Things on DiMeo-dot-info have been quiet lately as I’ve recently made a significant career pivot from teaching biomedical (BME) senior design at NC State to Innovation and Design coach at Trig.
If you are looking for blog posts related to innovation and design, the best thing to do is subscribe to the Trig newsletter. I’ll continue to post on occasion here at DiMeo-dot-info with a focus on more personal topics such as philosophy, education, and art.
Last weekend I celebrated a 20 year mark in BME. It was literally 20 years in a day, and included faculty and alums first met in 1998 and students representing every graduating class from 2007 to 2018 (the time I served on the BME faculty).
The turnout lasted a solid 11 hours at MOFU Shoppe and left me speechless, not just from going horse after 11 hours of talking, but from the outpouring of support from so many walks of life including friends, family, former students, fellow alums, faculty members, and industry mentors.
A “thank you” to everyone that came, both in person and in spirit, simply doesn’t do it justice. No words can.
From Saturday to Saturday, Abby was by my side… A father brought his daughter to First Flight Venture Center… A letter from a fiancé was read to her fallen hero… Couples sat side by side at Ponysaurus and shared pictures of dogs… Families celebrated their newly sworn in Troopers achievements… A one-year-old girl explored her new home.
Over the past 12 years, I’ve had the distinct pleasure of welcoming these bright minds into a lab and taking a journey with them through a process of innovation.
In 2007, the class decided to celebrate the year of hard work with a symposium. Since that time, pioneers of the program (the students) have transformed the symposium from a small crowd at MCNC to standing room only at the NC Biotech Center, to it’s current format, renting out the Durham Convention Center. These students have transformed the class from academic projects to startup companies.
Last week, at the 12th annual symposium, I was honored to give the closing remarks. Fittingly, it started with failure: (pro tip … never use the term “pro tip”)
The talk was a play on Star Wars: Lifelong Learners that choose to study Biomedical Engineering have the most innovative minds in the galaxy
It was graciously recorded by one of the students and I’m humbled to present it here today on this graduation day. Congratulations to the class of 2018!!!
In lieu of a blog post this week, I’ll encourage you rather to attend one or both of the upcoming events to celebrate the past 20 years in Biomedical Engineering, the current class of 2018, and the next 20 years for all of us together.
12th annual BME Symposium at the Durham Convention Center
Wednesday, May 2nd from 2:00pm to 8:30pm http://bmesymposium.com/
Come see BME Seniors and i4 Competition Finalists present their work, Dr. Lalush give a keynote address, and closing remarks will be my last lecture as a BME faculty member. Then join us to take over Fullsteam for an after party.
Last week I was having dinner with a few old business partners and discussing some of the things we are up to these days. They included design thinking, nondualism, and yoga.
At one point, Tony said, as he typically does: “OK, all this stuff is great. But how are you applying this to everyday life?”
I was the one talking about Yoga, so, I started to rattle off some benefits:
Reduced back and joint pain
Breathing calmly in stressful situations
That last one lead into nondualism, which Tony has been exploring lately. I guess I have been also. Javier? Well, he’s working for a design firm, and, I’ve been looking more into design thinking. So, they all started to come together.
It was a fun evening catching up with Javier and Tony. But that night, I had a hard time falling asleep, reflecting that my thoughts on pragmatism around yoga were weak.
Tony had a great example on pragmatic nondualism. It’s a personal story, so, I’m not going to share it. But the bottom line is, Tony truly took an abstract concept and used it to make life better. Wham! That’s nondualistic thinking right there?
Anyways, my answers were weak. That’s what was keeping me up.
First, I started to explore this word: “pragmatic”
I think that was part of my hangup… That this idea of being pragmatic meant to think in terms of reality. I mean; we were eating at a Latin-Asian Fusion Cuisine / Tequila & Sake Bar in Chapel Hill. That in and of itself was unrealistic…, but, it was still applicable to everyday life.
Laws are what we use to describe scientific explorations that have been boiled down into what can be made useful. We might not know what light is (wave? particle? both?), but we can boil light down to something useful (my students will get that one).
