Where We Are And Where We Need To Be Jay H. Sanders, MD.

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Presentation transcript:

Where We Are And Where We Need To Be Jay H. Sanders, MD

Telemedicine: What’s In A Name?

Telemedicine Is Defined By What It Does not Who does it or What does it or Where it is done or When it is done

What Is A Store and Forward Consultation?

The Portfolio of Telemedicine Technologies Phone Fax VTC IP PACs PDA/MDA/Video Phone Multi-Media Platforms Sensors Cyberfiles Robotics

The Portfolio of Telemedicine Applications Rural/Urban/Global Education Corrections Military Maritime Public Health EMS ICU Space Home/Worksite

So… Where Do We Go From Here?

We Must Bring The Examination Room To The Patient!

We Must Bring The Office To The Practitioner!

We Must Bring The Collective Expertise Of The Practitioner To The Patient’s Bedside!

It May Be Data But Is It Knowledge?

We Must Migrate From A System Based On Episodic Or Periodic Evaluation To One That Provides Continuous Assessment!

We Must Encourage/Expect/Require Patients To Be Their Own Primary Care Provider!

Never Underestimate One Of The Most Powerful Of Human Instincts…

Resistance To Change

“That it will ever come into general use, notwithstanding its value, is extremely doubtful because its beneficial application requires much time and gives a good bit of trouble, both to the patient and to the practitioner because its hue and character are foreign and opposed to all our habits and associations” The London Times, 1834

The subject:

Reflections On Consulting In The Presence Of Cultural Diversity Listen carefully to what is not said Look intently at what is not visible Recognize that perception may define reality AND Educate by being the student

Do not go where the path may lead. Go instead where there is no path, And make a trail Ralph Waldo Emerson