Transcript Technology in Medicine 2007

Technology in Medicine
Gil C. Grimes, MD
Assistant Professor of Family and
Community Medicine
Scott & White Memorial Hospital and Clinic
Texas A&M University Health Science Center
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
PocketPC Devices
Why Do I Need a Handheld?
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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
Why Do I Need a Handheld?
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Medical references
Billing, scheduling, reminders
Electronic prescribing
Medical documents/ internet content
Getting rid of yellow stickies/ database
Software for RNs
Why Do I Need a Handheld?
• Portable
• Calendar, contacts, email, task list, phone
numbers, pager numbers, passwords
• Amazing storage capacity, advanced
networking, encryption capability
• Procedure logs
• Dictation
Medical Uses
Patient Care
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Medical Calculators
Pregnancy Calculators
EBM Tools
Immunization
Schedules
Medical Texts
Prescriptions
Dictation
Medical Records
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Drug References
Antibiotic Guides
Treatment Protocols
Clinical Decision
Tools
– Coding
Medical Software
• Drug References
– ePocrates Rx
– Johns-Hopkins ABX Guide
– LexiDrugs
– Sanford Guide
– MicroMedex
– Pocket PDR
– Tarascon Pocket Pharmacopia
Medical Software, Cont.
• Texts and Reference Materials
– Washington Manual
– Outlines in Clinical Medicine
– 5 Minute Clinical Consult
– Harrison’s
– Immunization Schedules
– ER References
Medical Software, Cont
• Clinical Calculators
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MedMath
MedCalc
MedRules
Archimedes
ATP-III
ABG Pro
STAT Coder
STAT Cardiac Risk
– Preg Wheel
– Many More
Medical Software, Cont
• Evidence Based Medicine Tools
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InfoRetriever
DynaMed
EBM Tables
Up to Date
JFP Poems
Medical Software, Cont.
• Prescribing/Dictation
– Allscripts
– ePhysician
– Medical Manager (WebMD)
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
USPTF AHRQ tool
InfoRetriever 2007
Windows 95/98/NT/ME/2000/XP, PocketPC, Palm and Web
2400+ short research
synopses (400 added
per year)
5 Minute Clinical
Consult
Cochrane Database
of Systematic Reviews:
over 1500 abstracts
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
www.InfoPOEMs.com
Saving Time By Downloading
Other’s Databases
www.ddhsoftware.com/gallery
Considerations
• Palm OS vs Pocket PC
• At least 128MB w/ 100MB accessible to user for
Palm OS
• At least 192 MB total memory (128 MB ROM and 64
MB SDRAM) for Pocket PC
• Palm OS tend to be less $ than Pocket PC
• Ask yourself what your needs are
– Memory cards, durability, battery life, wireless, screen
size/color, price range
– Integrated wireless
• Go to electronics store and look at handhelds
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
Basic PocketPC Built-In
Functions
Calendar
Contacts
Inbox (Email)
Pocket MS Word
Pocket Excel
Pocket IE
Tasks
Note Pad
Voice Recorder
ActiveSync
Windows Media
Player (MP3, video,
etc)
Practical Applications
• Demo of programs on my handheld
• Useful Websites
– Ectopic Brain http://pbrain.hypermart.net/
– The Palmdoc chronicles http://palmdoc.net/
– FSU Handheld website
http://med.fsu.edu/library/PDAsoftware.asp
– Meister Med http://www.meistermed.com/index.htm
– EMBI.NET http://www.embi.net/handheld.html
– Skyscape http://www.skyscape.com/index/home.aspx
– Handheldmed
http://www.handheldmed.com/Site.New/Pages.php?p
=welcome
2005
ISBN 0-38740329-9