Presentation at the 2013 UP College of Medicine Grand Scientific Symposium

1. 29 January 2013
Smartphones
& Medicine
Iris Thiele Isip Tan MD, MSc, FPCP, FPSEM
Associate Professor 4
UP College of Medicine
Chief, Medical Informatics Unit
Image credit
“Portrait of a young girl with an iphone,
after Agnolo Bronzino” by Mike Licht.
http://www.flickr.com/photos/notionscapital/5286424197/

2. http://mashable.com/2012/07/13/nomophobia-infographic/
Do you have nomophobia?
Fear of being without your mobile phone

3. Patient care and
monitoring
Lay health apps
Communication,
education and research
Physician or student
reference apps
Ozdalga et al. The Smartphone in Medicine:
A Review of Current and Potential Use Among Physicians
and Students. J Med Internet Res 2012;14(5):e128
Image credit
“HTC Sensation” by 55Laney69.
http://www.flickr.com/photos/hansel5569/6600464505/

4. Patient care and
monitoring
Lay health apps
Communication,
education and research
Physician or student
reference apps
Ozdalga et al. The Smartphone in Medicine:
A Review of Current and Potential Use Among Physicians
and Students. J Med Internet Res 2012;14(5):e128
Image credit
“HTC Sensation” by 55Laney69.
http://www.flickr.com/photos/hansel5569/6600464505/

5. Sets distance and time safety limits
Designed in collaboration with AFAL (Association of
Relatives with Alzheimer’s)-Getafe (Spain)

6. Sets distance and time safety limits
Sends an email alert

7. Patient can also trigger an alert
Free app on Android & iPhone

8. iFall:
Fall Monitoring
System
FSU Mobile Solutions
Three stages to a fall
1. The fall
2. Impact with the ground
3. A long lie indicating injury

9. Development and Feasibility of a Smartphone, ECG &
GPS-based System for Remotely Monitoring Exercise in
Cardiac Rehabilitation
Worringham C et al. PLoS ONE 6(2):e146669

10. Server-side display of exercise data
ECG trace, HR, walking speed, elapsed distance
and patient location in real time

11. Apnea MedAssist
A Personalized Low-Cost Sleep Apnea Monitor
Bsoul M et al. Technol Biomed 2011;15(3):416-27.

12. Cell phone based balance trainer
Lee et al. Journal of NeuroEngineering & Rehabilitation 2012;9:10.

13. A1Q Smart Clothing
Bioman T-shirt

14. Meankaew P et al. Malar J 2010;9:237

15. Smartphone-based ultrasound imaging
US FDA-approved in Feb 2011

16. Patient care and
monitoring
Lay health apps
Communication,
education and research
Physician or student
reference apps
Ozdalga et al. The Smartphone in Medicine:
A Review of Current and Potential Use Among Physicians
and Students. J Med Internet Res 2012;14(5):e128
Image credit
“HTC Sensation” by 55Laney69.
http://www.flickr.com/photos/hansel5569/6600464505/

18. Accupedo
Pedometer
Android
Consumer Reports 2012
Lack detailed instructions
Require sensitivity adjustments

19. Accupedo
Pedometer
Android
Consumer Reports 2012
Lack detailed instructions
Require sensitivity adjustments

21. fitbit
Android & iPhone
Log food, water, workouts,
weight
Track progress on weight
goals with Food Plan
See day’s stats and up to 2
weeks prior

22. fitbit
Android & iPhone
Log food, water, workouts,
weight
Track progress on weight
goals with Food Plan
See day’s stats and up to 2
weeks prior

23. Health Record Keeper
Health providers, screening/vaccination, healthy ranges,
questions to ask, health resources, medication reference

24. My Days
Period, Ovulation &
Fertility Tracker

25. dLife Diabetes Companion
Food and recipe lookup, videos and Q & A
Diabetes management

26. dLife Diabetes Companion
Food and recipe lookup, videos and Q & A
Diabetes management

27. iBGStar
http://irunonbatteries.blogspot.com/2012/10/the-ibgstar-blood-glucose-monitoring.html

28. iBGStar Diabetes Manager Application
Sanofi Aventis
Tracks blood glucose, carb intake, insulin doses

29. iBGStar Diabetes Manager Application
Sanofi Aventis
Tracks blood glucose, carb intake, insulin doses

30. Beam Brush
The World’s first smart toothbrush

31. “The utopic future of medicine will
seamlessly combine data from your daily
apps and personalize a health treatment
plan based on the life you actually live.”
http://www.carepractice.com/emr-needs-a-kick-in-the-app-hole/

32. Draft US FDA guideline for mobile medical applications
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

33. Patient care and
monitoring
Lay health apps
Communication,
education and research
Physician or student
reference apps
Ozdalga et al. The Smartphone in Medicine:
A Review of Current and Potential Use Among Physicians
and Students. J Med Internet Res 2012;14(5):e128
Image credit
“HTC Sensation” by 55Laney69.
http://www.flickr.com/photos/hansel5569/6600464505/

