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 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? 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? 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, , task list, phone numbers, pager numbers, passwords Amazing storage capacity, advanced networking, encryption capability Procedure logs Dictation

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

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 –Harrisons –Immunization Schedules –ER References

Medical Software, Cont Clinical Calculators –MedMath –MedCalc –MedRules –Archimedes –ATP-III –ABG Pro –STAT Coder –STAT Cardiac Risk –Preg Wheel –Many More

Medical Software, Cont Evidence Based Medicine Tools –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 Childrens 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 Bayesian diagnostic test / H&P calculator >2000 Basic drug info by class and cost for 1200 drugs Key evidence-based treatment guidelines Cochrane Database of Systematic Reviews: over 1500 abstracts 140 clinical prediction rules short research synopses (400 added per year) 5 Minute Clinical Consult Photo Atlas >500 photos

Saving Time By Downloading Others Databases

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 ( ) 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 –The Palmdoc chronicles –FSU Handheld website –Meister Med –EMBI.NET –Skyscape –Handheldmed =welcome =welcome

2005 ISBN