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Technology in Medicine
Gil C. Grimes, MD
Assistant Professor of Family and Community Medicine
Scott & White Memorial Hospital and ClinicTexas A&M University Health Science CenterScott & White Memorial Hospital and Clinic
Texas A&M University Health Science Center
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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
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PocketPC Devices
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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
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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
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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
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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
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Medical Software
• Drug References– ePocrates Rx– Johns-Hopkins ABX Guide– LexiDrugs– Sanford Guide– MicroMedex– Pocket PDR– Tarascon Pocket Pharmacopia
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Medical Software, Cont.
• Texts and Reference Materials– Washington Manual– Outlines in Clinical Medicine– 5 Minute Clinical Consult– Harrison’s– Immunization Schedules– ER References
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Medical Software, Cont
• Clinical Calculators– MedMath– MedCalc– MedRules– Archimedes– ATP-III– ABG Pro– STAT Coder– STAT Cardiac Risk
– Preg Wheel– Many More
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Medical Software, Cont
• Evidence Based Medicine Tools– InfoRetriever– DynaMed– EBM Tables– Up to Date– JFP Poems
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Medical Software, Cont.
• Prescribing/Dictation– Allscripts– ePhysician– Medical Manager (WebMD)
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Commercial Web Sites
Reviews/Advice/Downloads• CollectiveMed.com• Handango.com • HandheldMed.com• MedicalPocketPC.com• PDAcotex.comTalking 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
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USPTF AHRQ tool
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InfoRetriever 2007Windows 95/98/NT/ME/2000/XP, PocketPC, Palm and Web
Bayesian diagnostic test / H&P calculator >2000
Basic drug info by class and cost for 1200 drugs
Key evidence-basedtreatment guidelines
Cochrane Databaseof Systematic Reviews:over 1500 abstracts
140 clinical predictionrules
www.InfoPOEMs.com
2400+ short research synopses (400 added per year)
5 Minute Clinical Consult
Photo Atlas >500 photos
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Saving Time By Downloading Other’s Databases
www.ddhsoftware.com/gallery
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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
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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
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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)
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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
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2005
ISBN 0-387-40329-9