PROPOSAL

1ST CONGRESS OF INS INDONESIA CHAPTER, MEETING AND WORKSHOP,

INCONJUNCTION WITH

SMART (SCIENTIFIC MEETING ADVANCED PAIN AND REGENERATIVE THERAPY)

OF PRECURSOR FK UNIVERSITAS PADJADJARAN (UNPAD)

Photo by Ines Sayadi on Unsplash

BANDUNG
6-8 OKTOBER 2022
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

Background

1ST CONGRESS OF INS INDONESIA CHAPTER, MEETING AND WORKSHOP

INCONJUNCTION WITH

SMART (SCIENTIFIC MEETING ADVANCED PAIN AND REGENERATIVE

THERAPY) OF PRECURSOR FK UNIVERSITAS PADJADJARAN (UNPAD)

6- 8 Oktober 2022

Pain intervention with minimal invasive approach develops

progressively in Indonesia within the last couple of years in Indonesia. Since
the birth of Precursor in 2020 till current, 135 pain interventionist doctors have
learnt about it from Sabang till Merauke, Indonesia. It is related with
precursor’s vision namely to help much more patients especially to them who
are in the waiting list of BPJS operation coverage. A better quality of life can
be given to the patients particularly towards them whom not eligible yet with
the operative treatment. Even more, there are many private sectors patients
either due to their medical condition or pandemic Covid19 situation could not
access their regular treatment in aboard may still get the necessities treatments
in Indonesia. As pain is becoming the fifth vital sign, precursor has actively
sounding the pain intervention with minimal invasive to the BPJS Kesehatan
in every districts of Indonesia. Having a good relationship with the payer, the
director of BPJS Indonesia, Prof Gufron showed his support to all pain
interventionist in Indonesia to help more patients. This audience is also aim
to get the payer institution well understood about the potential of pain
intervention with minimal invasive in saving the BPJS budget towards the
consumption of pain killer drugs and unnecessary pain operative approach.
There are several pain new policlinics, hospitals, and clinic opened
from precursor students for examples RSUD Bogor Ciawi, RSUD Bangil, RS
Goeteng - Purwakarta, physiotherapy clinic - Orthophysio in Kendari, and
soon RSJ Soeharto Heerdjan. Indeed, this rewards belongs to the all
stakeholders, the hospital managements, UNPAD, Local IDI, INS, sponsors
and last but not least, the fellow precursorians. Precursor will keep supporting
all those institutions or fellows in updating the knowledge and skills related
to the pain intervention. For instance is the development of neuromodulation
to treat the chronic pain. This becomes the new hope to treat cases that is not
significantly improved by regular minimal invasive approach. Furthermore,
the patients themselves can regulate their own intensity of pain level on their
hands. This individualistic treatment seems promising to help patient reducing
their pain in every situation or level on demand. For these reason above, some
pain interventionists in Indonesia try to engage in one organization called
Indonesia Neuromodulation Society. It is a chapter from International
Neuromodulation Society. INS chapter Indonesia would like to develop the
potential of neuromodulation development in Indonesia. Such society will be
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

benefiting various medical specialties including Neurology – Psychiatry –

Neurosurgeon – Spine surgeon – Geriatry specialist and certainly Indonesia
population and National security scheme. Having said that, The INS
Indonesia Chapter will held a scientific gathering in a congress, seminars and
cadaveric workshops, involving the national and international experts such as
Prof Sudhir Diwan from USA (Former President World INS), Prof Paresh
Doshi from India (chair person of INS Chapter India), Prof Marc Russo from
Australia (President World INS) and Prof Yoshikazu Ugawa from Japan. The
gathering will be held on 6th-8th October 2022.

