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Top 10 Apps for your Smartphone or Tablet: Teaching and Learning in the Office David Esho Azadeh Moaveni Andrew Sparrow November 28, 2013 10:45 to 12:15.

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Presentation on theme: "Top 10 Apps for your Smartphone or Tablet: Teaching and Learning in the Office David Esho Azadeh Moaveni Andrew Sparrow November 28, 2013 10:45 to 12:15."— Presentation transcript:

1 Top 10 Apps for your Smartphone or Tablet: Teaching and Learning in the Office David Esho Azadeh Moaveni Andrew Sparrow November 28, :45 to 12:15

2 Faculty/Presenter Disclosure Faculty: David Esho Program: 51 st Annual Scientific Assembly Relationships with commercial interests: –NONE

3 Disclosure of Commercial Support This program has received NO financial support This program has received NO in-kind support Potential for conflict(s) of interest: –NONE

4 Mitigating Potential Bias N/A

5 Faculty/Presenter Disclosure Faculty: Azadeh Moaveni Program: 51 st Annual Scientific Assembly Relationships with commercial interests: –NONE

6 Disclosure of Commercial Support This program has received NO financial support This program has received NO in-kind support Potential for conflict(s) of interest: –NONE

7 Mitigating Potential Bias N/A

8 Faculty/Presenter Disclosure Faculty: Andrew Sparrow Program: 51 st Annual Scientific Assembly Relationships with commercial interests: –NONE

9 Disclosure of Commercial Support This program has received NO financial support This program has received NO in-kind support Potential for conflict(s) of interest: –NONE

10 Mitigating Potential Bias N/A

11 Overview The increasing relevance of apps to medical practice App categories you might find useful in your work Hands on Examples: ▫Apps you can use to help you in your clinical work ▫Apps that you can recommend for your patients ▫Apps that you can use with your learners Q & A

12 What is an App App or application is a program designed to run on a mobile device ▫Smartphones ( iPhone, Blackberry, Android devices, Windows mobile ) ▫Tablets ( Apple, Samsung, Sony etc..)

13 Apps and Patients Smartphone use in Canada rapidly rising ▫In 2012: ▫Smart phone use increased by 40% ▫Tablet use increased by 100% Canadians increasingly likely to get their health info from electronic sources ▫70% of Canadian internet users looked up medical information online ▫34% of app use related to health/fitness/wellness

14 Apps and Physicians Increasing adoption of apps by physicians Fulfill multiple roles for a clinicians ▫Education ▫Rx ▫CME ▫Reference ▫Tracking patient symptoms

15 App Categories that Every Physician Should Consider having: Point-of-Care Reference Drug Database Note App Textbook / eBook App File Repository Medical Calculator Podcast/Video Player

16 A 68yo M with gallstones and CAD is seen by a general surgeon and deemed too high-risk for cholecystectomy. He continues to have biliary colic despite dietary tx and analgesics. How well does Ursodiol work to dissolve cholesterol stones when surgery is relatively contraindicated? Clinical Question

17 iPhoneAndroidBlackberry Medscape Dynamed (Skyscape; free from CMA) Tarascon Family Medicine ($20) UpToDate ($$) BMJ BestPractice mobile site Epocrates ($100/yr)Skyscape 5-Minute CC ($99) or native app $99 or Epocrates Skyscape 5-Minute CC ($99) Wikipedia Apps Point of Care Apps

18 You are working with a clinical clerk today. The clerk sees a diabetic patient with a new bullous rash on the shins. The clerk is unsure of the diagnosis. What app could you use to come up with a differential diagnosis of bullous rashes? Dermatology

19 iPhoneAndroidBlackberry Google Images (free)Google Images VisualDx ($100/year for family practice; $50/year for peds) Derm101 ($10/month; free 1 month trial) - Derm101 ($10/month)VisualDx (‘’)- Skyscape Dermatology Suite ($99 x1) – Fitzpatrick’s Color Atlas Dermatology Helper Apps

20 The clinical clerk you are working with has seen a 30 y.o man with uncontrolled asthma. You would like to start Advair. Your clinic rooms are full, but your phone is in your pocket. The same patient is also on lithium and ramipril. Do you have to worry about interactions? Scenario

21 iPhoneAndroidBlackberry Medscape EpocratesMicromedexEpocrates eCPS ($40/yr)Epocrates MicromedexeCPS ($40/yr) Skyscape: RxDrugs(free) For Pediatric ER Drugs: Pedi safe ($1)Pedi safe ($4.50) Drug Dosage Apps

