Intro to Medical Apps on the iPhone/iPod Touch/iPad, and Android

Nancy Clark, M.Ed.Director of Medical Informatics Education

Mark StricklandClerkship Director, Medical Informatics Education

Tallahassee Regional Campus FSU COM

2014

1Summer/Fall 2014

Goals For Session Identify medical applications for

your device and select what you want

Register applications via the FSU Library

Install registered applications to the mobile device*

Established users—renew subscriptions or switch devices

Get help if needed*Apple iOS and Android devices

2Summer/Fall 2014

HandoutsPowerpointChecklist for writing down

usernames and password for each resource

List of recommended free appsEvaluationInstallation instructions for your

device◦Registration, renew, switch

devices….3Summer/Fall 2014

While I am talking…Run all Updates in the Apps StoreOn Apple iOS devices:

◦App Store > Updates … Update All. On Androids:

◦run Google Play Store app. ◦Menu > My Apps … Update all.

Once all updates are finished, close all running programs on your mobile device.

4Summer/Fall 2014

What do you want to do?

1. Start from scratch creating accounts and loading your device for the first time?

2. Renew your apps?3. Switch apps to a new device?4. Load an additional device with

your apps?5. Update your current apps?

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Instructions are available for each of these. Get the handout you need.

Summer/Fall 2014

For This to Work…Know your email addressKnow your CoM username and pwKnow any usernames and

passwords you may have set up at Epocrates/others in the past

iPhone/iPad users:◦ Must have an Apple account◦ Know your Apple ID username and

passwordAndroid users:

◦ Must have a Google account and know …6Summer/Fall 2014

Renewing Issues:Did you get a new device?

Will require phone call or online chat with customer support for: ◦PEPID: 888-321-7828, ext 206, ◦uCentral: 610-627-9090, ext 1

Switched Platforms like from Android to iPhone, iPod to Android…◦Epocrates: My Account, switch

platform7Summer/Fall 2014

Do you want to add an iPad?Two devices are a problem with

◦PEPID will not allow 2 devices on one registration (email)

Not a problem with◦Epocrates: allows multiple

iPhone and iPad = 1 license

◦uCentral: allows 1 smartphone and 1 tablet on 1 account

◦Dynamed: 1 serial # = 5 devices◦NMCD: Seems to work on 2 with 1

account 8Summer/Fall 2014

How This Works – New Registration

Online: Register for each Product1. Create account2. Get username and password3. “Purchase” product for $0

On the device: 1. Find product in App

Store/GooglePlay2. Install3. Sign in and download content over

wirelessIn 12 months: renew subscription

online

9Summer/Fall 2014

Wireless Operation vs 3G/4G Cellular Operation

Coverage and bandwidth are always an issue

Wi-Fi can be much faster than 3G to install – wireless is under Settings.

Go to Settings> WiFi, turn on, select FSUMED, Connect, enter password collegeofmed1

LTE(4G) faster than Wi-Fi. Turn off wireless.

Most Apps run offline Essential Evidence Plus is PDA

formatted web page and requires wireless/cell connection to work

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What’s Currently Available

11Summer/Fall 2014

Browzine (Tablets Only)Journal e-

readerSelect most

FSU COM Journals to read

Look like journals

Alert you to new articles

Allows saving articles

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Epocrates EssentialsEpocrates Essentials

◦ Rx= Drugs◦ Drug Interactions ◦ Dx=BMJ disease ref◦ Lab=lab manual◦ Pill Identifier◦ ID= Infectious Disease

antibiotics guide◦ Tables,◦ MedMath calculators◦ Tools (BMI,

MedSpanish..)

13

Has a separate iPad versonSummer/Fall 2014

PEPID DemoCRC Suite

◦ DDX generator◦ Disease◦ Drugs - interactions◦ Labs◦ Calculators◦ Clinical Rotations◦ Images

Medical Dictionary◦ Stedman’s

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Has a separate iPad versonSummer/Fall 2014

Dynamed DemoSkyscape

Medical Tools optional, free

Huge/in-depthEvidenced-

based- most current

Disease reference

Reviews of latest lit on each topic

Organized by type of question

15Has a separate iPad version

Summer/Fall 2014

uCentral5-Minute Clinical ConsultClinical EvidenceDiagnosaurusHarriet LaneHarrison’s Manual of

MedicineJohns Hopkins ABX

GuideJohns Hopkins Diabetes

GuideJohns Hopkins HIV GuideWashington Manual of

Medical TherapeuticsMedline search linked to

CoM Journals

16

Has a separate iPad versionSummer/Fall 2014

Natural Medicine Comprehensive Database

Alternative and complementary resource

Interactions with Rx drugs and Alt meds

Effectiveness of alt therapy/meds by Dx

17Has a separate iPad versionSummer/Fall 2014

The Medical LetterRead Journal Issues

in PDFSearch old articles

by◦ Drug, Condition or

Treatment GuidelinesBetter for tablet

than smartphoneAddress: CoM

Address Username: CoM

emailPassword: Letters

and numbers (PEPID rules)

