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Mobile Medical Apps
0 40,000+ health related apps on the market for both Apple and Android devices.
0 Professional and Consumer Focus
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Types of medical apps for professionals
2012 survey of healthcare workers identified the most popular categories of mobile applications functions:
0 Drug-referencing tools
0 Clinical decision-support tools
0 Communication tools
0 Electronic health-record system access
0 Medical education materials
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Why Be Choosy? Limited regulation by FDA, FTC, and APP Stores
AcneApp
Fined $15,000 by the FTC for making unsubstantiated scientific claims
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So many Apps, how do you choose wisely?
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Evaluation
Usefulness
Accuracy
Authority
&
Objectivity
Value
Timeliness
Functionality
&
Security
0 What is the purpose of the app?
0 Will the app improve your efficiency or knowledge base?
0 Is it relevant to your work?
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Usefulness
0 What is the source of the information?
0 Is clinical content referenced?
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Accuracy
0 AUTHORITY
0 Who developed the app?
0 Who creates/updates the app content?
0 Who is responsible for the content?
0 OBJECTIVITY 0 Is the content fair, balanced and unbiased?
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Authority
&
Objectivity
RECENT STUDIES
0 68 medical apps geared towards colorectal diseases – only 32% had named medical professionals involvement in their development or content
0 94 microbiology themed apps - only 34% had named medical professional involvement in their development or content
0 How often is the app updated?
0 Are the updates automatic or manual?
0 Does the content reside on your device?
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Timeliness
0 Functionality
0 Is it easy to use?
0 Does it do what you want it to do?
0 Design
0 Is it user friendly and easy to navigate?
0 Security
0 What kind of information are they asking you for and why?
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Functionality
&
Security
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Free vs. Fee
Is it worth the cost?
Value
Is it worth the space on your device?
Good apps should
0 Provide authorship information, including detailed information about authors’ affiliations and credentials and about any medical professional involvement in content preparation
0 List all references or sources of content
0 Fully disclose any app sponsorship or other commercial funding arrangements or conflicts of interest
0 Ensure a balance, non-biased coverage of facts, and information currency
0 Be easy to use
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Evaluation Sources
0 Library Services
0 iMedicalApps: http://www.imedicalapps.com/
0 Medical App Journal: http://medicalappjournal.com/
0 Peers
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Apps @ ACPHS
15 http://libraryservices.acphs.edu/home
Apps @ ACPHS
17 http://libraryservices.acphs.edu/content.php?pid=362590&sid=5251249
Clinical Pharmacology
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Drug Monographs
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Clinical Calculators
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What your peers say about Clinical Pharmacology
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Clinical Pharmacology is the best app I've used.
mobileMicromedex https://acphs.idm.oclc.org/login?url=http://www.micromedexsolutions.com/micromedex2/librarian
0 Free Micromedex® Drug Reference for Internet Subscribers
0 Micromedex® Drug Interactions
0 Micromedex® IV Compatibility 22
mobileMicromedex
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What your peers say…
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The one I use religiously is Micromedex
Useful information includes Clinical Teaching Points that I found very useful
when counseling patients
Easy to navigate, especially for
community settings
Pharmacist’s Letter
0 Pharmacist’s Letter is a subscription service for pharmacists covering new developments in drug therapy, and trends in practice.
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Pharmacist’s Letter
What your peers say…
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I've tried to use Pharmacist’s Letter mobile app, but I haven't had a lot of luck with it. Unfortunately every time you search a new topic, you must re-enter your login and password. I much preferred using this resource on my computer
Pharmacist’s Letter - Web
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App Review Sources
REVIEW SOURCES
0 iMedicalApps: 0 http://www.imedicalapps.com/
0 Medical App Journal: 0 http://medicalappjournal.com/
0 Scholarly Literature 0 Bierbrier R, Lo V, Wu RC. Evaluation of the
accuracy of smartphone medical calculation apps. J Med Internet Res. 2014 Feb 3;16(2):e32.
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MEDSCAPE Mobile
0 News: Specialty news & thought leadership perspective
0 Reference: Drugs, conditions & point-of-care tools
0 Education: Continuing medical & professional education
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MEDSCAPE Mobile
0 Register for Medscape online to customize http://www.medscape.com/
0 Available for iPhone, iPad, Android & Kindle Fire
http://www.medscape.com/public/mobileapp
0 Content is downloadable for access without an Internet connection
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Customizable by Specialty
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MEDSCAPE Mobile Reference > Conditions > Endocrinology > Diabetes Mellitus > Diabetic Neuropathy
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MEDSCAPE Mobile Reference > Conditions > Endocrinology > Diabetes Mellitus > Diabetic Neuropathy>Medication
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Medical Translators
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Medical Translators Canopy
0 Request Access Code: http://www.canopyapps.com/beta/
0 Communicate with patients using translated medical phrases in Spanish, Chinese, Arabic, Hindi, Korean, Malay, Portuguese, Russian, Tagalog, Vietnamese, and more.
