1. Intro to Medical Apps on the iPhone/iPod Touch/iPad, and Android Nancy Clark, M.Ed. Director of Medical Informatics Education Mark Strickland Clerkship Director, Medical Informatics Education Tallahassee Regional Campus FSU COM 2014 1Summer/Fall 2014

2. Goals For Session Identify medical applications for your device and select what you want Register applications via the FSU Library Install registered applications to the mobile device* Established users—renew subscriptions or switch devices Get help if needed *Apple iOS and Android devices 2Summer/Fall 2014

3. Handouts Powerpoint Checklist for writing down usernames and password for each resource List of recommended free apps Evaluation Installation instructions for your device ◦ Registration, renew, switch devices…. 3Summer/Fall 2014

4. While I am talking… Run all Updates in the Apps Store On Apple iOS devices: ◦ App Store > Updates … Update All. On Androids: ◦ run Google Play Store app. ◦ Menu > My Apps … Update all. Once all updates are finished, close all running programs on your mobile device. 4Summer/Fall 2014

5. What do you want to do? 1. Start from scratch creating accounts and loading your device for the first time? 2. Renew your apps? 3. Switch apps to a new device? 4. Load an additional device with your apps? 5. Update your current apps? 5 Instructions are available for each of these. Get the handout you need. Summer/Fall 2014

6. For This to Work… Know your email address Know your CoM username and pw Know any usernames and passwords you may have set up at Epocrates/others in the past iPhone/iPad users: ◦ Must have an Apple account ◦ Know your Apple ID username and password Android users: ◦ Must have a Google account and know … 6Summer/Fall 2014

7. Renewing Issues: Did you get a new device? Will require phone call or online chat with customer support for: ◦ PEPID: 888-321-7828, ext 206, ◦ uCentral: 610-627-9090, ext 1 Switched Platforms like from Android to iPhone, iPod to Android… ◦ Epocrates: My Account, switch platform 7Summer/Fall 2014

8. Do you want to add an iPad? Two devices are a problem with ◦ PEPID will not allow 2 devices on one registration (email) Not a problem with ◦ Epocrates: allows multiple  iPhone and iPad = 1 license ◦ uCentral: allows 1 smartphone and 1 tablet on 1 account ◦ Dynamed: 1 serial # = 5 devices ◦ NMCD: Seems to work on 2 with 1 account 8Summer/Fall 2014

9. How This Works – New Registration Online: Register for each Product 1.Create account 2.Get username and password 3.“Purchase” product for $0 On the device: 1.Find product in App Store/GooglePlay 2.Install 3.Sign in and download content over wireless In 12 months: renew subscription online 9Summer/Fall 2014

10. Wireless Operation vs 3G/4G Cellular Operation Coverage and bandwidth are always an issue Wi-Fi can be much faster than 3G to install – wireless is under Settings. Go to Settings> WiFi, turn on, select FSUMED, Connect, enter password collegeofmed1 LTE(4G) faster than Wi-Fi. Turn off wireless. Most Apps run offline Essential Evidence Plus is PDA formatted web page and requires wireless/cell connection to work 10Summer/Fall 2014

11. What’s Currently Available 11Summer/Fall 2014

12. Browzine (Tablets Only) Journal e-reader Select most FSU COM Journals to read Look like journals Alert you to new articles Allows saving articles 12Summer/Fall 2014

13. Epocrates Essentials ◦ Rx= Drugs ◦ Drug Interactions ◦ Dx=BMJ disease ref ◦ Lab=lab manual ◦ Pill Identifier ◦ ID= Infectious Disease antibiotics guide ◦ Tables, ◦ MedMath calculators ◦ Tools (BMI, MedSpanish..) 13 Has a separate iPad verson Summer/Fall 2014

14. PEPID Demo CRC Suite ◦ DDX generator ◦ Disease ◦ Drugs - interactions ◦ Labs ◦ Calculators ◦ Clinical Rotations ◦ Images Medical Dictionary ◦ Stedman’s 14 Has a separate iPad verson Summer/Fall 2014

15. Dynamed Demo Skyscape Medical Tools optional, free Huge/in-depth Evidenced-based- most current Disease reference Reviews of latest lit on each topic Organized by type of question 15 Has a separate iPad version Summer/Fall 2014

16. uCentral 5-Minute Clinical Consult Clinical Evidence Diagnosaurus Harriet Lane Harrison’s Manual of Medicine Johns Hopkins ABX Guide Johns Hopkins Diabetes Guide Johns Hopkins HIV Guide Washington Manual of Medical Therapeutics Medline search linked to CoM Journals 16 Has a separate iPad version Summer/Fall 2014

17. Natural Medicine Comprehensive Database Alternative and complementary resource Interactions with Rx drugs and Alt meds Effectiveness of alt therapy/meds by Dx 17 Has a separate iPad version Summer/Fall 2014

18. The Medical Letter Read Journal Issues in PDF Search old articles by ◦ Drug, Condition or Treatment Guidelines Better for tablet than smartphone Address: CoM Address Username: CoM email Password: Letters and numbers (PEPID rules) 18Summer/Fall 2014

