CURRICULUM VITAE Nama NIP Agama Alamat kantor
: : : :
E-mail Minat
: :
Dr.Dwikora Novembri Utomo, dr.,SpOT (K) 19641115 199003 1 001 Islam Dept/SMF Orthopaedi & Traumatologi FKUA / RSUD dr.Soetomo Surabaya
[email protected] Lower Extremity and Sports Injury
RIWAYAT PENDIDIKAN Pendidikan Formal 1976 : Lulus SDK Maria Fatima II Jember 1980 : Lulus SMPN 2 Jember 1983 : Lulus SMAN 1 Jember 1983-1989 : Lulus FK UNAIR 1994-1999 : Program Pendidikan Dokter Spesialis I Orthopaedi dan Traumatologi FKUA/RSUD dr.Soetomo Surabaya
2009- Jan 2013
:
Program Doktor Ilmu Kedokteran Unair
RIWAYAT PEKERJAAN A. SEBELUM PENDIDIKAN KEAHLIAN 1990-1992 : Kepala Puskesmas di Kec. Kerongkong, Lombok Timur 1992-1993 : Kepala Puskesmas Kec.Batuyang, Lombok Timur B. SETELAH PENDIDIKAN KEAHLIAN 1999-2000 : Staff Medik Orthopedi & Traumatologi RSUD AW Sjahranie, Samarinda, Kalimatan Timur 2000-2002 : Staff Medik Orthopaedi & Traumatologi RSUD Kanujoso Djatiwibowo Balikpapan Kalimatan Timur 2000-2003 2003 - sekarang
: :
2008-2010 2009 - sekarang 2010- 2015 2016 -
: : : :
Kepala UGD RSUD Kanujoso Djatiwibowo, Balikpapan Kaltim Konsultan Lower Extremity Dept./SMF Orthopaedi & Traumatologi FKUA / RSUD Dr.Soetomo Surabaya SPS Orthopaedic & Traumatology FKUA – RSUD dr. Sutomo Tim Sport Clinic RSUD dr.Soetomo KPS Orthopaedic & Traumatology,FKUA / RSUD dr Sutomo Ketua Departement Orthopedi & Traumatologi FKUA
PENDIDIKAN TAMBAHAN
1995 1998
: :
1999 2002 2003
: : :
2004 2004 2004 2004
: : : :
2005 2005
: :
2006
:
2006
:
2007
:
2007
:
2007
:
2007
:
2007
:
2008
:
2009
:
2009
:
2009
:
2009
:
2010 2010
: :
2010
:
Sept, 10-11, 2011
:
AO Basic Course. Surabaya Orthopaedic Fellowship Training on Hokkaido Memorial Hospital and Hokkaido University Hospital, Sapporo Japan Junior ASEAN Travelling Fellowship Basic Microsurgery, Singapore General Hospital Clinical Attachment on Hip and Knee Arthroplasty, Unfall Chirrhurgie, Kreiskrankenhaus, Aurich Germany Knee Surgery and Arthroscopy Workshop, Jakarta Pelatihan Applied Approach (AA) Pelatihan Buku Ajar Semiloka Peningkatan Mutu Pelayanan Medik melalui pelaksanaan Informed Consent dan Medical Audit Primary Hip and Knee Arthroplasty Workshop, Surabaya Knee Arthroscopy Cadaveric Workshop, Arthrex Chula Training Center, Bangkok AO Pelvic Course and Cadaveric Workshop, Chiang Mai, Thailand Shoulder Arthoscopy Cadaveric Workshop, Arthrex Chula Training Center, Bangkok Thailand Training of Tutor (TOT) of Advanced Trauma Live Support (ATLS), Surabaya AO Advanced Course, Surabaya A-Z on Hip and Knee Arthoplasty, Symposium and Workshop, Jakarta Advanced Total Knee Arthroplasty, University Malaya Medical Center (UMMC) Clinical Attachment on Shoulder Arthroscopy, St John of God Subiaco Perth, Australia American Orthopaedic Asscociation/AOA – ASEAN Orthopaedic Traveling Fellowship, USA & Canada Radical High Tibial osteotomy and Unicondylar Arthroplasty, Koga Hospital Japan (Under Prof. T. Koshino) Revision Arthroplasty and Tumor Recontruction, Megaprosthesis,Course and Cadaveric Workshop, Wina – Austria Technical V-Tek Forefoot Surgery Course and Cadaveric Workshop, Surabaya Dutch Foundation : Pelvic and Acetabulum Cadaveric workshop, FK Unair,Surabaya Scientific Meeting & Workshop on Stem Cell, Surabaya KLEOS Asia Pasific Arthroplasty: Fundamentals for Success, Hongkong Knee and Shoulder Arthroscopy cadaveric workshop(conmed linvatec),Bangkok Thailand Pelatihan Assesor Akreditasi Pendidikan Dokter Spesialis Orthopaedi dan Traumatologi Indonesia
Sept, 20-21, 2011 2012
: :
2012 2013
: :
Workshop Stem Cell, Surabaya Unicondylar Knee Arthroplasty & Minimal invasive THA cadaveric workshop(Yonsei University seoul -Zimmer),Korea Posterior approach of Acetabular Fracture. AO Davos
