1 00:00:00,080 --> 00:00:02,800 On today's podcast, we are featuring Doctor Anne 2 00:00:02,880 --> 00:00:05,920 Meneghetti, the physician executive at Apocrates. 3 00:00:05,920 --> 00:00:08,920 That's right, the app we've all loaded on our phones but have 4 00:00:08,920 --> 00:00:11,600 let go dormant. Guilty. 5 00:00:11,840 --> 00:00:14,840 But she's going to have you updating the app or re 6 00:00:14,840 --> 00:00:17,160 downloading it on your phone after this episode. 7 00:00:17,320 --> 00:00:19,640 Trust me. But before we get into this 8 00:00:19,640 --> 00:00:23,760 episode for this month, I wanted to tell the NPS about signing up 9 00:00:23,880 --> 00:00:29,760 for the TDC's group live webinar titled Risk Realities and 10 00:00:29,760 --> 00:00:33,840 Insights into Medical Liability Exposure for Advanced Practice 11 00:00:33,840 --> 00:00:37,480 Clinicians. It is on October the 23rd and 12 00:00:37,480 --> 00:00:42,120 you earn one hour of CME credit while gaining valuable insights. 13 00:00:42,680 --> 00:00:46,440 As advanced practice providers gain greater clinical autonomy, 14 00:00:46,600 --> 00:00:49,360 their exposure to malpractice risk grows. 15 00:00:49,880 --> 00:00:53,200 Register today. Link in the show notes Attention 16 00:00:53,200 --> 00:00:55,040 all nurse practitioners and MP students. 17 00:00:55,080 --> 00:00:57,440 Are you tired of feeling the disconnect between clinical 18 00:00:57,440 --> 00:01:02,040 rotations and didactic teaching? Say hello to success in PS 19 00:01:02,080 --> 00:01:05,880 clinical booklet guides. As NPS ourselves, we know how 20 00:01:05,880 --> 00:01:08,160 valuable it is to have a resource that helps bridge the 21 00:01:08,160 --> 00:01:11,720 gap between clinical and class, So we created the digital 22 00:01:11,720 --> 00:01:15,480 resource to do just that. Our clinical booklets cover five 23 00:01:15,480 --> 00:01:20,000 major NP tracks. Psych Adult Pete's family and 24 00:01:20,000 --> 00:01:23,360 Women's Health success. NPS wants to create tools and 25 00:01:23,360 --> 00:01:25,440 provide support. NPS need to thrive in their 26 00:01:25,440 --> 00:01:27,440 careers. So why wait? 27 00:01:27,480 --> 00:01:31,240 Check out our Success NP Etsy shop, LinkedIn, the show notes 28 00:01:31,400 --> 00:01:35,160 for our digital guides and other digital clinical resources. 29 00:01:35,560 --> 00:01:42,120 Hi Success NP, your host here, Sandra and I am joined today by 30 00:01:42,280 --> 00:01:47,600 Doctor Anne Menegetti. She is an MD physician executive 31 00:01:47,800 --> 00:01:51,040 who leads the medical information team at Upocrates. 32 00:01:51,200 --> 00:01:55,360 Upocrates, as you may know is a widely used mobile medical 33 00:01:55,360 --> 00:01:57,760 reference application that provides healthcare 34 00:01:57,760 --> 00:02:01,440 professionals with access to clinical information, drug 35 00:02:01,440 --> 00:02:05,480 information at points of care. So Anne has medical training in 36 00:02:05,480 --> 00:02:08,360 internal medicine, pulmonary medicine, critical care 37 00:02:08,360 --> 00:02:11,920 specialties, and she's also worked in healthcare policy 38 00:02:12,080 --> 00:02:15,520 before joining the Hippocrates team in 2006. 39 00:02:15,760 --> 00:02:18,920 Her team curates clinical decision support tools for 40 00:02:18,920 --> 00:02:22,080 moments of care. Welcome to the podcast, Anne. 41 00:02:22,160 --> 00:02:23,920 Thank you for having me, Sandra. Yeah. 42 00:02:24,400 --> 00:02:26,800 Well, we're so excited to dive into what you do. 43 00:02:26,800 --> 00:02:30,400 And again, she's Anne with an E, which all those people that like 44 00:02:30,480 --> 00:02:33,120 Anne of Green Gables know that that's the best way to smell 45 00:02:33,120 --> 00:02:34,600 Anne. Barring my daughter, that's the 46 00:02:34,600 --> 00:02:36,280 only one that gets the pass. OK. 47 00:02:36,400 --> 00:02:38,840 So tell us a little bit more about your clinical background 48 00:02:39,040 --> 00:02:40,920 and your role at Epocrates. Sure. 49 00:02:41,160 --> 00:02:44,960 I had those three board certifications really digging 50 00:02:44,960 --> 00:02:49,200 into clinical practice at in internal medicine, pulmonary and 51 00:02:49,200 --> 00:02:53,880 critical care. And then it was one day I was at 52 00:02:54,000 --> 00:02:58,880 in a clinic and waiting for the next patient to arrive. 53 00:02:58,960 --> 00:03:03,920 And I started thinking, how many patients am I going to see in a 54 00:03:03,920 --> 00:03:07,640 day, in a week, in a year, in a, in a career? 55 00:03:07,640 --> 00:03:11,240 And I thought it's a small number, even though I calculated 56 00:03:11,240 --> 00:03:13,160 it out on the back of a prescription pad. 57 00:03:13,440 --> 00:03:16,560 I thought this is just a small number and I wanted to make a 58 00:03:16,560 --> 00:03:20,160 bigger difference in the world. And so I thought about three 59 00:03:20,160 --> 00:03:24,200 ways I could do that. I thought about teaching and I 60 00:03:24,200 --> 00:03:27,920 thought about medical research and healthcare policy, and I 61 00:03:27,920 --> 00:03:30,440 thought those are ways I can really make a big difference. 