Earlier this year, we put together a list of what we thought were the best medical apps for health care providers. Now at the end of 2018, we’re augmenting that list to give you a full picture of what we think are must-haves medical apps for those in primary care. Safe Motherhood Initiative: ACOG DII SMI Quick reference for common obstetric emergencies Many of us in family medicine practice full-scope ...

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Recently the Apple Watch’s latest feature went live – an electrocardiogram (ECG) app that monitors irregular heart rhythms. The internet is overflowing with reports from people didn’t know they had irregular heartbeats until they took their data to their doctors and received diagnoses of atrial fibrillation (AFib), a common cause of stroke. As neurologists who treat stroke patients, we welcome technology that enables patients to receive faster diagnoses and better treatment. ...

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Veterans do not only matter one day of the year. Beyond Veterans Day, it is not only important to reflect on the lives lost and the sacrifices made by those who served our country, but to ask: are we doing enough as a nation to give veterans the support and care that they need? Veterans deserve to be more than a political football. We discuss “supporting our troops” and “honoring ...

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Over the course of several years, IBM’s fledgling Watson for Oncology program has received a wide range of reviews. Among them is a harsh critique published by Gizmodo.  The article is filed under the keywords “AI,” “Watson,” “health,” “health care,” and “Doctor: This product is a piece of shit.” The last keyword is courtesy of a provider in Florida commenting on a highly publicized medication error. While the ...

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What I’m about to tell you is based on good insider information. But I also disclose that this is an amalgamation of a few reports of teledoc companies to me and their crony insurance companies, not a thorough analysis of the entire industry. I just assume there are other business models out there that look a little different, but I suspect the bottom line impact is about the same. Most large ...

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Among the many recurring topics, this year has been the impact of machine learning in our lives, especially the implications for our future work life. Prophecies range from ubiquitous utopian machine servants to a dystopian ravaging, hollowing out the work and economic standing of the middle and lower classes. “What can machine learning do? Workforce implications” by Erik Brynjolfsson and Tom Mitchell in Science provides some perspective on machine learning ...

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I came across Dr. Kevin Tolliver’s post, "Beware the Limits of Telemedicine," and found it to gloss over the benefits of telemedicine and the opportunities that increasing telemedicine uptake can afford to the patient and provider. With this post, I aim to show that these opportunities for systemic change to the health care delivery model – particularly driven by telemedicine – surpass the listed limitations of telemedicine. The ...

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The Kaiser Health News article, "Spurred By Convenience, Millennials Often Spurn The ‘Family Doctor’ Model," caught my eye. Millennial patients want “convenience, fast service, connectivity, and price transparency” while doctors and health experts worry about “fragmented or unnecessary care, including the misuse of antibiotics” and loss of  “care that is coordinated and longitudinal.” It’s as if the needs of the patients and the concerns of doctors are ...

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Teleneurology is the new and vastly expanding practice of neurology involving the use of technology and/or video chat to improve access to services. With an ever-increasing aging population there is and will continue to be a shortage of neurologists in the United States. Teleneurology has increased patient access to neurologists especially in rural areas but also in urban and suburban areas. Practicing as a teleneurologist for the last two years I ...

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I mused while staring blankly towards the electronic tracking board, where I foresee reading the triage call "My tracker said, I have AFib." I delved into what is in my armamentarium to handle this crisis of the digital age. The stethoscope around my neck suddenly seemed archaic. We the physicians have resigned to the redundant clicks on the electronic medical records (EMR). While still recovering from this inescapable occupational hazard of ...

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