Post image for Review of Fitzpatrick’s Dermatology Flashcards app

Fitzpatrick’s dermatology textbooks are a mainstay of dermatologists, general practitioners, and emergency physicians.

The texts, found on almost every clinic and hospital shelf, can now be accessed in medical app format.

For the avid learner there is Fitzpatrick’s Dermatology in General Practice which is the two volume text converted into an iphone app, for the eager learner the smaller handbook conversion is Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology ($ 74.99), and for the on the fly learner is Fitzpatrick’s Dermatology Flashcards. (read more)

Post image for Bonedoc is a serious game for Orthopedic surgeons

By: Nathan Skelley, M.D.

Is your surgeon a gamer?

Bonedoc by Otago Innovation Limited tries to make all orthopedic surgeons gamers before stepping into the operating room. Instead of a first person shooter, this app is making a first person surgeon.

As mobile technology continues to advance, more applications are focusing on simulating virtual surgical and medical techniques before performing them on real patients.

Bonedoc breaks away from step-by-step instructional apps such as  Touch Surgery by Kinosis and gives the user/surgeon greater ability to interact with the surgical procedure. In Bonedoc, the user is graded on their ability to reduce the fracture and properly place instrumentation.

Your actions at one step of the case will directly affect how you do at a later step of the case. Furthermore, Bonedoc allows users to share case scores creating competition that further drives the learning process.

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Post image for Moov fitness tracker helps you improve your workout

Nikola Hu, former Apple and Halo game engineer, along with Meng Li and Tony Yuan were struggling to get results from their workouts so they decided to create Moov, a fitness tracker that’s also a fitness coach. (read more)

Post image for Will Google Glass be an essential tool in healthcare or an overhyped afterthought

When it comes to Google Glass, there are a wide range of opinions when it comes to its application in healthcare. For some, Glass is destined to be worn by every single physician, nurse, and allied health professional that comes within 50 feet of a patient. For others, Glass is destined for the dustbin of medical history, another example of a solution in search of a problem.

Not only have we had the opportunity to try out Glass around the hospital, we’ve also been keeping track of how others are testing it out in clinical settings. In the past year or so, we’ve seen a few themes emerge when it comes to areas that Glass may actually find clinical utility. Here are the three areas where clinicians may someday find themselves wearing Glass.

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Post image for The PainDiary App is a diary you’ll be happy to share with your orthopedic surgeon

By: Nathan Skelley, M.D.

No one wants to think about pain. When you’re going to see the orthopedic surgeon, however, pain is a common motivator getting you to the office. Similarly, if you’ve ever had surgery, monitoring your pain after surgery is very important to your surgeon. From the surgeons’ viewpoint, pain is an important way to evaluate the effectiveness of your treatment.

Orthopedists commonly have patients keep physical pain diaries after a procedure. These are paper notebooks where the patient records pain scores after a surgery or injection. These paper based pain scores can be difficult to read depending on the quality of the notebook and patient’s handwriting. Similarly, patients miss times to log scores, and some patients even lose their log or forget to bring it to clinic.

Welcome to the PainDiary App by AppDoc. This is an extremely simple and useful app. It uses mobile technology to replace the paper pain diary and adds many unique features. The app is based on content from the shoulderdoc.co.uk website which is a well established online resource for shoulder information. (read more)

Post image for Prescribe a wireless blood pressure device to your patient, a review of smartphone connected cuffs

Editor’s Note: This piece is part of a focus at iMedicalApps to enable clinicians to “prescribe” apps and devices to patients based on our expert opinion and evidence-based considerations.  We will soon be announcing the launch of a new project we have been working on over the past year that will enable physicians and patients to change the way they interact with mobile devices.

While many apps offer the ability to manually input blood pressure measurements, the growing collection of fully connected blood pressure cuffs can help even further reduce the time and effort patients must invest into self-monitoring of their blood pressure.

And experience shared by the Partners Center for Connected Health supports our intuitive expectation that the easier we make something for patients, the more likely they are to do it (1).

We recently published the results of our extensive literature review to try to identify evidence-based features that clinicians and patients should look for in apps intended for the self-management of hypertension.

