smartphones & medicine

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Smartphones & Medicine Iris Thiele Isip Tan MD, MSc, FPCP, FPSEM Associate Professor 4 UP College of Medicine Chief, 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

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Presentation at the 2013 UP College of Medicine Grand Scientific Symposium

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Page 1: Smartphones & Medicine

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

Page 2: Smartphones & Medicine

Do you have nomophobia?Fear of being without your mobile phone

http://mashable.com/2012/07/13/nomophobia-infographic/

Page 3: Smartphones & Medicine

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

Page 4: Smartphones & Medicine

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

Page 5: Smartphones & Medicine

Sets distance and time safety limitsDesigned in collaboration with AFAL (Association of Relatives with Alzheimer’s)-Getafe (Spain)

Page 6: Smartphones & Medicine

Sets distance and time safety limitsSends an email alert

Page 7: Smartphones & Medicine

Patient can also trigger an alertFree app on Android & iPhone

Page 8: Smartphones & Medicine

iFall: Fall Monitoring SystemFSU Mobile Solutions

Three stages to a fall1. The fall2. Impact with the ground3. A long lie indicating injury

Page 9: Smartphones & Medicine

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

Page 10: Smartphones & Medicine

Server-side display of exercise dataECG trace, HR, walking speed, elapsed distance and patient location in real time

Page 11: Smartphones & Medicine

Apnea MedAssistA Personalized Low-Cost Sleep Apnea MonitorBsoul M et al. Technol Biomed 2011;15(3):416-27.

Page 12: Smartphones & Medicine

Cell phone based balance trainerLee et al. Journal of NeuroEngineering & Rehabilitation 2012;9:10.

Page 13: Smartphones & Medicine

A1Q Smart ClothingBioman T-shirt

Page 14: Smartphones & Medicine

Meankaew P et al. Malar J 2010;9:237

Page 15: Smartphones & Medicine

Smartphone-based ultrasound imagingUS FDA-approved in Feb 2011

Page 16: Smartphones & Medicine

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

Page 17: Smartphones & Medicine
Page 18: Smartphones & Medicine

AccupedoPedometerAndroidConsumer Reports 2012Lack detailed instructionsRequire sensitivity adjustments

Page 19: Smartphones & Medicine

AccupedoPedometerAndroidConsumer Reports 2012Lack detailed instructionsRequire sensitivity adjustments

Page 20: Smartphones & Medicine
Page 21: Smartphones & Medicine

fitbitAndroid & iPhoneLog food, water, workouts, weightTrack progress on weight goals with Food PlanSee day’s stats and up to 2 weeks prior

Page 22: Smartphones & Medicine

fitbitAndroid & iPhoneLog food, water, workouts, weightTrack progress on weight goals with Food PlanSee day’s stats and up to 2 weeks prior

Page 23: Smartphones & Medicine

Health Record KeeperHealth providers, screening/vaccination, healthy ranges, questions to ask, health resources, medication reference

Page 24: Smartphones & Medicine

My DaysPeriod, Ovulation & Fertility Tracker

Page 25: Smartphones & Medicine

dLife Diabetes CompanionFood and recipe lookup, videos and Q & ADiabetes management

Page 26: Smartphones & Medicine

dLife Diabetes CompanionFood and recipe lookup, videos and Q & ADiabetes management

Page 28: Smartphones & Medicine

iBGStar Diabetes Manager ApplicationSanofi Aventis Tracks blood glucose, carb intake, insulin doses

Page 29: Smartphones & Medicine

iBGStar Diabetes Manager ApplicationSanofi Aventis Tracks blood glucose, carb intake, insulin doses

Page 30: Smartphones & Medicine

Beam BrushThe World’s first smart toothbrush

Page 31: Smartphones & Medicine

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.”

Page 32: Smartphones & Medicine

Draft US FDA guideline for mobile medical applicationsVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

Page 33: Smartphones & Medicine

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

Page 34: Smartphones & Medicine

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

Page 35: Smartphones & Medicine

Gram Stains and SmartphonesTice AD. Clin Infect Dis 2011; 52(2):278-279

Page 36: Smartphones & Medicine

Mobile Phone Based Clinical MicroscopyBreslauer et al. PLoS ONE 4(7):e6320

Page 37: Smartphones & Medicine

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

Page 38: Smartphones & Medicine

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?

Page 39: Smartphones & Medicine

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

Page 40: Smartphones & Medicine

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

Page 41: Smartphones & Medicine

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

$$$

Page 42: Smartphones & Medicine

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

Page 43: Smartphones & Medicine

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

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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

Page 45: Smartphones & Medicine

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

Page 46: Smartphones & Medicine

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

Page 47: Smartphones & Medicine

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

$$

Page 48: Smartphones & Medicine

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

Page 49: Smartphones & Medicine

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

Page 50: Smartphones & Medicine

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

Page 51: Smartphones & Medicine

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

Page 52: Smartphones & Medicine

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

Page 53: Smartphones & Medicine

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