eGPlearning Podblast- Digitalis and Kardia Alivecor

September 14, 2018

eGPLearning PodBlast Digitalis & AliveCor Apps

Show Notes


Welcome listeners


In this episode we will be reviewing and test driving two exciting apps.

Digitalis - CPD and appraisal app developed by Dr Nick Harvey is a GP partner and trainer with the help of his team..

AliveCor - AF detection app and hardware


Mentioned in today’s episode










Host introductions

Dr Husain Gandhi, @DrGandalf52 ,

Dr Andy Foster, @DrAWFoster ,


Episode Sponsor:

HTN - Health Tech Newspaper, an innovative daily news and opinion website for the health tech network.


What have your hosts been up to since last episode?


Portfolio career survey conducted by GPDQ shout out…. ,


Digitalis review


What is the Digitalis App


Who made it?

Dr Nick Harvey is a GP partner and trainer and his team


App features and observations discussed:

  • Quickly add CPD entry, capture photos, documents, audio and video. Entries can be linked to CPD Curriculum and learning domains or PDP.
  • Free text search of your entries
  • Personalised my feed - Guidelines, HTN - our sponsor, BBC health news, Cochrane Database and many more. These can read and added directly to CPD
  • Notification & Messages
  • Share CPD activity, Ask questions, Link to other professionals, Ability to create and be a member of groups.
  • Andy is very excited about groups. Can facilitate creation of virtual study groups, peer motivation and discovery of learning and useful information.
  • Please join the eGPLearning Group!!!
  • Perhaps Digitalis will be able to crack the doctor-doctor messaging app market by using CPD and appraisal prep as the killer feature?
  • Ability to customise to your curriculum. RCGP curriculum available, but also other specialities and Royal Colleges Curriculums and other allied professionals such as nursing.
  • Potential to create groups spanning primary and secondary care and to ask questions about cases and care.


Any potential downsides

  • Links could be better
  • Aesthetics - could be better - but not too bad...


We would love to interview Nick Harvey or one of the Digitalis team in for interview?


AliveCor Live Unboxing


What is AliveCor?

Kardia Device and companion app for detection of Atrial Fibrillation (AF).

Some CCGs have been providing these to GP surgeries to assist with detecting AF.

Cost: $99.99


Why would we be interested in detecting AF?

AF often produces no symptoms and can be present for long periods of time (months-years) before detection and treatment. AF increases the risk of serious conditions, particularly stroke and arrhythmias.


Let’s take a look

First impressions from Andy for us - live unboxing and demonstration

More considered impressions from Andy who has used in practice



Nicely packaged

Single sheet with 2 steps to work. VERY EASY TO USE.

Worked well and straight out of the box

Works on ANY phone or tablet device - does not require a locked down device

Can then record outcome manually in patient notes or export results as secure .pdf.


How would we use this in practice?

Quick screening of at risk patients, those where AF suspected, long term condition reviews, flu clinics?

Why you should get the flu jab by Abraham the pharmacist -


Thanks for listening


Download your certificate of engagement here:


Please connect with us and discuss any of the topics in today's episode by…

eGPLearning Group on Digitalis app

@DrGandalf52 ,

@DrAWFoster ,


Next time on eGPLearning PodBlast we will be taking a look at the upcoming NHS app.


eGPlearning Podblast interview - Dr Gandalf- Hussain Gandhi

August 23, 2018


0.22- A shout out to our new sponsor- The Health Tech Newspaper (HTN)- an innovative daily news and opinion website for the health tech network. 

1.10- How Amazon and the Blue Yeti make our podcast possible.

1.50- The interview begins.

2.40 DrGandalf's favourite clinical apps- MDCalc

3.20- Star Realms - an awesome game

4.40- The return of Captain Jean-Luc Picard

5.00- The dawn of eGPlearning

7.40 How to keep momentum

9.00- DrGandalf's current activities (hats)

9.40- GPSurvival

9.50- S1 FBUG (Systm One Facebook User Group)

10.00 RCGP work

11.50 How Andy and Gandhi met

12.30 Joining Nottingham LMC

13.40 Representation of the profession

15.00 Getting into health tech

15.50 Artificial Intelligence in Primary care

19.40 DrGandalf's paradox to fix UK healthcare

22.20 Failing and how to handle it

25.20 Podmedics

27.10- DrGandalf's role in advancing health tech

28.30- TipThursday

29.40- Keybr

30.20- DrGandalf's heroes

33.10- productivity and how to be good at it

35.10 GDPR........

35.50 How to get into health tech

37.20 another shout out to our sponsors- HTN

37.50 Another podcast to listen to The General Practice Podcast by Ben Gowland

38.30- How would you spend £100 million on health tech if you had the chance? - ATM doctors

