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, , task list, phone numbers, pager numbers, passwords
Amazing storage capacity, advanced networking, encryption capability
Procedure logs
Dictation

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

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

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

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

14. Commercial Web Sites 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

16. USPTF AHRQ tool

17. 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

18. Saving Time By Downloading Other’s Databases

19. Considerations 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

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

21. Practical Applications
Useful Websites
Ectopic Brain
The Palmdoc chronicles
FSU Handheld website
Meister Med
EMBI.NET
Skyscape
Handheldmed

22. 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.

23. 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

24. 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

25. Podcast Reception Equipment Software to subscribe and manage podcasts
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

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

27. Questions?