Title: Portable Information for the Mobile Gastroenterologist
1Portable Information for the Mobile
Gastroenterologist
Committee-sponsored SymposiumAGA Publications
and Informatics Committee
- David T. Rubin, MD
- Salam Zakko, MD
- Benjamin Krevsky, MD
- May 19, 2004
2Agenda
- 830 AM Who is the mobile gastroenterologist?
What are their needs? - David T. Rubin, MD
- 840 AM Electronic resources for the clinical
gastroenterologist - Salam F. Zakko, MD
- 900 AM Advanced search techniques
- Benjamin Krevsky, MD
- 920 AM Mobile evidence-based resources and how
to get them - David T. Rubin, MD
- 945 AM Questions/Answers
www.gastro.org
3AGA Disclosure
- I have no relationships with commercial entities
that might be perceived as having a connection
with their presentation and the content of my
presentation includes discussion of
off-label/investigative use of medicine(s),
medical devices, or procedures.
4Who is the Mobile Gastroenterologist?What are
their needs?
Committee-sponsored SymposiumAGA Publications
and Informatics Committee
- David T. Rubin, MD
- University of Chicago
5Who is the Mobile Gastroenterologist?
6Who is the Mobile Gastroenterologist?Competing
Tensions
- Clinicians
- Practice in multiple settings
- Hospital
- Clinic
- Endoscopy unit
- On the road
- At Home
- Rapidly advancing science of clinical
gastroenterology - Errors in medicine
- Needs
- to stay abreast of updated information
- access to evidence-based medical information
Goal Ubiquitous and contextually relevant
connectivity
7Are We Connected?
- 75 of physicians use the internet for
personal/professional purposes - 50 of physician offices are connected, number
continues to increase - As of April 12, 8,633 of us registered for DDW
on-line. - Journal of the American Informatics Association
(http//www.jamia.org)
8What Do We Need to Know?
- Use of on-line information mostly studied in
Family Practice/Primary Care practices - When access to information sources is available,
physicians more likely to look up unanswered
questions than to ignore or guess
9Clinical Applications of Connectivity Technology
- Clinical information
- Textbooks
- Peer-reviewed original articles
- Pharmacology data/drug interactions
- Electronic medical records
- Prescriptions
- Communication with colleagues and patients
10Information Technology Infrastructure Is Changing
Information Access
- Organizing information
- Past Review medical chart, look up labs, etc.
- Current Convergence via desktop EMR
- Next Ubiquitous EMR access
- Decision support
- Past Textbooks
- Current Online references, tools, order entry
- Next Integration with EMR and wireless access
- Communication
- Current Pager, phone, fax, email, in person
- Next Convergence through wireless access
11Types of Handhelds
- Handheld
- Palm sized device 5 oz
- Streamlined operating systems
- PalmOS, PPC, WinCE
- Tablet
- Laptop screen with writing recognition 3 lb
- Some with detachable keyboards
- Typically with wireless connectivity
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13Other devices have specific niches
HP Jornada 720 WindowsCE
Xircom Rex (credit card size)
14Wireless Connectivity is Here
- Protocols (ultimately seamless navigation)
- Wi-Fi (wireless fidelity), 802.11b,a,g,i 802.15
www.wifinder.com - WCDMA/UTMS, TDMA, GSM, 3G, GPRS (cell phone
companies) - Bluetooth (local between nearby devices)
- How-to for Wi-Fi
- Access Point Hot Spots
- Starbucks, McDonalds
- Home wireless router via DSL or cable modem
- Receiver
- Laptop or tablet (Centrino or add-on card)
- PDA
- Security (WEP, LEAP, home networks)
15The Future Connected Gastroenterologist?