PracticeLink Magazine

FALL 2018

The career development quarterly for physicians of all specialties, PracticeLink Magazine provides readers with feature articles, compensation stats, helpful job search tips—as well as recruitment ads from organizations across the U.S.

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42 F A ll 2018 Practice l ink.com T E C H N O T E S doesn't realize there can be serious harms, such as false results that cause unnecessary biopsies, or diagnoses of slow growing breast cancers that end up getting treatment but wouldn't have changed overall morbidity or mortality. One of the most interesting parts of the application is the section that shows how well mammograms perform in women with similar profiles. Here, users can see — with another pictograph — how many cases of breast cancer are caught by early screening compared to how many screenings return false positives. The u SPS t F's recommendation to take a patient's values into account isn't easy; the WCM BSD app handles this well. With their answers to eight statements, patients can help physicians better understand their opinions and feelings about early breast cancer screening. This truly empowers the patient. Clinicians with patients in their 40s who are considering mammograms should tell those patients to download the app and schedule a follow-up appointment to discuss the results. There's also an online version of the decision tool if patients don't want to use the app: bsd.med.cornell.edu. My only negative comment about the app is it isn't available for Android phones —yet. TreatHF The American College of Cardiology was one of the first medical societies to start launching medical apps for smartphones. Their more than 20 medical apps in the Apple App Store alone range from medical calculators to clinical decision support tools. Almost all of their apps are free to use, and they are a great resource for both cardiologists and primary care physicians managing patients with cardiovascular disease. Treat h F is an app from the ACC that focuses on helping providers manage patients who have heart failure. (This app addresses patients with reduced ejection fraction ( h Fr e F), not patients with preserved ejection fraction ( h Fp e F).) Treat h F is based on the ACC's Expert Consensus Decision Pathway for Optimization of Heart Failure Treatment and the 2017 ACC/A h A / h FSA Focused Update of the 2013 ACCF/A h A Guideline for the Management of Heart Failure. The app starts the heart failure assessment by asking NY h A classification, l V e F range, types of medications the patient is and isn't on, renal/hepatic function status, and age. From there, Treat h F gives advice related to the patient, such as medication change suggestions and even titrations of key medications. Medications and classes of key medications, specific dosing and frequency are all included in the suggestions. The last section of the app, "therapies," contains sections such as "guiding principles for treatment," further information on classes of medications, considerations for ICD placement and more. The app's user interface is clean and simple to use. Treat h F does a great job of using bullet points and dropdown menus to present a wealth of information in an easy-to-digest manner. ILTIFAT HUSAIN, M.D., is editor-in-chief and founder of iMedicalApps. com, the leading physician publication on digital medicine. He's also assistant professor of emergency medicine and director of medical app curriculum at Wake Forest School of Medicine. Learn more about our contributors on page 20. Win! Find your next practice—and enter to win a $500 gift card—at PracticeLink.com/Win. p Price: Free. Apple: apple.co/2JRuVdu Android: play.google.com/store/apps/details?id=org.acc.treathf

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