@rjhogue

Tablet use in MedicineRebecca J. Hogue

PhD Candidate, University of Ottawa, Ottawa Canada15 March 2013

http://rjhogue.ca, rebecca.hogue@uottawa.ca

@rjhogue

Introduction Patient Radiology Surgery

PatientEducation

IllnessScripts

Student/ResidentEducation

PracticeOrals

PreceptorsTraining

About

@rjhogue

Introduction• Literature review of all articles in the PubMed relating to tablet

(iPad and tablet computer) in medicine January 2011 - November 2012

• 44 research based-articles

• Summary of uses in the academic literature

• TOH: iPad program to support physicianorder entry (POE)

• Preceptors - physicians who are clinical teachers

• Residents - students who have completed their medical doctorate and are now studying a speciality

• Family Medicine - General Practitioners - Primary Care

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Patient use of tablets• Patients complete survey on tablet

• Survey data automatically stored in patient record

• Survey/instrument automatically scored

• Image options for patients with low literacy skills

Benefits:

1. Immediate results

2. Reduced errors

3. Lower cost

Holzinger et al., 2011; Harrington et al., 2012; Tomori et al., 2012;Fritz et al., 2011;Ahmad et al., 2012; Ruamviboonsuk et al., 2012

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Viewing Radiology Results• Literature compares the use if iPad2 with traditional monitors for

reading various radiology results

• For the most part “No significant difference”

• However, there has been at least one report where the iPad was inferior, pointing to the need for more testing

• TOH: lab results at the bedside

John et al., 2012; Christopher et al., 2012; Johnson et al., 2012; Shintaku et al., 2012;Mc Laughlin et al., 2012, p.127

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Surgery• Access the screen without removing gloves

• Small size, long battery life, means surgeons can access without leaving the field

• Superimposing actual patient with 3D images of patient

Murphy, 2012; Soehngen et al., 2012; Rassweiler et al., 2012

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Patient Education• Cosmetic surgery to help better set patient expectations (Wang

et al., 2012)

• TOH: “draw MD” apps

• TOH: end-of-bed discussion

Wang et al., 2012; Albrecht et al., 2012; Levine et al., 2012

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Student/Resident Education• Textbook replacement

• Anatomy classes

• Digital pathology (especially in low-resource countries)

• TOH: Papers allows resources at the touch of a finger during academic days

• Starting to see more reports, as the schools that have adopted iPads in medical education (e.g. Brown University), are starting to publish results

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Practice Orals• Cases created on iPad, scenario and labs handed to resident

• Learner reviews then hands iPad back to preceptor

• Preceptor advances the page to see the “questions” to ask the resident and the correct answers

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Illness Scripts

TextText

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Preceptor Training

@rjhogue

Rebecca J. Hogue

• PhD Candidate, Faculty of Education

• MA Distributed Learning

• B.Sc. Computer Science

• Instructional designer and web programmer

• eBook/iBook producer

• http://rjhogue.ca