62 00:03:30,440 --> 00:03:33,880 And I tried all of those. And in the end it was really the 63 00:03:33,880 --> 00:03:37,920 job at Hippocrates that I found out about where a million 64 00:03:37,920 --> 00:03:41,200 clinicians could benefit from the information that is put 65 00:03:41,200 --> 00:03:43,440 together for use at the point of care. 66 00:03:43,600 --> 00:03:47,080 That really was my dream job. And when I read the job 67 00:03:47,080 --> 00:03:50,480 description, I thought there's probably people who are Better 68 00:03:50,640 --> 00:03:54,960 Business people than me, better at technical expertise than me, 69 00:03:55,560 --> 00:03:58,240 people who are better clinicians than I am. 70 00:03:58,440 --> 00:04:01,720 And yet when I saw that job description about gathering 71 00:04:01,720 --> 00:04:04,560 information for clinicians to use at the point of care, I 72 00:04:04,560 --> 00:04:07,600 thought there is nobody who is going to be more passionate 73 00:04:07,600 --> 00:04:11,920 about this role than I am. And I was intent on getting that 74 00:04:11,920 --> 00:04:16,640 role and I've been here ever since 2006 at Epocrates and now 75 00:04:16,640 --> 00:04:18,920 I lead the team that I joined so many years ago. 76 00:04:19,120 --> 00:04:21,560 It was my dream job. Wow, wow. 77 00:04:21,880 --> 00:04:26,400 That moment of inflection, that moment in your career where you 78 00:04:26,400 --> 00:04:31,120 decided how can I create the most impacts and then getting 79 00:04:31,120 --> 00:04:34,560 that opportunity, you know, kind of presented to you call it 80 00:04:34,560 --> 00:04:40,040 luck, call it divine next steps, but I love that it started with 81 00:04:40,040 --> 00:04:43,520 a seed of how can I create maximum impact in my in my 82 00:04:43,520 --> 00:04:45,000 career. That's so neat. 83 00:04:45,160 --> 00:04:50,480 So for the listeners that might be new exactly is Epocrates if 84 00:04:50,480 --> 00:04:52,880 they've been living under a rock and don't know, I mean, it's, 85 00:04:53,120 --> 00:04:56,480 it's everywhere, right. So what are its main features? 86 00:04:56,480 --> 00:05:01,280 Kind of walk us through with the with the Epocrates app does in 87 00:05:01,280 --> 00:05:02,200 itself. Sure. 88 00:05:02,360 --> 00:05:05,640 So it's a critical decision support app, which just simply 89 00:05:05,640 --> 00:05:08,960 means when you have a decision to make at the point of care, 90 00:05:09,120 --> 00:05:12,960 where do you go for support? So it's a an app on mobile and 91 00:05:12,960 --> 00:05:15,680 web that's used by over a million healthcare 92 00:05:15,680 --> 00:05:19,200 professionals. And for 10 years running, it's 93 00:05:19,200 --> 00:05:22,520 been the number one mobile medical app by outside surveys 94 00:05:22,520 --> 00:05:26,120 in terms of usage. And the, the main core thing 95 00:05:26,120 --> 00:05:29,040 we're known for is drug information, drug prescribing 96 00:05:29,040 --> 00:05:32,920 information, safety information, drug interactions. 97 00:05:32,920 --> 00:05:37,120 And what clinicians tell us when we interview them by self report 98 00:05:37,120 --> 00:05:40,440 is we ask them like how much time do you save by using 99 00:05:40,440 --> 00:05:43,480 Epocrates? And we also ask them, how has it 100 00:05:43,480 --> 00:05:46,600 improved the safety of the care that you give in terms of 101 00:05:46,600 --> 00:05:49,240 avoiding medical errors or adverse events? 102 00:05:49,240 --> 00:05:51,480 And we do this survey every few years. 103 00:05:51,520 --> 00:05:55,240 And what nurse practitioners specifically tell us when we 104 00:05:55,240 --> 00:06:00,400 asked them this question is that they self report that 30% of 105 00:06:00,400 --> 00:06:03,640 them say they save an hour a day. 106 00:06:03,800 --> 00:06:06,440 Wow. More administrative and practice 107 00:06:06,440 --> 00:06:11,000 time by using Hippocrates, which is huge, which is more than is 108 00:06:11,000 --> 00:06:12,960 reported from physicians using the app. 109 00:06:13,040 --> 00:06:16,680 And then another quarter say that they save 30 minutes to an 110 00:06:16,680 --> 00:06:19,920 hour a day by using the Pocrates and 50. 111 00:06:19,920 --> 00:06:22,640 Percent, I mean. I mean, I don't need to tell you 112 00:06:22,640 --> 00:06:26,440 how precious that time is, you know, to be able to see another 113 00:06:26,440 --> 00:06:30,320 patient or two, to be able to finish your documentation on 114 00:06:30,320 --> 00:06:33,720 time, to be able to get home to your life, that's precious time 115 00:06:33,800 --> 00:06:36,760 in the life of a clinician. So that's pretty impressive. 116 00:06:36,800 --> 00:06:40,320 The other value prop is about avoiding medical errors. 117 00:06:40,440 --> 00:06:43,520 And in that same survey, when we asked nurse practitioners how 118 00:06:43,520 --> 00:06:47,760 many errors do you think you avoid or adverse events, let's 119 00:06:47,760 --> 00:06:51,240 say from prescribing the wrong drug or whatever, about 1/4 of 120 00:06:51,240 --> 00:06:55,920 nurse practitioners reported that they save about 3 errors or 121 00:06:55,920 --> 00:06:59,160 adverse events per week, and another third said they save 122 00:06:59,160 --> 00:07:02,480 about one a week. So that idea that it's helping 123 00:07:02,480 --> 00:07:05,480 you practice more safely and that it's saving you time are 124 00:07:05,480 --> 00:07:08,280 those are the 2 value props I think that have made the app 125 00:07:08,400 --> 00:07:12,640 most valuable to clinicians. And in terms of what they're 126 00:07:12,640 --> 00:07:15,360 doing in the app, nurse practitioners are looking at a 127 00:07:15,360 --> 00:07:20,320 lot of drugs, antibiotics, drugs for anxiety, pain management, 128 00:07:20,320 --> 00:07:23,600 depression, allergy, asthma, heart failure, etcetera. 