As a child, I often watched science fiction movies and television shows wondering how much would become reality in my lifetime.  From space travel in Buck Rogers and Star Trek to time travel in Back to the Future, I often imagined growing up in a world where the impossible became probable.  Bionics and the repair of human tissues was captivating and the Six Million Dollar Man became a hit series. Now, much of what was thought to be ...

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The practice of medicine is an art based on science. – Sir William Osler This was famously stated over 100 years ago by Dr. Osler, the father of modern medicine and the physician who laid the foundation for professionalism in health care.  In this vein, a panel of experts from Boston-area hospitals and elsewhere recently convened to attack the question, “What needs to change to get doctors back to the patients?”  While the ...

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I'm feeling meaningfully used today. Once again, we are faced with another set of administrative hurdles, boxes that need to be clicked, tasks that need to be completed, all in the name of demonstrating that we are meaningfully using the electronic health record in which our practice and the federal government have so heavily invested. An "eligible professional summary" arrives in my email, with lots of bars with lines, and green checks ...

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After decades of bravely keeping them at bay, health care is beginning to be overwhelmed by “fast, cheap, and out of control” new technologies, from BYOD (“bring your own device”) tablets in the operating room, to apps and dongles that turn your smart phone into a Star Trek tricorder, to 3-D printed skulls. (No, not a souvenir of the Grateful Dead, a Harley decoration or a pastry for the Mexican Dia de ...

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Google Glass has a long way to go in the OR The Royal London Hospital and the Barts and The London School of Medicine and Dentistry presented the first live-streamed surgical procedure in the UK. The operation was an extended right hemicolectomy with resection of a metastatic liver lesion. Here is what I thought about the event. The case started about 30 minutes late, which is similar to what would have happened in any ...

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It won’t be long before every patient has a Twitter feed, and doctors subscribe to them for real-time updates. This is a time when the demands of being a physician are changing, and we need to leverage technology to maintain awareness of a huge number of patients. There is also increasing need for handoffs and communication between providers. Here’s the bottom line: How can we improve technology when doctors seem so resistant? ...

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For physicians, the applications of tablets are endless Medicine is becoming mobile.  Physicians, nurses and other health care providers must be able to quickly assimilate and react to an overwhelming stream of data.  Tablet technologies, such as the iPad, have been incorporated into the workflows of many clinics, emergency rooms and hospitals.  Medical schools and residency programs are quickly adapting the technology for teaching.  While tablets do present some ...

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Nike abandons the FuelBand: What does this mean for wearables? CNET and others have published a story that Nike has fired as many as 55 people from its digital sports team’s hardware division, which is in charge of the FuelBand. Later that evening, Nike tried to run damage control by putting out an official statement to Re/code that they will continue to support and sell the Nike FuelBand SE, despite the downsizing. Rumors ...

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For the past couple of years I’ve been working as a traveling physician in 13 states across the U.S. I chose to adopt the locum tenens lifestyle because I enjoy the challenge of working with diverse teams of peers and patient populations. I believe that this kind of work makes me a better doctor, as I am exposed to the widest possible array of technology, specialist experience, and diagnostic ...

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How do millennials react to smartphone policies on rounds? In a recent blog post, I described a cultural shift involving the use of smartphones at Jacobi Medical Center, a large, acute-care hospital that’s part of New York City’s public hospital system. When research from an Einstein-Jacobi study demonstrated that smartphone use during inpatient attending rounds can lead to distraction, our hospital instituted ...

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