THE QUANTIFIED DOCTOR   implementing self-tracking in medical care           Paul Abramson MD        My Doctor Medical Gro...
THE 1980s
The 1990sBS, MS Electrical Engineering                                   MD
The 2000sFamily Medicine - Emergency Medicine - HospitalMedicine - Integrative Medicine - AddictionMedicineRural - Urban -...
WHAT’S WRONG WITH                   HEALTH CARE?                                  (partial list)• Conflicts   of interest*•...
WHAT’S WRONG WITH MY OWN         HEALTH?
WHAT’S WRONG WITH              MY PATIENTS’ HEALTH• Irritable   Bowel Syndrome   • Psoriasis• Chronic     Fatigue         ...
2007-presentFounded My Doctor Medical Groupin San Francisco
PASSIVE TRACKING DEVICES
quantified-mind.com                                     photosmymee.com            ACTIVE TRACKING              mindfulness...
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 do...
A CULTURE OF SELF-TRACKING• Personal    narrative• Iterative   process• Specific     problems and terminology• Implementing...
WHERE ARE WE NOW:                 BETA TESTING• Quant   coaching in New York City - nonmedical• Quant   coaching in Pittsb...
HOW TO FIX HEALTH CARE?• Top  down -- Electronic health exchange, “big data” analytics, performance measures, Accountable ...
CONTACTPaul Abramson MDMy Doctor Medical Group     San Francisco  Tel 415-963-4431TW @paulabramsonmdADN @paulabramsonmd  m...
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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 into medical practice, in the context of his training and experience as both an electrical engineer and practicing medical doctor.

Published in: Health & Medicine, Business

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

  1. 1. THE QUANTIFIED DOCTOR implementing self-tracking in medical care Paul Abramson MD My Doctor Medical Group UCSF Clinical Faculty @paulabramsonMD
  2. 2. THE 1980s
  3. 3. The 1990sBS, MS Electrical Engineering MD
  4. 4. The 2000sFamily Medicine - Emergency Medicine - HospitalMedicine - Integrative Medicine - AddictionMedicineRural - Urban - InternationalSmall practice - Big practice - District hospital -Rural clinic - Inpatient - Outpatient
  5. 5. WHAT’S WRONG WITH HEALTH CARE? (partial list)• Conflicts of interest*• Poor customer service• Ineffective for many things• Lack of interactivity and empowerment
  6. 6. WHAT’S WRONG WITH MY OWN HEALTH?
  7. 7. WHAT’S WRONG WITH MY PATIENTS’ HEALTH• Irritable Bowel Syndrome • Psoriasis• Chronic Fatigue • Addiction• Allergies • Diabetes Mellitus• Overweight • Anxiety• Depression • Headaches
  8. 8. 2007-presentFounded My Doctor Medical Groupin San Francisco
  9. 9. PASSIVE TRACKING DEVICES
  10. 10. quantified-mind.com photosmymee.com ACTIVE TRACKING mindfulness required
  11. 11. OTHER CONTEXTUAL DATA SOURCEScalendar - e-mail - GPS data - government agencies - diagnostic labs
  12. 12. BRING DATA TOGETHERBODYTRACK.ORG - FLUXTREAM.COM
  13. 13. MAKE IT EXPLORABLE
  14. 14. MAKE IT EXPLORABLE
  15. 15. BUT MOST PEOPLECAN’T PULL IT OFF BY THEMSELVES(AND/OR HAVE A COMPLICATED MEDICAL ISSUE)
  16. 16. SO ADD A QUANT COACH Quant Coach DoctorOther Team Members Self-Tracker
  17. 17. 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
  18. 18. 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
  19. 19. 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
  20. 20. 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.
  21. 21. CONTACTPaul Abramson MDMy Doctor Medical Group San Francisco Tel 415-963-4431TW @paulabramsonmdADN @paulabramsonmd mydoctorsf.com quantdoctor.com

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