1. Medicine and the ipad: lessons from an early adapter Don S. Dizon, MD, FACP Women & Infants’ Hospital/Alpert Medical School of Brown University

2. Who am I 1991-5 Rochester School of Med/Dentistry 1995-8 Yale-New Haven Hospital 1998-9 Clinician/Educator, Yale Primary Care Program 1999-2001Medical Oncology Fellowship, Memorial Sloan-Kettering Cancer Ctr. 2001-3 Clinical Assistant Attending, Developmental Therapeutics, MSKCC 2003- Women & Infants’ Hospital

3. What is my practice 60% Clinical 10% Didactic teaching/Education 30% Administrative Chemotherapy Safety Medical Oncology coverage/call schedule C-SIF administration Program leadership Institutional Review Board Research oversite

4. Electronic Resources Personal Use: iPhone IT support allows integration to Outlook (Email, Calendar, Contacts) Work Use: Palm Pixie Restricted to use as beeper/mobile phone WARNING: Complicated rate plan Desktop: Windows PC Limited access for Leopard OS PC Tablets/Laptops employed in clinical areas Hospital Records currently being integrated. Use of EMR/Paper records at present time. EMR/CPOE integration in 2010

5. iPad: My history Early-adapter Originally planned for personal use Current use is 80% professional: Communication (Integrates with IT for Email, Contacts, Calendar) Web-based searches (Pubmed, Brown Library) Scholarly activities (Keynote, Pages) Meeting Minutes (Pages) EMR access achieved via CITRIX App.

6. iPad WIFI vs. iPad WIFI with 3G CriteriaWIFIWIFI + 3G CostStarts at 499.00Starts at 629.00 Wireless networkYes Cellular networkNoYes GPSNoYes Data PlanNA 250GB: 14.99/month Unlimited: 24.99/month [No annual contract] required]

7. My Choice iPad with Wi-FI Use it stationery Work use majority: connect to institution’s wireless network. Did NOT want extra expense of data plan. Rare use where Wi-Fi not available. Utilization of alternative for 3G: Tether iphone to ipad 3G (requires jailbreaking): http://www.fastcompany.com/1613882/tether-iphone-3g-ipad-mywi Use a mobile phone with mobile 3G: http://gadgetwise.blogs.nytimes.com/2010/04/02/want-a-cheaper-3g-ipad- now-heres-how/-3g-ipad- now-heres-how/

8. iPad and Cellular Plans No free ride. Unlimited data plan on phone contract does not necessarily cover tethering to iPad. Verizon: requires separate data plan! Data usage fees HIGHER than for cellular plans Contact carrier BEFORE you tether to avoid excess charges.

9. Keynote Cost: 9.99

10. Keynote

12. Pages Cost: 9.99

13. Good Reader Cost: 1.99

14. Good Reader

17. Citrix App Free

18. Citrix App

22. Embedded support for Imaging

23. Sign My Pad Cost: 3.99

24. Sign My Pad Cost: 3.99

25. Sign My Pad Cost: 3.99

26. Sign My Pad Cost: 3.99

27. Visual Dx Mobile Free Trial subscription* *Clinician package: 99.99 Pediatrics package: 49.99

28. Visual Dx Mobile Free Trial subscription* *Clinician package: 99.99 Pediatrics package: 49.99

29. Visual Dx Mobile Free Trial subscription* *Clinician package: 99.99 Pediatrics package: 49.99

30. Visual Dx Mobile Free Trial subscription* *Clinician package: 99.99 Pediatrics package: 49.99

31. Visual Dx Mobile Free Trial subscription* *Clinician package: 99.99 Pediatrics package: 49.99

32. Pub Med On Tap Lite: Free Full: 2.99

33. MD Magazine Free

34. Q & A Don S. Dizon, MD, FACP Women & Infants’ Hospital/Alpert Medical School of Brown University For more HCPLive Network apps please visit: http://www.hcplive.com/ipad_iphone