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The Five Steps to Tech Enlightenment. Enhancing Your Practice Through Technology Joshua Torrance, RPh, ACPR CABS 2018 September 22, 2018. Participation & Tutorials. Connect to this presentations polls at https://pollev.com/studybuffalo
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The Five Steps to Tech Enlightenment Enhancing Your Practice Through Technology Joshua Torrance, RPh, ACPR CABS 2018 September 22, 2018
Participation & Tutorials • Connect to this presentations polls at https://pollev.com/studybuffalo • Additional details, examples, and tutorials will be posted live on Twitter and can be followed at @StudyBuffalo #CABS2018 #TechEnlightenment • All posted resources also available online at https://studybuffalo.com/cabs2018/
Presenter Disclosure • Presenter’s Name: Joshua Torrance • I have Relationships with commercial interests: • Director of QlinicalRx Solutions Inc. • Speaking Fees for current program: • I have received no speaker’s fee for this learning activity
Commercial Support Disclosure • This program has received no financial or in-kind support from any commercial or other organization • All references to specific companies or trademarks are for illustrative purposes only and are not an endorsement
Objectives • By the end of this presentation you will be able to: • List at least 3 shortcuts you can use on your computer and/or mobile device to improve efficiency when completing patient assessments and documentation • Describe at least one application you could use to improve your practice • Describe how integrated health care systems can improve practice and patient care
Basic Tech Literacy Step 1 Building your foundational skills
Keyboard Shortcuts Mobile Shortcuts Email Rules & Filters
Great things are done by a series of small things brought together. - Vincent Van Gogh Keyboard Shortcuts
Keyboard Shortcuts • Keyboard shortcuts let you complete tasks without using your mouse • How to Use • Hold down the proper keys on the keyboard at the same time to trigger the shortcut • Benefits & Time Savings • Less time is spent moving from keyboard to mouse and back again • Less time spent looking for the proper button to complete the task
Great things are done by a series of small things brought together. - Vincent Van Gogh Mobile Shortcuts
iPhone Control Center and Dock • The Control Center is a group of applications, which are accessible by swiping up from the bottom of your screen • Note: selection of applications available here is controlled by Apple • The Dock is a row of applications on the bottom of your screen • How To Use • Customize your Control Center within your iPhone Settings • You can customize your Dock by tapping and holding an application on your screen • Benefits and Time Savings • Makes your frequently used applications more accessible • Control Center applications can be used without unlocking your phone
Android Phone Launcher and Widgets • Widgets are tools that you can use to view information or complete tasks without loading an app • The Launcher is a row of apps that you can access on any screen • How to Use • Generally you will click and hold on a blank part of your screen to let you customize your Launcher apps and Widgets • Benefits and Time Savings • Launcher makes your frequently used applications more accessible • Widgets let you quickly view frequently needed information or complete frequently completed tasks (e.g. calendar and email widgets)
Work is hard. Distractions are plentiful. And time is short. - Adam Hochschild Email Rules & Filters
Email Rules & Filters • Email rules and filters allow you to move, mark as read, and even delete emails automatically without having to view them • How To Use • Look in your email program (e.g. Microsoft Outlook, Gmail, Hotmail) for the menu option called “Rules” or “Filters” • Benefits & Time Savings • Low priority, repetitive, or recurrent emails can be dealt with automatically, saving you the time it would take to do this manually
Advanced Tech Literacy Step 2 Embracing you new technological prowess
Cloud Computing and Storage • The ‘Cloud’ is simply a computer you can access online, which lets you access documents and tools anywhere with internet access • How To Use • Sign up with an appropriate provider, including, but not limited to: • Benefits & Time Savings • Improved and quicker access to any of your resources, even when using new devices • Can be used to provide a backup of data to mitigate catastrophic device failures
Citation Managers Password Managers
The path to enlightenment is eased by proper organization and categorization. - A pharmacist, probably Citation Managers
Citation Managers • Citation manager lets you keep all your documents for eternity in an organized fashion • How to Use • Sign up with an appropriate provider, including, but not limited to: • Couple with cloud storage to make documents accessible anywhere • Note: some providers will do this automatically for you • Benefits & Time Savings • Less time spent looking up resources (either physically or electronically) • Automatic citation tools reduce time spent tagging content • Bibliography tools reduce time spent generating citations
You are only as secure as your weakest password. - Me Password Managers
