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Technology in Medicine

Technology in Medicine. Gil C. Grimes, MD. Scott & White Memorial Hospital and Clinic Texas A&M University Health Science Center. Outline. Handheld devices and medicine Podcasts. My Biases. I use Windows based products I use an iPac I have used Palm in the past I love portability

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Technology in Medicine

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  1. Technology in Medicine Gil C. Grimes, MD Scott & White Memorial Hospital and Clinic Texas A&M University Health Science Center

  2. Outline • Handheld devices and medicine • Podcasts

  3. My Biases • I use Windows based products • I use an iPac • I have used Palm in the past • I love portability • I love not needing internet access • I like listening to Podcasts while doing chores

  4. PocketPC Devices

  5. Why Do I Need a Handheld? • Fast access to a large amount of info • Medical math/ calculating drips, etc. • Protocol, recommendations, formularies • Use EBM at the bedside • EMR (electronic medical record) • Wireless access to WWW • E/M, CPT coding

  6. Why Do I Need a Handheld? • Medical references • Billing, scheduling, reminders • Electronic prescribing • Medical documents/ internet content • Getting rid of yellow stickies/ database • Software for RNs

  7. Why Do I Need a Handheld? • Portable • Calendar, contacts, email, task list, phone numbers, pager numbers, passwords • Amazing storage capacity, advanced networking, encryption capability • Procedure logs • Dictation

  8. Patient Care Medical Calculators Pregnancy Calculators EBM Tools Immunization Schedules Medical Texts Prescriptions Dictation Medical Records Medical Uses • Drug References • Antibiotic Guides • Treatment Protocols • Clinical Decision Tools • Coding

  9. Medical Software • Drug References • ePocrates Rx • Johns-Hopkins ABX Guide • LexiDrugs • Sanford Guide • MicroMedex • Pocket PDR • Tarascon Pocket Pharmacopia

  10. Medical Software, Cont. • Texts and Reference Materials • Washington Manual • Outlines in Clinical Medicine • 5 Minute Clinical Consult • Harrison’s • Immunization Schedules • ER References

  11. Clinical Calculators MedMath MedCalc MedRules Archimedes ATP-III ABG Pro STAT Coder STAT Cardiac Risk Preg Wheel Many More Medical Software, Cont

  12. Evidence Based Medicine Tools Essential Evidence Plus DynaMed EBM Tables Up to Date JFP Poems Medical Software, Cont

  13. Medical Software, Cont. • Prescribing/Dictation • Allscripts • ePhysician • Medical Manager (WebMD)

  14. Reviews/Advice/Downloads CollectiveMed.com Handango.com HandheldMed.com MedicalPocketPC.com PDAcotex.com Talking with health prof Doctor Palm PDAMD.com Wireless Medical Applications Ectopic Brain EMBI.NET Educational Sites Dalhousie University University of Arizona Children’s National Medical Center University of Minnesota Databases Handbase.com Commercial Web Sites

  15. USPTF AHRQ tool

  16. Essential Evidence Plus Windows 95/98/NT/ME/2000/XP/Vista, PocketPC, Palm and Web 2400+ short research synopses (400 added per year) Cochrane Database of Systematic Reviews: over 1500 abstracts 5 Minute Clinical Consult Bayesian diagnostic test / H&P calculator >2000 140 clinical prediction rules Basic drug info by class and cost for 1200 drugs Photo Atlas >500 photos Key evidence-based treatment guidelines www.InfoPOEMs.com

  17. Saving Time By Downloading Other’s Databases www.ddhsoftware.com/gallery

  18. Palm OS More software More intuitive interface Longer battery life Smaller, compact design $100 to $600 Pocket PC Faster, more powerful processors Higher-end software Better screen resolutions Better wireless capability Increased security features Better integration with Word, Excel, Outlook, and Power Point $180 to $700 Considerations

  19. Should you Get an iPhone • Software available? • ePocrates • Web-based programs? • ePocrates • DynaMed • Essential Evidence Plus • Many others

  20. Practical Applications • Useful Websites • Ectopic Brain http://pbrain.hypermart.net/ • The Palmdoc chronicles http://palmdoc.net/ • FSU Handheld website http://med.fsu.edu/library/PDAsoftware.asp • Meister Med http://www.meistermed.com/index.htm • EMBI.NET http://www.embi.net/content/view/20/110/ • Skyscape http://www.skyscape.com/index/home.aspx • Handheldmed http://www.handheldmed.com/Site.New/Pages.php?p=welcome

  21. Podcasts Podcasting, (noun) a term that describes the technology used to push audio content from websites down to consumers of that content, who typically listen to it on their iPod or other audio player that supports mp3.

  22. Podcasts • These are asynchronous • The broadcaster creates the podcast • The user downloads the podcast • The user listens whenever they desire • Think of this as TiVo for audio broadcasts

  23. Podcasts • Why do I care? • CME is available • Numerous journals produce audio reviews of their current issue • Numerous grand rounds available • A sense of community

  24. Podcast Reception • Equipment • Internet accessible computer • Some form of Media Player • MP3 Player • iPod • Software for your computer • Software to subscribe and manage podcasts • iTunes • Juice • Google returns 4 million hits • 90% are free

  25. Making it work • Find a Podcast • University of Hawaii Page • Using iTunes click and go • Using others may take a little more work • Synching it up

  26. Questions?

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