18Summer/Fall 2014

Pediatric Care OnlineAntibiotics GuideInteractive

Periodicity table (well child visits – developmental milestones)

Disease reference

Redbook online only

Also has mobile formatted web site

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Has a separate iPad versionSummer/Fall 2014

Mobile Formatted Websites

Use wireless or cell signal to accessPut a shortcut thru EZProxy on

home screen, looks and works like an app

Library Resources with Mobile Formatted sites:◦ACP Smart Medicine (formerly ACP

PIER)◦Access Medicine◦Essential Evidence Plus◦Pediatric Care Online (Redbook)◦Pubmed

Instructions on Handout

20Summer/Fall 2014

Mobile Formatted Medical Sites

CDC.govMerckMedicus.comePrognosis.ucsf.edu (estimates

prognosis for elders)

21Summer/Fall 2014

Essential Evidence Plus

EBM ResourcesCochrane AbstractsInfoPOEMsDecision Support

Tools (Calculators)GuidelinesE&M Coding ToolDerm Expert

22PDA formatted web site

Summer/Fall 2014

ACP Smart MedicineEBM ResourceExcellent

summaries of evidence

Useful Tables of recommendations

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Let Resources Update

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Apps icon shows a number

Tap Apps StoreUpdatesUpdate all

Summer/Fall 2014

Manual Updates – look for…Some update when

openedUpdate button Tools > Updates in

ProgramButton that looks like+ in top right cornerUnder Settings?

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Selecting Other Mobile Apps

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Suggested Free or Cheap AppsCDC Vaccination ScheduleAHRQ ePSS - USPSTF health

maintenance recommendationsMedscape – drugs, disease,

calculators, procedures referenceSee handout for suggestions

27Summer/Fall 2014

Additional Medical Mobile Apps

Medical referencePatient EducationHealth and fitnessPersonal health recordMedical social mediaMonitor and manage illness If the patient has a smartphone or

tablet, prescribe appsWhat apps are you using for your own

health or fitness?Summer/Fall 2014 28

Assessing Quality and UsefulnessiTunes does not discriminate medical

apps into categories Hundreds of apps for patients vs

healthcare professionals - Search ‘diabetes’ get 600 apps

Check Dx organizations for reviewed apps

FDA approving apps for DxNew effort to curate med apps like

HON code, http://www.happtique.com/ proving to be difficult

New www.medicalappjournal.com reviews

Peck, Andrea. A solution to app overload. Medical Economics. Dec 25, 2011. Summer/Fall 2014 29

FDA Approvals

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Lippman, H. How apps are changing family medicine. J of Fam Prac. July 2013, 362-367. Summer/Fall 2014

Keeping up with Medical Apps

Summer/Fall 2014 31

iMedicalApps.com

As Mobile Apps MatureLearn from your patientsLearn from peers and studentsAsk what apps they find helpfulInclude mobile apps

recommendations into CME sessions on disease topics

Watch for more efforts to curate medical apps

Handout: List of recommended free or cheapSummer/Fall 2014 32

What Apps do you Want from us?Epocrates Essentials DynaMed from SkyscapePEPIDuCentralOthers as applicable to your

practice

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Links to Registration Sites

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Log into EZProxy first, if off campus.Summer/Fall 2014

Off Campus Access

IP authenticationProxy server – EZProxyFSU CoM ID and passwordUse links on library page

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EZProxy

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firstname.lastname

$fsumed$xxxx

Mobile Resources Page

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Adding Applications - Overview

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1. From the Library Web Page: Go to Resource Site

2. Register for product

Does not need to be CoM username and password

Please pick the correct device!!!

Summer/Fall 2014

Adding Applications – iPhone/iPod/iPad

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1. On iPhone/iPod/iPad: Open the Apps Store

2. Search for App3. Tap Free4. Tap Install (need your

iTunes username and password)

5. Run program, and enter your username and password for that application. May need a serial number.

6. Download content.

Summer/Fall 2014

Android DevicesRegistration same as

iPhoneDownload from Google

Play on the phoneRun the programInput username and

password or serial number

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Full Installation InstructionsHandout for your deviceEach individual program

registration and installation instructions

READ and follow these step by step Instructions

Every registration process different at each product site

41Summer/Fall 2014

Using Instructions, Install SoftwareWrite down all serial numbers,

userIDs and passwords you create on sheet provided

Save passwords electronically as well: ◦ Suggestions –in Outlook contacts, notes,

something that gets backed upRaise your hand if you have a problemWhen you finish installing and have no

issues, you are finished

42Summer/Fall 2014

2014 Schedule xxx CampusApril 17 - Intro to the Medical

LibraryJune 12 – Finding and Accessing

Full Text Journal Articles

Summer/Fall 2014 43

Install Software

Read the Instructions HandoutRaise Hand for helpWe will circulate

44Summer/Fall 2014