129 00:07:23,680 --> 00:07:26,040 They're looking up a large number of drugs and drug 130 00:07:26,040 --> 00:07:30,000 interactions. When you think about it, EHR can 131 00:07:30,000 --> 00:07:33,840 help avoid like some of the most serious drug interactions if 132 00:07:33,840 --> 00:07:36,080 something would be life threatening if you gave 2 drugs 133 00:07:36,080 --> 00:07:39,880 together, for example. But what Hippocrates does is it 134 00:07:40,080 --> 00:07:43,360 gives practical actionable information. 135 00:07:43,360 --> 00:07:46,560 For example, it'll say if you give this drug with that drug, 136 00:07:46,840 --> 00:07:50,880 you should half the dose of this drug and watch for the potassium 137 00:07:50,880 --> 00:07:52,240 level. Monitor that. 138 00:07:52,360 --> 00:07:55,160 So it's more specific and actionable than you would get 139 00:07:55,160 --> 00:08:00,360 from San ER and well gives more actionable details. 140 00:08:00,480 --> 00:08:04,000 In fact, nurse practitioners as well as other clinicians say 141 00:08:04,000 --> 00:08:08,000 that of all the content and Hippocrates, what is most likely 142 00:08:08,000 --> 00:08:11,320 to change their prescribing decision is those drug 143 00:08:11,320 --> 00:08:13,960 interactions. So it's a real value. 144 00:08:14,120 --> 00:08:17,160 Then in addition to the drugs, we also have other content. 145 00:08:17,200 --> 00:08:20,440 We have disease information, diagnostic information, clinical 146 00:08:20,440 --> 00:08:24,360 practice guidelines, we have laboratory interpretation and 147 00:08:24,360 --> 00:08:27,440 other things. And yet our drug information is, 148 00:08:27,600 --> 00:08:30,320 I think the best in the world. So it's what's most used about 149 00:08:30,320 --> 00:08:33,000 our. Yeah, one of the value adds too 150 00:08:33,159 --> 00:08:37,760 is the stress, because as you are in practice and you're like, 151 00:08:38,039 --> 00:08:41,400 OK, I don't know what to give. I don't know how to give it, you 152 00:08:41,400 --> 00:08:44,240 know, or even going home and ruminating that you didn't make 153 00:08:44,240 --> 00:08:46,280 the right call, you didn't make the right decision. 154 00:08:46,280 --> 00:08:48,720 I know that feeling. And so I was thinking as you 155 00:08:48,720 --> 00:08:51,960 were talking like, and this would just alleviate stress too, 156 00:08:52,920 --> 00:08:55,520 not the time. Not just, you know, being able 157 00:08:55,520 --> 00:08:58,080 to do other things, see more patients, but also just the 158 00:08:58,480 --> 00:09:02,720 stress of having a second opinion back behind you, kind of 159 00:09:02,720 --> 00:09:05,360 helping you make decisions because it becomes again, 160 00:09:05,360 --> 00:09:07,200 there's an art in medicine, right? 161 00:09:07,320 --> 00:09:10,400 We're all making kind of specialized decisions. 162 00:09:10,520 --> 00:09:12,960 Yes, they're clinical guidelines that you follow, but there's 163 00:09:12,960 --> 00:09:16,360 some nuance all within those different things and decisions 164 00:09:16,360 --> 00:09:18,440 that you make. And so I just felt like another 165 00:09:18,440 --> 00:09:21,720 value add would just be it would kind of lower the stress. 166 00:09:21,720 --> 00:09:24,960 I'm not as worried because I researched this and looked it up 167 00:09:24,960 --> 00:09:28,280 before I made that decision. And it's anticipating things 168 00:09:28,280 --> 00:09:31,040 that I may not have thought of, which is always is the fear, 169 00:09:31,280 --> 00:09:33,200 right? It's such a confidence boost. 170 00:09:33,200 --> 00:09:36,000 In fact, there's a story I wanted to tell you a few years 171 00:09:36,000 --> 00:09:37,240 ago. I was speaking with a nurse 172 00:09:37,240 --> 00:09:41,040 practitioner at a conference in Boston, and she uses Epocrates. 173 00:09:41,040 --> 00:09:43,520 Epocrates Plus, the premium version of the app. 174 00:09:44,320 --> 00:09:47,520 And she said to me something that has really stayed with me. 175 00:09:47,520 --> 00:09:51,520 She said a physician might feel comfortable just acting on a 176 00:09:51,520 --> 00:09:54,800 hunch or making a clinical decision, just going with their 177 00:09:54,800 --> 00:09:57,280 gut or trying something unconventional. 178 00:09:57,320 --> 00:10:01,080 But she said that she feels most confident when she is aligning 179 00:10:01,080 --> 00:10:05,040 her clinical decisions with the highest standard of care. 180 00:10:05,080 --> 00:10:10,520 And she would use Hippocrates Plus to research her decision 181 00:10:10,520 --> 00:10:12,920 and get answers very quickly, within seconds. 182 00:10:13,040 --> 00:10:15,160 And then she would she'd actually chart it. 183 00:10:15,160 --> 00:10:17,560 She would put in her documentation. 184 00:10:17,760 --> 00:10:21,240 I used Epocrates to make this decision about this path 185 00:10:21,240 --> 00:10:23,760 forward. And it gave her this kind of 186 00:10:23,760 --> 00:10:27,400 confidence that she was doing the best thing for her patients. 