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THE QUANTIFIED DOCTOR
   implementing self-tracking in medical care

           Paul Abramson MD
        My Doctor Medical Group
          UCSF Clinical Faculty
           @paulabramsonMD
THE 1980s
The 1990s




BS, MS Electrical Engineering


                                   MD
The 2000s

Family Medicine - Emergency Medicine - Hospital
Medicine - Integrative Medicine - Addiction
Medicine
Rural - Urban - International
Small 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-present
Founded My Doctor Medical Group
in San Francisco
PASSIVE TRACKING DEVICES
quantified-mind.com

                                     photos
mymee.com



            ACTIVE TRACKING
              mindfulness required
OTHER CONTEXTUAL DATA SOURCES
calendar - e-mail - GPS data - government agencies - diagnostic labs
BRING DATA TOGETHER
BODYTRACK.ORG - FLUXTREAM.COM
MAKE IT EXPLORABLE
MAKE IT EXPLORABLE
BUT MOST PEOPLE
CAN’T PULL IT OFF BY THEMSELVES
(AND/OR HAVE A COMPLICATED MEDICAL ISSUE)
SO ADD A QUANT COACH

             Quant Coach

  Doctor

Other 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.
CONTACT
Paul Abramson MD
My Doctor Medical Group
     San Francisco

  Tel 415-963-4431
TW @paulabramsonmd
ADN @paulabramsonmd

  mydoctorsf.com
  quantdoctor.com

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

  • 1. THE QUANTIFIED DOCTOR implementing self-tracking in medical care Paul Abramson MD My Doctor Medical Group UCSF Clinical Faculty @paulabramsonMD
  • 3. The 1990s BS, MS Electrical Engineering MD
  • 4. The 2000s Family Medicine - Emergency Medicine - Hospital Medicine - Integrative Medicine - Addiction Medicine Rural - Urban - International Small practice - Big practice - District hospital - Rural clinic - Inpatient - Outpatient
  • 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. WHAT’S WRONG WITH MY OWN HEALTH?
  • 7. WHAT’S WRONG WITH MY PATIENTS’ HEALTH • Irritable Bowel Syndrome • Psoriasis • Chronic Fatigue • Addiction • Allergies • Diabetes Mellitus • Overweight • Anxiety • Depression • Headaches
  • 8. 2007-present Founded My Doctor Medical Group in San Francisco
  • 10. quantified-mind.com photos mymee.com ACTIVE TRACKING mindfulness required
  • 11. OTHER CONTEXTUAL DATA SOURCES calendar - e-mail - GPS data - government agencies - diagnostic labs
  • 15. BUT MOST PEOPLE CAN’T PULL IT OFF BY THEMSELVES (AND/OR HAVE A COMPLICATED MEDICAL ISSUE)
  • 16. SO ADD A QUANT COACH Quant Coach Doctor Other Team Members Self-Tracker
  • 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. 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. 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. 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. CONTACT Paul Abramson MD My Doctor Medical Group San Francisco Tel 415-963-4431 TW @paulabramsonmd ADN @paulabramsonmd mydoctorsf.com quantdoctor.com

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