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The Quantified Doctor: Integrating Self Tracking into Medical Care #QS2012
 

The Quantified Doctor: Integrating Self Tracking into Medical Care #QS2012

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Paul Abramson MD speaks as the Quantified Doctor at the Quantified Self Conference 2012 at Stanford University, September 16, 2012. The topic today is integrating self tracking and quant coaching ...

Paul Abramson MD speaks as the Quantified Doctor at the Quantified Self Conference 2012 at Stanford University, September 16, 2012. The topic today is integrating self tracking and quant coaching into medical practice, in the context of his training and experience as both an electrical engineer and practicing medical doctor.

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The Quantified Doctor: Integrating Self Tracking into Medical Care #QS2012 The Quantified Doctor: Integrating Self Tracking into Medical Care #QS2012 Presentation Transcript

  • THE QUANTIFIED DOCTOR implementing self-tracking in medical care Paul Abramson MD My Doctor Medical Group UCSF Clinical Faculty @paulabramsonMD
  • THE 1980s
  • The 1990sBS, MS Electrical Engineering MD
  • The 2000sFamily Medicine - Emergency Medicine - HospitalMedicine - Integrative Medicine - AddictionMedicineRural - Urban - InternationalSmall practice - Big practice - District hospital -Rural clinic - Inpatient - Outpatient
  • WHAT’S WRONG WITH HEALTH CARE? (partial list)• Conflicts of interest*• Poor customer service• Ineffective for many things• Lack of interactivity and empowerment
  • WHAT’S WRONG WITH MY OWN HEALTH?
  • WHAT’S WRONG WITH MY PATIENTS’ HEALTH• Irritable Bowel Syndrome • Psoriasis• Chronic Fatigue • Addiction• Allergies • Diabetes Mellitus• Overweight • Anxiety• Depression • Headaches
  • 2007-presentFounded My Doctor Medical Groupin San Francisco
  • PASSIVE TRACKING DEVICES
  • quantified-mind.com photosmymee.com ACTIVE TRACKING mindfulness required
  • OTHER CONTEXTUAL DATA SOURCEScalendar - e-mail - GPS data - government agencies - diagnostic labs
  • BRING DATA TOGETHERBODYTRACK.ORG - FLUXTREAM.COM
  • MAKE IT EXPLORABLE
  • MAKE IT EXPLORABLE
  • BUT MOST PEOPLECAN’T PULL IT OFF BY THEMSELVES(AND/OR HAVE A COMPLICATED MEDICAL ISSUE)
  • SO ADD A QUANT COACH Quant Coach DoctorOther Team Members Self-Tracker
  • THE QUANT COACH•A distinct member of the health care team• Different skill set from a doctor• Not burdened by the doctor-patient power differential
  • A CULTURE OF SELF-TRACKING• Personal narrative• Iterative process• Specific problems and terminology• Implementing appropriate tools• Reflect on data and specific incidents•( Reflect - adjust - track ) insights and progress
  • WHERE ARE WE NOW: BETA TESTING• Quant coaching in New York City - nonmedical• Quant coaching in Pittsburgh, PA - nonmedical• Quant coaching in San Francisco - medically supervised
  • HOW TO FIX HEALTH CARE?• Top down -- Electronic health exchange, “big data” analytics, performance measures, Accountable Care Organizations, Patient Centered Medical Homes, apps for providers and systems. Meh.• Bottom up -- Self tracking, own your own data, quant coaching, personal experiments, doctor as collaborator and consultant. Artful and appropriate use of technology.
  • CONTACTPaul Abramson MDMy Doctor Medical Group San Francisco Tel 415-963-4431TW @paulabramsonmdADN @paulabramsonmd mydoctorsf.com quantdoctor.com