187 00:10:27,680 --> 00:10:32,400 And so citing Epocrates in her notes and documentation was her 188 00:10:32,400 --> 00:10:36,120 way of really reassuring herself and anyone else who might be 189 00:10:36,120 --> 00:10:39,920 interested in looking at that record that she was doing the 190 00:10:39,920 --> 00:10:44,000 best to align with, you know, a trusted source for her clinical 191 00:10:44,000 --> 00:10:45,760 reference. And I was really impressed by 192 00:10:45,760 --> 00:10:47,720 that, and it really resonated with me. 193 00:10:47,720 --> 00:10:50,200 When you think about it, we all carry around a lot of knowledge 194 00:10:50,200 --> 00:10:51,920 in our heads, things we've learned. 195 00:10:52,000 --> 00:10:54,640 We've knowledge we've gained from our own experience. 196 00:10:55,000 --> 00:10:57,920 We've learned from our problems. Yeah, we've learned from our 197 00:10:57,920 --> 00:11:01,080 patients, you know, but sometimes the reason to consult 198 00:11:01,080 --> 00:11:04,520 Hippocrates is simply to reassure ourselves that we're 199 00:11:04,520 --> 00:11:06,440 doing the right thing. Yes, that's what I thought it 200 00:11:06,440 --> 00:11:08,280 was. So it's not always a big 201 00:11:08,280 --> 00:11:10,720 learning experience. It could be simply a 202 00:11:10,720 --> 00:11:14,400 reassurance, yes, that is the dose of amoxicillin for this 203 00:11:14,400 --> 00:11:16,600 aged child and that's that's a comfort. 204 00:11:16,760 --> 00:11:21,320 So I think that's a really important value is just that 205 00:11:21,320 --> 00:11:24,040 that reassuring ones. You know, this also brings up 206 00:11:24,360 --> 00:11:29,160 the idea of sometimes we do need to understand what is the the 207 00:11:29,200 --> 00:11:32,400 expert opinion or the best way forward when there when there is 208 00:11:32,400 --> 00:11:34,160 uncertainty. Let's take something as simple 209 00:11:34,160 --> 00:11:36,360 as cough. Very common reason for office 210 00:11:36,360 --> 00:11:38,680 visit. You know, a cough could be an 211 00:11:38,680 --> 00:11:41,960 infection, it could be asthma, could be allergies, it could be 212 00:11:42,480 --> 00:11:45,960 post nasal drip, upper airway cough syndrome, neosilic 213 00:11:46,040 --> 00:11:48,280 asthmatic eosinophilic bronchitis. 214 00:11:48,280 --> 00:11:50,600 It could be cough from ACE inhibitors. 215 00:11:50,600 --> 00:11:54,040 It could be so many things. And then for some of those cough 216 00:11:54,040 --> 00:11:57,040 conditions, there are good treatments, but for a lot of 217 00:11:57,040 --> 00:12:00,400 them, there's not really, you know, for a typical cough from 218 00:12:00,400 --> 00:12:04,040 say a cold or something. And so it's good to know like 219 00:12:04,240 --> 00:12:08,160 what have experts done to look at all the evidence, to look at 220 00:12:08,160 --> 00:12:11,760 the what evidence is out there scientifically, but also bring 221 00:12:11,760 --> 00:12:15,640 to bear their many years of clinical experience together and 222 00:12:15,640 --> 00:12:18,920 form a consensus opinion and put it together in a clinical 223 00:12:18,920 --> 00:12:21,880 practice guideline that is precious. 224 00:12:22,320 --> 00:12:26,120 So nurse practitioners especially we've noticed really 225 00:12:26,120 --> 00:12:32,120 value that medical society imprimatur of yes, this is the 226 00:12:32,120 --> 00:12:36,200 guideline that we have concluded is the best standard of care 227 00:12:36,200 --> 00:12:38,800 based on everything. So in a poverty is what we've 228 00:12:38,800 --> 00:12:42,560 done is take like those clinical practice guidelines. 229 00:12:42,560 --> 00:12:47,120 They might be 80 pages long in a PDF and we distilled them down 230 00:12:47,120 --> 00:12:50,960 into if your patient has these features, this is what you 231 00:12:50,960 --> 00:12:52,840 should do according to this guideline. 232 00:12:52,920 --> 00:12:56,360 And sometimes the different societies have different 233 00:12:56,360 --> 00:12:59,400 viewpoints, you know, like let's say on something like Pap smears 234 00:12:59,400 --> 00:13:02,160 or mammograms. The American Cancer Society, the 235 00:13:02,160 --> 00:13:05,640 American Society of Clinical Oncologist, ACOG, American 236 00:13:05,640 --> 00:13:08,800 College of Physicians, They may differ in their opinions. 237 00:13:08,960 --> 00:13:12,440 So you know, we present a synthesis of them and say like, 238 00:13:12,440 --> 00:13:16,280 well, these two say this, these other societies say that and you 239 00:13:16,280 --> 00:13:18,640 tailor it to whatever your patient needs. 240 00:13:19,000 --> 00:13:22,840 But being able to take all of those really lengthy guideline 241 00:13:22,840 --> 00:13:26,160 documents and distill them into something very quick is kind of 242 00:13:26,160 --> 00:13:27,800 one of our specialties in Epocrates. 243 00:13:27,800 --> 00:13:31,000 And I think that's one of the top secret features of Epocrates 244 00:13:31,000 --> 00:13:33,920 that I think some people don't know about is the clinical 245 00:13:33,920 --> 00:13:37,120 practice guidelines, synopsis and synthesis. 246 00:13:37,120 --> 00:13:41,720 Epocrates in general, we aim to give answers in like 90 seconds 247 00:13:41,840 --> 00:13:44,600 to questions that people have at the point of care. 248 00:13:44,760 --> 00:13:48,320 So taking something like multiple society guidelines and 249 00:13:48,320 --> 00:13:52,560 distilling the down into that 92nd experience that you can use 250 00:13:52,560 --> 00:13:55,040 with a patient in front of you is really precious. 251 00:13:55,160 --> 00:13:57,680 So we hear from nurse practitioners that they 252 00:13:57,680 --> 00:14:00,480 especially value this kind of guidance. 253 00:14:00,480 --> 00:14:02,040 It gives them a great reassurance. 