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Topics to be covered in each section are not listed in any particular order. This list is subject to revision at any time.
I. Introduction
- Three healthcare scenarios made possible by the Internet & Computer Technologies:
- Patient finding disease specific information and support groups
- Virtual Human in education and virtual surgery training
- Rural doctor obtaining specialty consult for patient case via telemedical
pathways.
- A strong case for the Internet. Healthcare can help guide its changes or be
guided by them.
II. Internet 101
- History and demographics of the Internet
- Timeline of the Internet and medicine on the Internet
- Quick overview of how the Internet works
- including Intranets & Extranets
- Societal Values of Cyberspace
- Netiquette
- Skepticism
- Internet communications favor collective input & non-linear processes
III. The Ways of Digital Media
- Key differences between information in print and information online
- Linearity of presentation vs. non-linearity
- linear � ordered progression, any piece of info depends on a much larger work for context.
- non-linear � independent packets of information, has ability to stand
alone without losing context.
- Emerging presence of "new media" in healthcare and in general society
- Distribution and control of electronic information
- Key Issue: Electronic Journals vs. Print Journals
IV. Internet Channels of Communication
- E-mail & mailing lists
- Newsgroups & discussion forums
- Chats
- Video conferencing, Internet phones
V. Services & Information Available on the World Wide Web
- General medical and specialty based meta-directories to WWW info.
- Electronic Textbooks
- News and current information
- Electronic Commerce � What buying and selling medical products/services over
the Internet.
- Multimedia medical reference databases/sites
- Internet Pathology Laboratory
- NLM AHCPR Clinical Practice guidelines
- Infectious disease outbreak tracking via the Internet
- Networking known genetic markers for cancer to improve rates of early
detection.
- Decision support calculators
drug interaction tabulators
- MEDLINE and other databases & literature collections online
- increasing availability of full text articles on demand
- vendor centralized full text vs. publisher centralized full text
VI. Telemedicine, Telehealth, & Informatics
- Telemedicine, telehealth, & informatics defined and brief history
- Evidence Based Medicine Overview
- Distance learning for primary or continuing medical education
- Practical uses for telemedical consult with specific examples
- The telepharmacy
- The virtual medical center? Can medical expertise be effectively assembled in a
virtual space?
- Electronic patient records costs and benefits
- Community Health Information Networks � dead, reviving, or evolving?
- Monitoring patient vitals remotely
VII. Surf or Swim: The future was here yesterday
- Evidence of increasing prominence of Internet
- Changes in the healthcare model
- Patient pressuring for medical consult online
- Healthcare as a business � The Internet is more than just advertising
- With speed of information increasing, standard medical knowledge base is more
volatile than ever & print may not be able to keep up cost-effectively
VIII. Side Effects of the Internet Treatment
- Productivity paradox of computer applications
- Getting online does not equal being online
- Past failures of telemedicine serve as a warning
- Copyright and Plagiarism hazards
- Privacy and security issues
- Concerns over quality of information online
IX. Using Internet Technology for Clinical Practices
- Patient education
- MEDLINE Plus
- Consumer Health sites
- Physician E-mail consultations
- Improve facility visibility
- Use the Internet to get important facts on new medical procedures/products
- Consult with peers
- Improve patient care team communication
- Expand the network of specialists involved for team based treatment approaches
X. Pioneering Examples of Today and the Outlook for the Future
- Society for the Internet in Medicine & MEDNET
- AMIA's the Medical Matrix
- University of Iowa's Virtual Hospital
- Pilot studies
- eLib programs (UK) and NLM initiatives
- Improvements in computer networking technology
- Increasing distribution of computing & Internet services in society
- Blurring lines between new and old media
- Improving search technology, smart agents, artificial intelligence
XI. Conclusion
XII. References
XIII. Appendices
- Reading list
- Quick guide to mailing list etiquette
- list of all web sites mentioned
- Quick guide to effective searching on the Internet
- More
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