Portable Information for the Mobile Gastroenterologist

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Portable Information for the Mobile
Gastroenterologist
Committee-sponsored SymposiumAGA Publications
and Informatics Committee

• David T. Rubin, MD
• Salam Zakko, MD
• Benjamin Krevsky, MD
• May 19, 2004

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Agenda

• 830 AM Who is the mobile gastroenterologist?
  What are their needs?
• David T. Rubin, MD
• 840 AM Electronic resources for the clinical
  gastroenterologist
• Salam F. Zakko, MD
• 900 AM Advanced search techniques
• Benjamin Krevsky, MD
• 920 AM Mobile evidence-based resources and how
  to get them
• David T. Rubin, MD
• 945 AM Questions/Answers

www.gastro.org
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AGA Disclosure

• I have no relationships with commercial entities
  that might be perceived as having a connection
  with their presentation and the content of my
  presentation includes discussion of
  off-label/investigative use of medicine(s),
  medical devices, or procedures.

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Who is the Mobile Gastroenterologist?What are
their needs?
Committee-sponsored SymposiumAGA Publications
and Informatics Committee

• David T. Rubin, MD
• University of Chicago

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Who is the Mobile Gastroenterologist?
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Who is the Mobile Gastroenterologist?Competing
Tensions

• Clinicians
• Practice in multiple settings
• Hospital
• Clinic
• Endoscopy unit
• On the road
• At Home

• Rapidly advancing science of clinical
  gastroenterology
• Errors in medicine
• Needs
• to stay abreast of updated information
• access to evidence-based medical information

Goal Ubiquitous and contextually relevant
connectivity
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Are We Connected?

• 75 of physicians use the internet for
  personal/professional purposes
• 50 of physician offices are connected, number
  continues to increase
• As of April 12, 8,633 of us registered for DDW
  on-line.
• Journal of the American Informatics Association
  (http//www.jamia.org)

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What Do We Need to Know?

• Use of on-line information mostly studied in
  Family Practice/Primary Care practices
• When access to information sources is available,
  physicians more likely to look up unanswered
  questions than to ignore or guess

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Clinical Applications of Connectivity Technology

• Clinical information
• Textbooks
• Peer-reviewed original articles
• Pharmacology data/drug interactions
• Electronic medical records
• Prescriptions
• Communication with colleagues and patients

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Information Technology Infrastructure Is Changing
Information Access

• Organizing information
• Past Review medical chart, look up labs, etc.
• Current Convergence via desktop EMR
• Next Ubiquitous EMR access
• Decision support
• Past Textbooks
• Current Online references, tools, order entry
• Next Integration with EMR and wireless access
• Communication
• Current Pager, phone, fax, email, in person
• Next Convergence through wireless access

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Types of Handhelds

• Handheld
• Palm sized device 5 oz
• Streamlined operating systems
• PalmOS, PPC, WinCE
• Tablet
• Laptop screen with writing recognition 3 lb
• Some with detachable keyboards
• Typically with wireless connectivity

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Other devices have specific niches
HP Jornada 720 WindowsCE
Xircom Rex (credit card size)
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Wireless Connectivity is Here

• Protocols (ultimately seamless navigation)
• Wi-Fi (wireless fidelity), 802.11b,a,g,i 802.15
  www.wifinder.com
• WCDMA/UTMS, TDMA, GSM, 3G, GPRS (cell phone
  companies)
• Bluetooth (local between nearby devices)
• How-to for Wi-Fi
• Access Point Hot Spots
• Starbucks, McDonalds
• Home wireless router via DSL or cable modem
• Receiver
• Laptop or tablet (Centrino or add-on card)
• PDA
• Security (WEP, LEAP, home networks)

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The Future Connected Gastroenterologist?