254 00:14:02,040 --> 00:14:05,760 Other MD's and other clinician types also really value those 255 00:14:05,760 --> 00:14:09,280 society guidelines. Wow, I did not know that about 256 00:14:09,280 --> 00:14:12,440 the Apocrates app. And that is a game changer 257 00:14:12,600 --> 00:14:15,720 because in clinical practice, even now, I can tell you that 258 00:14:15,720 --> 00:14:20,920 the NCCN guidelines for urology and the PA guidelines are very, 259 00:14:20,920 --> 00:14:23,520 very different. And so sometimes certain 260 00:14:23,520 --> 00:14:26,840 physicians will have these memorize and that's what they go 261 00:14:26,840 --> 00:14:29,000 off of. And we'll go into the chart and 262 00:14:29,000 --> 00:14:30,720 we're like, wait, why are we doing this this soon? 263 00:14:30,720 --> 00:14:32,200 Shouldn't we? But they're following a 264 00:14:32,200 --> 00:14:35,600 different set of guidelines. And so again, what you're saying 265 00:14:35,600 --> 00:14:40,120 is so critical to practice as an MP because you kind of never 266 00:14:40,120 --> 00:14:43,440 know, again, like that ardent medicine, they're all kind of 267 00:14:43,440 --> 00:14:45,400 doing their own thing. And sometimes you need that 268 00:14:45,400 --> 00:14:48,320 reassurance that what you're doing is the right thing. 269 00:14:48,440 --> 00:14:52,360 What you're doing is, you know, referencing back to this point, 270 00:14:52,360 --> 00:14:54,560 it's not my opinion. I'm not making this up. 271 00:14:54,800 --> 00:14:57,280 This is coming from sources bigger and greater than me, 272 00:14:57,440 --> 00:15:01,240 which again from a clinical guideline, from a legality 273 00:15:01,240 --> 00:15:03,560 standpoint, all the things that we are worried about in 274 00:15:03,560 --> 00:15:06,320 practice, they really bar to help support the nurse 275 00:15:06,320 --> 00:15:07,960 practitioner as they're making decisions. 276 00:15:07,960 --> 00:15:11,560 Especially in specialty clinics where you have an 80 page 277 00:15:11,560 --> 00:15:14,240 document that you're reading in between patients. 278 00:15:14,240 --> 00:15:17,240 It's not realistic. It's not a realistic expectation 279 00:15:17,320 --> 00:15:20,000 that in between seeing patients you're going to be able to find 280 00:15:20,000 --> 00:15:23,680 the thing that you need in that moment on the 80 page PDF. 281 00:15:23,880 --> 00:15:27,280 So it is nice to know that Epocrates has that has bridged 282 00:15:27,280 --> 00:15:30,640 that gap for us in practice. That's, that's excellent. 283 00:15:30,720 --> 00:15:33,520 Can Appocrates be used to educate patients? 284 00:15:33,520 --> 00:15:37,040 Because that's another big part of I think the nursing model. 285 00:15:37,040 --> 00:15:41,680 Our nursing model is very heavily reliant on the patient 286 00:15:41,680 --> 00:15:44,000 education standpoint. I mean, when you're a nurse, 287 00:15:44,200 --> 00:15:46,560 you're really in the trenches. And then once you get into the 288 00:15:46,560 --> 00:15:49,360 nurse practitioner role, yes, you're working on the medical 289 00:15:49,360 --> 00:15:52,480 model in a way of diagnosing and treating, but you still have 290 00:15:52,480 --> 00:15:54,280 that nurse heart of wanting to educate. 291 00:15:54,280 --> 00:15:55,960 How does Appocrates help with that? 292 00:15:56,040 --> 00:15:57,880 Yes. And 1st I want you know, my 293 00:15:57,880 --> 00:16:00,720 mother was a nurse nurse, my sister is a nurse now with a 294 00:16:00,720 --> 00:16:03,440 doctoral degree. And I have so much respect for 295 00:16:03,440 --> 00:16:08,200 nurses and I know that when they become nurse practitioners, they 296 00:16:08,200 --> 00:16:12,360 bring with them that patient centric approach which adds a 297 00:16:12,360 --> 00:16:15,400 lot of value to the care that they deliver. 298 00:16:15,840 --> 00:16:19,440 And you know one of the ways that we attune ourselves to 299 00:16:19,440 --> 00:16:21,720 needs a nurse practitioners is by talking to them. 300 00:16:21,840 --> 00:16:25,240 So even though we have physicians and pharmacist and 301 00:16:25,240 --> 00:16:28,800 other clinicians on our team, there's no way that we will know 302 00:16:28,800 --> 00:16:31,280 what nurse practitioners need unless we speak to them. 303 00:16:31,440 --> 00:16:35,560 So we do countless interviews with nurse practitioners as well 304 00:16:35,560 --> 00:16:38,440 as other clinicians to find out what is it they need. 305 00:16:38,440 --> 00:16:40,960 Do they need checklist? Do they need Cheat Sheets? 306 00:16:40,960 --> 00:16:45,160 Do they need algorithms? And we continually refine our 307 00:16:45,160 --> 00:16:47,120 app in order to meet their needs. 308 00:16:47,200 --> 00:16:49,440 I think one of the things that we've learned from nurse 309 00:16:49,440 --> 00:16:54,040 practitioners is if they value medical news about updates that 310 00:16:54,040 --> 00:16:56,800 are relevant to their practice because you're not going to look 311 00:16:56,800 --> 00:16:58,800 up something if you think you already know it. 312 00:16:59,040 --> 00:17:03,240 So let's say a guideline has changed or a new drug is out or 313 00:17:03,240 --> 00:17:06,839 a new side effect of a drug or a new lab test is being 314 00:17:06,839 --> 00:17:09,800 recommended. How will you know about that if 315 00:17:09,800 --> 00:17:12,160 you never are, you know, looking up that topic? 