This definition of pragmatism felt better. This notion that things we don’t fully understand (physics) can be useful (engineering). Again, nondualism; right there.
Phew! OK. Now back to the deal with my response to Pragmatic Yoga being a weak one.
How is Yoga useful to everyday life, more than just making my body feel good and keeping calm under pressure?
There’s this part of Yoga were I’ve learned to be intense in one part of my body (maybe I’m standing on one leg and that’s really hard), while being totally relaxed in another part of my body (like keeping my shoulders loose). Or, maybe it has to do with some vigorous flow, normally sending me into hyperventilation, but instead, I’m keeping my breathing at a calm, relaxed pace.
In every day life, we have fires burning all around us that need attention. Fires burning around our jobs, our homes, our personal lives including friends, lovers, and family members. From the bills we need to pay to the deadlines for work and the assignment at school; maybe we fail to see what’s really important and miss a child’s game or recital; or miss date night with our spouse.
I feel like sometimes, I may be stressed about everything.
Other times, I’m like The Dude, and just chill out, about everything.
Yoga. How that applies to everyday life for me? It’s about being able to mentally balance the fires. It’s about attending to the important fires with great effort, while chilling out about the not so important ones. That’s my answer Tony.
I would love to hear your points and counterpoints on this topic in the discussion section.
To explore (what is cost), I came to the idiom: at all costs
What are all these costs?
Lives lost in war? The effort to win the war?
Resources to achieve a goal? The effort to reach that goal?
Money spent? The effort to earn that money?
Indeed, (at all costs) can be translated to (regardless of effort). It is logical that cost is relative to effort which itself can be defined as energy spent on work.
We work … to make money … to buy a product. Logical.
But I’m hung up on this notion that if our goal is to reduce cost, it is suggesting we reduce effort? Not logical.
Lessons learned from baseball include: “Control what you can control: attitude and effort.”
I explored attitude and effort a few weeks ago in a blog post on caring and courage. The idea of giving less effort just didn’t sit right with me when first meditating on this part of innovation.
But if attitude and effort are two things we can control…, what is control anyway?
If we give maximum effort all the time, is that really controlling effort? Is the foot on the gas pedal all the way down controlling the car? Or is that car out of control? Interesting.
What is the control of attitude and effort?
Is this to mean we have choice of attitude and effort? What are we asking the baseball player to do here? Choose a “good” attitude. Choose an effort.
Choose an effort? What effort? Full effort?
It feels right to consider that the choice in attitude is to choose a “good” or a “bad” attitude. Choosing a good attitude is one that promotes conditions for health. This was defined as “caring” in part 1 of this blog.
This is making sense, but now I’m back on benefits, quality, what is good, and health.
This is an exploration of cost… of effort.
What effort are we choosing? Is there good and bad effort?
In the book, The Goal: A Process of Ongoing Improvement; authorEliyahu M. Goldratt takes us to the floor of a manufacturing plant and explores many concepts, including a notion that “always working” is not the most efficient way to run a business. The concept is resisted by the characters in the book, rightfully so, as it is not intuitive.
The Goal masterfully uses the scientific method and Socratic thinking to teach lean manufacturing. Among the many lessons learned is that (always working) is not a solution to (improve plant efficiency).
If we have a choice in effort, is the effort we put forth an effort that is well thought out? Scientifically? Socratically? Thoughtfully?
Aha. This is the old debate of “working hard” versus “working smart.”
Cost. Effort. Work.
The relationships of these make sense. However, even after reading The Goal, the notion of minimizing effort is still not sitting right.
I need to zoom back out to the big picture: innovation
There’s an example I’ve used in class for years about a swimmer at the beach. The undertow is bad and they’ve drifted far off shore and suddenly realize they need to get back. This can be a scary situation.
As the lesson goes, I ask the students, “what is smarter, putting your head down and swimming towards shore as vigorously as possible, only coming up for air when you need it? OR, slowing down, thinking, and looking at the waves?”
Swim in with the waves. Rest between waves. Swim smart.
Work hard with the waves. Take breaks. Observe. Be thoughtful about your return to shore… your return to conditions favorable for health.
