Archive for the ‘Opinions’ Category

App Store Top medical free and paid Lists are Incorrect!

Monday, February 9th, 2009

As we previously mentioned that Apple finally understood that there are so many medical apps and medical users of iPhone and iPod Touch so they created the new medical category.

What’s interesting is that we can keep track of the most commonly downloaded apps in this category whether they are free or paid right from the device app store or in iTunes;

However, the list of free apps is inherently incorrect because these developers like Skyscape, Epocrates, and Unbound Medicine provide free mini or demo versions of their actual content.

For example; Epocrates free version only includes Rx and if you need the full Essentials package then you must subscribe through their website. Likewise, Skyscape Medical Resources includes a small number of free goodies but if you want more titles then you’d have to purchase them from Skyscape’s website. Similarly, Unbound Medicine is offering just a template of the product on which you can download the content if you are a current subscriber.

The only ‘big’ company that offers a fully functional paid app is Lexi-Comp via their different suites including the Pediatric suite. But, this is arguably a bad marketing model because people may get intimidated by the price if they don’t actually see the wonders inside.

So the top free list [and consequently the top paid list] is Incorrect because we don’t know how many users who have downloaded those free apps have actually paid and subscribed to the full version and so they should be counted in the paid list.

Another problem with the list [we mentioned that previously] is that the inclusion criteria of these apps into the medical category are not very strict. So the top paid app “Eye Test” is very unlikely that it has been downloaded by medical professionals, it is most probably downloaded by non-medical people because of it’s nature.

So two recommendations to the people of App Store:

First, ask these developers to make two versions of their apps, one free and the another full PRO version.

Second, edit the medical category and remove those apps that share common interest and put them in their old category [Health and Fitness].

Lastly, if you want to know what is the pediatric ranking of the large native iPhone apps then you may participate in the Best Native Pediatric Apps on Pda4peds.

[Update 3-18-2009], the new iPhone OS 3.0 comes with a new SDK that allows In App Purchase and Apple will likely ask the developers to apply this new technology and there will be no more subscriptions via the developer’s website only through iTunes store. Read related post.

The New Medical Category in the App Store

Wednesday, January 21st, 2009

As we have repeatedly mentioned in previous posts that the iPhone applications are flooding the medical field, this is just another proof of that.

Apple has allocated a special Medical category; The medical apps were previously listed in the Health and Fitness category But now they are listed in their own category.

As it is the case with other categories, we now have lists of the most popular free and paid apps. As well as as list of the most recently released. Making the task of finding the right medical app much easier.

The category icon is always the icon of the most popular Free App, which is currently Epocrates Rx. This is different from our poll that indicates Skyscape Medical Resources in the first position, probably because our poll is strictly pediatric!

The categorization done by Apple is somewhat inaccurate as there are still Apps that should be filtered and listed in the Health and Fitness category. For example “Eye Test” an app that is currently the second popular free app, is about how people [not necessarily professional] can test their visual acuity. This is definitely a general public app and should not be included in the Medical category.

The Medical category should include only those apps that are used by health care professionals and should not include those apps that can be used by the general mainstream users, Do you agree?

Hopefully, as more apps are developed the more they are specific and the more likely they will be sub-categorized so that eventually we’ll have the Pediatric Sub-category in the app store!

Kindle’s 385 Pediatric Titles

Saturday, December 13th, 2008

Since the appearance of gadgets in clinical practice the use of ebooks has been exponentially increasing ever after. As doctors and pediatricians found it quite easy to carry around their references and to have their entire library in their pockets.
So then we had the PDA and the SmartPhone and the Small PC roaming around with doctors as they walk into the hospital corridors.
But here’s just another gadget that have started to disseminate everywhere; the Kindle from Amazon.

This device simulates the traditional paper books to a great extent, so you have black and white non lit lines and paragraph that you can read in the sun shine with a size similar to the handbooks we used to carry before the digital era.

For a complete description check out this YouTube Video.

What’s interesting here for us pediatricians is that if you search for pediatric titles in the Kindle books library you will found [as of the date of this post] 385 titles!

This is certainly an evidence that there are people who are using Kindle for their pediatric needs and that publishers are not ignoring this electronic portal at all.

You can find a variety of titles like the Current Diagnosis and Treatment and the Neonatology: Management .. and many other consumer and patient targeted titles.