Password Managers • Password managers store your passwords in a secure database and let you quickly fill out login forms • How to Use • Sign up with an appropriate provider, including, but not limited to: • Benefits & Time Savings • Less time entering usernames and passwords • Less time dealing with complex password rules • Significantly improves password security
Practising with Practice Tools Step 3 Putting your new skills to the test
You need only look to the palm of your hand for the answer to all of life’s hard questions Apps
Practising with Practice Tools • Mobile and online applications are ubiquitous in all pharmacy practice areas • Forcing yourself to practise with these tools and using them more efficiently will translate to time savings that gradually add up throughout your day • Benefits & Time Savings • Less time spent trying to navigate the application • Less time spent logging into another device to access information • Using electronic resources ensures more up-to-date information
The Basic Utility Belt • Apps that are likely to be used multiple times a day - you should be very comfortable using a few of these to see the maximum benefit • Drug Information • Lexicomp • Micromedex • RxTx • RxFiles • Treatment Information • DynaMed & DynaMed Plus • UpToDate
The Specialty Utility Belt • Specialty apps that may be relevant to specific practice areas and may get frequent use • Cardiac, Anticoagulation • iCCS (Canadian Cardiovascular Society) • Hypertension Canada Guidelines • Thrombosis (Thrombosis Canada) • CredibleMeds (for QTc prolonging medications) • Diabetes • Canadian Diabetes Guidelines • bbit.ca (website)
The Specialty Utility Belt • Specialty apps that may be relevant to specific practice areas and may get frequent use • Infectious Diseases • Bugs & Drugs • Sanford Guide to Antimicrobial Therapy • Spectrum • Medications in Pregnancy & Lactation • LactMed
The Specialty Utility Belt • Specialty apps that may be relevant to specific practice areas and may get frequent use • Pain Management • Care Beyond Cure (eBook) • Self-Use Anxiety Management • MindShift • Self-help Anxiety Management (SAM)
The Extremely Niche Utility Belt • CT Image interpretation? Check. • Ultrasound interpretation? Oh yes. • Timing CPR chest compressions? Yep. • Timing your own contractions? You better believe it.
Advancing Knowledge with Technology Step 4 Bettering yourself with technology
Passive Learning Active Learning
A library serves no purpose unless someone is using it Pre-Appraised & Passive Learning
Passive Learning • Learning that you do not need to directly engage in • May be less effective, but often more convenient • Benefits & Time Savings • Less time spent looking up information, doing additional research • Can often be completed whenever you have a spare moment
Passive Learning • Literature Summaries and Appraisals • Journal Alert Services • Service notifies you when new articles are published in your field(s) of interest • Often will include ratings on relevance and importance of the article, as well as some level of appraisal • Examples: NEJM Journal Watch, EvidenceAlerts, Read by QxMD, ACP JournalWise • Wiki Journal Club • Concise summaries of landmark trials in a “wiki” format
Passive Learning • Twitter & Tweetorial • Tweetorial: Health care professionals string together a series of tweets to provide education on a topic in short, easy to consume blurbs • Examples: • @DavidJuurlink (Dr. David Juurlink – Internal Medicine, Clinical Pharmacology/Toxicology) • @psufka (Dr. Paul Sufka – Rheumatologist) • @tony_breu (Dr. Tony Breu – Hospitalist) • @VPplenarysesh (Dr. Vinay Prasad – HemeOnc)
Passive Learning • Podcasts • Informative and educational audio and video podcasts can educate you on a variety of topics • Examples: • Emergency Medicine Cases (Emergency Medicine) • Behind the Knife (Surgery) • BS Medicine (EBM & General Medicine) • Bedside Rounds (General Medicine) • The Curbsiders (General Medicine)
Learning is best experienced & utilized first hand Active Learning
Active Learning • Learning activities that require your direct engagement • Take more attention/focus, but learning is more likely to be retained • Benefits & Time Savings • More likely for you to remember information • New applications can let you complete active learning in just a few minutes whenever you have spare time
Active Learning • Flashcard & Quiz Applications • Applications that let you create and quiz yourself on any topic of your choosing • Many communities already exist that have developed resources you can use • Examples • Brainscape • Kahoot!
Active Learning • Pharmacy 5in5 • Tailored pharmacist education designed to be completed in 5 minutes • Gives you quizzes and immediate feedback on the topics
We are the Borg. Your biological and technological distinctiveness will be added to our own… -The Borg Collective Crowdsourcing
Crowdsourcing • Tools that let you collaborate with multiple health care professionals to learn and solve clinical questions • Examples • CSHP Pharmacy Specialty Networks • Figure 1 • Benefits & Time Savings • May provide you guidance on complex clinical questions in a fraction of the time it would take for you to research the information yourself • Also provides a good source of learning material on real life cases
What do you see? What do you think caused this? https://app.figure1.com/images/5b6a5b836ecb7e1000b2aa4c
AssimilationIntegrating Practice with Technology Step 5 …Resistance is futile. Transforming the world of health care