Theres An App For That: Key Smart Phone Applications for Surviving Residency UCSF Graduate Medical Education

Grand Rounds Jan 18, 2011 Michelle Lin, MD UCSF Associate Professor of Clinical Emergency Medicine San Francisco General Hospital and Trauma Center Michelle.Lin@emergency.ucsf.edu What are apps? Computer applications designed for mobile phones Many apps are for communication, entertainment, or multimedia functions (Twitter, Facebook, Pandora, games) Why are we talking about apps in Medicine? There is NO future in printed textbooks and references. Apps are the future in the medical education and clinical decision tools. Medical apps are most commonly found on the Apple iOS platform (iPhone, iPod Touch) >> Android > Blackberry Top 12 medical apps This handout link is also found on a Google Docs page at: tiny.cc/s8ow8 App 1. Evernote Platform iOS, Android Cost Free Use All-in-one organizational, cloud-based software which automatically keeps your desktop, online account, and smartphone documents all synchronized and accessible anywhere. Great search feature which can even search within pdf text. Can organize journal articles (pdf), text (eg. to-do lists), important documents (photo of passport and visa for travel). Drug prescribing app. Epocrates: Has a great Pill ID feature. Includes cost of medications. Allows you to take notes. Micromedex: A slightly more user-friendly layout. Each medication has a toxicology section (in case of overdose). Has a reputation for more reliable dosing information, especially for pediatrics. From WebMD. One-stop resource for drug doses, fact sheets on diseases, and recent news items in Medicine. Both are useful calculator tools, with slightly

2. Epocrates/ Micromedex

iOS, Android

Free

3. MedScape

iOS, Android iOS /

Free

4. MedCalc/

Free /

Mediquations 5. Camera

iOS, Android iOS, Android

$4.99 Free

different layouts. Mediquations actually tracks the most recent calculation tools that you used. Great for emailing images and ECGs to consults (especially for those on home-call). Can take photos of lacerations so that patients can see them (eg. scalp). Can take photo of patients facial droop to ask him/her if its new or old. Beware of HIPAA-compliance. Pediatric reference for weight-based drug dosing and equipment sizing. Pedi Safe: Normal vital signs by age, requires that you estimate the patients weight (no agebased weight estimation). Pedi Stat: The user interface is a little more user-friendly. Allows you to estimate weight based on length or age. Quick visual acuity check, 3D ocular anatomy, cartoons to distract pediatric patients, examples of abnormal vision symptoms Features free articles from the current weeks New England Journal of Medicine journal. Also has select photos from the Images in Clinical Medicine series, weekly podcasts, and select videos. iRadiology has images divided into categories. Each case allows you to turn on labels, which point to the abnormal areas, and flip to a discussion page. Radiology 2.0 has 65 cases which allow you to pan through an entire CT by moving your finger up and down on the screen. A symptom-based and organ-based database to help you develop a complete differential diagnosis A simple yet effective ruler which measures in inches and centimeters. The main limitation is that anything longer than 7 cm requires you to march the ruler along what you are measuring. Simple doodle pad to draw images for patients (instead of on scrap paper or the gurney bedsheet).

6. Pedi Safe/ Pedi Stat

iOS, Android

$0.99 / $2.99

7. Eye Handbook, Eye Chart 8. NEJM This Week

iOS

Free (both) Free

iOS

9. iRadiology, Radiology 2.0

iOS (both)

Free (both)

10.Diagnosaurus

iOS, Android iOS

$0.99

11. Ruler

Free

12. Whiteboard Lite

iOS, Android

Free

Honorable mentions: App Dropbox Platform(s) iOS, Android Cost Free Use Allows you to cloud-sync your large files on your desktop with your smartphone. Free 2GB of space. Can share your Dropbox folders with others. Helps you rapidly calculate a patients NIHSS stroke score and risk/outcome with thrombolytics. Helps you maintain proper CPR chest compression rate of 100 bpm Surprisingly accurate voice recognition of medical terms. Searches for diseases on MedScape and Google. Also gives you the ICD-9 code. Written and audio medical translation tool. Currently only available for Haiti Creole translation. Written by UCSF medical student alums (Drs. Alex Blau and Brad Cohen). Planning to release Cantonese, Mandarin, Spanish, and Russian soon. Single lead ECG monitoring by having the patient hold the iPhone with both hands, or placing the iPhone on the chest. Requires an iPhone case adaptor. LifeStone Technologies.

Stroke Track

iOS

Free

Metronome Dragon Medical Dictation

iOS, Android iOS

Free Free

MediBabble

iOS

Free for English-toCreole version

AliveCor

iOS

Not currently available (possible release in April 2011 for around $100) Free

NerveWhiz

iOS

Neuromuscular anatomy. Can determine the nerve root involved based on areas of weakness and numbness. Developed at University of Michigan.

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