The platform does not compare to the PDA’s and Smartphones like the iPhone or Palm or Windows Mobiles because this is just an ebook reader so for example you’ll never see Epocrates or Pedisuite on Kindle.

And if you want an ebook reader for your PDA then you have many options like iSilo and Mobipocket readers that are compatible with any OS and they can do exactly the same functions that a Kindle can do and sometimes even better reading experience. Moreover, why should we spend $360 to get an ebook reader? for the same budget we can get the best PDA with web browsing, camera, emails, PIM, and all kinds of third party software and all of these are not available on Kindle.

However the Kindle phenomena will likely to escalate as it provides a convenient way of reading and does not take us away from the traditional tactile papers that we are comfortable with.

Pda4peds will maintain a list of recommended pediatric Kindle titles as judged by its authors and visitors. Have a look at the Kindle Pediatric Titles and tell us if we missed any.

Free Archimedes Versus Archimedes 360

Friday, November 28th, 2008

Skyscape Archimedes set of calculators is undoubtedly the most comprehensive clinical calculators tool that we can have on the PDA or Smartphones [If you agree or disagree participate in this poll].

Skyscape publishes Archimedes in two versions Free, and Archimedes 360 for $25 for all platforms and $19 for the iPhone.

The obvious question here is What’s the difference?

Skyscape titles are all equipped with Main Index so that when we type in the search box we can find what we want. In Archimedes the same calculator might be indexed twice or even more in the main index so that for example if we search for Pediatric maintenance fluids or maintenance fluids pediatrics we’ll be then linked to the same calculator. Which is not bad at all.

But the problem here is that what they mention on their website of the free Archimedes having 130+ and Archimedes 360 having 200+ is not precise because these are main index numbers and not actual number of calculators! So the difference is NOT 70+ between the two.

In fact, if you compare the two version side by side you’ll find that the difference is only 46 calculators [for a list of these calculators check this pda4peds page].

As far as we [pediatricians] are concerned with, we will not miss these calculators in the free version because these are not so commonly used formulas except perhaps for immunizations schedules and growth charts.

For the latter two, check out the vaccines and growth categories of pda4peds for a list of free resources.

So the advice still holds true, don’t waste the 25 bucks and be satisfied with the free version.

You can download the Free version here and you can buy the Archimedes 360 here.

SearchingPediatrics.com ‘ Googling Pediatrics!

Tuesday, November 18th, 2008

A new website searchingpediatrics.com has been recently launched; this website not only can be accessed on a desktop browser but also on any mobile phone that has browsing capability and it can be looked up on the go while we walk around the hospital corridors!

Here’s how it looked like on a Windows Mobile screen and similar pages will be seen with Palm and Blackberry but unfortunately it is not so easily navigated on the iPhone as you have to zoom in with every new page.

The idea is that when we search Google for a certain pediatric topic the search engine will look up all the billions of pages throughout the entire world wide web and not infrequently it may return search results that are not high yield or at least not of interest to us ‘pediatricians’.

This website essentially configures Google to search only the websites that pediatricians trust and rely on when looking up evidence based pediatric information online. So the Google Custom Search will look up emedicine, AAP policies and guidelines , Pediatrics journal, Bright Futures, Epocrates, and a number of other high profile pediatric online resources.

Consequently, it bypasses the burden of skimming and filtering mainstream Google results and delivers highly specific page results tailored to our pediatric needs. So for example I searched Google for Febrile Seizures and I searched searchingpediatrics.com for the same keyword [see screenshots above] and guess what? You’ll have all the unnecessary pages results removed such as those targeting consumers and general public and you’ll get only the results that we actually look for.

Isn’t that great? This is just like having a special Pediatric Google!

Now, You may or may not agree with the list of websites that this custom search includes and you can contact the site owner if you have any suggestion.

This is just another step towards web based applications where we actually find everything online instead of the traditional local computer or even PDA hard drives.

You can also have searchingpediatrics as your default search engine when you download the LinkedPeds toolbar.

The website is founded by Donna M. D’Alessandro, M.D the founder of Generalpediatrics.com a website that helped thousands of pediatricians locate useful pediatric information on the internet and we should really thank her for such a brilliant idea.

5 Min Ped Consult from Skyscape; $80 or $70!

Wednesday, October 22nd, 2008

At the time this post was written; Skyscape offered two versions of the 5 Minutes Pediatric Consult, one for $79.95 and another for $69.95!

