the opportunity to view the software and discuss the role of the clinical photographer in this Rachael Dovey, Skin important new service. Having been implemented at UHB, Jane Analytics, with Jane Tovey Tovey will be on hand to answer any questions. 28 CONTENTS
Trade Show The IMI 2021 Service and Skills update Trade Show is a fantastic opportunity to talk to some of our trade partners and find out about the latest technologies that relate to your work. Our exhibitors will have equipment, software and systems that you can try out along with a wealth of knowledge and experience they are willing to share. Going around the Trade show is a really great learning opportunity, and for that reason the IMI Continued Professional Development (CPD) team has included pertinent questions, that you might consider asking as you visit each stand. By asking questions and taking notes as you go, not only makes your reflective writing easier, it also means you are more likely to retain the information you gather, to pass on to your colleagues. Make sure you visit Lucy Tinniswood, IMI’s CPD lead, for further advice and guidance on keeping your CPD folio up to date. You can attend Lucy’s timetabled session at 09:00 in the Willows Suite at IMI’s CPD stand, alongside all the other Trade Companies. Alternatively, drop in after 10:00 whilst visiting the other companies on offer this year. We will be running a series of short workshops in the trade area. For example, if you miss out on the opportunity to attend Sam Evans’ Cross Polarisation workshop, head to the pop-up stand at 10:45 where he will be available to answer any questions and demonstrate his set-up. Wex will be running a mirrorless cameras session at 11:30 where they will be demonstrating some of the latest models and features. Come along to get hands-on and learn some of the new possibilities of this new technology. In conjunction with Skin Analytics, Jane Tovey will be on hand at 14:00 to run a Q&A session and demonstrate the AI software used in University Hospitals Birmingham teledermatology service. We hope you have an enjoyable day and take away lots of useful information from this exciting and vibrant Trade Show! 29 CONTENTS
Albert Waeschle was founded in 1959 as the UK agent for several German manufacturers to distribute their medical equipment. From nothing this has grown in to offering multiple brands across multiple functions establishing the unique position and experience to be able to engage with medical professionals in order to understand their day to day challenges. Through this collaboration we have been able to develop our own brands. At the forefront of these brands is to provide best in class quality. We strive to improve patient care and diagnosis accuracy. With everyday pressures on time, resource and budgets Albert Waeschle has a solution for your needs. Our UK based technical sales, after sales, servicing and repairs enables fast response to any requirement or challenge faced by medical professionals. www.aw-online.com For over 30 years staff at Anova Technology (www.anova.technology) have been independent & trusted providers of computer related products & services to Illustrators / Photographers throughout the UK Currently we are working with over 60 hospitals throughout the UK helping with :- The Secure Clinical Image Transfer (SCIT) Solution - Developed by University Hospitals Birmingham - allows clinicians to capture images on personal mobile devices and securely/compliantly transmit them directly into Trust systems Image Management, trust wide with PAS integration & Web browser access Media Job Manager (MJM) - Job management which has been specifically developed for Illustration Departments. With PAS integration & web browser access, It can be deployed as single user, staff only or trust wide allowing clients to place electronic orders for your services As an Adobe Authorised Software Specialist we work with IMI members to supply their departments with the most appropriate licensing to minimise costs Thermal Imaging cameras complete with training and support Excellent pricing on Apple & Windows Computers plus associated peripherals, software, networking, servers & RAID storage Whether you need advice on a solution to meet your needs or you know what you require but want assistance in sourcing it please call Anova on 0121 353 9170 or 020 8855 6120 www.anovatechnology.com 30 CONTENTS
Ashgrove are a friendly, family-run, UK-based specialist provider of innovative material and equipment solutions for digital production printing and finishing. Our mission is to help anyone who is a producer of digital print to generate more profit and save time by increasing creativity and maximising revenue without additional effort. Ashgrove supply many medical illustration departments throughout the UK with unique materials such as digitally printable tear-proof, wipeable films, poster textiles, sheet labels and other added-value time saving materials for both small and large format digital print. We have also installed several pieces of equipment for digital printing and finishing into print rooms throughout the UK. We look forward to meeting everyone in Wyboston and showcasing our products which we are confident will be of great interest to you all. www.ashgrovetrading.com Colourcom is the specialist provider of large format print solutions to the UK educational public sector. We have provided large format printers, inks and photographic media as well as related print display products and services exclusively to UK hospitals and universities for over 20 years. As an official Canon Large Format Partner we supply, install and support Canon large format printers, RIPS, software, OEM inks, papers and films as well as an extensive range of acid free fine art papers, double sided papers, bookworks, canvas, fabrics and repositionable media. Colourcom also stock a wide range of roll-up banner stands and pop-up display equipment, display ranges for indoor and outdoor environments and a diverse range of banner media, speciality films, printable textiles and floor graphics coverings to cater for all your print display needs. We have added the latest high-end 3D Printers and 3D scanner solutions to our product range and have extended our FSC range of papers following requests from many of our environmentally conscious customers. Our team aim to provide you with the best advice, service and support tailored to your professional needs. We offer a diverse range of premium products which are consistent and reliable and we supply them on a next day basis. For more information or to book a demonstration please contact our team via imi@colourcom.com. We would like to thank you all for your essential service, especially during the last eighteen months. www.colourcom.com 31 CONTENTS
