number needed to treat

Tips for dating a resident

Sun, 26 Feb 2012 07:00:05 -0600

IBM Research: Q&A with Yaniv Corem, gamification expert at...

Sat, 25 Feb 2012 07:00:05 -0600

IBM Research: Q&A with Yaniv Corem, gamification expert at IBM Research

Yaniv Corem joined IBM Research – Haifa in June 2010 after completing his undergraduate work at the Technion – Israel Institute of Technology, and earning his master’s degree in architecture and computer science from MIT. Aside from his enthusiasm for rock climbing and bouldering, Yaniv is passionate about projects that use the “wisdom of the crowd” to solve difficult problems, complete tasks, gather data, and more.

What is gamification?

YC: Gamification is the process of using game thinking and game mechanics in non-game applications to increase engagement. Game thinking can be used to make almost anything fun and encourage people to get involved.

Does competition really help people learn?

YC: Human beings are competitive by nature. Games bring out that sense of competition within a safe and fun environment, where learning takes place naturally. It’s not just competition that does the trick, but an entire set of attributes that make games such powerful tools for learning. Gamification creates a safe environment in which to experiment without suffering the consequences. It also brings in the aspects of new experiences, cooperation with other players, and just having fun.

Competition can be an extrinsic motivator, for example, for a student competing with other students for the best grade on a test. But competition can also be intrinsic, when people push themselves to achieve a certain goal. For example, a toddler learning to stack objects will try the same thing over and over again, while grappling with complex concepts like gravity and balance.

How is IBM using gamification to help people learn and share information?

YC: One great example is in the area of product adoption. New users of Lotus Connections, for example, can find such a feature-rich environment daunting. Bunchball, a leader in gamification, developed a solution for IBM called Level Up to help users adopt Connections. It takes complex learning processes and breaks them up into smaller chunks called levels. At each level, a user/player is asked to perform specific tasks that help teach how to use the product. In return, the users are awarded points, badges, or titles.

Gamification could also be used to keep communities active by rewarding members for their contributions. An interesting byproduct of gamifying a community is the social analytics, such as finding the major contributors; the most helpful contributions; the interaction among community members, and more.

[via smarterplanet]

Kickstarter Expects to Provide More Funding Than the National Endowment for the Arts This Year

Fri, 24 Feb 2012 13:48:36 -0600

Kickstarter Expects to Provide More Funding Than the National Endowment for the Arts This Year

Several times I have mentioned on this blog a Wired story from...

Tue, 21 Feb 2012 07:00:00 -0600

Several times I have mentioned on this blog a Wired story from 2010 where they completely redesigned medical test results to make them meaningful for patients. Up until now, I didn’t know a TEDMED talk existed about this story. Well, one does and I have dutifully posted it.

The best part of this talk comes in the last two minutes. I suggest reading the Wired article and skipping to about the 13:30 part of the TEDMED talk.

Anatomy of a Doctor (via medicineblogs) Very interesting...

Mon, 20 Feb 2012 14:08:00 -0600

Anatomy of a Doctor (via medicineblogs)

Very interesting information for those not in the medical field. I especially liked the chronology of becoming a doctor running down the left-hand side. The very last graphic at the bottom would have been much more interesting if it was doctors-per-capita around the world (not just raw numbers).

"User interface designers are beginning to realize there is no longer a need to hang on to..."

Mon, 20 Feb 2012 10:00:00 -0600

“User interface designers are beginning to realize there is no longer a need to hang on to representations of real life objects and drag them into the digital space. Digital is something else. It gives the user magical powers.”

- Aynne Valencia and Alfred Lui from Fjord discussing the interface of Clear, a new to-do list app

Publishers and authors, take note of this quote and apply this wisdom when translating traditional texts to electronic formats. Nowhere is this wisdom more desperately needed than when developing electronic medical texts.

Electronic medical record designers must also heed this advice, especially as we transition to tablets as our primary devices on the hospital wards.

NY Times - How companies learn your secrets

Mon, 20 Feb 2012 07:00:06 -0600

NY Times - How companies learn your secrets:

Excellent article on how companies use personal data to influence buying habits.

With a national, integrated electronic medical record system, we could leverage medical data in the same way to improve health care. Some of the large health care systems (like Kaiser Permanente and InterMountain Health) and institutions that share EMR data are already doing this. But we need greater integration and better data science to make this truly meaningful.

Doctor Perceptions (via thuc)

Sun, 19 Feb 2012 14:10:41 -0600

Doctor Perceptions (via thuc)

Medicare 'doc fix' payed for by cutting prevention

Sun, 19 Feb 2012 13:38:00 -0600

Medicare 'doc fix' payed for by cutting prevention:

Thank you, Goozner, for writing about this. I was unaware this was part of the deal and I haven’t come across a mainstream article that even mentions this fact.

Update: More on this from the Washington Post (via Suitably Dyspeptic)

On taking a year away from medical school

Sat, 18 Feb 2012 12:48:00 -0600

Last summer, after finishing the arduous task of taking our first round of board exams (USMLE Step 1), most of my classmates began their third year of med school and entered the world of clinical medicine. A small group within my class—as with most medical school classes—postponed their third year to pursue other interests. I was among this group.