The URL of the old [missing iPhone version] $70 price is here

http://www.skyscape.com/estore/productdetail.aspx?ProductId=1388

The URL of the New Skyscape versions with $80 price is here

http://www.skyscape.com/estore/ProductDetail.aspx?ProductID=2364

What’s going on!

It seems that they were upgrading products to include the new iPhone Subscription version and they did it here but they forgot to delete the old URL. But even if this is the case then why they increased the Standard version price to $79.95! The $69.95 price quote is standard from other vendors such as Unbound Medicine.

So is it really that they cheered us up with new lowered iPhone prices but meanwhile they gonna balance that off with an increased standard [Windows Mobile and Palm] prices!

Skyscape’s New Versions!

Wednesday, October 22nd, 2008

Recently Skyscape has started to offer two versions of their products namely Standard and Subscription Based!

Here’s how it looks on the product page:

The above example is what’s seen on the 5 Minutes Pediatric Consult product page. There’s a price issue about this particular product [read this post].

In a previous post we concluded that there is no point in Skyscape’s subscription as long as you can keep the title after the end of the subscription period and this is specially true as new editions of titles already have to be purchased altogether with no discounted upgrade price. It seems Skyscape has figured out the issue and they came up with this solution.

Here’s how they did it:

Pop up windows that appear when we click on the ? icon against each version [as seen in the picture above] exactly reads as follows:

Standard Version:

  • Free content updates for 12 months (not including new editions)
  • Continued use after 12 months (no updates)
  • 90 days phone support (chat and email ongoing)

Subscription Based Version:

  • Content updates include new editions
  • Convenient auto-renewal option for continued use
  • Ongoing phone, chat and email support
  • Device upgrade protection

Obviously they mean that the subscription based version will disappear if you don’t renew while the standard one will stay on your device.

Of note also is that the New subscription based version is only available for the iPhone! Perhaps they thought that the only that they can produce lower prices [to compete with the iTunes crazy low prices of apps] is by actually giving a one year subscription so that we keep paying them every year!

Even then their prices still far more expensive than the other iPhone apps that we’ve seen so far!

The Fantastic Six

Friday, September 19th, 2008

Many pediatric colleagues ask this question: What could be the best reference that I can ever have on my PDA?

To answer this question we must really pay attention to the word reference and the list of available pediatric references can be checked on that pda4peds category and you can vote for your best also. So what we are talking here is resources that you can use to replace your traditional textbooks.

But I wanted to mention here a special list of PDA resources that are really huge resources and can be relied on whenever a “textbook” is to be cross referenced.

The largest six [pediatric-useful] resources on the PDA are:

  1. UpToDate: this is untoubtedly the largest database ever available for the handheld and it’s obvious from it’s memory size “around 1 GB”.
  2. Pepid: This could be the most power ER reference available for our pediatric needs.
  3. Pedisuite: A database of all the common diseases and conditions discussed and presented in a user friendly format. Note that as of the date of this post Pedsuite ranks highest on pda4peds best all-in-one application poll.
  4. Essential Evidence +: Previously known as INFOPOEM as another great database oriented for primary physicians but these people share a lot of pediatric practice and it is really useful for the pediatrician.
  5. eMedicine: This could be the dream resource BUT unfortunately they discontinued the individual subscription option and is only accessible now by institutions through their imedicine website.
  6. Dynamed: Is the ideal example of an evidence based resource with huge collection of articles and drug index.

You would probably ask why Epocrates and Skyscape are dropped from the list and the answer is; for Epocrates their primary resource is the Epocrates Dx which is a good reference for quick access but not as vast as those mentioned above. In the case of Skyscape then the problem is that their resources are fragmented, in other words you don’t have a single title that encompasses all the knowledge base needed for the pediatrician and so it can not be regarded as a single fantastic resource and even their pediatric constillation is still shortcoming compared to those listed above. Skyscape and Epocrates are great PDA tools but when a pediatrician wants to check on a “textbook” then probably the six listed above are more satisfying.

The Fantastic Six

Friday, September 19th, 2008

Many pediatric colleagues ask this question: What could be the best reference that I can ever have on my PDA?

To answer this question we must really pay attention to the word reference and the list of available pediatric references can be checked on that pda4peds category and you can vote for your best also. So what we are talking here is resources that you can use to replace your traditional textbooks.

