Podblast interview- Dr Aisha Malik - Doctors in Business

November 16, 2018

eGPlearning Podblast is the UK's leading primary care focussed health tech podcast by two Nottingham based GPs covering recent topics, useful clinical apps, interviews with primary care health tech innovators and in-depth perspectives on health tech.

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

In this episode, Dr Gandalf talks to Dr Aisha Malik owner of Doctorsinbusiness.org a website which is dedicated to getting doctors and medics more visible online.

We talk about her acceptance onto the Clinical entrepreneur fellowship led by Prof Tony Young (@DrTonyYoung).

We discuss if GPs are ideally placed to change the NHS.

I challenge Aisha to Make a video blog for all the eGPlearners to learn from regarding her experiences.

Aisha then explains her top 5 tips for using social media as a practice. See her Pulsetoday article here.

We then discuss the implications of consulting on social media including how that may differ from the work of Babylon, Pushdoctor and Doctor Care Anywhere.

I then ask Aisha her favourite work an non-work related apps. We talk about a project management app Asana and then discuss other methods like Siilo or Forward.

We then talk about her favourite non-clinical app- Audible - like the netflix of reading - ideal for any podcast listeners.

 

 

 

We finish off asking the perennial question. How would you spend £100 million on health tech with no red tape. 

To contact Dr Aisha Malik either on twitter or on the Doctorsinbusiness website. 

Here is your certificate of engagement.

In the next episode, we cover the implications of telemedicine in primary care- small topic ......honest. 

00:0000:00

Should you stand as a GP?

November 15, 2018

Sitting is the new smoking. Staying sedentary for several hours a day increases your risk of diabetes. So should you stand as a GP?

I remember visiting my GP as a child. Sit in the waiting room normally sullen and low because of yet another episode of tonsillitis. 

Then I was called into the doctor’s office. I would enter a room that CQC would now shut down in a heartbeat with mosaic rugs, plush furry chairs, and a beautiful mahogany desk.

And there was the GP….sitting behind his desk. I remember him moving in his chair to get some forms from a cabinet. I remember him asking me to stand as he examined me sitting in his executive chair, and I remember him always sitting behind a desk. 

Fast forward to a couple of years ago. I remember finishing work with my shoulders feeling tight, my lower back aching for a stretch, as I scooted in my chair to get a form from my cabinet next to my desk. It was at that point I realised I had been sitting in my chair for over four hours. 

I wanted to change this sedentary life. I had a chat with my partners and highlighted I would be changing my room. Shortly after I got a rising desk (Yoyo-90). 

I love it. The build quality is excellent with significant heft. The hydraulic risers are simple to clip and push my whole station upwards to allow me to stand. Initially I could only manage an hour or so before my legs tired out and I had to sit again. A further investment in a standing mat helped there. Within a month I was standing while doing all my admin. Then I took the plunge and stood while consulting with patients.

 

 

Should you stand as a GP?

Some will feel less happy about standing while consulting. I know in sharing my story I have heard several criticisms such as:

  • It means you are trying to rush the patient
  • To stand over a patient is to exert a power dynamic in the consultation
  • It means you are trying to hide the screen from the patient

Over the past year, I have not found any of these to be true. 

  • In my clinic, patients sit while I stand (see the chairs above). 
  • If a patient feels uncomfortable I will sit, however, I have only been asked this twice in the past 18 months.
  • When there is a need for additional empathy, I often sit next to the patient. 
  • I actively share my screens when needed with the patients. 
  • Patients often comment on the desk, about seeing similar in the media and how positive such changes are. 

Sounds encouraging and even our Secretary of State for Health and Social Care – Matt Hancock is very pro-standing desks. 

However, it is important to recognise that standing desks on their own is not enough.  This is a useful article and another here that comments on the opposing view. This includes complications of standing for long periods (tiredness, varicose veins, musculo-skeletal pain from adjusted positions of screens etc.)

Encouraging our patients to be more active is important. So for Self-care week, I am showing how it works in my practice.  Watch the video below and feedback your thoughts on should you stand as a GP?

#TipThursday

 

 

 

 

00:0000:00

When should I worry?

November 8, 2018

Hi #eGPlearners

Welcome to the weekly showcase of Technology-enhanced primary & learning resources from eGPlearning.

When should I worry? This is a common question for parents when looking after an unwell child. In primary care, this can often be a challenge for clinicians to manage due to parental anxiety, the expectation of treatments like antibiotics, concerns about antibiotic resistance and growing demand. 

A helpful resource which can be used with and for patients is the When should I worry booklet found at www.whenshouldiworry.com.

This short booklet provides clear and helpful advice on managing common conditions that can be self-managed by parents, with advice on self-care options, symptom management and importantly clear guidance on when to see further advice. 