Theme
“Neuromodulation For Chronic
Neuropathic Pain: Where are
we? “

Objectives

1 To share the 2 To increase the practical

To introduce the 4 To invite the new
current update Indonesia member of Indonesia
. of
neuromodulati
skills of neuromodulation
treatment
Neuromodulation
Society to other
Neuromodulation
Society
on knowledge fellow doctors or
clinicians

tingkatan IDI
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

Activities
This event will consist of activities such as:
a. Plenary lectures (6 prominent Speakers – 4 of it are International faculties)
b. Symposium (36 case Papers)
c. Workshop on 3 Cadavers / Probandus / Mannequin / Equipment C-Arm USG TMS
SCS RF DBS
d. Evening Sessions : meet the visiting professor / inauguration of Precursor batch 3 &
Official Opening of Precursor batch 5 / INS Congress meeting

Time of The Event

The event will be conducted on 6 - 8 October 2022 from 8.30 AM – 9.00 PM.
Hotel Holiday Inn , Jl Dr. Djunjunan 96 Pasteur, Bandung, West Java, 40162 Indonesia

Target Participants
All medical doctors who are interested in pain intervention. And Nurses who
potentially involve in assisting intervention services
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

Speakers

4 INTERNATIONAL SPEAKERS

a. dr. Sudhir Diwan (US)

b. dr. Marc Russo (AUS)

c. dr. Paresh Dossi (India)

d. dr. Yoshikazu Ugawa (Japan)

dr. Rudy Ka rtasa s mita Sp.OT

dr. Kemas Abdul M utholib Luthfi Sp.O T. AIFO

dr. Dada ng Sas et yo Rona Sp.OT

dr. A mien Suha rti Saputro

dr. Rizal Da ula y Sp.OT, MARS

dr. Tresna Angga Basunanda Sp.OT

National speakers dr. Hamza h Sp.OT

dr. Alif N oeri ya nto Ra hman Sp.OT FIPP, CIPS dr. Zecky Eko Triw ah yudi, Sp.OT

Dr. dr. Setyo Widi Nugroho, Sp.BS (K) dr. Risa Indra wa n Sp.OT

dr. Arif Wibow o Sp.OT

dr. Herry Herman Sp.OT, PhD
dr. Henny A nggana wati Sp.KFR
dr. A ma nda Tiks nadi SpN - N RE ( K ), PhD.AI - FIDN
dr. Zusron Fuadi Sp.OT
dr. Eka Cha ndra Sas mita Sp.S
dr. AV Fanny Aliwarga
dr. Irma Sur yani Da ris e Sp . O T ( K ), Spine
dr. Edli Warma n Sp.OT
dr. Jecky C ha ndra Sp.O T . M.Kes
dr. Aryo N ugroho Tri Sp.OT
dr. Amir Purnomo Sidhi . SpOT
dr. Widi Widowati Sp.S
dr. Muha mma d Mulk y Yasin, Sp.OT
dr. Dyah Tunjungsari Sp.S(K)
dr. Feri Sya hroni Sp.O T . M H.Kes
Dr. dr. Jumraini Tamasse Sp.S(K)
dr. Salmen Purba Ade nmart Sp.OT
dr. Yetty Hambarsari Sp.N(K) M.Kes
dr. Ha mda n Hasan Basri Sp.OT dr. Deby Wahyuning Hadi Sp.N(K)
dr. Probodjati Sp.OT dr. Baardi Lukman Hamidi Sp.N(K)
Dr. dr. Binta ng Soetjahjo Sp. O T ( K )
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