Here, we set out to find all of the available arm blood pressure cuffs that incorporate wireless connectivity.

We searched Google and Amazon for blood pressure cuffs that fit the following criteria:

  • Ability to view data on mobile devices
  • Wireless, automated transfer of data from the blood pressure cuff
  • Upper arm blood pressure cuff
  • Available for direct purchase by patients in the United States

We then collected information on the price and specific type of connectivity. We also verify that the device is FDA cleared and determined what, if any, independent validation testing the device had undergone (2).

Here, we’ll share a list of devices that healthcare professionals can consider prescribing to their patients in their practice.  After we go through the devices, our summary breaks down aspects of the various devices that make an individual product more or less appropriate for different types of patients.
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Post image for Diagnostic Radiology Chest Primer app is a mini textbook built for the iPad

As I mentioned in my previous review, the field of Radiology has a large number of high quality medical apps. Among the categories of DIACOM apps, journal apps, and radiology learning apps — Diagnostic Radiology strives to perfect the textbook style introductory application.

(read more)

Post image for 3D printer used to make iPhone case that functions as stethoscope

Suman Mulumudi was given a MakerBot 3D printer during his summer before high school.

Rather than design gadgets for his own amusement, Mulumudi decided to create an iPhone case that could be used as a stethoscope to measure and record heart beats.

Mulumudi, now 15 years old, explains that, “People have tried to put the microphone over the chest, but that doesn’t work.“ Instead, he designed an iPhone case with a diaphragm on the back. (read more)

Post image for iPhone attachment allows doctors to view the front and back of an eye

Iltifat Husain MD contributed to this piece 

Researchers at Stanford University School of Medicine have developed two low cost adaptors that allow smartphones to capture high-resolution images of the front and back of an eye.

The technology will make it easy for patients to take pictures of their eyes and share it with their physician. (read more)

Post image for CORR app is a great tool for orthopedic surgeons trying to keep up to date

By: Nathan Skelley, M.D.

It is becoming more and more common for orthopaedic residency programs across the country to cancel book programs. Instead, they are giving trainees mobile tablets and massive PDF textbook libraries. Instead of carrying one or maybe two textbooks in a bag, physicians-in-training can now carry entire libraries in the palm of their hand.

The same trend is being seen in scientific journal subscriptions. Several leading orthopaedic journals have shifted to mobile apps replacing the print journal mailing. Not only are these changes may have cheaper costs for the journal and be better for the environment, but they are also more convenient for the user.

Clinical Orthopaedics and Related Research (CORR) is a leader in peer-reviewed orthopaedic knowledge. They are a popular source for the clinical applicability of their practical articles and commentaries. Here we look at how the CORR app can be incredibly useful for orthopedic surgeons trying to keep up to date.

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Post image for Landmark study evaluates use of AliveCor Heart Monitor in community screening for atrial fibrillation

Researchers in Sydney, Australia published a landmark study, the SEARCH-AF trial, this week in which the AliveCor Heart Monitor, a single lead ECG device built into an iPhone case, was used to screen 1,000 patients in community pharmacies for atrial fibrillation.

I call this study “landmark” not because of some ground breaking discovery or even because of the efficacy of the intervention. Rather, I consider it landmark because it is a pretty well done and carefully crafted study to evaluate the efficacy of a novel mobile health technology in the real world. Like any study, there are a variety of strengths and limitations to be considered when interpreting the results.

That being said, we have written many times about a need for thoughtful evaluation of these technologies to help guide clinicians about their use in practice and that’s precisely what we have here.

Methods

Ten pharmacies in Sydney, Australia were recruited to participate in a screening program in which the iECG (as AliveCor’s Heart Monitor was described) was used to screen patients over 65 years of age who walked in the door to pick up their medications. Pharmacists both palpated a pulse and screened with the single lead iECG tracing. Their interpretations were followed up with a cardiologist overread; a detection algorithm that became available later was retrospectively applied as well. For patients who were found to have atrial fibrillation, primary care physicians were contacted to verify whether this was a known diagnosis. If not, they were referred back for follow up and confirmation using 12-lead ECG.

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