40.50- Telemedicine

43.20 Singing off and contact. 

To obtain your free certificate of engagement click here


Artificial Intelligence (AI) in Primary Care

July 17, 2018

eGPLearning Podblast: Artificial Intelligence - Shownotes


This is a themed episode where we talk about Artificial Intelligence (AI) in primary care - the applications, risks and benefits to patients and clinicians.

eGPlearning Podblast is a health tech talk by two Nottingham based GPs covering recent topics, useful clinical apps, and interviews with primary care health tech innovators.

Hosted by Dr Hussain Gandhi (@drGandalf52) and Dr Andrew Foster (@drawfoster).


 Disclaimer  - We are not experts, but we are interested GPs, we are merely discussing our impressions, ideas and concerns and optimism in the hope that you may find this interesting.


Thank you:

@SonaliKinra @NottsLMC @NCGPANottm @jacey_melody @kalindikrishna @rcgpfaculties @2GPs_in_a_pod @mededbot @dme_health @karthikrishna86 @dr_zo


Andy: (1.15) - @ANorrisMP attended the practice

Gandhi: (1.38)

What is AI? (5.12)

Artificial intelligence (AI) in healthcare: is the use of algorithms and software to approximate human cognition in the analysis of complex medical data. Specifically, AI is the ability for computer algorithms to approximate conclusions without direct human input.


When thinking about A lot of people think of Artificial General Intelligence, an artificial agent that thinks like a human, but this is thought to be a long way off.

HAL 9000 from 2001 A Space Odysey is a (rather sinister) example of Artificial General Intelligence.


AI is a combination of key technologies…


Key terms, definitions and technologies:


The 4th industrial revolution

Deep learning, algorithms, fast processing, storage capacity and ability to collect large amounts of data are the foundations of the 4th industrial revolution - AI.


Logic and rules based AI…


  • “Top down approach”- system designers provide the rules for computer to follow
  • Simpler than more modern approaches, but this can be very powerful
  • Examples include: Automatic tax return software, Qrisk, FeverPain, FRAX (7.16)
  • Already used for prescription safety like OptimizeRX (7.30) and advice, flagging investigation results
  • Could be useful for automating simple tasks like processing some blood results


Pattern based AI...


Machine Learning (7.53) - see our episode with Jon Brassey

  • Training a machine using data sets with known outcomes
  • The algorithm analyses lots of data with known outcomes, makes connections - thus training the model which changes its own approach as it learns
  • Eventually the software look at new novel data and reach reliable conclusion


Deep Learning (9.20)


Natural Language Processing

  • Key technology for understanding and communicating with humans naturally
  • Human communication is HARD to understand
  • Currently humans really have to adapt their behaviour to interact with computers, unnatural things - type on keyboard, use mouse, touch screen
  • Once can understand human speech and communication much more data available for training algorithms - progress in AI will accelerate.
  • Examples include: Dictation software - already here! - Dragon (13.30), Voice assistants (12.20) , translation, learning from consultation transcripts


Computer vision

Similar to natural language processing in unlocking image and video data to train algorithms. Potential to initially impact, Radiology, dermatology, ENT(15.07), retinal imaging.

Implications for general practice…

Will it change things quickly or slowly?...


Some potential benefits of AI in General Practice:

  • Triage and screening supporting access and effective use of resources
  • Support medical practice, diagnosis and treatment. Big opportunity to improve quality, consistency, safety
  • Supporting and caring for patients - supporting social care
  • Accelerating medical research - data collection, processing, more data, quicker in new ways
  • Drug/treatment/device development


Special mention for...

@BabylonHealth - They are sometimes controversial, but are a British company leading the world in Medical AI!

Babylon to be installed as standard on Samsung mobile phones

Partnership in  China

Potential problems with AI:

and Genomics( (19.10)

Effect on Jobs?

  • Mass unemployment or...
  • New problems and needs arise as old ones are surmounted
  • Potential new jobs in healthcare related to AI
    • Facilitating and explaining engagement with AI - Healthcare workers are complex communication experts
    • Training the AI
    • Maintaining the AI
    • Creativity in service design
    • Original thought and innovation
  • Focus on the right skills - creativity, innovation abilities, using and training technology

So… Are you feeling positive about AI in healthcare?


