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CURRICULUM VITAE

Nama

: Dr.Dwikora Novembri Utomo, dr.,SpOT (K)

NIP

: 19641115 199003 1 001

Agama

: Islam

Alamat kantor

: Dept/SMF Orthopaedi & Traumatologi

FKUA / RSUD dr.Soetomo Surabaya

E-mail

:

dwikora_utomo@yahoo.com

Minat

: 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

: Kepala UGD RSUD Kanujoso Djatiwibowo, Balikpapan Kaltim

2003 - sekarang

: Konsultan Lower Extremity

Dept./SMF Orthopaedi & Traumatologi

FKUA / RSUD Dr.Soetomo Surabaya

2008-2010

: SPS Orthopaedic & Traumatology FKUA – RSUD dr. Sutomo

2009 - sekarang

: Tim Sport Clinic RSUD dr.Soetomo

2010- 2015

: KPS Orthopaedic & Traumatology,FKUA / RSUD dr Sutomo

2016 -

: Ketua Departement Orthopedi & Traumatologi FKUA

(2)

1995

: AO Basic Course. Surabaya

1998

: Orthopaedic Fellowship Training on Hokkaido Memorial

Hospital and Hokkaido University Hospital, Sapporo Japan

1999

: Junior ASEAN Travelling Fellowship

2002

: Basic Microsurgery, Singapore General Hospital

2003

: Clinical Attachment on Hip and Knee Arthroplasty, Unfall

Chirrhurgie, Kreiskrankenhaus, Aurich Germany

2004

: Knee Surgery and Arthroscopy Workshop, Jakarta

2004

: Pelatihan Applied Approach (AA)

2004

: Pelatihan Buku Ajar

2004

: Semiloka Peningkatan Mutu Pelayanan Medik melalui

pelaksanaan Informed Consent dan Medical Audit

2005

: Primary Hip and Knee Arthroplasty Workshop, Surabaya

2005

: Knee Arthroscopy Cadaveric Workshop, Arthrex Chula Training

Center, Bangkok

2006

: AO Pelvic Course and Cadaveric Workshop, Chiang Mai,

Thailand

2006

: Shoulder Arthoscopy Cadaveric Workshop, Arthrex Chula

Training Center, Bangkok Thailand

2007

: Training of Tutor (TOT) of Advanced Trauma Live Support

(ATLS), Surabaya

2007

: AO Advanced Course, Surabaya

2007

: A-Z on Hip and Knee Arthoplasty, Symposium and Workshop,

Jakarta

2007

: Advanced Total Knee Arthroplasty, University Malaya Medical

Center (UMMC)

2007

: Clinical Attachment on Shoulder Arthroscopy, St John of God

Subiaco Perth, Australia

2008

: American Orthopaedic Asscociation/AOA – ASEAN Orthopaedic

Traveling Fellowship, USA & Canada

2009

: Radical High Tibial osteotomy and Unicondylar Arthroplasty,

Koga Hospital Japan (Under Prof. T. Koshino)

2009

: Revision

Arthroplasty

and

Tumor

Recontruction,

Megaprosthesis,Course and Cadaveric Workshop, Wina –

Austria

2009

: Technical V-Tek Forefoot Surgery Course and Cadaveric

Workshop, Surabaya

2009

: Dutch Foundation : Pelvic and Acetabulum Cadaveric workshop,

FK Unair,Surabaya

2010

: Scientific Meeting & Workshop on Stem Cell, Surabaya

2010

: KLEOS Asia Pasific Arthroplasty: Fundamentals for Success,

Hongkong

2010

: Knee and Shoulder Arthroscopy cadaveric workshop(conmed

linvatec),Bangkok Thailand

Sept, 10-11, 2011

: Pelatihan Assesor Akreditasi Pendidikan Dokter Spesialis

Orthopaedi dan Traumatologi Indonesia

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Sept, 20-21, 2011

: Workshop Stem Cell, Surabaya

2012

: Unicondylar Knee Arthroplasty & Minimal invasive THA

cadaveric workshop(Yonsei University seoul -Zimmer),Korea

2012

2013

:

:

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 ,

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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 )

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2015

March, 8

April, 25

April, 23-25

Mei, 21 -23

June, 5 – 15

August,22

:

:

:

:

:

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

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,

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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

May 13, 2016

July, 22-24, 2016

July 30,2016

:

:

:

:

:

:

:

:

:

:

:

:

:

Cartilage Tissue Engineering )

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.

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)

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Agustus 13,2016

Narasumber Seminar & workshop : Prinsip Penanganan Cedera Olahraga pada Atlet, sport Clinic RSUD dr,Soetomo Surabaya

KEANGGOTAAN ORGANISASI

1990 - sekarang

: Ikatan Dokter Indonesia (IDI)

2003 - sekarang

: IKABI ( Ikatan Ahli Bedah )

1990 - sekrang

: PABOI (Perhimpunan Orthopaedi & Traumatologi Indonesia)

2007-2010

: ICS ( International college of Surgen )

2007 - sekarang

: ISAKOS (International Society of Arthroscopy,Knee Surgery and

Orthopaedic Sports Medicine)

2008 - sekarang

: IHKS ( Indonesian Hip and Knee Society )

2009 - sekarang

: PEROSI ( Perhimpunan Osteoporosis Indonesia ) Cabang

Surabaya

2012 - sekarang

: Regenerative Medicine , RSUD dr Sutomo /FKUA

Referensi

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