PEMBICARA /MODERATOR 2010
3-5 Juni 2010, AO Course Principles (Basic) in Operative Fracture Management and ORP Course sbg Table Instructure 17-19 Juni 2010, 57TH COE ( Tema Osteoporosis and Osteoarthritis : From Basic Science to Clinical Practice ), sbg Moderator
2011
10 Juni 2011, TITAFI (Temu Ilmiah Tahunan Fisioterapi) ke XXVI sbg pembicara ( Reconstruction ACL ), Hotel Mercure Surabaya. 13 Juni 2011, Seminar Bimtek Penanganan Cidera Olahraga, sbg Nara sumber, Dinkes Magetan. 22 September 2011, International Symposium and workshop of Regerative and stem cell, Hotel JW Marriot Sby sbg Moderator. 23 September 2011, International Symposium and workshop of Regerative and stem cell, Hotel JW Marriot Sby sbg pembicara ( Aplication of MSCs for Cartilage) 29 Oktober 2011, Basic Orthopaedic Skill Course, Skill Lab RSUD dr.Soetomo Sby sbg pembicara ( Cast Technique ) 17-19 Nop 2011, KONKER PABOI (Tema Trauma and Reconstructions ), Hotel Penisuela Manado sbg Pembica ( Primary Arthroscopy for complex Acetabular Fracture ). 13-15 Desember 2011, Lokakarya kedokteran Olahraga dan Cedera Olahraga di Indonesia 2011, Hotel Kaisar Jakarta sbg nara sumber ( Modern Team Physicians)
2012
:
13-15 Januari 2012, 2nd Annual Scientific Meeting of Indonesian Hip and Knee Up date, Grand Melia, Jakarta sbg pembicara ( PCL Reconstruction Tibial Inlay Technique). 25 September 2012, A Day Seminar of Sport Medicine with Honorary Lectures by Prof Hideo Matsumoto, sbg pembicara ( Overview the Surabaya Sport Clinic ). 20 – 21 Oktober, Instructor Course & Workshop Diagnostic Arthroscopy & ACL Reconstruction, Experimental & Skill Lab RSUD dr.Soetomo Surabaya 22 Nopember 2012, 18th National Congress of the Indonesian Orthopaedic Association (IOA) Combined with 32nd AOA Annual Meeting ( Hip & Knee : Current and Future Trends in Management Osteoarthritis), Hotel Shangrila Jakarta sbg pembicara ( Reconstruction of Postraumatic Osteoarthritis of the Knee in Young Adult ).
2013
:
12 Januari 2013, Pembicara National Simposium & Workshop Sport of Mediine, Aula FKUA Surabaya (Platelet Rich Plasma : At the Future) 17 Maret 2013, Pembicara Pelatihan Basic Course Orthopaedi , IPOTI, GBPT RSUD dr.Soetomo, Sby
2014
:
18 Mei 2013, National Congress Annual Scientific Meeting, Hotel JW Marriott Jakarta sbg pembicara (the Future of Cartila injury Management) 23 – 26 Mei 2013, Partisipan 86th Annual Meeting of the Japanese Orthopaedic Association in Hiroshima, Japan 14 Juli 2013, Arterior Minimally Invasive Surgery in Total Hip Replacement, RS Husada Utama Surabaya sbg pembicara 23 – 25 Agustus 2013, Pembicara Symposium 3rd Scientific Meeting of Indonesian Hip and Knee Society (IHKS), Gran Melia Hotel Jakarta (Do we need to Preserve the ACL Remnat ? ) 22 Agustus 2013, Co- Moderator Arthroplasty Instructional course Lecture & Sport Medicine Intructional Course Lecture 3rd Scientific Meeting of Indonesian Hip and Knee Society (IHKS), Gran Melia Hotel Jakarta 25 Agustus 2013, Pembicara Sports Medicine Symposium 3rd Scientific Meeting of Indonesian Hip & Knee Society (IHKS), Gran Melia Hotel Jkt (Cartilage Injury) 6 September 2013, Pembicara: The 1st Annual Meeting of Indonesian Orthopedic Society for Sports Medicine & Arthroscopy (IOSSMA), thema A New Point of View on Sport Injury Management, JS Luwansa Hotel Jakarta (Mesenchymal Stem Cell for Cartilage Engineering). 18 Oktober 2013, Pembicara : Sby Regeneratiand Medicine and stem cell center collaboration with Dutch Foundation, Thema The Journey of Stem Cell and Tissue Engineering from pre clinical to clinical trial, Graha BIK IPTEKDOK Airlangga University School of Medicine Surabaya ( Research on Cartilage). 