It’s not to minimize effort…, but to maximize effort. Using ALL of your effort can be wasteful, if some of your effort is used without the waves.
Work Hard AND Work Smart (with the waves).
So, what is innovation?
Innovation is increasing benefits over reducing cost. This is value based care.
Innovation is improving conditions favorable for health and maximizing effort. It is working towards (what is good) through (hard AND smart work).
Innovation is to be caring and thoughtful.
Would love to hear your feedback on this exploration of innovation.
For the past twelve years, my academic scholarship has been primarily focused on teaching a process of innovation. This is an area of great interest and philosophical debate. As a process, innovation can be described in stages of product design starting with an initial investigation, then a definition phase, brainstorming phase, and so on, until a final execution phase. In various courses, I’ve broken down these stages into 3, 4 or 5 steps, and used catchy terms like Stanford Biodesign’s “Identify, Invent, Implement” process.
From a process perspective, whether it’s (identify, invent, implement) or current favorite (discover, describe, develop, deliver): the basis of this “innovation” process is not a secret.
That being said, the term “innovation” itself has been overused and become so generic, its meaning has been lost. I wish to find it. The following two blog post series is an exploration of this word “innovation” in search for a useful definition, for clarity, and for enlightenment.
What is Innovation?
My favorite definition to date comes from Scott Burleson, friend and innovation expert at The AIM Institute. Scott describes innovation as, “an improvement in value” and then further defines value as benefits over cost.
To explore this topic further, I’m going to dive deep into the definitions of each of these words proposed by Scott. In part 1, the focus is on “benefits.”
What is benefits?
The root of the word benefit comes from the Latin bene facere which translates to ‘do good (to).’
The book Zen and the Art of Motorcycle Maintenance by Robert M. Pirsig explores the concept of “good” in great detail by examining the word “quality.” In this fantastic journey of quality, Pirsig makes a case that it is intrinsic, existing in both the romantic and classical thought processes. Indeed, the book explores quality as The Buddha, as Tao, and as what is good.
Quality as what is good feels like common sense to a professor who has to assign grades by (quality of work) or (what is good work). And the notion proposed by Pirsig that it exists in both romantic and classical thought processes is key to the topic of assigning grades to students in the arts as well as the sciences. This can further be extended to commercial innovation in the sense of both psychology and economics; often considered two unique domains. Tying together emotional and rational purchase decisions can be explored further in its own right.
Benefits. Quality. What is Good.
What is good?
What is good work in an engineering class versus what is good work in a poetry class may seem subjective. What is good flavor to one person might not be good flavor to another person. The notion that “good” is subjective is a complicated road to go down, because it suggests that good is whatever you like it to be. If that were the case, how then can grades be assigned by any other means than a subjective measure of good???
What if we define “good” another way?
I’m biased towards the areas of “Health Innovation, Education, and Art” as called out in the description of DiMeo (dot) info.
So, I’m going to propose a definition of “good” as:
conditions favorable for health
It is a natural instinct to seek conditions favorable for health for all living things. From bacteria, which “like” conditions such as warmth and moisture, to a stray cat that might like to be under a parked car with a warm engine and safe from the falling rain. These would be “good” conditions for bacteria or a cat (not that I’m comparing the two).
So far I’m building a hypothesis that:
(benefits) = (what is good) = (conditions favorable for health)
Looking back to Scott’s original definition of innovation as benefits over costs, then a new proposed definition might look like this:
If this formula is correct, then it is not enough just to have conditions favorable for health, but rather, to promote such conditions. After all, if innovation is indeed a process; a process is active, not static.
Innovation is a process of improving health and reducing costs.
For me, this was like coming home. I grew up in Rutherford, NJ with a view of NYC, a short bus ride away…, and walking to the butcher, baker, and (not the candle stick maker), post office. As a kid, I rode my bicycle all over town, walked to the train station to go to High School at Saint Peter’s Prep in Jersey City, and took the Path Train from Hoboken into the city, making my way up to Flushing Meadows to go see the Mets at Shea Stadium.