22 Drug Program Comparison Use CaseBest App(s) Very quick dose lookup Medscape, Epocrates, Lexicomp Detail on adverse effects, monitoring Micromedex, Lexicomp Canadian-specific formulary eCPS Drug interaction checking Epocrates, Medscape Opioid Conversion Opioid Converter (Android), Opioids Dosage Conversion (iOS), Opioid Morphine Equivalence Table (PSS)

23 Ms. O’Brien is an 78 y/o new patient. She has a history of atrial fibrillation and COPD. Your clerk has taken a history and notes she is not on anticoagulants for her A fib. Ms. O’Brien has seen a cardiologist remotely but doesn’t remember why she is only on aspirin. What can you use to assess her risk of stroke on her current regimen? Scenario

24 CHA2DS2-VASc Score, HAS-BLED score, CHADS2 for Afib Ranson’s Criteria Pregnancy date calculator Modified strep score / McIsaac Well’s criteria / DVT Clinical Probability FRAX Examples of Useful Calculators and Clinical Prediction Rules

25 iPhoneAndroidBlackberry Calculate by QxMD (free) Calculate by QxMD (free) Archimedes (Skyscape; free) MedCalc ($10; used to be free) Archimedes (Skyscape; free) Mdcalc.com Mediquations Medical Calculator ($5.13) Mediquations Medical Calculator ($?) Mdcalc.com Archimedes (Skyscape; free) Ob (Pregnancy) Wheel FRAX app ($5.99)Not available... CAROC.pdf Calculator apps

26 Clinical Day Uptodate (membership connected) Medscape (pharmaceutical funding) MedCalc Qx Calculate DxSaurus RX Files Stat ICD 9 Insulin DM2 Figure 1

27 A family comes in with a child with a fever. What handout could you give them quickly? Your G1P0 patient anxiously presents with a number of questions regarding her pregnancy. What apps can help? A type II diabetic sees you after a myocardial infarction and is looking for advice on lifestyle changes and disease management. Patient Resources

28 iPhoneAndroidBlackberry WebMD Aboutkidshealth.ca BabyCenter My Heart & Stroke Health Diabetes GPS Visual Anatomy Techy ways to educate patients Consider setting up smartphone printing or using an outgoing no-reply address (as long as you warn about security implications)

29 Apps to use with patients MindShift DrawMD ImmunizeON Lose It Pepid MedSpeak Twitter

30 An elective med student resident is nervous about his first overnight call. He is worried he won't know what to do in the middle of the night when he is paged by the nurse. He is also nervous about having to dictate, since he has no idea what is expected in a standard dictation on this rotation. First Night on Call

31 iPhoneAndroidBlackberry MD on Call ($5)MD On Call Standard Dictations Medscape Quick Lab Ref ECG Guide by QxMd $~3 ECG Guide by QxMd $4.75 On Call Apps

32 Apps to use with your learners SoundBuilder Auscultate ECG Guide Resuscitation MD on Call Read Podcasts

33 The Future of Medical Apps The Wireless Future of Medicine: Eric Tolpol

34 Q and A How do I get started Which Apps are your favorites Where can I find reviews of apps Non medical apps you find useful

35 Getting Started with iPhone/iOS iTunes App Store Apple ID & account

36 Getting Started with Android Buy an Android 4.0-compatible smartphone, e.g. Samsung Galaxy S3/4 Set up a google account and gmail Search and explore ▫play.google.com/store Consider creating an outgoing account e.g.

37 Getting Started with Blackberry Download the following apps: ▫Skyscape Reader ( ) ▫DynaMed for Skyscape ( ) ▫Epocrates Rx ( ) ▫Medscape ( ) ▫Blackberry App World ( appworld.blackberry.com ) MemoPad (preinstalled) for note taking Create quick home links to apps

38 Azi’s Favorite Apps (so far!) Qxcalculate Epocrates Evernote CDC contraception 2010 BestPractice: as a website shortcut AFP by topic

39 Andy’s Favorite Apps Lexicomp – drug resource Figure 1 – Instagram for healthcare workers LU Offline – Limited Use Codes Read – Finding articles CCS Lipids – CV risk scores to show patients QxCalculate – medical calculators Evernote – keeping track of info

40 Dave’s Favorite Apps Up to Date – Point of Care reference MedCalc – Calculator Repository Stat ICD 9 – Look up Dx codes Pedi Stat – Genral Ped reference DxSaurus – DDX generator RX Files – Drug resource iBooks – Storage of Pdfs

41 Useful Sites iMedicalApps.com ▫Dozens of useful articles ▫Top 10 lists for each platform cma.ca/k4p ▫Knowledge for Practice ▫Links to free online resources


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