18 Oktober 2013, Juri : Disiminasi Hasil Hibah Penelitian dan Pengajaran pada Asosiasi Institusi Pendidikan Kedokteran Indonesia di Fakultas Kedokteran UNAIR, HPEQ 19 Oktober 2013, Intructor 2nd Diagnostic & Arthroscopy ACL Reconstruction Workshop, Experimental & Skill Lab RSUD dr.Soetomo Surabaya. 8 November 2013, Speaker ASEAN Arthroscopy & Sports Medicine Congress, Hilton Hotel Kuala Lumpur ( Arthroscopy of ACL Avulsion – Pullthrough Technique ) 22 November 2013, Speaker Conference of Indonesian Orthopaedic Association (IOA) Combined Meeting with American Academy of Orthopaedic Surgeon (AAOS), Thema Upper and Lower Extremity Trauma, Royal Ambarrukmo Hotel Yogyakarta :( Lower Extremity of Orthopaedic Trauma) à Early Management of Tibial Plateau Fractures). 23 Maret 2014, Pembicara Seminar & Workshop Operating Room Best Practice : Surgical Site Infection Prevention in Orthopedic Surgery, Surabaya oleh HIPOTI 24 April 2014, Juri of Final Paper Presentation for Candidat National Board Orthopaedic Examination, Bali Nusa Dua Convention Center, Nusa Dua, Bali. 25 April 2014, Speaker 61st COE of IOA combined meeting with Australian Orthopaedic Association (AOA) in Nusa Dua, Bali (Orthopaedic Trauma Debate Around the Knee (Ind & Australian : Open Reduction Internal Fixation is my Preference ) 26 April 2014, Moderator 61st COE of IOA combined meeting with Australian Orthopaedic Association (AOA) in Nusa Dua, Bali. ( Arthroscopic and Instability Surgery ) 10-11 Mei 2014, Ketua Panitia & Pembicara Basic Orthopaedic Skill Course II, Solo (Prevention and Treatment of post Operative Infection ) 14 Mei 2014, Pembicara untuk awam di BKOW Prov.Jatim
18 – 20 Agustus 2014, Pembicara acara Pre Exam Course untuk Kandidat Ujian di Swiss Belinn, Surabaya 21 Agustus 2014, Peserta Tranerr Orthppaedic Examanation, Sheraton Hotel Surabaya 23 – 24 Agustus 2014, Ketua Panitia & Penguji Ujian National Board Orthopaedic of Examination di RSUD dr.Soetomo Surabaya 25 – 30 Agustus 2014, Speaker 15th Asian Pasific Association of Surgical Tissue Banking , Jepang ( Type 2 Collagen and Anggrecan Concertration in Freeze Dried Bovine Cartilage Powder for Mesenchymal Stem Cell’s Scaffold ) 5-6 September 2014, Pembicara Symposium Comprehensive Management of Sport Injuries, 2nd Annual Meeting and Congress of Indonesian Orthopedic Society for Sports Medicine and Arthroscopy (IOSSMA), Holiday Inn Hotel, Kemayoran, Jakarta (Semitendinesus Tendon Graft for Repair Augmentation of Negleted Archilles Tendon Rupture) 18-19 September 2014, Pembicara The 2nd Regional Biomaterials Scientific Meeting 2014, Indonesian Biomaterials Conference 2014, Hotel Bumi Surabaya ( Application of Biomaterial in ACL Reconstruction (Sport Surgery). 25-26 Oktober 2014, Ketua Panitia, Pembicara, Instruktur 3rd Diagnostic Arthroscopy ACL & PCL Reconstructions, Course & Workshop, Skill Lab RSUD dr.Soetomo Sby 19-22 Nopember 2014, Pembicara The 19th National Congress of Indonesian Orthopaedic Association theme Indonesian Orthopaedist Perspective Encountering the Upcoming Globalization Era – Facing the Spine Problems in Upcoming Years, Ritz Carlton Jakarta.( Factor to pay attention for : Fibroarthrosis and Pain after Knee’s Ligament Recostruction). 13-14 Desember 2014, Pembicara Pertemuan Ilmiah Tahunan I IPOTI “Pelayanan Terpadu Keperawatan Orthopedi
2015 March, 8 April, 25 April, 23-25 Mei, 21 -23
June, 5 – 15
: : :
:
: August,22
