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@rjhogue
Tablet use in Medicine
Rebecca J. Hogue
PhD Candidate, University of Ottawa, Ottawa Canada
15 March 2013
http://rjhogue.ca, rebecca.hogue@uottawa.ca
@rjhogue
Introduction Patient Radiology Surgery
Patient
Education
Illness
Scripts
Student/Resident
Education
Practice
Orals
Preceptors
Training
About
@rjhogue
Introduction
• Literature review of all articles in the PubMed relating to tablet
(iPad and tablet computer) in medicine January 2011 -
November 2012
• 44 research based-articles
• Summary of uses in the academic literature
• TOH: iPad program to support physician
order entry (POE)
• Preceptors - physicians who are clinical teachers
• Residents - students who have completed their medical
doctorate and are now studying a speciality
• Family Medicine - General Practitioners - Primary Care
@rjhogue
Patient use of tablets
• Patients complete survey on tablet
• Survey data automatically stored in patient record
• Survey/instrument automatically scored
• Image options for patients with low literacy skills
Benefits:
1. Immediate results
2. Reduced errors
3. Lower cost
Holzinger et al., 2011; Harrington et al., 2012; Tomori et al., 2012;Fritz et al., 2011;Ahmad et al., 2012; Ruamviboonsuk et
al., 2012
@rjhogue
Viewing Radiology Results
• Literature compares the use if iPad2 with traditional monitors for
reading various radiology results
• For the most part “No significant difference”
• However, there has been at least one report where the iPad was
inferior, pointing to the need for more testing
• TOH: lab results at the
bedside
John et al., 2012; Christopher et al., 2012; Johnson et al., 2012; Shintaku et al., 2012;Mc Laughlin et al., 2012, p.127
@rjhogue
Surgery
• Access the screen without removing gloves
• Small size, long battery life, means surgeons can access without
leaving the field
• Superimposing actual patient with 3D images of patient
Murphy, 2012; Soehngen et al., 2012; Rassweiler et al., 2012
@rjhogue
Patient Education
• Cosmetic surgery to help better set patient expectations (Wang
et al., 2012)
• TOH: “draw MD” apps
• TOH: end-of-bed discussion
Wang et al., 2012; Albrecht et al., 2012; Levine et al., 2012
@rjhogue
Student/Resident Education
• Textbook replacement
• Anatomy classes
• Digital pathology (especially in low-resource countries)
• TOH: Papers allows resources at the touch of a finger during
academic days
• Starting to see more reports, as the schools that have adopted
iPads in medical education (e.g. Brown University), are starting
to publish results
@rjhogue
Practice Orals
• Cases created on iPad, scenario and labs handed to resident
• Learner reviews then hands iPad back to preceptor
• Preceptor advances the page to see the “questions” to ask the
resident and the correct answers
@rjhogue
Illness Scripts
TextText
@rjhogue
Preceptor Training
@rjhogue
Rebecca J. Hogue
• PhD Candidate,
Faculty of Education
• MA Distributed Learning
• B.Sc. Computer Science
• Instructional designer and web
programmer
• eBook/iBook producer
• http://rjhogue.ca

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Tablet use in Medicine

  • 1. @rjhogue Tablet use in Medicine Rebecca J. Hogue PhD Candidate, University of Ottawa, Ottawa Canada 15 March 2013 http://rjhogue.ca, rebecca.hogue@uottawa.ca
  • 2. @rjhogue Introduction Patient Radiology Surgery Patient Education Illness Scripts Student/Resident Education Practice Orals Preceptors Training About
  • 3. @rjhogue Introduction • Literature review of all articles in the PubMed relating to tablet (iPad and tablet computer) in medicine January 2011 - November 2012 • 44 research based-articles • Summary of uses in the academic literature • TOH: iPad program to support physician order entry (POE) • Preceptors - physicians who are clinical teachers • Residents - students who have completed their medical doctorate and are now studying a speciality • Family Medicine - General Practitioners - Primary Care
  • 4. @rjhogue Patient use of tablets • Patients complete survey on tablet • Survey data automatically stored in patient record • Survey/instrument automatically scored • Image options for patients with low literacy skills Benefits: 1. Immediate results 2. Reduced errors 3. Lower cost Holzinger et al., 2011; Harrington et al., 2012; Tomori et al., 2012;Fritz et al., 2011;Ahmad et al., 2012; Ruamviboonsuk et al., 2012
  • 5. @rjhogue Viewing Radiology Results • Literature compares the use if iPad2 with traditional monitors for reading various radiology results • For the most part “No significant difference” • However, there has been at least one report where the iPad was inferior, pointing to the need for more testing • TOH: lab results at the bedside John et al., 2012; Christopher et al., 2012; Johnson et al., 2012; Shintaku et al., 2012;Mc Laughlin et al., 2012, p.127
  • 6. @rjhogue Surgery • Access the screen without removing gloves • Small size, long battery life, means surgeons can access without leaving the field • Superimposing actual patient with 3D images of patient Murphy, 2012; Soehngen et al., 2012; Rassweiler et al., 2012
  • 7. @rjhogue Patient Education • Cosmetic surgery to help better set patient expectations (Wang et al., 2012) • TOH: “draw MD” apps • TOH: end-of-bed discussion Wang et al., 2012; Albrecht et al., 2012; Levine et al., 2012
  • 8. @rjhogue Student/Resident Education • Textbook replacement • Anatomy classes • Digital pathology (especially in low-resource countries) • TOH: Papers allows resources at the touch of a finger during academic days • Starting to see more reports, as the schools that have adopted iPads in medical education (e.g. Brown University), are starting to publish results
  • 9. @rjhogue Practice Orals • Cases created on iPad, scenario and labs handed to resident • Learner reviews then hands iPad back to preceptor • Preceptor advances the page to see the “questions” to ask the resident and the correct answers
  • 12. @rjhogue Rebecca J. Hogue • PhD Candidate, Faculty of Education • MA Distributed Learning • B.Sc. Computer Science • Instructional designer and web programmer • eBook/iBook producer • http://rjhogue.ca