Commitee
Steering boards :
Dean Medical Faculty, Universitas Padjadjaran Prof. Dr. dr. Yudi M Hidayat Sp.OG(K)
Program Director Precursor dr. Herry Herman Sp.OT, PhD
Presiden INS Chapter Indonesia dr. Alif N Rahman Sp.OT, FIPP, CIPS
Chair person Prof. dr. Ahmad Faried, Sp.BS(K)., PhD., FICS
Vice Chair dr. Dadang Rukanta Sp.OT., MH.Kes
Secretary dr. Wendy F Nugraha, MPH
Treasury dr. Nushrotul Laillyah Sp.S
Scientific Committee dr. Setyagung Budi Santoso Sp.OT(K). CCD
• Team member dr. Amanda Tiksnadi Sp.N(K)-NRE., PhD., AI-FIND
• Team member dr. Winnugroho Wiratman. Sp.N(K)-NNET., PhD
• Team member dr. Adi Sulistyo. Sp.BS, FINPS
• Team member dr. Alif N Rahman Sp.OT. FIPP, CIPS
• Team member Dr. dr. Setyo Widi Nugroho, SpBS(K)
WorkShop Committee dr. Kemas Abdul Mutholib Luthfi, Sp.OT., AIFO-K
• Team member dr. Boby Harul Priono Sp.OT
• Team member dr. Feri Syahroni, Sp.OT., MH.Kes.
• Team member dr. Adenmart Salmen Purba, Sp.OT
Fund raise and Sponsorship dr. Hamdan Hasan Basri Sp.OT
• Team member Dr .dr Made Agus Mahendra Inggas Sp.BS, FICS, FINPS
• Team member dr. Chairudin Lubis ,Sp.OT
• Team member dr. Adimas Nofrianto Bayuaji, Sp.OT
• Team member dr. Eka Candra Sasmita, Sp.S
• Team member dr Syafrizal Abubakar Sp.BS, FINPS, FINSS
• Team member dr. Mustaqim Prasetya, Sp.BS, FINPS
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

Run Down
RUNDOWN in TIME SERIES
DAY 1: VENUE HOTEL, Thrusday 6 Oct 2022
TIME
NO DUR SEGMENT
START END DAY 1
1 08:00 08:15 00:15 Opening Opening
2 08:15 08:45 00:30 P LEN ARY 1 Pain Intervention - new perspective with Alif NR

3 08:45 09:15 00:30 P LEN ARY 2 SCS Economics with Herry Herman
4 09:15 09:35 00:20 Discussion Panel Disussion
transcranial focused ultrasound stimulation (tFUS)
6 09:35 10:05 00:30 P LEN ARY 3
on Pain / with Ugawa -Japan

7 10:05 10:35 00:30 P LEN ARY 4 Ethical issue on Pain and NM , with Setyo Widi (?)

8 10:35 10:55 00:20 Discussion Panel Disussion

9 10:55 11:05 00:10 Coffee Break Coffee Break
Room I/Spine Room 2 prolo Room 3 Prolo Room4
Knee Wrist head neck
Precursor paper session 1 (ex tDCS
Prolo spondil TB-
10 11:05 11:20 00:15 Budapest) ACL / Rizal Daulai TFCC/Amien Su Headache/
Candra
amanda
Precursor paper session 2 (ex Marie
Prolo on VT-12 PRP ACL
11 11:20 11:35 00:15 Budapest) CTS /Tresna Ang Strumpel
fracture-Hamdan rupt/Luthfi
/Zuhri
Precursor paper session 3 (ex Bertoloti Synd - Gonitis TB/zecky Brachial
12 11:35 11:50 00:15 Guyon Canal/Edli
Budapest) Risa eko Plex/Setya
Discuss/moderato Discuss/moderato Discuss/moderato Discuss/mo
13 11:50 12:20 00:30 Discussion Breakout
r r r derator
14 12:20 13:20 01:00 Lunch Break Lunch Break
Room I/ Hip Room II Shoulder Room III Knee Room 4 TMS
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