Thanks for listening and for your certificate of engagement click here


Subscribe, comment, share and keep eGPlearning. 


Episode 10- Genomics and BNF

July 2, 2018

eGPLearning Podblast Personal Genomics Special Shownotes


In this episode, Andy describes his experience of using the 23andme’s personal genetics service. We discuss his impressions, both positive and not so positive as well as privacy concerns and what the future might hold for personal genetics and how General Practice might be involved. We also explore the use of the BNF clinical app.

eGPlearning Podblast is a health tech talk by two Nottingham based GPs covering recent topics, useful clinical apps, and interviews with primary care health tech innovators.

Hosted by Dr Hussain Gandhi (@drGandalf52) and Dr Andrew Foster (@drawfoster).


Shout outs:

@sonaliKinra, @ncgpaNottm, @nottsLMC


Gandhi update (1.50)

Fasting in Ramadan is not easy

Podcasting for innovait - the @rcgp AiT journal - check out the latest episode shortly with @doctormayur and @dr_zo

Thank you to all the #eGPlearners for helping with rebranding of @egplearning



Andy update (3.00)

On @nottstv talking about GP plus extended GP services in Nottingham.


App review: BNF Smartphone App (4.00)

HANDI (Handbook of Non-drug interventions) website (10.00)

A useful collection of non-drug resources for clinicians and patients. 


Down to our Personal Genomics (10.30)


  • Definition: “Personal genomics or consumer genetics is the branch of genomics concerned with the sequencing, analysis and interpretation of the genome of an individual


Who are 23andMe?

US based startup founded 2006.

Direct to consumer personal genome testing

CEO Anne Wojcicki used to be married to google’s Sergy Brin, google an early investor

Spit in a tube and they will analyse your genetic material, mitochondiral and chromosomal and present the results

They give you the opportunity to:

  • See an ancestory report
  • Find genetic relations (who want to be found)
  • See a report about inherited traits - baldness, unibrow….
  • Be aware of genetics risks for serious health problems


The process?

  • Order the kit - £79 Ancestory, £149 full service
  • Register account
  • Spit in a tube and post back
  • Wait 2-3 weeks
  • HumanOmniExpress-24 format chip - partial SNP (single nucleotide polymorphisms) looks at parts of the genome known to vary between individuals.
  • Get an email saying results are ready
  • Look at results.
  • Can see
    • See an ancestry report
    • Find genetic relations (who want to be found)
    • See a report about inherited traits - baldness, unibrow….
    • Carrier status
    • Be aware of genetics risks for serious health problems



  • Allows users to view origins of mitochondrial DNA and nuclear DNA and see where ancestors came from around the world
  • Interesting, but beware unintended consequences and unwanted/unexpected information. May have implications for identity and family


Inherited traits

  • Largely for fun… Unibrows, Widows peaks, freckles and ability to smell asparagus and many more traits.


Carrier status

  • Innocently named, but quite serious stuff - Cystic Fibrosis and thalassemia carrier status for example. Information released without genetic counseling. Beware unexpected or unwanted information.


Genetic disease

  • When doing similar tests in this country within the NHS, an individual would undergo genetic counseling with an expert to ensure that the process and implications of testing are understood.
  • 23andMe allow you to see this information after clicking through just 8 screens, Beware unwanted information and remember that your family will share your genes, so you are also testing other family members as well. If you have a variant then a relative may have it too.
  • Explains that genetics is just one potential risk factor, environment important too, not diagnosis… “Talk to your healthcare provider to better understand how to manage your risk”...
  • If risk present then provides information about the test, the condition, treatments, how to manage risks and links to good quality information.



  • Prominent information on website
  • Stated aim is to give you choice and control
  • Keep genetic information and personal information separate - linked via a confidential cipher
  • Under certain circumstances they may release data to law enforcement organisations
  • They will not share with insurance companies - Concordat and Moratorium on Genetics and Insurance - in effect until 2019!


What next for personal genomics?

  • 100,000 genomes project - people with established diagnosis of genetic disorder are having genes sequenced in search for new approaches to managing these conditions
  • Personalised medication and treatment?
  • Pre relationship testing/matching?
  • Insurance implications post 2019 moratorium
  • Pre-employment testing - Great film recommendation - GATACA

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Correcting genetic mutations or treating more directly?

Would Andy recommend?

