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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What Apples Healthkit and Health app mean for physicians I am writing this from the Apple Worldwide Developer Conference (WWDC) in San Francisco.  There were many (I can not recall a set of software announcements of this scale from Apple) new technologies that were announced, demoed and discussed, but I will limit this entry to a few technologies that have implications for health care. If you remember the state of digital ...

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Computerized physician order entry (CPOE) is being rolled out across our nations’ hospitals. The old days of written, and often illegible, orders from doctors are fast becoming a thing of the past. The potential for this measure to improve patient safety and transform medical practice is unquestionable. As a physician who has worked in several different hospitals since finishing my residency, my time in practice has coincided with the new age ...

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Health technology must improve patient safetyThis was the dream: We would use technology to create a seamless health care system, one where people, computers and machines would work together to improve patient care in many different ways. Health care would be more efficient, it would be safer, it would be less expensive, we would be able to transfer health-related information quickly and accurately. After ...

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Imagine you go to work one day and your boss says all employees will be evaluated based on the performance of a new set of job skills that require additional training and, perhaps, new computer hardware and software. The boss also announces that some employees will be reimbursed for the cost of acquiring these skills and tools. You aren’t among this privileged group. In government, this is called an unfunded ...

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The digital age of medicine is upon us.  Recently at the opening plenary session at the annual Heart Rhythm Society meetings, we heard Dr. Eric Topol and others tell us that we must embrace social networking in order to engage patients and improve care.  The Affordable Care Act has now changed the landscape of medical practice in the US: We must do more to focus on preventative care and work harder to curtail costs. ...

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The road to improving health care over the past several years has most certainly had a focus on implementing upgrade technologies such as EMRs and tablets, but also creating new technologies like 3-D printers and Watson-like doctors. However, in my opinion as both a practicing doctor and technology entrepreneur, the focus is all wrong. EMRs, 3-D printers, and Watson-like brains are not fixing the real problems that plague the broken health ...

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After I read this blog on OpenNotes, I struck up a discussion with a radiologist friend. We commiserate over laws and loopholes in laws that cause system abuse. I am so happy that Obama recommended to close the loophole in the Stark Law in his 2015 budget. That loophole has created some rampant abuse. I worry about and applaud the possible effects of patients being able to read their notes online. ...

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