But I wanted to mention here a special list of PDA resources that are really huge resources and can be relied on whenever a “textbook” is to be cross referenced.

The largest six [pediatric-useful] resources on the PDA are:

  1. UpToDate: this is untoubtedly the largest database ever available for the handheld and it’s obvious from it’s memory size “around 1 GB”.
  2. Pepid: This could be the most power ER reference available for our pediatric needs.
  3. Pedisuite: A database of all the common diseases and conditions discussed and presented in a user friendly format. Note that as of the date of this post Pedsuite ranks highest on pda4peds best all-in-one application poll.
  4. Essential Evidence +: Previously known as INFOPOEM as another great database oriented for primary physicians but these people share a lot of pediatric practice and it is really useful for the pediatrician.
  5. eMedicine: This could be the dream resource BUT unfortunately they discontinued the individual subscription option and is only accessible now by institutions through their imedicine website.
  6. Dynamed: Is the ideal example of an evidence based resource with huge collection of articles and drug index.

You would probably ask why Epocrates and Skyscape are dropped from the list and the answer is; for Epocrates their primary resource is the Epocrates Dx which is a good reference for quick access but not as vast as those mentioned above. In the case of Skyscape then the problem is that their resources are fragmented, in other words you don’t have a single title that encompasses all the knowledge base needed for the pediatrician and so it can not be regarded as a single fantastic resource and even their pediatric constillation is still shortcoming compared to those listed above. Skyscape and Epocrates are great PDA tools but when a pediatrician wants to check on a “textbook” then probably the six listed above are more satisfying.

10 Things to keep using the PDA in Clinical Practice

Friday, September 12th, 2008

Many of our friends and colleagues are either reluctant to buy a PDA or they’ve got one but they just don’t utilize it in practice! so to tackle this issue we come up with some recommendations to get around this problem.

10 things that you should do to get yourself familiar with the PDA in clinical practice:

1- Get a good device: The issue here is not the hardware but rather the software what we call the operating system or OS. Try to get a device with an OS similar to what your co-workers are carrying so that you can troubleshoot together. Check the best OS guide and the Best device guide for further details.

    Tilt with a mouse

2- Take it with you: Don’t just be happy with it sitting idle in your locker/office or back at home. Carry it with you to the wards, ER, OR, and anywhere else. You will never know when you need it.

3- Make it your organizer: Keep your contacts, calendar, notes, emails, phone, videos, pictures, to do lists, and all your personal information in it. This is the way that will get you on the go and in no time you will feel that the handheld is actually indispensable in your day to day life.

4- Don’t be embarrassed: Many colleagues think that using the PDA in front of parents gives the impression of the lack of experience and confidence. On the contrary, patients and their families will consider you a hi-tech, concerned, careful, and an updated doctor.

5- Minimize the use of stylus: It might be the case that you just hate the waste of time and the inconvenience of getting the stylus out to navigate through the screen. Simply, lose the stylus and get yourself a touch device that allows single thumb navigation such as HTC Touch or iPhone.

6- Normal values: Checking the ideal patients weight, height … for his/her age and verifying the corresponding normal laboratory values will get you prepared for any patient and make you feel more confident before the encounter. The use of such daily tasks will get you used to the PDA gradually and you will then go for more complex tasks. Check the growth and development category for more.

7- Instant Answers: Just before seeing your ER patient and while you are in the elevator take your PDA out and see what could possibly causes hypokalemia and abdominal pain (using a DDx program) and check if your neonate’s alkaline phosphatase is really abnormal for his age (using a lab tool) and see if there are dangerous drug to drug interactions before filling your prescription. Questions like these can only be answered swiftly by the your handheld or by your seniror’s PC! If you get used to these simple tasks you will consider your PDA as your secret weapon.

8- Free Free Free: Yah I know that you hate paying for software so why don’t you check the list of wonderful free pediatric pda applications and give it a try.

9- CME: Shortage in credit hours and no time to travel to the conference, sounds familiar! Don’t bother yourself you can collect your credit at bed time reading or on your way to work via public transport. Check what CME available for the handheld.

10- Visit this blog and the pda4peds website often: Try to comment on this article and even write your own thoughts and get engaged with forums and stay updated of the latest.

For another version of this article check this pediatric pda guide.

Happy handhelding …