With innovation I might impact thousands of lives

Andreas and co-fellow Ninna at Hjørring hospital where they did their observation study.

I am Andreas

I am a medical doctor with a Ph.D. and a diverse background encompassing several specialties, including emergency medicine, psychiatry, otolaryngology, and general practice. My primary motivation as a medical doctor has always been to help people in need and make a meaningful difference in their lives. Throughout my career I realised, that while direct patient care is profoundly rewarding it is also constrained by time, resources, and systemic inefficiencies. These limitations restrict the number of patients I can assist on a daily basis.

This realization sparked my interest in innovation and design thinking as a way to address broader healthcare challenges. By developing new solutions, technologies, or processes, I can potentially impact thousands, if not millions, of lives.

At our very first seminar in September I met the other 14 fellows for the first time and we had an introduction to the fellowship year by Pernille Kølbæk from the teacher team.

What’s in it for me?

BioMedical Design offers a unique opportunity to bridge my clinical expertise with innovation and interdisciplinary collaboration, allowing me to create solutions that can transform healthcare delivery and leave a lasting legacy.

At the first seminar we did some design thinking exercises to get a feeling of what tools we were going to work with.

I applied to this program because I believe it equips participants with the tools, methodologies, and network needed, to drive meaningful change.

My co-fellow Ninna and I in the basement of Hjørring hospital where we got our hospital clothing to blend in with the healthcare staff when observing.

The positive side of being a passive observer

Coming from a clinical background where immediate decision-making and active intervention are the norms, it was initially a challenge to step back and adopt the role of an observer. My instinct as a medical professional is always to help, to fix, and to act. However, this observational role offered a rare and invaluable opportunity to gain a more comprehensive and objective understanding of the hospital environment.

By watching processes unfold, I was able to see patterns, inefficiencies, and interactions that aren’t always apparent, when you’re focused on solving individual cases. Instead of reacting to situations, I found myself asking deeper questions such as, “Why is this done this way?” and “Is there a better, more efficient, or safer way, to achieve this?” This shift in perspective enabled me to identify potential areas for improvement that might otherwise be overlooked during routine clinical work. It was an enlightening experience that helped me appreciate the power of stepping back, observing critically, and identifying opportunities, for systemic change.

Seeing things from a different angle

Before this experience, my understanding of hospital workflows was largely shaped by my own role as a clinician. Shadowing staff in various roles — from nurses, doctors and technicians to administrative personnel— gave me a much richer and more nuanced perspective on how the ward operates. I came to appreciate the complexity and interdependence of different tasks and roles within the hospital ecosystem.

My team and I present our observations of challenges in the workflow as we observed them to the local staff at Hjørring hospital. It was great to show them the external view on the things they might know already but often can’t solve and then become obstacles they learn to live with.

A shared understanding helps

What struck me most was how each profession has its own set of responsibilities, challenges, and workflows, which are often not fully visible to others. This lack of transparency can sometimes lead to misunderstandings or inefficiencies. When we visualized these processes through diagrams and shared them with the staff, many were surprised by the insights gained. It helped create a shared understanding and highlighted opportunities for improved collaboration and communication. This experience underscored the importance of seeing healthcare delivery as a team effort where every role is vital to the overall functioning of the ward.

A nurse talking to a patient lying in the hallway of the hospital.

During our two months of observation in the cardiology and endocrinology departments, we documented several hundred observations and issues. These ranged from seemingly minor inconveniences to more significant systemic challenges. Some of these issues were specific to the specialties we observed, while others reflected broader problems seen across healthcare settings, such as workflow inefficiencies, communication gaps, and patient safety concerns.

A need is an opportunity to improve

From these observations, we identified close to 100 specific healthcare needs. These needs encompass a wide range of areas, including patient care quality, workflow optimization, resource management, and challenges faced by healthcare providers. Each identified need represents an opportunity for improvement and innovation. Our goal is to systematically analyze and prioritize these needs based on their impact and feasibility, ensuring that we address the most pressing and transformative opportunities.

Moving forward, we are currently focused on addressing a specific, local need within the host department while simultaneously validating and refining the other identified needs. By engaging with healthcare professionals and stakeholders, we aim to better understand the underlying causes and potential solutions for each challenge.

Killing our darlings

By week 5, we plan to narrow our list down to 2-3 validated needs that show the greatest potential for impact. This validation process involves conducting interviews, analyzing data, and ensuring that the needs we focus on are both significant and solvable. Once we finalize these top needs, we will move into the next phase: selecting one need to develop into a viable solution. This will involve brainstorming, prototyping, and testing potential solutions to ensure they are both effective and implementable within real healthcare settings.