316 00:17:12,359 --> 00:17:17,319 So we have a medical news feed that nurse practitioners seem to 317 00:17:17,319 --> 00:17:21,079 consume with greater interest than some of the other clinician 318 00:17:21,079 --> 00:17:24,040 types. And we keep people updated on 319 00:17:24,040 --> 00:17:28,480 practice changing news related to common clinical problems. 320 00:17:28,680 --> 00:17:33,160 And I think that's one way that we have a model of sharing 321 00:17:33,160 --> 00:17:36,600 information outward rather than just being a source where people 322 00:17:36,600 --> 00:17:39,320 come to look for answers. Sometimes you don't even know 323 00:17:39,320 --> 00:17:42,480 what's changed until you hear about it somewhere. 324 00:17:42,680 --> 00:17:46,560 And so we filter out the news and bring together information 325 00:17:46,560 --> 00:17:50,440 that helps support awareness of practice, changing news. 326 00:17:50,440 --> 00:17:52,200 So that's, I think another element. 327 00:17:52,200 --> 00:17:53,840 One of the other things we've learned about nurse 328 00:17:53,840 --> 00:17:57,840 practitioners particularly is that nurse practitioner students 329 00:17:57,840 --> 00:18:01,200 are very interested in alternative and healing 330 00:18:01,440 --> 00:18:05,280 modalities, whether it's homeopathy or herbs and 331 00:18:05,280 --> 00:18:09,760 supplements or acupuncture, Ayurveda from India or Chinese 332 00:18:09,760 --> 00:18:12,320 medicine. There's a real interest there. 333 00:18:12,320 --> 00:18:16,040 And I'm curious if you have any ideas about where that comes 334 00:18:16,040 --> 00:18:18,560 from. But we've noticed that they have 335 00:18:18,720 --> 00:18:22,920 an openness to it and they're wanting to incorporate it when 336 00:18:22,920 --> 00:18:26,000 possible in their care. So I can only speak from my 337 00:18:26,000 --> 00:18:28,400 personal perspective and I'm not speaking for all nurse 338 00:18:28,400 --> 00:18:31,480 practitioners, but I do believe that there is a proportion of 339 00:18:31,480 --> 00:18:36,360 nurses that are beginning to wonder if medicine and all 340 00:18:36,360 --> 00:18:40,320 medical treatments, is there a way that we can do this for 341 00:18:40,320 --> 00:18:45,120 cheaper, maybe have the same benefit and not have the patient 342 00:18:45,480 --> 00:18:48,360 lifelong on medication. At least for my own personal 343 00:18:48,360 --> 00:18:51,400 practice, I've been feeling that way more and more and I think 344 00:18:51,400 --> 00:18:56,400 it's growing in the younger generation as well because I 345 00:18:56,400 --> 00:19:01,160 think that we have been force fed and spoon fed a certain this 346 00:19:01,160 --> 00:19:02,760 is the only way to get things done. 347 00:19:02,840 --> 00:19:05,680 And I think that we're beginning to question that model in 348 00:19:05,680 --> 00:19:08,120 general. Like is there another way that 349 00:19:08,120 --> 00:19:11,640 you might be able to get similar benefits and maybe combining 350 00:19:11,640 --> 00:19:14,960 therapies, maybe this for a short period of time where we 351 00:19:14,960 --> 00:19:18,800 get you out of the psychiatric issue, but then we take you here 352 00:19:18,800 --> 00:19:21,080 and we treat you with acupuncture so you can live a 353 00:19:21,080 --> 00:19:24,840 life not on medication. I think that we're starting to 354 00:19:24,840 --> 00:19:29,960 question if just the one-size-fits-all medicine 355 00:19:30,040 --> 00:19:35,240 approach, it is as good as individualized care. 356 00:19:35,480 --> 00:19:38,080 And I think that that's maybe what's starting to wake up. 357 00:19:38,080 --> 00:19:41,600 At least it's starting to wake up in my own practice because I 358 00:19:41,600 --> 00:19:46,640 think again, one-size-fits-all approach to everybody get in the 359 00:19:46,640 --> 00:19:49,160 clinical guidelines only treat this way. 360 00:19:49,240 --> 00:19:52,920 I believe, again, I think the majority of maybe that 361 00:19:52,920 --> 00:19:56,040 generation, that new generation of NPS is just going, what if 362 00:19:56,040 --> 00:19:58,800 we've got more options? What if we can do something 363 00:19:58,800 --> 00:20:00,920 else? What if this is just as good and 364 00:20:00,920 --> 00:20:03,600 half the price? I'm just wondering if that's 365 00:20:03,600 --> 00:20:06,120 maybe what's starting to spring up and. 366 00:20:06,400 --> 00:20:08,760 Newer providers. And that's so interesting that 367 00:20:08,760 --> 00:20:11,640 you said that because I personally would love to take an 368 00:20:11,640 --> 00:20:15,600 herbs class or recommend these things and be able to offer 369 00:20:15,600 --> 00:20:20,360 patients another form of therapy that I'd have less side effects. 370 00:20:20,440 --> 00:20:23,240 Maybe they can't tolerate that drug, but this works just as 371 00:20:23,240 --> 00:20:26,480 well and doesn't come with this or that or maybe it doesn't work 372 00:20:26,520 --> 00:20:29,640 as well, but if you had it with this, it could work. 373 00:20:29,640 --> 00:20:32,000 It can synergistically improve the benefits. 374 00:20:32,040 --> 00:20:34,640 I'm just thinking for myself that that could be something 375 00:20:34,640 --> 00:20:37,800 that might be growing in the hearts of nurse practitioners 376 00:20:38,080 --> 00:20:41,280 because again, we're at the bedside and I don't think we see 377 00:20:41,280 --> 00:20:43,680 people getting necessarily better. 378 00:20:43,960 --> 00:20:46,680 I just think we're learning to manage chronic issues. 