The website even offers training on how to use the booklet effectively, and it is available in a variety of languages. Taking it one step further, you may choose to send parents the weblink for the booklet and for the English version: use this helpful case-sensitive shortlink: bit.ly/eGPlearningWSIW

For proactive practices, you could send this as a public information message to all registered parents or share via practice social media channels. 

Watch the video guide below and free to share your thoughts on this resource and as always:

Comments, share and keep eGPlearning. 

#TipThursday

00:0000:00

The NHS app - an eGPlearning Podblast perspective

November 2, 2018

eGPlearning PodBlast - Introducing the NHS App

Welcome to our deep dive episode on the upcoming NHS app - which we cover multiple areas of primary care and patient care. A highly opinionated episode which we encourage your comments and feedback on. 

1.00 Thank you Sponsor - HTN The Health Tech Newspaper (HTN)- an innovative daily news and opinion website for the health tech network.

1.40 Thank you to our followers: @SonaliKinra  @NottsLMC @NCGPANottm @Jacey_Melody @JThambyrajah @KalindiKrishna  @RcgpFaculties @2GPs_in_a_Pod , @DME_Health, @BenXGowland , @EvilGP and @drNickHarvey -creator of Digitalis

 

2.25 Andy has had a cold and been on a cruise

2.40 Gandhi has also had a holiday, working on TipThursday especially the Kardia Alivekor episode with a free resource on the episode available here. 

3.30 Today we are talking about the upcoming NHS app

 

We are going to talk about the app. This was inspired by a great article by our friends at Gizmodo. http://www.gizmodo.co.uk/2018/08/exclusive-heres-what-the-new-nhs-app-will-look-like-and-why-it-could-have-been-so-much-worse/

 

The intentions behind the app are exactly what you might expect: Make it easier for patients to access healthcare services, cut down on administrative burden, and eventually provide a means to connect with other health apps, like Fitbit and Apple’s Health app.

 

Jeremy Hunt set out “8 challenges” for the app

  • (7.20) Symptom checking and triage (i.e. figuring out if you’re just being a hypochondriac or whether you should be in an ambulance right now)- eConsultation, webGP, babylon AI
  • (13.00) Access to your medical records and security issues. 
  • (23.10) GP appointment booking
  • (28.20) Repeat prescription ordering
  • (29.50) Changing data sharing preferences
  • (31.38) Changing organ donation preferences
  • (33.38) Changing end of life care choices - DNAR medical decision
  • (38.50) Promoting “approved apps” to patients - see the NHS app library and @OrchaUK

(42.50) Summary of our views (including a compliment for Jeremy Hunt!!!!) including the issue of photo ID verification to use the app. 

These are discussed in turn during the show...

(49.00) Sign off and next episode spoilers

Do let us know what you think?

 

Click here for your certificate of engagement

Do not forget to subscribe on your platform of choice: iTunes, Podbean, Spotify or YouTube

Thanks for listening...

 

00:0000:00

eGP DRAMA - eGPlearning TipThursday

November 1, 2018

Hi #eGPlearners

Welcome to the weekly showcase of Technology-enhanced primary & learning resources from eGPlearning.

This week TipThursday covers a resource from the eGPlearning platform –  the eGP DRAMA plan

eGP DRAMA (eGPlearning General Practice Disaster Record And Management Action) plan is a fail-safe document used as an adjunct to you practice business continuity plan. 

It identifies and helps record pertinent practice-related information that if not available at key times can lead to significant stress and impact on the business of running a practice. Particularly with larger scale working, such information needs safeguarding and access at appropriate times. 

To store the document ensure either keeping a hard copy in a safe location or preferably store on an encrypted USB stick or password protected part of the practice intranet. 

This document is free for all eGPlearners via signing up below as part of the eGPlearner induction.

However, for the first week of this video, it is accessible directly via this link: www.egplearning.co.uk/gp-productivity

As always, comment, share and keep eGPlearning.

#TipThursday

00:0000:00

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

@health1tech

@NCGPANottm

@Confetti_ICT

@Notts_TV

@Digitalis_Tech

@AliveCor

@SonaliKinra

@BenXGowland

@jacey_melody



Host introductions

Dr Husain Gandhi, @DrGandalf52 , www.egplearning.co.uk/

Dr Andy Foster, @DrAWFoster , www.avoidingpuddles.com

 

Episode Sponsor:

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

 

What have your hosts been up to since last episode?

www.signpsotinghealth.com https://confetti.ac.uk

 

Portfolio career survey conducted by GPDQ shout out…. ,  https://www.gpdq.co.uk

 

Digitalis review

 

What is the Digitalis App

 

Who made it?