Medical students can spend time away for many reasons. The most common reason is to pursue an additional degree—PhD, MPH, MBA, MSc, JD, etc. For those in combined degree programs, they usually sandwich the majority of this degree work right in the middle of their four years of medical school. Students may also take time away from med school to pursue a research year. Many fellowships exist for this explicit purpose. Students can go to places such as the NIH or CDC to work with some of the top scientists and researchers in the US for a year.

I had been interested in these opportunities from the beginning of med school. I ruled out the degree programs simply because I already have an MPH. While there are subjects I touched on during my graduate work that I would like to pursue further, I didn’t think they were worth a year away from medical school. I also looked into the NIH, CDC, and privately funded fellowships such as the Doris Duke Clinical Research Fellowship and Howard Hughes Medical Research Fellowship. These are fantastic opportunities to work at world-class research institutions. But, again, I didn’t think they were worth a year away from medical school. I already had quite a bit of research under my belt and (based on my research experiences) I knew the difficulties of trying to conduct meaningful research within a single year timeframe.

I am not trying to denigrate these opportunities; they are all excellent and potentially career-changing for most. However, for anyone considering taking time away from medical school to pursue such an opportunity, a cost-benefit analysis must be undertaken. Such analyses are difficult because they are based on many unknown factors, specifically (1) how will this experience enrich my current education and open doors for me and (2) how will adding another year or more to my medical education impact pursuits outside of medicine (i.e.—family, entrepreneurial opportunities, private career, other interests, etc). This second point is very difficult to analyze because it exists in the uncertain, abstract future.

I initially decided a year away from medical school would not be beneficial for me. I already had quite a bit of research experience. While going to work at some place like the NIH or CDC might be very cool, I felt those were experiences I would likely get a chance to have (if I wanted) later in my career. However, I am currently in the middle of a year away from medical school. So what glorious opportunity changed my mind?

Early in 2011, I released a simple iPhone app that provided mobile access to an evidence based clinical practice guideline for treating children with pneumonia. This app was based on a guideline orignially developed at Children’s Mercy Hospitals and Clinics. I worked with Dr Jason Newland on this project. While our app has enjoyed some measure of success, we envisioned something more. I was fortunate enough to find some people at Children’s Mercy who agreed with this vision and materially supported the vision.

I actually debated whether or not I should take the opportunity. It was a large risk. Unlike established research fellowships, no model for project success really existed. What if the entire project failed? I would have taken a year away from school and come up with a big, fat goose egg. What if support for the project disappeared? I could be left in the middle of an academic year not in school and with no money. However, I would also have the opportunity to be a small participant in the mHealth movement, utilizing cutting-edge technology to improve patient care.

Ultimately, I couldn’t say “no” to this opportunity. I felt it was a unique time to participate in something new that will likely change the face of health care. I may never have another opportunity like this. Things may still not work out. But, I’ve already learned a ton and had the chance to work with some incredible people—essentially, this is what any opportunity should be about.

The main project I am working on is progressing nicely through its development phases. I hope to share more about this project—the process and final result—when we are closer to releasing the end product.

This is the last panel in an interesting series about the costs...

Fri, 17 Feb 2012 09:39:00 -0600

This is the last panel in an interesting series about the costs of going solar broken down by state. This was my favorite panel out of the four because it clearly shows the main metric in determining whether or not to go solar—how long it takes to pay for itself. I live in Kansas where it would take 19 years for a solar investment to pay for itself. If I lived in Hawaii—time to pay for itself = 5 years—I would be seriously researching solar options.

It also highlights important economic and policy considerations. While solar costs are coming down, the real threat to adoption is the cheapness of other forms of energy. As a matter of public policy, the question becomes—do we further increase subsidies for solar power or increase costs for dirtier forms of energy through taxation?

HHS announces intent to delay ICD-10 compliance date

Thu, 16 Feb 2012 15:07:25 -0600

HHS announces intent to delay ICD-10 compliance date:

Other countries have been using it for 20 years. Maybe we should just skip ICD-10 and begin working on delaying implementation of ICD-11.

"And while ‘gamification’ is such a horrid word that anyone saying it out loud should..."

Wed, 15 Feb 2012 09:02:19 -0600

“And while ‘gamification’ is such a horrid word that anyone saying it out loud should immediately subtract five points from their personal life score, it’s clear that fun and play are now serious business.”

- Helen Waters writing on Fast Co Design about the 4 Elements That Make A Good User Experience Into Something Great

Gamification is a horrid and (unfortunately) pervasive word in the mHealth movement. mHealth developers should stay away from both using the word and actually trying to “gamify” their apps. Gamification is a fleeting trend and those who rely too heavily on it will become obsolete quickly.

“There’s no kill switch on awesome.”

Sun, 12 Feb 2012 07:00:05 -0600

“There’s no kill switch on awesome.”

"I remember when I was in medical school, I thought I could learn everything I needed to be great..."

Sat, 11 Feb 2012 12:19:16 -0600

“

I remember when I was in medical school, I thought I could learn everything I needed to be great doctor. Then I wandered into the ophthalmology wing of the medical library and saw a four volume textbook on eyes. Four volumes! On just the eyes!

I realized then that there was no way you can know everything, in the same way you all will not learn everything about how to assess radiographs in the next hour. If you did, what would be the point of five year residencies? So just take away as much as you can and don’t get caught up in the details just yet. We’re only scratching the surface.

”

- A guest lecturer tries to calm the class after putting up case study radiographs that nobody could interpret, resulting in panic. (via medicalstate)