My team and I.

The most profound experience in my learning journey has been witnessing the power and potential of interdisciplinary collaboration. In clinical practice, healthcare professionals often work within their specialized silos. In the BioMedical Design program, I have had the opportunity to work closely with experts from diverse fields, such as engineering, design, business, and technology.

This collaboration has shown me that combining different perspectives, skills, and ways of thinking can lead to innovative solutions that no single discipline could achieve on its own. For example, a clinical problem that might seem insurmountable can be approached in a completely new way when viewed through the lens of an engineer or designer. This cross-disciplinary approach has deepened my appreciation for teamwork and highlighted how innovation thrives at the intersection of different fields. I’m eager to continue leveraging these collaborative experiences to create impactful healthcare solutions.

5 years wiser in only 10 months!

The BioMedical Design Programme (BMD) is an intense 10-month experience loaded with tons of

invaluable learnings. Here are some of the reasons we, Team Inventricle, think we got 5 years wiser in 10 months.

Facilitator of the week

Since interdisciplinary teamwork is a cornerstone of the BMD programme, there was a lot of

excitement leading up to the team announcement and team building seminar. We were lucky to

be placed in a very diverse team, with both engineers, doctors and a nurse. At the seminar we

were introduced to the phases you have to go through to become a high performing team –

Forming, Storming, Norming and Performing. Like most other teams we also had to go through

these and it wasn’t always easy. But we learned a lot about each other and our team dynamics

along the way. One thing that we implemented was to have a “facilitator of the week”. That made

sure that everyone had the opportunity to plan and direct the team in the tasks at hand, and we

learned that our team worked a lot better when someone explicitly took the role of facilitator.

Get out of the building

Working with MedTech innovation you have to leave the office space. No matter if it’s about validating needs, ideating concepts, or testing prototypes, getting out of the building is an essential activity to master. It’s almost a philosophy or way of working that will influence most activities and make sure you don’t base decisions on assumptions. However, you have to be smart about how you talk to patients and clinicians as they can easily lead you down the wrong path if you don’t phrase your questions the right way. To do this right, we found “The Mom Test” by Rob Fitzpatrick to be a fantastic resource.

See one, do one, and raise the bar

During the programme, a general learning concept is the “See one, do one” concept. Monday

could be filled with inspiring teaching from domain experts, and then the rest of the week is for

you to go out and try what you’ve learned in your specific project. This is an excellent way to

make knowledge stick with long term memory. In addition, outcomes are frequently shared

between the teams to inspire each other. A sense of healthy competition among the teams

helped us all raise the bar for what can be done, like going across the planet to validate a need or

meet with key opinion leaders.

You make your own calls

On paper, the creative skills phase is about how to generate ideas. The tools to facilitate this are thoroughly taught, but our favourite takeaway from this phase is the mentality of being our own autonomous design team. No matter the tool, it’s our responsibility to stay agile and modify those tools to best test our hypotheses.

Never too late to pivot

During our time at the programme we have heard many tales of all the amazing pivots that have

happened in the previous cohorts. Luckily, we got to try one ourselves as well, and hopefully it will

be added to the list that the future fellows will hear about.

We only had about 6 weeks left before the final pitch when we decided to pivot and focus on

children with urinary incontinence instead of collection of urine samples, so we had a lot to do in

a very short time. But we learned that this time we could really divide and conquer because we

had learned so much the first time around. It made it a really fun and exciting experience to try

and get as much as possible done in such a short time. We managed to talk to a lot of

stakeholders and interview several parents and children in both Denmark and the USA. We even

did a Facebook campaign to understand more about our potential customers and the willingness

to pay.

Pitching

All of this led us to the culmination of the programme, which was the final pitch. All through the

programme we have been training our pitching skills both formally and informally. This is such a

valuable skill no matter what you do – to be able to clearly communicate a need and idea to

anyone no matter what their background is, and in a way that they will remember it afterwards.

So, what now?

At the moment we are wrapping up our project and our time at the programme. No one from the team is continuing on with the project as of now. Instead, we are handing over the IP and all of our knowledge in this area to the BMD programme. We do this because we want to share what we have learned and so the project can continue to live on if any students or future fellows want to continue some of the processes that we started.

We are excited about our future. Frederik and Christian already landed jobs at Duckwise and Trifork respectively, and will continue a journey within Digital Health. Gulcin and Nanna are still looking for the right match workwise. Nanna is looking for a job where she can combine her nursing background with all the new skills she got as a Biomedical Designer.