Speaker Workshop Injection Intra articular – hands on , Dept Neurology FK Unair (Intra articular Hylan G-F 20 for Osteoarthritis Knee) 62nd COE Surabaya Speaker , Advance Orthopaedic Nurses Course, Pertemuan Ilmiah Perawat Orthopedi, Surabaya Table Instructors in Advance AO Course AO Principles (Basic) Course in Operative Fracture Management and AO Trauma ORP Course – Principles in Operative Fracture Management Participant in 2015 ISAKOS Congress ( International Society of Arthroscopy, Knee Surgery and Orthopaedic Sport Medicine ), Lyon Perancis
Moderator, 20th National Congress of Indonesian Surgeons Associations, Shangri-La Surabaya Speaker, 20th National Congress of Indonesian Surgeons Associations, Shangri-La Surabaya ( Current Concept Young Adult Knee OA in
Cartilage Tissue Engineering )
: August, 26 -30 : August, 26
:
August, 28 : August, 29 : Nov 4-7. 2015 : Nov 9, 2015 : Dec 13, 2015
2016 April 13, 2016 May 12-14, 2016
Congress Chairman, 4th Scientific Meeting of Indonesian Hip and Knee Society ( IHKS) The Golden Approach to Hip & Knee Issue :” Preservation, Repair and Replacement “ Instructors Workshop Arthroscopy Cadaveric- Knee Arthroscopy (ACL, PCL Reconstruction), Anatomi Dept FKUA Speaker Congress Chairman, 4th Scientific Meeting of Indonesian Hip and Knee Society ( IHKS), Shangri-la Surabaya ( Cartilage Tissue Engineering ) Moderator, Congress Chairman, 4th Scientific Meeting of Indonesian Hip and Knee Society ( IHKS), Shangri-la Surabaya Participant 12th Conference of Indonesian Orthopaedic Assiaciation (IOA) Paediatric Orthopaedic “Evidence – Based Practice Delivers Bright Future, Novotel Tangerang Peserta acara Focus Group Discussion “ Kebijakan dan Prospek Pengembangan Produk Implan Nasional “, BPPT Jakarta Moderator, Orthopaedic Knowledge Update : Symposium of Pain Management on spine & Musculoskeletal Case Speaker, Orthopaedic Knowledge Update : Symposium of Pain Management on spine & Musculoskeletal Case
:
Sebagai narasumber ceramah Kesehatan di Dharmawanita Dinas Kesehatan Prov Jatim
:
Peserta the 63rd Continuing Orthopaedic Education of Indonesian Orthopaedic Association(IOA)” Comprehensive Managemeant of Orthopaedic Trauma Patient, Novotel Hotel Palembang.
:
May 13, 2016 : July, 22-24, 2016 : July 30,2016
:
Speaker the 63rd Continuing Orthopaedic Education of Indonesian Orthopaedic Association(IOA)” Comprehensive Managemeant of Orthopaedic Trauma Patient, Novotel Hotel Palembang. (Sub Speciality Lecture IHKS : I will always do osteosynthesis ) Chairman / National BOS Coordinator Speaker , Basic Orthopaedic Skill Course 2, Dept of Orthopaedic & Traumatology School of Mdicine Airlangga University – Dr.Soetomo General Hospital Surabaya Speaker as The 1st Biennial meeting of Indonrsia Society for Hand and Microsurgery (PERAMOI) in conjuction with Indonesian Orthopaedic Trauma Society (IOTS) and Indonesian Orthopaedic for Sports Medicine and Arthroscopy (IOSSMA), Holiday Inn Hotel Jakarta. Sesion :SS8: Trauma 3 – Periprosthetic Fracture and Fracture of Lower Extremity ( Proximal tibial fracture : choice of implants, tips & pitfalls)
Narasumber Seminar & workshop : Prinsip Penanganan Cedera Olahraga pada Atlet, sport Clinic RSUD dr,Soetomo Surabaya
Agustus 13,2016
KEANGGOTAAN ORGANISASI 1990 - sekarang 2003 - sekarang 1990 - sekrang 2007-2010 2007 - sekarang
: : : : :
2008 - sekarang 2009 - sekarang
: :
2012 - sekarang 2012 - sekarang
: :
Ikatan Dokter Indonesia (IDI) IKABI ( Ikatan Ahli Bedah ) PABOI (Perhimpunan Orthopaedi & Traumatologi Indonesia) ICS ( International college of Surgen ) ISAKOS (International Society of Arthroscopy,Knee Surgery and Orthopaedic Sports Medicine) IHKS ( Indonesian Hip and Knee Society ) PEROSI ( Perhimpunan Osteoporosis Indonesia ) Cabang Surabaya Regenerative Medicine , RSUD dr Sutomo /FKUA ASSA (ASEAN Society for Sport Medicine & Arthroscopy)
