Transcript Mobile Applications for Primary Care

Feb 2012
Mobile Applications for Primary Care
[email protected]
Applications
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Productivity
PubMed
Pharmacy
Reference/News
Point of Care
Pediatrics
Productivity Applications
Feedly 
Dropbox 
Evernote 
Goodreader 
Feedly-RSS reader
• Free, itunes and Android, highly rated
• Read all your favorite blogs and web sites in one place
Dropbox
• 2GB free, 50GB $9.99/mn or $99/yr, 100GB $19.99/mn or $199/yr
• Store your documents in the cloud, itunes and Android
Dropbox
Evernote
• Premium $5 per month or $45 per year, Free monthly 60MB
• Premium: Search within PDFs, Android and itunes
• Premium: Monthly upload allowance increased to 1GB
Evernote
Goodreader
• $4.99, itunes only
• “a swiss army knife of awesome”
• PDF reader on roids
PubMed searching apps
PubMed Clip 
PubMed on Tap 
PubGet
PubMed Mobile
PubMed Clip
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$2.99, good UI, itunes only
Facebook, Twitter, Evernote integration
Proxy link for full-text
Tag articles and create personal library
+ Advanced search option
Library proxy
• https://login.proxy1.lib.tju.edu/login?qurl=
PubMed Clip Advanced search
PubMed on Tap
• $2.99, itunes
PubGet
• Not all PDFs work, itunes
PubMed Mobile
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Basic searches
Limit to free articles
Locate primary literature on your handheld
Free
itunes and Android
http://www.ncbi.nlm.nih.gov/m/pubmed/
Pharmacy application
Epocrates 
Lexi-Comp
MedScape 
Micromedex
Medical Letter
Skyscape
Epocrates
• Premium version runs $99-199 yearly
• Itunes and Android
• Free version offer Pill ID feature
Epocrates
• Also offers Medication interactions check, but MedScape is more
inclusive
Downsides to Epocrates Free version
• Medical Calculator lacks content compared to MedCalc
• Paid version includes disease monographs with treatment options,
infectious diseases and IV compatiblity checker
• Bottom line: Pill ID function is unique and useful
Lexi-Comp
• Library subscribes to web version of Lexi-Comp (no mobile access)
• Includes Power medication reference, drug interaction checker,
disease database
• Also includes: 5 minute clinical consult and Harrison’s Manual of
Medicine, itunes and Android
Downside of Lexi-Comp mobile
• Expensive-several hundred $$ and not that much better than free
version including MedScape
• 30 day free trial is available
MedScape
• Highly ranked mobile application
• Best: medication reference (drug interactions), procedure guide, and
clinical reference.
• Over 7,000 medication and continuously updated
• As clinical reference does lack detail for specific illnesses
• A must have application! itunes and Android
Micromedex
• Straightforward user interface, not include references from desktop
version
• Includes mechanism of action and clinical teaching section
• Explains how a given medication works, how to take medication,
side effects or toxicity alerts
• Lacks strong drug interaction, itunes and Android, free
Medical Letter
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Free for limited access, itunes and Android
Library offers web access
Critical appraisals of New drugs
Effectiveness, cost and toxicity and alternatives
Skyscape
• Can purchase Harrison’s Manual of Medicine, 5-minute Clinical
Consult, Merck Manual, Journal Watch and Pocket Medicine
• Free version includes: Outlines in Clincal Medicine (OCM),
RxDrugs, Archimedes.
• OCM provides disease monographs with ~800 entries
• Cumbersome user interface, itunes and Android
• Medical Calculator ok, but MedCalc is comprehensive and easier to
use
Pharmacy conclusion
• Medication Reference: MedScape or Micromedex (better for
trainees)
• Pill ID: Epocrates
• Drug Interaction Checker: MedScape (superior to Epocrates)
• Disease Monographs: among the free applications, MedScape
(superior to Skyscape’s OCM)
• Medical Calculator: MedCalc (superior to Skyscape’s Archimedes
360 and Epocrates’ MedMath)
Reference / News applications
NEJM 
Harvard Public Health 
MedPage Today 
Medscape 
Internal Medicine News 
NEJM This Week
• Weekly audio summaries, itunes
• Videos of common procedures (paracentesis and lumbar puncture)
• Free
Harvard Public Health
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Videos
Podcasts
Breaking News
Free
itunes and Android
MedPage Today
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Designed University of Pennsylvania School of Medicine
Access to up-to-date news sorted by field
Custom select favorite channels
Audio and video-education on the go!
