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Latest Posts

7 Observations About The Next Generation Of Physicians

For the last 4 years, I’ve been teaching medical and public health students about the use of social media and generally digital technologies in medicine and healthcare and I got a good picture of what kind of medical professionals they would become soon. They represent the new generation of physicians.

Here are my points and observations:

  1. They are technophile. I remember the time when there was no internet, I remember the first website I first saw online. They were born into the technology and internet-based world. For them, websites, Facebook, Twitter and blogs represent the basics. They love gadgets and devices.
  2. They are fast. They use smartphones, read news online, follow blogs and know what RSS is, they are familiar with multi-tasking. They are much faster than the previous generations, therefore they need different tools and solutions in their work.
  3. But they use the technology for Read more »

*This blog post was originally published at ScienceRoll*

Fast Moving Technology: Is The Pager Completely Extinct?

It’s funny what we remember.  As a 3rd year medical student rotating in surgery I remember quite clearly sitting in my attending’s office at Worcester Memorial Hospital.  He was a vascular surgeon.  I don’t remember his name.  On this particular day I had followed him to his office after rounds.  He had just received his new pager and placed a call to whomever had sent him the device.

It seemed there was a problem.  The device lacked the latest pager feature: vibration.  His current pager only beeped.  The dialog centered around his on-call demands as a vascular surgeon and his love for the symphony.  With a buzzing pager he Read more »

*This blog post was originally published at 33 Charts*

New SmartHeart Device Shares Home EKGs Via Smart Phones

SHL Telemedicine has announced the release of SmartHeart, a lightweight and portable device that they claim can take “hospital-grade” ECGs by “anyone, anywhere, anytime.” The device connects wirelessly to smartphones and can transmit the ECG to a physician for a preliminary diagnosis. The possibilities for a device like this are endless – but so are the questions it raises.

The device greatly streamlines the process of obtaining an ECG as it avoids the need to actually come in to a clinic and can be used to monitor high risk patients from their own homes. The smartphone can then transmit the ECG to an office or a hospital where health care professionals can examine them instantly. As cardiovascular disease is the leading cause of death in the US, a low-cost and easily used cardiovascular diagnostic device could have a huge impact on a sizeable part of the population. SmartHeart is set to cost $500, which is less than an iPhone itself.

However, a portable ECG device that anyone can supposedly use raises some major concerns. The first question is its practical application. For a patient to just have this at home implies that they are at high risk for cardiovascular events. Arrhythmias typically require continuous cardiac monitoring rather than a 10-second ECG, which this device does not appear to provide. So, is this device intended to Read more »

*This blog post was originally published at iMedicalApps*

iPhone Surpasses Android In Breadth Of Healthcare Apps For Physicians

Last month on match day, fourth year medical students from around the country — myself included — found out where we’ll be doing our residencies.

I was extremely excited to find out I matched at my home institution, Wake Forest University School of Medicine, to do my Emergency Medicine residency, a program rich in EM culture and innovation.

Almost immediately after “The Match”, iMedicalApps received emails from fourth year medical students questioning what type of mobile device they should purchase for residency — almost all asking between an iPhone or Android.

We even found out some residency directors were already making suggestions for the incoming residents, choosing the iPhone. Below is an excerpt from one such e-mail:

If you are considering a change in mobile companies, please look carefully at an iphone. There are many apps that we will be using in the near future and it would be a significant benefit to have one.

After much debate between the editors at iMedicalApps, we have came to the conclusion that the choice of smartphone for not only a resident, but for physicians and others in healthcare has now become abundantly clear — the iPhone.

Here’s why. Read more »

*This blog post was originally published at iMedicalApps*

New Year’s Resolution: Don’t Multi-Task

I’ve been fighting pretty hard to avoid the temptation to multitask. I plan to do so again this year. People who claim to multitask are viewed with awe. Attaining the skill is a badge of honor. In a society that is increasingly 24 /7 where demands from work, family, and friends seems endless and the opportunities to be connected are more, how can a person survive if they simply do one task at a time?

Simple. Research suggests that the person who single tasks actually does better work, focuses better, and is productive.

Oh and it might save your life. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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