19. Pediatric Care Online Antibiotics Guide Interactive Periodicity table (well child visits – developmental milestones) Disease reference Redbook online only Also has mobile formatted web site 19 Has a separate iPad version Summer/Fall 2014

20. Mobile Formatted Websites Use wireless or cell signal to access Put a shortcut thru EZProxy on home screen, looks and works like an app Library Resources with Mobile Formatted sites: ◦ ACP Smart Medicine (formerly ACP PIER) ◦ Access Medicine ◦ Essential Evidence Plus ◦ Pediatric Care Online (Redbook) ◦ Pubmed Instructions on Handout 20Summer/Fall 2014

21. Mobile Formatted Medical Sites CDC.gov MerckMedicus.com ePrognosis.ucsf.edu (estimates prognosis for elders) 21Summer/Fall 2014

22. Essential Evidence Plus EBM Resources Cochrane Abstracts InfoPOEMs Decision Support Tools (Calculators) Guidelines E&M Coding Tool Derm Expert 22 PDA formatted web site Summer/Fall 2014

23. ACP Smart Medicine EBM Resource Excellent summaries of evidence Useful Tables of recommendations 23Summer/Fall 2014

24. Let Resources Update 24 Apps icon shows a number Tap Apps Store Updates Update all Summer/Fall 2014

25. Manual Updates – look for… Some update when opened Update button Tools > Updates in Program Button that looks like + in top right corner Under Settings? 25Summer/Fall 2014

26. Selecting Other Mobile Apps Summer/Fall 201426

27. Suggested Free or Cheap Apps CDC Vaccination Schedule AHRQ ePSS - USPSTF health maintenance recommendations Medscape – drugs, disease, calculators, procedures reference See handout for suggestions 27Summer/Fall 2014

28. Additional Medical Mobile Apps Medical reference Patient Education Health and fitness Personal health record Medical social media Monitor and manage illness If the patient has a smartphone or tablet, prescribe apps What apps are you using for your own health or fitness? Summer/Fall 201428

29. Assessing Quality and Usefulness iTunes does not discriminate medical apps into categories Hundreds of apps for patients vs healthcare professionals - Search ‘diabetes’ get 600 apps Check Dx organizations for reviewed apps FDA approving apps for Dx New effort to curate med apps like HON code, http://www.happtique.com/ proving to be difficult http://www.happtique.com/ New www.medicalappjournal.com reviewswww.medicalappjournal.com Peck, Andrea. A solution to app overload. Medical Economics. Dec 25, 2011. Summer/Fall 201429

30. FDA Approvals 30 Lippman, H. How apps are changing family medicine. J of Fam Prac. July 2013, 362-367. Summer/Fall 2014

31. Keeping up with Medical Apps Summer/Fall 201431 iMedicalApps.com

32. As Mobile Apps Mature Learn from your patients Learn from peers and students Ask what apps they find helpful Include mobile apps recommendations into CME sessions on disease topics Watch for more efforts to curate medical apps Handout: List of recommended free or cheap Summer/Fall 201432

33. What Apps do you Want from us? Epocrates Essentials DynaMed from Skyscape PEPID uCentral Others as applicable to your practice 33Summer/Fall 2014

34. Links to Registration Sites 34 Log into EZProxy first, if off campus. Summer/Fall 2014

35. Off Campus Access IP authentication Proxy server – EZProxy FSU CoM ID and password Use links on library page Summer/Fall 201435

36. EZProxy Summer/Fall 201436 firstname.lastname $fsumed$xxxx

37. Mobile Resources Page 37Summer/Fall 2014

38. Adding Applications - Overview 38 1.From the Library Web Page: Go to Resource Site 2.Register for product Does not need to be CoM username and password Please pick the correct device!!! Summer/Fall 2014

39. Adding Applications – iPhone/iPod/iPad 39 1.On iPhone/iPod/iPad: Open the Apps Store 2.Search for App 3.Tap Free 4.Tap Install (need your iTunes username and password) 5.Run program, and enter your username and password for that application. May need a serial number. 6.Download content. Summer/Fall 2014

40. Android Devices Registration same as iPhone Download from Google Play on the phone Run the program Input username and password or serial number 40Summer/Fall 2014

41. Full Installation Instructions Handout for your device Each individual program registration and installation instructions READ and follow these step by step Instructions Every registration process different at each product site 41Summer/Fall 2014

42. Using Instructions, Install Software Write down all serial numbers, userIDs and passwords you create on sheet provided Save passwords electronically as well: ◦ Suggestions –in Outlook contacts, notes, something that gets backed up Raise your hand if you have a problem When you finish installing and have no issues, you are finished 42Summer/Fall 2014

43. 2014 Schedule xxx Campus April 17 - Intro to the Medical Library June 12 – Finding and Accessing Full Text Journal Articles Summer/Fall 201443

44. Install Software Read the Instructions Handout Raise Hand for help We will circulate 44Summer/Fall 2014