0 Show phrases with text, and play with audio.
0 When needed, call live medical interpreters from Canopy.
0 Includes 1,500 common medical phrases created by medical professionals in four specialties
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http://www.canopyapps.com/
Canopy
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Medical Translators MediBabble
0 MediBabble is FREE and contains thousands of translated questions and instructions. Each phrase included in MediBabble's database was written and reviewed by a panel of physicians.
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http://www.medibabble.com/
MediBabble
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Medical Calculators
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Medical Calculators
0 CliniCalc (iOS only) https://itunes.apple.com/us/app/clinicalc-medical-calculator/id353404314?mt=8
0 Calculate (Medical Calculator) by QxMD http://www.qxmd.com/apps/calculate-by-qxmd
0 Medscape http://www.medscape.com/public/mobileapp/features
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Top three free apps that were 100% accurate and contained the most functions desired by internists.
Peer Recommendations Fee & Free Medical Apps recommended by P4 Students
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Peer Recommendations
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0Lexicomp 0 https://acphs.idm.oclc.org/logi
n?URL=http://online.lexi.com/lco/action/home/switch?siteid=287
0 Free limited access version available
0 Discounted pricing to full versions offered through the College.
0 Available for iPhone, iPad, & Android Devices
0Johns Hopkins POC–IT Guides 0 http://www.hopkinsguides.com/hopkins/ub
0 The Johns Hopkins ABX Guide 0up-to-date, authoritative, evidenced-based
information on the treatment of infectious diseases to help you make decisions at the point of care.
0$39.95
0 iOS, Android, Web browser supported
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Peer Recommendations
0Epocrates 0 http://www.epocrates.com/
0 Free basic version
0 Epocrates Essentials: $159.99
0 iOS & Android
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Peer Recommendations
0UpToDate 0 http://www.uptodate.com/home/uptodate-mobile-access
0 Evidence-based Point of Care Reference
0 Android, iOS, Windows 8
0 Student Rate $263/Year
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Peer Recommendations
0 Smart Medical Reference
0 Lab Values, Drugs, Tests, Calculators, PubMed, Spanish Dictionary, Medical Terminology.
0 http://medref.co/
0 Free with in-app purchase options
0 iOS & Android
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Peer Recommendations
Best Peer Advice
0 Students should be familiar with how to use the apps they select in advance of their rotation. The app is only faster if you know how to use it.
0 They should also check the apps results with their own calculations as to have confidence in the app. You do not want to be suggesting doses based on app calculations that turn out to be inaccurate.
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My Advice
0 Download and try Micromedex and/or Clinical Pharmacology through Library Services
0 Try some of the free apps that we discussed (i.e. Medscape, one of the calculators and one of the translators and see how/if they could work for you.
0 Evaluate recommended sites to see if/how they will work for you.
0 Use the best of what an app has to offer
0 Look for specialty apps that may work for different rotations.
0 Stay in touch with Library Services!
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Questions/Recommendations
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Bibliography 0 Bierbrier R, Lo V, Wu RC. Evaluation of the accuracy of smartphone medical
calculation apps. J Med Internet Res. 2014 Feb 3;16(2):e32. 0 Boulos MN, Brewer AC, Karimkhani C, Buller DB, Dellavalle RP. Mobile
medical and health apps: state of the art, concerns, regulatory control and certification. Online J Public Health Inform. 2014 Feb 5;5(3):229.
0 Conn J. Most-healthful apps. Mod Healthc. 2012 Dec 10;42(50):30-2. 0 Franzen C. Side effects may vary: the growing problem of unregulated
medical apps: Can the FDA crack down on phony medical apps without killing innovation?The Verge. http://www.theverge.com/2013/6/3/4380244/how-should-medical-apps-be-regulated
0 Hanrahan C, Aungst TD, Cole S. Evaluating Mobile Medical Applications [Internet]. ASHP eReport. Bethesda, MD: American Society of Health-System Pharmacists, 2014. Available at http://ebooks.ashp.org/catalog/show/ashp+ereports/12
0 Visser BJ. Bouman J. There's a Medical App for That: Students Should Be Wary When Using Medical Apps, But a Few Questions Can Help Sift the Good From the Bad. http://www.medscape.com/viewarticle/763009_3
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