Precursor paper session 4 (ex Spastic

Hip Schlero Baker
15 13:20 13:35 00:15 Budapest) Alif Technique paraplg/
Arhtropl/Mulky cyst/jecky C
Widi
Precursor paper session 5 (ex stroke
Great Troc Barbotage - RF Genic nerv
16 13:35 13:50 00:15 Budapest) anxiety/Ju
Bursi/Arif w Henny /Bintang
mraini
Precursor paper session 6 (ex heat
Ischio glut Impingement-
17 13:50 14:05 00:15 Budapest) RF Adv OA/Lutfi sense/Deb
burs/Zusron Fanny
y
Discuss/moderato Discuss/moderato Discuss/moderato Discuss/mo
18 14:05 14:35 00:30 Discussion Breakout
r r r derator
19 14:35 14:50 00:15 Coffee Break Coffee Break
Room I Prolo Knee Room 2/prolo feet Room III Hip Room 4 TMS
Precursor paper session 7 (ex Gonitis TB/ Neuropath
20 14:50 15:05 00:15 Metatars Frac/Feri TBA
Budapest) Salmen ic /Baarid
Precursor paper session 8 (ex
Achilles / Aryo post stroke
21 15:05 15:20 00:15 Budapest) knee repla / probo Sciatic nerv - Irma
nugTri /Yetty
Precursor paper session 9 (ex Dsiloc Elbow Meralgia para - visual
22 15:20 15:35 00:15
Budapest) Patella/DaRon stiffness/Rudi Amir field/Dyah
Discuss/Moderato Discuss/Moderato Discuss/Moderato Discuss/Mo
23 15:35 16:05 00:30 Discussion Breakout
r r r derator
24 16:05 16:10 00:05 Closing
25 16:10 19:10 03:00 Free Time
26 19:10 21:10 02:00 Dinner with Dean IN AGU RATION Batch 3 P recursor
27 19:10 19:15 00:05 Closing
Total Durations 1 3 ;1 5 ;0 0
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

DAY 2: VENUE HOTEL FRIDAY 8 Oct 2022

TIME
NO DUR SEGMENT
START END DAY 2
1 08:00 08:05 00:05 Opening Opening
2 08:00 08:30 00:30 PLENARY 5 DBS with Doshi
3 08:30 09:00 00:30 PLENARY 6 SCS with Dhiwan
4 09:00 09:10 00:10 Discussion Panel Disussion
6 09:10 09:25 00:15 Coffee Break Coffee Break
7 09:25 11:55 Patient selection and TMS with Ugawa & Amanda /
02:30 Workshop 1
Winnu
8 11:55 12:55 01:00 ISHOMA Shalat Jumat
12 12:55 13:55 01:00 Workshop 1 Continue TMS with Ugawa & Amanda
13 13:55 15:55 02:00 WORKSHOP 2 Patient selection on DBS with Doshi & Inggas
14 15:55 16:10 00:15 Coffee Break Coffee Break
15 16:10 17:10 01:00 WORKSHOP 2 DBS with Doshi & Inggas
16 17:10 17:15 00:05 Closing
17 17:15 18:45 01:30 Free Time
18 18:45 20:45 02:00 Dinner with Dhiwan Successful FIPP CIPS Exam what to prepare
19 20:45 20:50 00:05 Closing
Total Durations 12;55;00
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

DAY 3: EYCKMAN SATURDAY 8 October 2022

TIME
NO DUR SEGMENT
START END DAY 3
1 08:00 08:15 00:15 Opening Opening
2 08:15 10:15 02:00 WORKSHOP 3 Equipment and Cunsumables for GP and Nr
3 10:15 10:30 00:15 Coffee Break
4 10:30 12:30 02:00 WORKSHOP 4 Head/neck vagus Nerve stimulation with Alif
6 12:30 13:30 01:00 Lunch Break
7 13:30 15:30 02:00 WORKSHOP 5 SCS Spinal Cord Stimulation with Dhiwan
8 15:30 15:45 00:15 Coffee Break
IDD (Intrathecal drug delivery) & TDD (transdermal drug
9 15:45 17:45 02:00 WORKSHOP 6
delivery With Marc Russo
17:45 17:50 00:05 Closing
17:50 19:05 01:15 Free Time
INS Congress - chapter
19:05 21:05 02:00 Indonesia, inaugurated by all committee & member
Menkes
21:05 21:10 00:05 Closing
Total Durations 13;10;00
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

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Venue: Hotel Holiday Inn and Eykman Building

a. For all symposium will be offline and online at the Hotel
b. Cadaveric Workshop & Nurse/GP workshop will be offline in Eyckman Building
c. DBS - TMS –will be offline at the Hotel
d. Evening sessions will offline all in the Hotel