379 00:20:46,680 --> 00:20:50,240 We're learning to manage longer. And I'm wondering if we're kind 380 00:20:50,240 --> 00:20:52,560 of wanting to push back on that. I mean, at least for me 381 00:20:52,560 --> 00:20:55,200 personally in my own just I don't know what else do you 382 00:20:55,200 --> 00:20:57,600 what, what are some theories you might have as healthcare 383 00:20:57,600 --> 00:21:00,320 providers? Every single second counts, 384 00:21:00,600 --> 00:21:03,440 especially when you're making critical decisions. 385 00:21:03,760 --> 00:21:07,800 That's why nurse practitioners and physicians at every stage of 386 00:21:07,800 --> 00:21:12,440 the career rely on Apocrates. Apocrates is the trusted 387 00:21:12,440 --> 00:21:16,760 clinical intelligence platform accessible via app and the web 388 00:21:16,760 --> 00:21:19,920 to support healthcare professionals with access to 389 00:21:20,040 --> 00:21:23,600 indispensable clinical intelligence they value to make 390 00:21:23,600 --> 00:21:26,920 the best possible decisions at any moment of care. 391 00:21:27,280 --> 00:21:31,120 Whether it's checking drug interactions, identifying pills, 392 00:21:31,440 --> 00:21:34,880 or assessing evidence based guidelines, Epocrates provides 393 00:21:35,120 --> 00:21:37,880 the accurate, timely answers you need. 394 00:21:38,560 --> 00:21:43,880 Visit apocrates.com and apply Offer Code Success to their most 395 00:21:43,960 --> 00:21:49,520 popular yearly subscription plan to receive a whopping 20% off 396 00:21:49,520 --> 00:21:53,680 discount on your purchase. Again, that's apocrates.com. 397 00:21:53,960 --> 00:21:58,720 Offer Code Success Apocrates is the clinical information you 398 00:21:58,720 --> 00:22:01,920 need at your fingertips. I do think that because of the 399 00:22:01,920 --> 00:22:05,240 pace patient centric approach, it's I guess not totally 400 00:22:05,240 --> 00:22:08,200 surprising that the nurse practitioners of the future 401 00:22:08,200 --> 00:22:12,480 might be more open to what their patients are interested in. 402 00:22:12,480 --> 00:22:15,400 Because sometimes it's coming from the patient who's 403 00:22:15,600 --> 00:22:18,880 interested in an, a way to not be on drugs. 404 00:22:18,880 --> 00:22:22,760 And what, what we can do in Hippocrates is, for example, we 405 00:22:22,760 --> 00:22:26,080 in our premium app, we have herbs and supplements that can, 406 00:22:26,280 --> 00:22:30,280 can, for example, help understand if if this herb is 407 00:22:30,280 --> 00:22:33,960 taken with this drug, what's going to happen and what side 408 00:22:33,960 --> 00:22:36,840 effects might occur. Because I think clinicians when 409 00:22:36,840 --> 00:22:39,640 faced with a patient who is saying, can I try something 410 00:22:39,640 --> 00:22:43,680 natural instead of a drug or a surgery or other therapy, they 411 00:22:43,680 --> 00:22:48,000 want to know, one, are there, are there going to be any, you 412 00:22:48,000 --> 00:22:51,200 know, side effects or, or is it, is it safe? 413 00:22:51,200 --> 00:22:54,920 Is it is it safe to give, but also is, is it effective? 414 00:22:54,960 --> 00:22:56,320 Is it going to do anything for them? 415 00:22:56,520 --> 00:22:59,360 And then three, will it interfere with other things that 416 00:22:59,360 --> 00:23:03,160 are going on with that patient? So, and a lot of clinicians have 417 00:23:03,160 --> 00:23:07,840 zero training in natural forms of healing and it's only through 418 00:23:07,840 --> 00:23:10,440 maybe their own experience or learning from their patients 419 00:23:10,440 --> 00:23:12,360 that they even know about some of these things. 420 00:23:12,400 --> 00:23:15,320 When I was taking some herbs at one point, I felt nervous 421 00:23:15,320 --> 00:23:18,520 telling my doctor that I was doing so I was a little shy 422 00:23:18,520 --> 00:23:21,800 about explaining that I was taking some herbs because it 423 00:23:21,800 --> 00:23:25,440 just seems, it seems so foreign to the, the medical model. 424 00:23:25,920 --> 00:23:29,560 But I, I do think that consumers in general, patients are more 425 00:23:29,560 --> 00:23:31,760 and more interested in natural forms of healing. 426 00:23:32,000 --> 00:23:35,200 And that's going to come through think it's great when there is 427 00:23:35,200 --> 00:23:36,960 evidence. Often times there isn't because 428 00:23:36,960 --> 00:23:40,600 a lot of the natural healing that's done is very tailored 429 00:23:40,600 --> 00:23:43,240 uniquely to a person. Like for example, in the 430 00:23:43,240 --> 00:23:46,360 Ayurvedic medicine of India, they'll take, take your pulse, 431 00:23:46,480 --> 00:23:49,840 check your features and tongue and so forth and come up with a 432 00:23:49,840 --> 00:23:52,760 very tailored prescription, if you will for you. 433 00:23:53,000 --> 00:23:56,320 But that might not be the same thing given to another patient 434 00:23:56,320 --> 00:24:00,040 with that similar symptoms but who has a different constitution 435 00:24:00,040 --> 00:24:01,800 or whatever. So it's hard to do clinical 436 00:24:01,800 --> 00:24:05,320 trials on these, on these types of therapies and it's difficult 437 00:24:05,320 --> 00:24:10,600 to gain that sort of placebo control randomized trial that we 438 00:24:10,600 --> 00:24:13,160 tend to rely on when it's a drug, for example. 439 00:24:13,360 --> 00:24:16,880 But it was just an interesting finding to see that interest 440 00:24:17,040 --> 00:24:18,720 among nurse practitioner students. 