smartphones & medicine
DESCRIPTION
Presentation at the 2013 UP College of Medicine Grand Scientific SymposiumTRANSCRIPT
Smartphones & MedicineIris Thiele Isip Tan MD, MSc, FPCP, FPSEMAssociate Professor 4UP College of MedicineChief, Medical Informatics Unit
Image credit“Portrait of a young girl with an iphone,
after Agnolo Bronzino” by Mike Licht. http://www.flickr.com/photos/notionscapital/5286424197/
29 January 2013
Do you have nomophobia?Fear of being without your mobile phone
http://mashable.com/2012/07/13/nomophobia-infographic/
Image credit“HTC Sensation” by 55Laney69.
http://www.flickr.com/photos/hansel5569/6600464505/
Patient care and monitoringLay health appsCommunication, education and researchPhysician or student reference apps
Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians
and Students. J Med Internet Res 2012;14(5):e128
Image credit“HTC Sensation” by 55Laney69.
http://www.flickr.com/photos/hansel5569/6600464505/
Patient care and monitoringLay health appsCommunication, education and researchPhysician or student reference apps
Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians
and Students. J Med Internet Res 2012;14(5):e128
Sets distance and time safety limitsDesigned in collaboration with AFAL (Association of Relatives with Alzheimer’s)-Getafe (Spain)
Sets distance and time safety limitsSends an email alert
Patient can also trigger an alertFree app on Android & iPhone
iFall: Fall Monitoring SystemFSU Mobile Solutions
Three stages to a fall1. The fall2. Impact with the ground3. A long lie indicating injury
Development and Feasibility of a Smartphone, ECG & GPS-based System for Remotely Monitoring Exercise in Cardiac RehabilitationWorringham C et al. PLoS ONE 6(2):e146669
Server-side display of exercise dataECG trace, HR, walking speed, elapsed distance and patient location in real time
Apnea MedAssistA Personalized Low-Cost Sleep Apnea MonitorBsoul M et al. Technol Biomed 2011;15(3):416-27.
Cell phone based balance trainerLee et al. Journal of NeuroEngineering & Rehabilitation 2012;9:10.
A1Q Smart ClothingBioman T-shirt
Meankaew P et al. Malar J 2010;9:237
Smartphone-based ultrasound imagingUS FDA-approved in Feb 2011
Image credit“HTC Sensation” by 55Laney69.
http://www.flickr.com/photos/hansel5569/6600464505/
Patient care and monitoringLay health appsCommunication, education and researchPhysician or student reference apps
Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians
and Students. J Med Internet Res 2012;14(5):e128
AccupedoPedometerAndroidConsumer Reports 2012Lack detailed instructionsRequire sensitivity adjustments
AccupedoPedometerAndroidConsumer Reports 2012Lack detailed instructionsRequire sensitivity adjustments
fitbitAndroid & iPhoneLog food, water, workouts, weightTrack progress on weight goals with Food PlanSee day’s stats and up to 2 weeks prior
fitbitAndroid & iPhoneLog food, water, workouts, weightTrack progress on weight goals with Food PlanSee day’s stats and up to 2 weeks prior
Health Record KeeperHealth providers, screening/vaccination, healthy ranges, questions to ask, health resources, medication reference
My DaysPeriod, Ovulation & Fertility Tracker
dLife Diabetes CompanionFood and recipe lookup, videos and Q & ADiabetes management
dLife Diabetes CompanionFood and recipe lookup, videos and Q & ADiabetes management
http://irunonbatteries.blogspot.com/2012/10/the-ibgstar-blood-glucose-monitoring.html
iBGStar
iBGStar Diabetes Manager ApplicationSanofi Aventis Tracks blood glucose, carb intake, insulin doses
iBGStar Diabetes Manager ApplicationSanofi Aventis Tracks blood glucose, carb intake, insulin doses
Beam BrushThe World’s first smart toothbrush
http://www.carepractice.com/emr-needs-a-kick-in-the-app-hole/
“The utopic future of medicine will seamlessly combine data from your daily apps and personalize a health treatment plan based on the life you actually live.”