Target Audience Registration Fee

Target Audience and registration fee

a. Simposium Offline participant : 200 pax

b. Simposium Online participant : 300 pax
c. Workshop Max @ 50 Pax / each workshop
d. Regirstration fee
e.
Category Description IDR
Offline 650.000
Symposium GP
Online 200.000
Offline 800.000
Symposium Specialist
Online 400.000
Symposium Specialist PERDINI Member 600.000
Membership INS Chapter Indonesia member 600.000
SCS On Cadaver 4.000.000
Workshop On Cadaver Head & Neck &Vagus Nerve Block on Cadaver 3.000.000
TDD IDD on Cadaver 2.000.000
Package all 3 Workshop on Cadaver 8.000.000
TMS On Probandus 1.500.000
DBS on Manekin 1.500.000
Workshop non Cadaver
GP/ Nurse On Device (C-arm, USG, RF, TMS,
1.500.000
Needles, Consumables)
Package All 6 Workshop 12.000.000
Evening Dinner with Dhiwan 1.000.000
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

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Budget
Propose RAB
CLIENT : PRECURSOR DATE OF PROJECT :
PROJECT : INS Congress DATE OF QUOTATION :
LOCATION : Bandung
No. Items Specification Amount Total (IDR)
VENUE
I A. HOTEL/venue
B. WETLAB RS PENDIDIKAN UNPAD 370.764.000
23.100.000
PROGRAM
II EVENT
A. PRODUCTION 6.725.000
B. REGISTRATION 900.000
C. BREAKOUT ROOM 29.000.000
D. MULTIMEDIA 2.000.000
E MEALS EO Crew 4.500.000
F SUPPORTING EQUIPMENT 2.050.000
G. TALENT & SPEAKERS 128.400.000
H. SPEAKERS ACCOMODATION & TRANSPORTATION 103.000.000
I. WORKSHOP EQUIPMENT 126.500.000
I. Permit & Acreditation 3.000.000
III EVENT MANAGEMENT
1 Event Team 17.600.000
2 Team Streaming 7.200.000
3 Operasional 7.350.000
IV LABUAN BAJO TRIP 99.400.000
Total 931.489.000
5% emergency 46.574.450
Grand total 978.063.450
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

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Sponsorhip Category
TYPE OF
SPONSORSHIP BENEFIT SLOT PRICE TOTAL

1. Message
from director in
Precursor Booklet/Textbook
2. Online booth given in SMART Website
3. Four Free appointed doctors/participants
PLATINUM invited for Scientific Meeting (SMART Day 2 175.000.000 350.000.000
1)
4. Logo Brand will be printed in the
souvenir Scrub Surgeon & Head Caps
5. 30 mins promotion in every lunch break (2
days)
1. Message from director in
Precursor Booklet/Textbook
2. Online booth given in SMART Website
3. Two Free appointed doctors/participants
invited for Scientific Meeting (SMART Day
GOLD 1) " 4 125.000.000 500.000.000
4. Logo Brand will be printed in the
souvenir Scrub Surgeon & Head Caps
5. 15 mins promotion in every
morning/afternoon
coffee break (2 days)
1. Online booth given in SMART Website
2. One Free appointed doctors invited for
Scientific Meeting (SMART Day 1)
3. Logo Brand will be printed in the
SILVER souvenir Scrub Surgeon & Head Caps 3 50.000.000 150.000.000
4. 5 mins promotion in every
morning/afternoon
coffee break (2 days)
OTHER Category To be discussed by the PIC

• Sponsorship PIC : dr. Hamdan Hasan Basri Sp.OT (+628121043346)

• Bank account : Bank Mandiri no rek 132.00.500.5252.2 an PT Padjadjaran Mitra.
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

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Contact Person

Further inquiries, please contact dr. Carli (+62 81274745003) and dr. Johny Sulistio (+62 811-1043-597)

Bandung, 20 Juni 2022

Prof. dr. Ahmad Faried, Sp.BS(K)., PhD., FICS

Chair Committee
 INTERNATIONAL NEUROMODULATION SOCIETY CHAPTER INDONESIA

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