Dr Nick Harvey is a GP partner and trainer and his team http://digitalistechnology.co.uk/about-us/

 

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

https://www.youtube.com/watch?v=2s2CsGGYnv0

 

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

 

Impressions

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: https://www.dropbox.com/s/71ad7srm5g2h3jt/digitalis%20podblast%20certificate.pdf?dl=0

 

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

eGPLearning Group on Digitalis app

@DrGandalf52 , www.egplearning.co.uk

@DrAWFoster , www.avoidingpuddles.com

 

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






00:0000:00

eGPlearning Podblast interview - Dr Gandalf- Hussain Gandhi

August 23, 2018

Shownotes

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

00:0000:00

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

Update:

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.

 

https://www.youtube.com/watch?v=qDrDUmuUBTo

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) https://youtu.be/_ldoV5FQn0k , 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 https://www.ft.com/content/e7035e0c-634e-11e8-a39d-4df188287fff

Partnership in  China https://www.digitalhealth.net/2018/04/babylon-ai-technology-china-tencent/



Potential problems with AI:

and Genomics(https://egplearning.co.uk/ramblings/podblast/egplearning-podblast-episode-10-genomics-and-bnf/) (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. 



00:0000:00

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)

https://www.bnf.org/products/bnfbnfcapp/

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

 

Ancestry

  • 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.

 

Privacy

  • 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

<iframe width="560" height="315" src="https://www.youtube.com/embed/DO_x-po_Nsc" frameborder="0" allow="autoplay; encrypted-media" allowfullscreen></iframe>

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!

 

00:0000:00

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 jon.brassey@tripdatabase.com) , 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. 

00:0000:00

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

 

Likes:

Moodpath @moodpath

Shubs Upadhyay (@2GPs_in_a_pod)

Todd Berner @tberner_md

Keck Graduate institute @keckgrad

 

March episode:

Twitter:

@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 https://itunes.apple.com/au/podcast/young-entrepreneur-lifestyle-2-0/id1105756640?mt=2

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.

https://itunes.apple.com/hk/podcast/hong-kong-confidential/id1321295078?l=en&mt=2

 

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: https://www.bma.org.uk/advice/employment/ethics/confidentiality-and-health-records/general-data-protection-regulation-gdpr

ICO GDPR page: https://ico.org.uk/for-organisations/guide-to-the-general-data-protection-regulation-gdpr/

Nottingham LMC GDRP page: https://www.nottinghamshirelmc.co.uk/guidance/resource/gdpr/

 

App reviews:(29.20)

Cupris: (33.10) http://www.cupris.com/cupris-platform/

Forward (33.35) https://forwardhealth.co/

Siilo (35.35) https://www.siilo.com/

 

00:0000:00

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

April 5, 2018

keith_grimes_egplearning.png

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.

 

Enjoy...

iTunes link: https://itunes.apple.com/gb/podcast/egplearning-podblast/id1325540249?mt=2

Stitcher link: https://www.stitcher.com/podcast/egplearning

 

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:

 https://youtu.be/v6t69mp0ZhE

 

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

Project CAR - Oculus Rift:

 https://www.youtube.com/watch?v=vY6QRN6hI-Y&feature=youtu.be

 

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: https://www.medicalrealities.com
    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.

 https://youtu.be/Zch3fg0orzo

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 https://www.oculus.com/rift/

HTC Vive https://www.vive.com/us/product/vive-virtual-reality-system/

Also you need a fairly powerful PC

Connect

 

Programming and developing VR tools

Unity https://unity3d.com/learn/tutorials/s/xr

Vuphoria https://www.vuforia.com

Unreal https://www.unrealengine.com/en-US/vr

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Welltory, patient education and online pharmacies.

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).

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Cupris, Moodpath and e-prescibing

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).

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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.

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Headspace, NHS hackathons and Quicker app and digital triage with AI

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).

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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 https://www.seedrs.com/zoomdoc

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Pilot - Sleepio, GDm app, news and interview with Dr Andy Foster

December 9, 2017

SHOW NOTES:

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 www.eGPLearning.co.uk
  • Twitter – @DrGandalf52

NICE HEALTH APP BRIEFINGS:

NEWS SUMMARY

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

Links:

Cancelled North West London CCG trial of Babylon AI symptom Checker

Links:

INTERVIEW: DR ANDY FOSTER @DRAWFOSTER

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: http://www.leadershipeastmidlands.nhs.uk

Blog: www.avoidingpuddles.com

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 –www.valeoftrent.org.uk

Blog post re. Speed Job Dating –http://avoidingpuddles.com/2016/07/03/the-worlds-of-speed-dating-and-gp-recruitment-together-at-last/

NCGPA Reception Active Signposting training product and website –www.signpostinghealth.com


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

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