Medicine and the ipad: lessons from an early adapterDon S. Dizon, MD, FACPWomen & Infants’ Hospital/Alpert Medical School of Brown University

Who am I

• 1991-5 Rochester School of Med/Dentistry• 1995-8 Yale-New Haven Hospital• 1998-9 Clinician/Educator, Yale Primary

Care Program• 1999-2001 Medical Oncology Fellowship, Memorial Sloan-Kettering

Cancer Ctr.• 2001-3 Clinical Assistant Attending,

Developmental Therapeutics, MSKCC

• 2003- Women & Infants’ Hospital

What is my practice

• 60% Clinical• 10% Didactic teaching/Education• 30% Administrative • Chemotherapy Safety• Medical Oncology coverage/call schedule• C-SIF administration• Program leadership• Institutional Review Board• Research oversite

Electronic Resources

• Personal Use: iPhone• IT support allows integration to Outlook (Email, Calendar,

Contacts)

• Work Use: Palm Pixie• Restricted to use as beeper/mobile phone• WARNING: Complicated rate plan

• Desktop: Windows PC• Limited access for Leopard OS• PC Tablets/Laptops employed in clinical areas

• Hospital Records currently being integrated. Use of EMR/Paper records at present time.

• EMR/CPOE integration in 2010

iPad: My history

• Early-adapter• Originally planned for personal use• Current use is 80% professional:• Communication (Integrates with IT for Email,

Contacts, Calendar)• Web-based searches (Pubmed, Brown Library)• Scholarly activities (Keynote, Pages)• Meeting Minutes (Pages)• EMR access achieved via CITRIX App.

iPad WIFI vs. iPad WIFI with 3G

Criteria WIFI WIFI + 3G

Cost Starts at 499.00 Starts at 629.00

Wireless network Yes Yes

Cellular network No Yes

GPS No Yes

Data Plan NA

250GB: 14.99/monthUnlimited: 24.99/month

[No annual contract] required]

My Choice

• iPad with Wi-FI• Use it stationery• Work use majority: connect to institution’s

wireless network.• Did NOT want extra expense of data plan.• Rare use where Wi-Fi not available.• Utilization of alternative for 3G:

• Tether iphone to ipad 3G (requires jailbreaking): • http://www.fastcompany.com/1613882/tether-iphone-3g-ipad-

mywi• Use a mobile phone with mobile 3G:

• http://gadgetwise.blogs.nytimes.com/2010/04/02/want-a-cheaper-3g-ipad-now-heres-how/

iPad and Cellular Plans

• No free ride.

• Unlimited data plan on phone contract does not necessarily cover tethering to iPad.

• Verizon: requires separate data plan!

• Data usage fees HIGHER than for cellular plans

• Contact carrier BEFORE you tether to avoid excess charges.

Keynote Cost: 9.99

Keynote

Keynote

Pages Cost: 9.99

Good Reader Cost: 1.99

Good Reader

Good Reader

Good Reader

Citrix App Free

Citrix App

Citrix App

Citrix App

Citrix App

Embedded support for Imaging

Sign My Pad Cost: 3.99

Sign My Pad Cost: 3.99

Sign My Pad Cost: 3.99

Sign My Pad Cost: 3.99

Visual Dx MobileFree Trial subscription**Clinician package: 99.99Pediatrics package: 49.99

Visual Dx MobileFree Trial subscription**Clinician package: 99.99Pediatrics package: 49.99

Visual Dx MobileFree Trial subscription**Clinician package: 99.99Pediatrics package: 49.99

Visual Dx MobileFree Trial subscription**Clinician package: 99.99Pediatrics package: 49.99

Visual Dx MobileFree Trial subscription**Clinician package: 99.99Pediatrics package: 49.99

Pub Med On Tap Lite: FreeFull: 2.99

MD Magazine Free

Q & A

Don S. Dizon, MD, FACPWomen & Infants’ Hospital/Alpert Medical School of Brown University

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