34. Intervention Desirable Undesirable
Increased communication
between team members
Increased Increased efficiency
use of email Increased interruptions
with a decrease in verbal
communication
Worsened
interprofessional
relationships
without clear understanding
Increased of which to use
Increased discordance
modes of between nurses and
communication MDs in perceived
including email and urgency
direct calls without clear understanding
of how to use Unprofessionalism
An Evaluation of Use of Smartphones to
Communicate Between Clinicians
Wu et al. J Med Internet Res 2011;13(3):e59

35. Gram Stains and Smartphones
Tice AD. Clin Infect Dis 2011; 52(2):278-279

36. Mobile Phone Based Clinical Microscopy
Breslauer et al. PLoS ONE 4(7):e6320

37. Patient care and
monitoring
Lay health apps
Communication,
education and research
Physician or student
reference apps
Ozdalga et al. The Smartphone in Medicine:
A Review of Current and Potential Use Among Physicians
and Students. J Med Internet Res 2012;14(5):e128
Image credit
“HTC Sensation” by 55Laney69.
http://www.flickr.com/photos/hansel5569/6600464505/

38. Questions to ask before downloading an app
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
Clinical decision making Patients’ privacy
Is it produced by a medical Does the app require you to
publisher? input patient specific data, and
could this compromise patients’
Is it regularly updated?
privacy?
Is it properly referenced?
Conflicts of Interest
Are the authors listed?
Do you know where the app is
Is it possible to give feedback? from? Is it produced by a drug
Has it been recommended by company or a non-commercial
your tutor, university or organization?
healthcare institution?
Is the app’s primary purpose to
inform the health professional
(and not the patients)?

39. Medscape
WebMD
Medical news
Clinical reference (drugs,
diseases, conditions & procedures,
Free
medical calculators)
Continuing medical
education
15 recommended medical apps for smartphones
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

40. Free
Prognosis:
Your Diagnosis
Medical Joyworks
Game to diagnose complex
clinical cases within minutes
New case added every
weekend
Modeled on real life patients
(checked by specialists, based on current
management guidelines)
15 recommended medical apps for smartphones
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

41. $$$
UpToDate
UpToDate, Inc.
Access current, synthesized
clinical information
Evidence-based
recommendations
Mobile-optimized
calculators
15 recommended medical apps for smartphones
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

42. Free
Micromedex
Drug Information
Truven Health Analytics Inc.
Reliable reference for
medical prescriptions
Contraindications, drug
interactions, adverse
effects, precautions etc.
15 recommended medical apps for smartphones
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

43. Visible Human
Body Anatomy $34.99
Atlas 2
Visible Body
3D atlas
15 recommended medical apps for smartphones
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

44. $49.99
Oxford Clinical
Handbooks
MedHand - Mobile Libraries
Textbook
15 recommended medical apps for smartphones
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

45. Epocrates
Epocrates
Drug reference
Upgrade to Epocrates
Essentials subscription
(disease information, alternative
medications, lab guides etc.)
Free
15 recommended medical apps for smartphones
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

46. $34.99
Merck Manual
Unbound Medicine, Inc.
Merck Manual of
Diagnosis and Therapy
textbook
15 recommended medical apps for smartphones
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

47. Lexi-Complete
Lexi-Comp
Requires a subscription
Starts at $175 a year (Lexi-
Drugs, Lexi-Interact, Lexi-Lab &
$$
Diagnostic Procedures, The 5-Minute
Clinical Consult, Lexi-CALC)
15 recommended medical apps for smartphones
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

48. Student BMJ
BMJ Group
Monthly international
medical journal for
medical students and
Free
junior doctors
15 recommended medical apps for smartphones
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

49. ECG Guide
QxMD Medical Software
>200 examples of
common and uncommon $0.99
ECGs
>100 multiple choice quiz
questions
15 recommended medical apps for smartphones
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

50. $7.99
Differential
Diagnosis BMJ
BMJ Group
Symptom browser
Disease browser
Compare diagnoses side
by side
15 recommended medical apps for smartphones
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

51. MedPage Today
Mobile
MedPage Today
Breaking medical news
Conference coverage
Free
15 recommended medical apps for smartphones
Visser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162

52. Patient care and
monitoring
Lay health apps
Communication,
education and research
Physician or student
reference apps
Ozdalga et al. The Smartphone in Medicine:
A Review of Current and Potential Use Among Physicians
and Students. J Med Internet Res 2012;14(5):e128
Image credit
“HTC Sensation” by 55Laney69.
http://www.flickr.com/photos/hansel5569/6600464505/

53. www.endocrine-witch.net
www.slideshare.net/isiptan
facebook.com/EndocrineWitch
@endocrine_witch