Free
itunes and Android
Medpage Today
Medscape
• Up to 30 drugs input for interactions
• Education and News section
• Free, itunes and Android
Internal Medicine News
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Independent bimonthly newspaper founded in 1968
Iphone and Itouch, No Android
Free
Options include: News, specialty focus, blogs, videos, Facebook
Include study citations for further reading
Stories can take time to load depending on connection
No “most popular” listing yet
Point of care applications
AHRQ ePSS 
Wikipanion 
Calculate by QxMD 
Medibabble 
OB (Pregnancy) Wheel by Quatertone 
Carb Counting with Lenny 
SafeDose 
Scutsheet-tracking patients
Eponyms 
LabDx
Med ExLabs
UpToDate 
AHRQ ePSS
• Agency for Healthcare Research and Quality’s electronic Preventive
Services Selector
• designed by the US Department of Health and Human Services
• identifying what screening, counseling, and preventive services are
appropriate for their patients.
• based on the US Preventive Services Task Force (USPSTF)
recommendations
• input a patient’s age and other demographic variables
• Free
• itunes and Android
AHRQ ePSS
Wikipanion / Wapedia for Android
• Free
Calculate by QxMD
• Challengers include: MedMath calculator, Epocrates, MedCalc and
Archimedes from Skyscape.
• Free, itunes and Android
• Includes 150 medical calculators, robust search and great interface
Medibabble
• Language translation (Spanish, Cantonese, Mandarin, Russian, and
Haitian Creole)
• Includes guided tour
• ~2000 phrases
• Free, itunes
OB (Pregnancy) Wheel by Quatertone
• Track patients pregnancy dating in order
• Enter first day of last menstrual period-estimated date of conception,
weeks gestational age, estimated due date
• Can track by patient
• Android marketplace
Perfect OB Wheel
• Inability to search by fetal length
• perfect replacement for traditional Obstetric dating wheels
• $1.99, itunes
Scutsheet-tracking patients
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$9.99, itunes
Android, beta, free
Track multiple patients
Add events for each patients
Calculate important parameters
Does not offer ranges
Does not screen for erroneous inputs
No print or email feature just yet
Eponyms
• $1.99 in itunes, 1,700, 28 categories, Android, free
• Fully searchable from Andrew J. Yee (www.eponyms.net)
LabDx
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27 categories with ~200 laboratory tests
Includes links to labtestsonline.org
Downside: No pediatric values
$9.99, itunes
Clinical Trials
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Google maps integration
Email out functionality
Free
Itunes and Android
Merck Manual Professional Edition
• 3,000 page version
• The Medical Encyclopedia
• $34.99, itunes
UpToDate-The Gold Standard?
• Pricing $195/year (.53 cents per day) for trainee and $495/year
($1.36 per day)
• Peer-reviewed, phar-free, comprehensive, #1 most used resource
• 8,500 medical topics, 385,000 total references
• Good search function
• Slow to load topics
UpToDate
UpToDate
Pediatrics
Pediatrics Medical App 
Safe Dose 
Carb counting with Lenny 
Pediatrics Medical App
• Monthly peer-reviewed journal
• Text format available for all abstracts
• No easy way to search across multiple issues, keywords and abstract
text for hits
• Can bookmark article for later access
• News and Views section for insight from editors on controversies and
newest articles
• Low-resolution screen shots is minus
• Better than Pediatrics Digest
SafeDose
• $9.99, Dr. James Broselow (of the “Broselow Tape”)
• PediSafe medications, Android $4.99
• Weight 3kg to 36kg, both trade and generic, search by drug or
category also includes recently viewed function
Carb Counting with Lenny
• $1.99, food guide and carb games, customize food guide, itunes
Questions?
[email protected]
Other mobile applications:
http://jeffline.jefferson.edu/Technology/
MobileApps/