DB Orthodontics provide the highest quality products, services and educational events for the global orthodontic and dental technology industry. DB Customer Timothy Zoltie, Head of Medical and Dental Illustration at The School of Dentistry, Leeds University, says, “The DB Orthodontics custom long length large palatal mirror provides easier handling to avoid unintentional fingers in the shot and achieve adequate angle alignment. It also offers the ability to switch mirror ends, allowing two options for varied mouth sizes” Our success lies in our collaborative approach with clinicians. Ailbhe McMullin, Consultant Orthodontist at the Royal Manchester Children’s Hospital, commented following a trial, “I’ve tried out the stainless steel (DB04-0154A) retractor a few times now and can give nothing but really positive feedback ... It is easy to use, brilliant for the autoclave, and the slim-line feel allows for maximum patient comfort when positioning it... the handle design reduces any risk of your hand slipping when retracting. I give this product an all-round thumbs up!” www.dbortho.com Epipole was founded in 2011 to directly assist in the prevention of avoidable blindness globally. Its range of CE marked ophthalmic retinal cameras deliver high quality images from hand-held devices that, perhaps uniquely, do not sacrifice image quality to achieve both portability and affordability. EpiCam M (Monochrome) was designed for the detection and management Diabetic Retinopathy. Like all epiCam devices, it captures live lossless retinal video as well as conventional still images with software that allows healthcare professionals extract the best still images from the video stream. The exclusive design of the video functionality is now enabling its use in non-invasive ICP measurement. EpiCam C is a full colour a general purpose video ophthalmoscope. Initially developed to screen for Retinopathy of Prematurity, following evaluation in both tertiary referral centres and developing world settings, its unique features are increasingly being applied across a wide spectrum of ophthalmic assessments, including for triage in Emergency Departments. www.epipole.com 32 CONTENTS
Medialogix have been supplying image management solutions for healthcare for over 18 years and are the UK’s only FotoWare Partner. We offer fully configured solutions to manage clinical photographs, video and media files creating a secure and effective workflow. We have our own in-house developers who have created a range of products to enhance and extend the scope and functionality of your central system to provide a robust and comprehensive solution. Come and visit us on our trade stand for an informal chat and a product demonstration of FotoWare, the Clinical Uploader App, and our new patient triage system – Medialogix Image Transfer, as well as our other exciting Medialogix products! www.medialogix.co.uk Nikon is a world-leading provider of imaging products and services. Its innovative optics technology—from consumer to professional cameras, lenses to system accessories—is powered by over 100 years of experience. The brand is globally recognised for setting new standards in design and performance, with Nikon’s revolutionary Z series mirrorless cameras and NIKKOR Z lenses representing a new dimension of optical performance. Nikon is committed to leading imaging culture and enables some of the world’s best visual artists to reach their creative potential through visual storytelling. Its award-winning equipment empowers photographers and videographers to realise their creative vision at the highest level. As a trusted visionary partner, it unites all levels of content creators through its engaged community, unrivalled technical expertise and access to educational resources, via initiatives such as The Nikon School. www.nikon.co.uk Optos introduced optomap ® ultra-widefield (UWFTM) retinal imaging to enable eye care professionals to discover, diagnose, document and treat ocular pathology that may first present in the periphery-pathology which may go undetected using traditional examination techniques and equipment. Our UWF, high resolution retinal imaging devices each image more than 80% or 2000 of the retina in a single capture in less than ½ second. More than 1000 published and ongoing clinical trials, as well as thousands of case studies and testimonials, show the long-term value of optopmap UWF image in diagnosis, treatment planning, and patient engagement. Optos is committed to continue to deliver new products and software that support optomap as a standard of care, helping eye care professionals around the world save sight and save lives. www.optos.com 33 CONTENTS
As forward thinkers for more than 20 years in the professional broadcast, film, tv, music and medical (including veterinary) markets, Polecam proudly present their latest Medical system; perfectly matched for all the leading camera manufacturers of 4K, UHD, Hi-Motion and HD cameras. Designed to perform and engineered to perfection, Polecam has proven itself globally and been adopted as the “go-to -product “ by Medical device companies for product promotion and training, whilst being used extensively by leading surgeons globally for live television transmissions and to aid the training of pioneering medical procedures in theatre for both human and animal subjects. Various medical companies around the world (Arthrex have 7 Polecam systems now!) have recognised Polecam’s potential for looking over the shoulders of surgeons in the operating theatre to give an unrestricted ultra-high, high-definition or even 3D view of the procedure without compromising the medical team. www.polecam.com Founded in 2012 Skin Analytics is a research-led company committed to helping more people to survive skin cancer. Skin Analytics have provided teledermatology services for over 5 years and our AI- supported teledermatology service since April 2020. We have spent considerable time working with General Practitioners in Primary Care, Dermatologists, Hospital Providers and leading researchers to ensure that our services and DERM have real clinical utility. www.skin-analytics.com Sony is an innovative leader in Digital Imaging. Constantly pushing the boundaries of technology that helps shape the future of the industry, while keeping the creator at the heart of what we do. Sony’s light-weight mirrorless cameras in the Alpha range boasts award winning and industry tested Eye-AF and tracking technology, as well as stacked sensors that achieve speed and performance well beyond the capabilities of other models. Couple this with the One Mount system, Sony’s most advanced imaging technology of 59 different e-mount native lenses (full-frame and APS-C) means a versatile range of camera bodies and lenses with unlimited possibilities for all creators. Sony’s more compact range of cameras for vloggers and those on the go provide pocket-size cameras with no-compromise. Boasting high-zoom performance and super-fast AF, creators can capture every opportunity that comes their way, to fully unleash creative self-expression. Be the Director of your story and share how you see the world! From high-end cinematics to handheld vlogging, Editorial shoots to family photos. Imagination and creativity are endless with Sony. www.sony.co.uk 34 CONTENTS
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