Presentation on theme: "Mobile Technology for the Physician Assistant Karen Humphries, BHSc (PA), CCPA"— Presentation transcript:
Mobile Technology for the Physician Assistant Karen Humphries, BHSc (PA), CCPA
Disclosure I am a member of the Board of Directors, Canadian Physician Assistant Education Association I am employed by The Ottawa Hospital I am not acting or speaking in any way on behalf of or representing any organization I am receiving no financial compensation from any company mentioned in this presentation Brand names of products mentioned in this presentation are the trademarks of their respective companies No other disclosures
Technology has come a long way….
1895: the first x-ray is (accidentally) performed
1901 – first transAtlantic wireless transmission, received at Signal Hill NL
1903 – first successful powered, piloted flight
1908 – the first production Model T is assembled
1908 – Bakelite is invented Belgian inventor Leo Baekeland created Bakelite, the first plastic Light, durable and colorful, plastic today feeds a $260 billion industry, used in a seemingly endless array of products from phones to keyboards, credit cards to medical devices Plastic spin-offs include neoprene, Plexiglas, nylon, Teflon and Kevlar – where would we be without plastic???
1922 – Insulin is discovered
Penicillin is (accidentally) discovered
1931 – first electron microscope is invented
But wait, theres more… 1945 – atom bombing of Nagasaki and Hiroshima 1946 – the ENIAC is introduced to the public 1958 – the microchip is invented 1969 – first ATM is invented 1969 – and the internet is created…
And then… Mobile technology was born…
Mobile technology has changed the way we do a lot of things… Over 80% of physicians use a smartphone, and 60% own a tablet Over half a million apps for everything and everything available through the App Store (Apple exclusive) Currently over 5600 apps are available through the App Store related to medicine, health, and fitness for both clinicians and the public alike
Where does one start? Mobile technology is currently one of the most dynamic fields in medicine with the greatest potential to change clinical practice. As the app market increases exponentially, one must be cautious regarding the quality and utility of these applications.
What about the evidence? It is imperative that while we transition to the use of mobile technology, we do not compromise on the principles of evidence-based medicine when caring for our patients. When evaluating any app or program, keep in mind the principles of EBM – make sure you are using the best available evidence to make clinical decisions Thats easier said than done, isnt it?
What about security? Use a passcode! Alphanumeric codes are much more difficult to guess than 4-digit PINs To change on iPhone/iPad: Settings Passcode Lock Change Simple Passcode to Off Enter new alphanumeric passcode
Security contd. Data encryption – generally enabled on most devices with passcode Remote wiping – removes all data from device remotely Cloud technology – the device only acts as a portal of interaction with a central server that houses the application
So what does this mean for the practicing PA? Four main categories of mobile apps: Clinical reference Medical calculators EMR access Patient education Depending on your practice setting, all or only some will be relevant The majority of apps reviewed today will generally fall into at least two or more of these categories
Clinical References Medscape, from WebMD ProsCons Free Covers ++ specialty areas Very comprehensive Available for BlackBerry, iPhone, iPad, Android, Kindle Fire Does not necessarily reflect current Canadian practice Drug trade names are US-only No medical calculator
Clinical References Epocrates ProsCons Very comprehensive calculator in free version, including clinical criteria calculators Free pill identifier – unique to Epocrates (have to pay for this with other apps) Basic app is available for iPhone, BlackBerry, Android If you want anything other than the free access, prices are a bit steep ($99/yr or $169 for 2 yrs) American focus Additional apps only available for iPhone
Clinical References LexiComp ProsCons Access to Harrisons Comprehensive calculator app Drug interaction checker includes Canadian trade names Great patient education information on procedures and conditions Patient info available in Spanish too Paid app - $110-$285 and up, depending on which features you want Drug ID feature not as thorough as Epocrates Patient info available in Spanish too Not all optional features available for BlackBerry, Android
Clinical References PEPID ProsCons Thorough, comprehensive reference, including drug ID App specifically available for PAs Compatible with almost every device on the market One-year subscription to Primary Care Plus is $265 (see if your employer will offer you funding for this)
Clinical References UpToDate ProsCons Very thorough Patient education materials for many complex conditions Each entry updated once/year Can be accessed on the web by any device App is only available for iPhone/iPad and Android Expensive
Paeds Pedi QuikCalc 2.1 ProsCons App includes weight-based drug dosing, IV fluid rates, and weight conversions for paeds CDC growth charts Only $1.99 Only available for iPhone/iPad American drug info, but dosing can be converted into SI units
Other handy resources Micromedex – drug info is free, other info is $9.99- $29.99, no BlackBerry app available PubMed mobile – quickly search all sorts of EBM publications for free AHRQ ePSS – USPSTF recommendations iMedicalapps – actual user reviews of all the latest mobile apps across all specialties
More handy resources Diagnosaurus – differential dx for multitude of conditions, symptoms, systems. Free online access, free app for BlackBerry, Palm, Android, $1.99 for the app for Android/iPhone/Windows phone MDCalc – no app available, but great web resource for everything from Ottawa ankle rules to eGFR calculation. Just make sure you select SI units, as it defaults to Imperial
More resources DrawMD – using iPad, offers interactive visual guides to explain conditions and procedures. User can draw or write on an existing image, or upload one of his/her own. Images can be ed to patients so they have a reference.
Im sorry, I didnt quite catch that… MediBabble – its free, and once downloaded you dont need an internet connection. Only a few available languages and French is not one of them (coming soon though) For patients with hearing difficulties or in noisy environments, turning your iOS device to landscape mode will enable a full-screen display of your selected phrase in large text.
Your what hurts? Google Translate – not as precise as MediBabble but offers many more languages. Internet connection is required. Most basic app features are compatible with all mobile devices, but enhanced features such as text-to-speech are not available for BlackBerry
Notes on the go Evernote, Dropbox – free apps to access your documents, photos, videos, etc. online Can be used to save web pages in their entirety, organize business cards, and store and organize notes into notebooks – handy for reference materials you want to be able to access quickly Accessible from any device with an internet connection; Premium services allow full downloads onto your devices Data is encrypted, but may be vulnerable
Pitfalls Telephone versus text orders? Blurring of the line between home and work Over-reliance on technology rather than clinical acumen