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Paul Dorian Presentation ~ The Data Effect
Paul Dorian Presentation ~ The Data Effect
Paul Dorian Presentation ~ The Data Effect
Paul Dorian Presentation ~ The Data Effect
Paul Dorian Presentation ~ The Data Effect
Paul Dorian Presentation ~ The Data Effect
Paul Dorian Presentation ~ The Data Effect
Paul Dorian Presentation ~ The Data Effect
Paul Dorian Presentation ~ The Data Effect
Paul Dorian Presentation ~ The Data Effect
Paul Dorian Presentation ~ The Data Effect
Paul Dorian Presentation ~ The Data Effect
Paul Dorian Presentation ~ The Data Effect
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Paul Dorian Presentation ~ The Data Effect

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  • 1. Searching  for  metaphors:    Naviga4on  in  turbulent  waters   Paul  Dorian   Director  ,  Division  of  Cardiology   St  Michael’s  Hospital  ,University  of  Toronto   Professor,  Departments  of  Medicine  and   Pharmacology,  University  of  Toronto    
  • 2. In theory, theory is as good as practice. In practice, it isn’t Yogi Berra
  • 3. Alan  Trive;,  execu4ve  director  of  Triathlon  Canada,  is  calling  physiologists  and  doctors  involved  in  Paula  Findlay’s  care  to  determine  how  her  case  of  iron  deficiency  could  have  been  missed  before  she  competed  at  the  London  Olympic  Games.  The  revela4on  about  Findlay’s  iron  deficiency  came  this  week  aJer  she  blogged  that  low  iron  levels  likely  had  a  “huge  impact”  on  her  disastrous  last-­‐place  finish  in  London.  She  discovered  the  problem  only  last  week  aJer  staff  at  her  new  training  base  in  Guelph,  Ont.,  ordered  the  tests  because  she  had  been  feeling  sluggish.    Findlay  says  she  saw  the  May  results  for  the  first  4me  this  week.  “It’s  pre;y  clear  that  they  dropped  a  lot,”  she  said.  “They  were  lower  than  they’d  ever  been  in  May.  And  then  in  August,  they  were  lower.”     Toronto  Globe  and  Mail  Sept  12,  2012     Hayley  Mick    
  • 4. PHeMI:  Personal  Health    Management  Ini4a4ve  
  • 5. Priniciples  from  the  trenches      •  Prefer  simplicity  to  complexity  unless  complexity   is  totally  invisible  •  What  pts  want  is  a  doctor  who  looks  them  in  the   eye  and  listens,  and  does  not  look    to  a  screen  •  Very  smart  people  have  spent  a  decade  and   hundreds  of  millions  of  $  to  design  systems  of   informa4on  entry,    retrieval,  management,   processing.  Why  have  they  failed  to  find  an   overall    sa4sfactory  solu4on?  
  • 6. It’s  all  about  the  user  interface   Most  important  :   simplicity,  transparency  and  usability     Less  important:   Complexity  and  comprehensiveness           Design  from  need  ,  ie  perceived  need  ,   not  from  design  poten4al  .  

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