A few years ago, I moved with soon to be wife and Gus to the South Park neighborhood in Raleigh. Whether it is friends or family coming from out of town for a party or a visit, colleagues coming to the convention center for a conference, or meeting strangers (more like friends I don’t know), like Kelly & Dale over beers at Trophy Maywood…, I’m hearing a lot of this:
“Where do you go in Downtown Raleigh?”
It just happened again on Wednesday evening at Lynwood Brewing Concern where I met up with a couple of old business partners to shoot the breeze, or, as we’re calling it, “Beer Summit.”
What are your favorite restaurants in Downtown Raleigh? Where do you like to catch some live music, drink a beer, or buy a loaf of bread? Where do you go for comedy acts, art displays, and late night cocktails?
A few years ago I was going through a particularly stressful time. It must have showed, because during class, one of my students rose her hand and asked a question: “Dr. DiMeo, do you know how stress can save your life?”
If you have 15 minutes, take it to watch Kelly get down to the science of how attitude towards stress is a life or death decision. This attitude can capitalize on a natural biological response that encourages us to be more caring and to face challenges with courage.
Spring training is underway… and with baseball on the mind, I’m recalling this morning a couple of coaching mantras:
Control what you can control
There’s two things you can control: Attitude and Effort
Look forward…, it’s about the next play
Maybe you hit a home run, extended your lead, relaxed and took the foot off the pedal…, only to find yourself falling behind later in the game.
Maybe you struck out, got frustrated, and made an error the next inning in the field.
These mantras in baseball are about not letting the past, whether good or bad experiences, impact the future. We can’t control the past. We also can’t control the future. But what we can control is our attitude and effort, which could impact our next play…, impact the future.
I saw Kelly’s talk years ago…, and I believe it. Our attitude towards stress has health, caring and courageous implications.
The aha moment is the part where “Attitude” is one of those things we CAN control. That, combined with the other thing we can control, “Effort” – gives us tools to choose, proactively, making our world a healthier and happier place for all.
Control what you can: Attitude and Effort
A student in a class choosing an attitude that stress is a healthy human response, took the effort to help another person. She certainly changed my life forever.
Choosing an attitude that is positive…
Making efforts that are helpful…
…have a physiological effect on our body that is healthy, makes us more empathetic, more caring, and more courageous to meet life’s daily challenges, whether in baseball or in business; in school or social settings; and with family, friends, neighbors, and strangers.
Today I gave a talk at the NC State Engineers’ Council Lecture Series. With that, I’m going to take a break from the “Case Studies of Why” posts and, instead, blog the presentation (including the slides).
Medical Innovation: Collaboration is Key
Have you noticed these cell towers that are wrapped with what looks like an artificial Christmas tree? For me, these towers symbolize a symptom of our society for Product Development in Silos. Marketing defines the specifications and budget. Engineers develop the tower. After that, Designers add the branches (aka racing stripes). Maybe after this, we start to study the environmental impact.
Why aren’t we all working together from the beginning to make an environmentally friendly, inherently beautiful, functional, and affordable cell tower???
What I can say is this. In telecommunications, it might not be pretty, but it works. In the Medical Device industry, adding the racing stripes after the fact may be the reason why your amazing technology never made it to the patients that need it.
Medical innovators simply cannot afford to work in silos if our intention is to improve health outcomes.
I’m an engineering professor speaking to engineering students…, so, let’s get to the basics.
I like to think of Engineering Education as an Oreo Cookie with Milk.
The bottom cookie is Science…, the foundation of the cookie. The filling is Engineering. I personally like double stuffed. For all of the engineers, you know that in the last year of school, we all take a capstone class called, “Senior Design.” So, the top cookie is Design.
Science as the foundation for Engineering and capped off with Design.
There’s this other thing we do in school though. It’s these general education requirements. I like to call them, the liberal arts. This, to me, is the Milk. The Oreo Cookie is so much better when paired with milk, as is the Science, Engineering, and Design when paired with the liberal arts.
Please note that I’m using this term “liberally” and putting everything from business to social sciences to education to economics in the liberal arts bucket. They are fields of study of their own…, as is Science and Design…, and are the filling of those majors.