Draft US FDA guideline for mobile medical applicationsVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
Image credit“HTC Sensation” by 55Laney69.
http://www.flickr.com/photos/hansel5569/6600464505/
Patient care and monitoringLay health appsCommunication, education and researchPhysician or student reference apps
Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians
and Students. J Med Internet Res 2012;14(5):e128
An Evaluation of Use of Smartphones to Communicate Between Clinicians
Increased use of email
Increased modes of
communication including email and
direct calls
Intervention Desirable UndesirableIncreased communication between team members
Increased efficiencyIncreased interruptions
Worsened interprofessional
relationships
Increased discordance between nurses and
MDs in perceived urgency
Unprofessionalism
Wu et al. J Med Internet Res 2011;13(3):e59
with a decrease in verbal communication
without clear understanding of which to use
without clear understanding of how to use
Gram Stains and SmartphonesTice AD. Clin Infect Dis 2011; 52(2):278-279
Mobile Phone Based Clinical MicroscopyBreslauer et al. PLoS ONE 4(7):e6320
Image credit“HTC Sensation” by 55Laney69.
http://www.flickr.com/photos/hansel5569/6600464505/
Patient care and monitoringLay health appsCommunication, education and researchPhysician or student reference apps
Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians
and Students. J Med Internet Res 2012;14(5):e128
Questions to ask before downloading an appVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
Clinical decision makingIs it produced by a medical publisher?Is it regularly updated?Is it properly referenced?Are the authors listed?Is it possible to give feedback?Has it been recommended by your tutor, university or healthcare institution?Is the app’s primary purpose to inform the health professional (and not the patients)?
Patients’ privacyDoes the app require you to input patient specific data, and could this compromise patients’ privacy?
Conflicts of InterestDo you know where the app is from? Is it produced by a drug company or a non-commercial organization?
MedscapeWebMDMedical news Clinical reference (drugs, diseases, conditions & procedures, medical calculators)
Continuing medical education
15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
Free
Prognosis: Your DiagnosisMedical JoyworksGame to diagnose complex clinical cases within minutes New case added every weekendModeled on real life patients (checked by specialists, based on current management guidelines)
15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
Free
UpToDateUpToDate, Inc.Access current, synthesized clinical informationEvidence-based recommendationsMobile-optimized calculators
15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
$$$
Micromedex Drug InformationTruven Health Analytics Inc.Reliable reference for medical prescriptionsContraindications, drug interactions, adverse effects, precautions etc.
15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
Free
Visible Human Body Anatomy Atlas 2Visible Body3D atlas
15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
$34.99
Oxford Clinical HandbooksMedHand - Mobile LibrariesTextbook
15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
$49.99
EpocratesEpocratesDrug referenceUpgrade to Epocrates Essentials subscription (disease information, alternative medications, lab guides etc.)
15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
Free
Merck ManualUnbound Medicine, Inc.Merck Manual of Diagnosis and Therapy textbook
15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
$34.99
Lexi-CompleteLexi-CompRequires a subscriptionStarts at $175 a year (Lexi-Drugs, Lexi-Interact, Lexi-Lab & Diagnostic Procedures, The 5-Minute Clinical Consult, Lexi-CALC)
15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
$$
Student BMJBMJ GroupMonthly international medical journal for medical students and junior doctors
15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
Free
ECG GuideQxMD Medical Software>200 examples of common and uncommon ECGs>100 multiple choice quiz questions
15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
$0.99
Differential Diagnosis BMJBMJ Group Symptom browserDisease browserCompare diagnoses side by side
15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
$7.99
MedPage Today MobileMedPage Today Breaking medical news Conference coverage
15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
Free
Image credit“HTC Sensation” by 55Laney69.
http://www.flickr.com/photos/hansel5569/6600464505/
Patient care and monitoringLay health appsCommunication, education and researchPhysician or student reference apps
Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians
and Students. J Med Internet Res 2012;14(5):e128
www.endocrine-witch.netwww.slideshare.net/isiptanfacebook.com/EndocrineWitch
@endocrine_witch