Welcoming Speech by Sys Zoffmann Glud

BioMedical Design Inauguration Day

September 2nd 2019

At Biomedical Design we want to empower talents in need led health innovation. We do that with the intention of supplying Danish healthcare, Danish research institutions and the Danish health tech industry with innovation leaders who come with a more holistic view of all what it takes. From identifying a problem to putting a solution in front of the user. It is a complex field to navigate in, and that is why we see there is a need for people who understand the whole process, who know how to reach out to the right people at the right moments of the process, to get the right help.

Meaningful Innovation that Matters
We want to have more innovation leaders in health care, because innovation matters to people. It really impacts peoples’ quality of life that we make good innovation, specially people who get sick or disabled. That’s why we should do it well. We should make meaningful innovation which matters to people.

A Push Back from Health Care Payers
However, we need to be careful about the approach we take, when we innovate. And right now I would say the value chain of innovating for health care is about to be broken. Historically it has been a very technology driven process where health care payers happily paid what it cost to take in all the innovation that companies developed. But now we see that there is a push back from the health care payers. They simply can’t afford all the good ideas and good solutions coming from the industry.

New Health Innovators are Needed
We need people who can approach the innovation of health care from a new perspective and yet make it beneficial for all parties in the value chain. We believe that the BioMedical Design Programme is one of the answers to this this dilemma. That’s why we have put together a ten months full time fellowship program in which we today enroll 16 very talented people who are skilled in each their domain, and during the next ten months will become skilled health innovators too.

The Boot Camp
The first month is a boot camp where we’ll give the fellows a basic introduction to the different clinical fields they’ll enter. To do observations and find problems. We’ll teach them health ethnography. Teach them small introductions to design thinking, something they’ll work with more deeply later. They’ll get to know each other and after the first month they will be put in teams of four with whom they’ll be together for the rest of the fellowship. They might not like their team mates all the time throughout these ten months. But that is also a part of the learning process. You have to learn to navigate and solve team issues.

Clinical Immersion
Then they’ll be immersed into different clinical fields. Two teams will have their base at Rigshospitalet in Surgical Gastroenterology and Nephrology and here in Aarhus the fellows will do their Clinical Immersion in the Ears-Nose-and-Throat department (Otolaryngology). In this process they will identify innumerable problems. Small problems, local problems but also some needs which have not been identified before. Not even by the staff working there. During four weeks they will be exploring widely, and then they will go through a process to narrow them down to 12 needs and validate these.

Big Impact Required
Validation means, that fellows have to go out and interview people in the clinic and ask: “Have I understood this clinical need?”, “Do you agree that it exists?”, and go out and see if they can retrieve the same situation in other hospital settings in Denmark and abroad. That is all sort of the qualitative identification of needs. Then they have to support in a more quantitative manner – digging down into literature and databases, looking for numbers which can support that there is a true problem and where there is a possibility to create a big impact even though fellows don’t know, what could be the solution yet.

Creative Skills
Innovation is not happening without getting good ideas. For some people it is easy to get good ideas and for others it is difficult – but this is a skill you can learn and that’s why we are working with it in the creative skills phase. Training the ability to come up with great ideas and to build on the ideas of others. To build on ideas that are out there in the world already, but improving them – and help solve issues that previous ideas haven’t solved.

Validation
In that process they will generate many ideas and again these ideas have to be validated if they are the right type of solution to the right need. It will be a challenging process because fellows will experience lots of insecurity. There are heaps of questions popping up. “Can it technically be done?”, “Has somebody already gotten this idea and patented it?”. “Damn, yes!” – and you have to go back to another solution. It’s a back and forth process, but the fellows are actually quite lucky, because while they are at this program they can work on multiple ideas at the same time. It’s a horse race – but they don’t need to go that far back to pick up another need and another solution – for sure they will end up with something.

Commercial Skills
Finally, we have the Commercial Skills phase. At this point fellows have two great ideas, and they quickly have to figure out which one can be developed further and have a sound business model built around it. They have to ask themselves, which idea is the most feasible for us with the competences we have in our own team and in our network to continue with? It will be a very intense process. Fellows will have to develop their commercial skills on the one side and parallel to that they will have to work on prototyping their solution so they stand with a fairly good prototype at the end of the program.

What Then?
Fellows will be there with an idea and they know quite a bit about the marked. We will let it up to some of all the other Danish institutions like funds and investors we have, to bring the fellows further on with their projects. This counts for those fellows who want to continue with their projects. Because it’s not the sole goal of this program to create start-ups and start-up teams. It’s our hope that many will – but the purpose is also to get the competences they have achieved out in the broader innovation ecosystem in Denmark because there are so many angles from which you can do good innovation.