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Technology in Medicine Gil C. Grimes, MD Scott & White Memorial Hospital and Clinic Texas A&M University Health Science Center Scott & White Memorial Hospital.

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Presentation on theme: "Technology in Medicine Gil C. Grimes, MD Scott & White Memorial Hospital and Clinic Texas A&M University Health Science Center Scott & White Memorial Hospital."— Presentation transcript:

1 Technology in Medicine Gil C. Grimes, MD Scott & White Memorial Hospital and Clinic Texas A&M University Health Science Center 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 –Medical Calculators –Pregnancy Calculators –EBM Tools –Immunization Schedules –Medical Texts –Prescriptions –Dictation –Medical Records –Drug References –Antibiotic Guides –Treatment Protocols –Clinical Decision Tools –Coding

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 –Harrisons –Immunization Schedules –ER References

11 Medical Software, Cont Clinical Calculators –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 Childrens National Medical Center University of Minnesota Databases Handbase.com

15

16 USPTF AHRQ tool

17 Essential Evidence Plus Windows 95/98/NT/ME/2000/XP/Vista, PocketPC, Palm and Web Bayesian diagnostic test / H&P calculator >2000 Basic drug info by class and cost for 1200 drugs Key evidence-based treatment guidelines Cochrane Database of Systematic Reviews: over 1500 abstracts 140 clinical prediction rules short research synopses (400 added per year) 5 Minute Clinical Consult Photo Atlas >500 photos

18 Saving Time By Downloading Others 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? –ePocrates –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 =welcome =welcome

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 –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 –University of Hawaii PagePage Using iTunes click and go Using others may take a little more work Synching it up

27 Questions?


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