  • This was an interesting and in places fun process - There is a temptation to recommend it to those who fully understand the risk and are interested, particularly with regards to ancestry and traits.
  • BUT… Andy cannot recommended due to:
    • Risk of unexpected information
    • Lack of intervention for risks uncovered
    • Privacy concerns!!!

Please let us know what you think?


Listen, subscribe and follow and feedback


For a link to the certificate of engagement click to download from here.


Thanks for listening and catch you next time!



Interview with Jon Brassey- Trip Database

June 16, 2018

eGPlearning Podblast is a health tech talk by two Nottingham based GPs covering recent topics, useful clinical apps, and interviews with primary care health tech innovators.

Hosted by Dr Hussain Gandhi (@drGandalf52) and Dr Andrew Foster (@drawfoster).

In this episode, Dr Hussain Gandhi talks to Jon Brassey (@JRBtrip) of Trip Database

Trip Database is the UKs key evidence-based medicine search engine. 

We talk about Jon's journey to develop a unique and effective clinical evidence search engine that is free for all NHS staff (on contacting Jon via , how failed ventures can sometimes need resurrecting ( #bringBackTILT) , how AI and machine learning is changing the searching for clinical information and Jon's own advice for new health tech entrepreneurs. 

Additionally, listeners are also able to download a free certificate of engagement for their appraisal portfolios. Click here to download. 


eGPlearning Podblast episode 8 - GDPR

May 25, 2018

eGPlearning Podblast is a health tech talk by two Nottingham based GPs covering recent topics, useful clinical apps, and interviews with primary care health tech innovators.

Hosted by Dr Hussain Gandhi (@drGandalf52) and Dr Andrew Foster (@drawfoster).

This is a themed episode where we cover the new General Data Protection Regulations (GDPR) and how we feel they will impact primary care. A must listen episode for GDPR wary clinicians. 


Shout outs:

Ben Gowland : @BenXGowland and owner of General Practice Podcast which we will feature on shortly.

Jacey Meloday @jacey_melody -can not wait to list- after physical exercise- consider Welltory



Moodpath @moodpath

Shubs Upadhyay (@2GPs_in_a_pod)

Todd Berner @tberner_md

Keck Graduate institute @keckgrad


March episode:


@digitalpharmacist Mohammed said he will have to listen

@drjongriffiths thanked us for the mention

Hope regular subscriber @sonalikinra and her husband enjoyed listening to us on the drive away


Podcast feedback:

Markado Escano of young entrepreneur lifestyle 2.0 wrote positive comments and asked about shownotes - well we have them

Jules Hannaford of hong kong confidential wrote how interesting and informative she found the podcast, particularly episode 2 and she will pass on to her students aiming for med school.


Do feel free to leave a review as well if you enjoy our episodes.


Updates: (2.45)

To try the Facebook quiz click here

GDPR - (4.22)

What is GDPR, how it affects primary care.

BMA GDPR page:

ICO GDPR page:

Nottingham LMC GDRP page:


App reviews:(29.20)

Cupris: (33.10)

Forward (33.35)

Siilo (35.35)



eGPlearning Podblast interview - Dr Keith Grimes the Medical Virtual Reality doctor

April 5, 2018


eGPLearning PodBlast-  Dr Keith Grimes & Medical VR Interview + Show Notes


In this episode of the eGPLearning Podblast, we interview Dr Keith Grimes, a GP and Medical Virtual Reality pioneer.


We talk about how Keith became interested in VR and how he has been using it in his clinical practice. We discuss the potential for VR in healthcare and also some of the pitfalls. Keith describes some of the projects and studies he is involved in.


Keith also explains how he built his skills to use social media to promote and build a community around his interest in Medical VR, and his tips for combining a career in healthcare with another interest or passion.


This is a great listen for your commute, on the treadmill or relaxing at home.



iTunes link:

Stitcher link:


Show Notes…


How to contact Keith and get involved in the Medical VR community:


Keith’s first experience with VR was through the arcade version of  Dactyl Nightmare:


Modern VR products such as the Oculus Rift are a much superior experience

Project CAR - Oculus Rift:


Keith describes the 5 use categories for Medical VR:


  1. VR as an adjunct to existing treatments - To improve pain and reduce anxiety during interventions
  2. VR as a form of therapy - e.g. to treat phobias, anxiety, mental health problems
  3. VR as a diagnostic tool - Eye tracking and assessing responses during simulations - e.g. eye tracking to diagnose Autistic Spectrum Disorders
  4. VR for education and training
    1. Medical Realities:
    2. Shafi Ahmed: @ShafiAhmed5
  5. VR expanding a patient's understanding - empathy - living in someone else's shoes. What's it like to have dementia.