So what is this Engineering Education all about anyway? I’m going to say to get the depth you need in engineering (that’s why I like the double stuffed Oreo) and an appreciation and working knowledge of Science, Design, and the liberal arts.
But are we getting this working knowledge?
Are we getting the appreciation?
Are we poised to collaborate when we graduate?
To stress this point, I’m going to ask you some questions:
What are the differences of Science, Engineering, and Design?
Where might they overlap?
How do you define Science?
How do you define Engineering?
How do you define Design?
If you’re reading this blog right now, I’d ask that you maybe take a minute before reading on, and think about these topics and explore the concepts on your own for a few minutes.
The law of conservation of matter
Sure, this was a law…, and why the word, “law”?
What is it about laws?
They set order. They are geographically specific. They are defined by humans. They change over time.
And then a fella by the name of Einstein comes along, and writes a new law.
The law of conservation of matter and energy
The scientific method is a thought process to search for ways to describe nature… But the laws we humans write to describe nature, are not universal truths. They are laws that change in time and space.
I’m going to define this as the practical application of what we’ve learned from science.
Let’s talk about Gravitational Potential Energy.
We have one formula that works great for dropping my coffee mug off the counter.
This formula might not work so great for getting a satellite launched into space.
The formulas are location specific (just like laws)…
And when we get to some places, like black holes, our understanding of gravity may break down.
My favorite question for students is, “What is light?”
“It’s a particle”
“It’s a wave”
I’ll respond by saying…, I think the answer is:
“I don’t know”
I don’t know what light is. Scientists have discovered that it can be described as a particle. They call that Particle Theory. It can be described as a wave… Wave Theory.
These behaviors of light have practical applications, that the engineering mindset can then use… to read at night and put slides on a screen.
What this may look like in industry for an engineer developing medical devices is the MD&M Expo where they go and collaborate with executives, manufacturing and operations personnel looking for suppliers, new technologies and inspiration.
So what about Design?
Design is not adding racing stripes to a car or wrapping a cell tower in fake tree branches…
In fact, it’s a buzz word these days…
“Design Thinking” … “Human Centered Design”
What is it?
My definition: It’s about putting humans at the center of an experience.
Let’s just say that the experience is: “Drinking Coffee on the Go”
What is the ultimate experience for drinking coffee on the go?
Well…, we need to go talk to people who drink coffee on the go and ask them.
Let’s just say that after interviewing 30 people who drink coffee on the go, we determine that they would like:
The first sip of coffee after pouring it into a mug, to be the exact perfect drinking temperature… not scalding hot.
To start drinking it right away and not wait for it to cool off.
To hold it in any orientation, throw it in their courier bag, and it won’t spill.
Enough coffee to last 4 hours.
The last sip of coffee, 4 hours later, to be the exact perfect drinking temperature… not too cold.
This is a big deal for the NAE to give such a prestigious award to a medical doctor…, and a well deserved award that should have all of us sit back and take note.
In the press release for the announcement, Paul Yock said, “To create meaningful new health technologies, innovators need to understand everything from biology and medical care delivery to engineering and health care economics. No one individual can cover that waterfront; you need a team to be effective.”
That waterfront that Yock refers to is massive and includes professional areas that are key to medical device product development including regulatory pathways to approval and reimbursement.
Current trends in the field take this collaborative approach from the smart thing to mission critical. Most notably, the affordable care act has shifted the highest hurdle to commercialization from the regulatory burden to reimbursement. This is due to the focus on improved health outcomes, reduced cost of care, and a visible change to the clinical experience.
This is a shift from a fee for service model to quality of care. The health economic impacts affect the entire product development process.
Indeed, just yesterday, a guest speaker from industry said to my students that his engineers will be surprised and say, “I don’t understand how reimbursement just killed my project.”
In today’s medical innovation ecosystem, we need to be thinking collaboration up front. Industrial Designers, Engineers, and Business minds need to be working together at the front lines of patient care, working directly with the stakeholders including patients, payers, and providers.
Adding racing stripes and wrapping your medical device with artificial branches simply won’t make the cut.
As always, these blogs are meant to spark conversation and debate for all of us to learn from each other. I hope to learn from you in the comments below and the discussions that follow.