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Articles by Nicholas Genes, MD, PhD
Technology

altWe store our email online. Documents. Photos. Financial information. Various companies offer these services, and one -- Google -- does them all, very well, for free. Why not add health information to the mix?

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Technology

When I left Manhattan for the Society of Academic Emergency Medicine (SAEM) annual meeting in Boston, I was ready for a change of scenery. We had gone live with a new information system in our emergency department just a month before. While the vendors thought it went smoothly enough, and the financial hit seemed (for the most part) mitigated, I was still fielding a lot of requests from my physician colleagues.

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Current Features

In this series, much space has been dedicated to explaining the changes coming to emergency medicine as hospitals try to qualify for federal stimulus dollars, by demonstrating meaningful use of electronic health records. But as these changes unfold, another tech revolution is taking place in health care – the way patients interact with each other, and with health organizations, using social media. 

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Current Features

EHR drug-drug interaction warnings may ultimately save lives, but does the collateral damage of “alert fatigue” negate the benefit?

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Current Features

EP-turned-CMIO Steven Davidson talks frankly about the challenges of qualifying for Meaningful Use.

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Features

You may not have realized it, but in recent months there has been a fundamental reordering of the way hospitals are regarding electronic health records (EHR), thanks to what some are calling the single most potent federal effort to change health care delivery in decades (Jha 2010). Part I in a new series edited by Nicholas Genes, MD, PhD

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New Research

I am interested in keeping up on some academic topics I explored in residency, and furthering my various role(s) in my department. That means I’ve got to stay on top of an array of specialized news sources – from journals in several specialties, press releases, and web sites. A few years ago, this would’ve meant maintaining a hodgepodge of print and electronic resources, forcing me to thumb through a lot of journals’ tables of contents each month, or navigate dozens of bookmarks in my browser.

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Features

altA few of you might be reading this on your new iPads. The rest of you are probably sick of the speculation and hype that Apple’s new tablet will transform the publishing world, just as the iPhone changed mobile phones and the iPod revolutionized the music industry. But a more relevant question for us is: “Can the iPad change the way we work in the emergency department?” I sure hope so.

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Work + Life

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I’ll get the shot, but what’s next?   

When I first heard about the requirement that emergency physicians in New York receive the H1N1 vaccination, I shrugged. Doctors in general and newly-graduated residents (like me) in particular are used to jumping through a lot of hoops for the privilege of practicing medicine. This year alone I've paid thousands of dollars and filled out hundreds of pages of forms for insurers, hospital credentialing, state and DEA licensure, and board certification. I've provided countless administrators with bits of my medical record, from vaccination logs to viral titers to PPD results. If I skimped on any of this, I wouldn't be allowed to work.
From this standpoint, what's the big deal about a mandatory flu shot?
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