Downsides and Risks of VR in medicine:


  • Nausea and sickness - patients may unable to tolerate VR
  • The intensity of experience not suitable for some
  • Minimum Age, perhaps as low as 7 yrs
  • Many application involve simulated violence - unsuitable for some
  • Infection control - equipment needs to be sterilised between users


Keith’s current projects:

  • PREVENT ICU Delirium - Psychological Resilience Using Virtual Reality Exposure as a Novel Therapy to reduce ICU Delirium

    • Does VR pre-experience of intensive care unit reduce incidence and severity of postoperative delirium - about to begin small-scale study.
  • “See What I See” - Kent and Surrey trial service
    • Use of “Expert Eye” based on Google Glass, to allow Doctors to remotely visit care homes. Carer wears smart glass and is provided with remote expert support by a GP.


Entry level equipment to get a taste of VR and start using it:


Equipment to take things to the “next level”:

Oculus Rift

HTC Vive

Also you need a fairly powerful PC



Programming and developing VR tools





eGPlearning Podblast episode 6

March 22, 2018

Health tech talk by two Nottingham based GPs covering recent topics, useful clinical apps, and interviews with primary care health tech innovators. Hosted by Dr Hussain Gandhi (@drGandalf52) and Dr Andrew Foster (@drawfoster). This episode recaps our latest contacts and activities including finding more resources for primary care clinicians (4.47)creating videos for patient education (5.30), then a review of the wellbeing app Welltory (7.50). We finish off covering some recent encounters with online pharmacies and their activities (21.00).


EGPLearning PodBlast Ep5

February 19, 2018

Health tech talk by two Nottingham based GPs covering recent topics, useful clinical apps, and interviews with primary care health tech innovators. Hosted by Dr Hussain Gandhi (@drGandalf52) and Dr Andrew Foster (@drawfoster). This episode begins with a review of our previous episode and individual updates(2.00) and then we cover an ENT focussed app Cupris (3.22), a depression assessment tool app called Moodpath (11.16) and cover a Nottingham based news story on eprescribing that may bring in national changes (21.44).


eGPlearning Podblast interview with Dr Aman Arora of Arora Medical Education

January 28, 2018

An interview with Dr Aman Arora of Arora Medical Education. We discuss the innovative use of social media and other technologies to help peers with GP training and the education process.


eGPlearning Podblast Episode 3 - Jan 2018

January 7, 2018

Health tech talk by two Nottingham based GPs covering recent topics, useful clinical apps, and interviews with primary care health tech innovators. Hosted by Dr Hussain Gandhi (@drGandalf52) and Dr Andrew Foster (@drawfoster). This episode begins with a review of our previous episode and then we cover the mindfulness app Headspace (4.12), NHS hackathons (14.20), and NHS Quicker app (21.30). We also talk more about the concept of using digital triage and AI in a primary care setting (17.30).


eGPlearning interview with Dr Kenny Livingstone from Zoomdoc

December 22, 2017

An eGPlearning interview with Dr. Kenny Livingstone the founder of Zoomdoc- an innovative geo-location home visiting app and service for primary care in the UK. Hosted by Dr Hussain Gandhi (@drgandalf52) they discuss how Zoomdoc was created and how Kenny innovated the service, including funding options for entrepreneurs like using Seedrs. As an example look up Zoomdoc on Seedrs at


eGPlearning Podblast episode 1

December 9, 2017


Introductions and declaration of interests

Dr Andrew Foster:

Dr Hussain Gandhi:

  • GP Partner Nottingham
  • Former Chair RCGP Vale of Trent Faculty
  • Treasurer GP Survival
  • Owner SystmOne Facebook User Group
  • Owner
  • Twitter – @DrGandalf52



GPatHand- Welcome improvement to access or cherry-picking healthy patients and destabilising General Practice?


Cancelled North West London CCG trial of Babylon AI symptom Checker



GP Partner with interests in general practice operating at scale and technology.

Leadership and other courses often available free of charge to GPs in East Midlands can be found at East Midlands Leadership Academy:


Innovative RCGP Vale of Trent Transitions 2017 day conference incorporating speed dating, showcase website, 360 video, presentation video and “Why GP, Why Vale of Trent” promotional video.

Event website –

Blog post re. Speed Job Dating –

NCGPA Reception Active Signposting training product and website –

Thanks for reading/listening, feel free to comment or share and look out for the next exciting episode