441 00:24:18,760 --> 00:24:23,720 When I read that the the drug aspirin is either formulated or 442 00:24:23,720 --> 00:24:27,640 it's got a component of the Willow bark, you know, herb. 443 00:24:27,680 --> 00:24:30,640 And so yeah, I found it very interesting as I was reading 444 00:24:30,640 --> 00:24:33,920 about that and just thinking like, whoa, like what dropped us 445 00:24:33,920 --> 00:24:35,840 from over here Willow bark to now aspirin? 446 00:24:35,840 --> 00:24:39,840 Like what steps happened in between and were the effects of 447 00:24:39,840 --> 00:24:42,400 those chemical changes from Willow bark to here. 448 00:24:42,400 --> 00:24:44,960 And so I just I got a patient's ever come to me and been like, 449 00:24:44,960 --> 00:24:47,680 Oh yeah, I have back pain and I'm taking Willow bark tea or 450 00:24:47,680 --> 00:24:48,960 whatever. Like I would have been like, 451 00:24:49,320 --> 00:24:51,160 wait, what? But then when I learned that 452 00:24:51,160 --> 00:24:54,440 this is where they're basing this, how many other drugs are 453 00:24:54,440 --> 00:24:58,880 based on a similar supplement over here, that they've changed 454 00:24:58,880 --> 00:25:02,960 the name, marked up the price and created a bunch of side 455 00:25:02,960 --> 00:25:04,800 effects and now they're calling it this name. 456 00:25:04,800 --> 00:25:07,040 And now everyone, this is what everybody knows, but it's really 457 00:25:07,040 --> 00:25:09,720 based on this. And so I find it just super 458 00:25:09,720 --> 00:25:11,880 interesting. Just between you and me and just 459 00:25:11,880 --> 00:25:16,160 the four walls, you're talking that it is, I think newer nurse 460 00:25:16,160 --> 00:25:19,640 practitioners are are more interested in like what? 461 00:25:19,880 --> 00:25:22,360 What are the other options? What if somebody can't tolerate 462 00:25:22,360 --> 00:25:24,440 that and you can give this, is it safe? 463 00:25:24,640 --> 00:25:26,760 What are the ramifications? What are the things we have to 464 00:25:26,760 --> 00:25:29,040 be thinking about? I think it is so cool that your 465 00:25:29,040 --> 00:25:33,680 app is starting to incorporate that into the knowledge that 466 00:25:33,680 --> 00:25:37,080 it's giving its practitioners. I think that's incredible and 467 00:25:37,080 --> 00:25:40,640 really, really valuable. What are some features that you 468 00:25:40,640 --> 00:25:44,440 think that every NP should be using, but maybe overlook and 469 00:25:44,440 --> 00:25:46,560 practice? So you kind of shared, hey, 470 00:25:46,560 --> 00:25:49,440 listen, you guys don't know that there's clinical guidelines on 471 00:25:49,440 --> 00:25:52,520 this app that helps you make decisions in practice that is 472 00:25:52,520 --> 00:25:55,400 supported by the big governing bodies. 473 00:25:55,400 --> 00:25:57,800 What is something else that you think I don't sleep on a 474 00:25:57,800 --> 00:25:59,520 Pocrates? This is what's going on. 475 00:25:59,600 --> 00:26:04,600 Yes, I think another under appreciated feature is pill ID, 476 00:26:04,600 --> 00:26:07,680 the pill identifier. And a lot of times patients will 477 00:26:07,680 --> 00:26:11,440 be saying I'm taking this, you know, pink pill or this green 478 00:26:11,440 --> 00:26:13,280 pill with a line down the middle. 479 00:26:13,280 --> 00:26:16,040 They don't know what it is. And one of the things that I 480 00:26:16,040 --> 00:26:19,560 used to do in practice is I would have my patients brown bag 481 00:26:19,560 --> 00:26:22,520 it once a year and literally put, put all the herbs, 482 00:26:22,520 --> 00:26:26,360 supplements, everything they're taking in a brown bag and bring 483 00:26:26,360 --> 00:26:29,320 it to me so that I could go through it and see what are they 484 00:26:29,320 --> 00:26:32,240 really taking? Because the records that we have 485 00:26:32,400 --> 00:26:35,160 have don't always reflect everything they're really on 486 00:26:35,280 --> 00:26:38,480 over the counter, etcetera. And the pill identifier is a 487 00:26:38,480 --> 00:26:41,920 great way to, if they have their pills in a case or whatever and 488 00:26:41,920 --> 00:26:45,200 they don't have the bottle to sort of see, oh, there's this, 489 00:26:45,240 --> 00:26:48,520 this is this symbol and this number on it and look it up and 490 00:26:48,520 --> 00:26:53,040 find out what it is. We've had great stories from 491 00:26:54,000 --> 00:26:58,480 EMTs who have found a patient with a fistful of pills in a in 492 00:26:58,480 --> 00:27:02,200 a comatose situation and been able to use the pill identifier 493 00:27:02,200 --> 00:27:07,120 to quickly identify what is it that they took and give remedial 494 00:27:07,120 --> 00:27:09,000 treatment immediately in the field. 495 00:27:09,280 --> 00:27:14,600 It's a great tool and it's fun to use and I think it's one that 496 00:27:14,800 --> 00:27:16,360 people would really benefit from. 497 00:27:16,400 --> 00:27:18,600 Yeah. So is it like a scanner where it 498 00:27:18,600 --> 00:27:21,240 like you pull the pic I. Wish it were a scanner. 499 00:27:21,280 --> 00:27:24,880 It's more that you, you open it up and then you'll say like a 500 00:27:24,880 --> 00:27:27,200 lot of pills have a a. Letter or remember? 501 00:27:27,200 --> 00:27:28,600 Yeah, yeah, yeah. Remember. 502 00:27:28,600 --> 00:27:31,640 And then, you know, is it a capsule or a tablet? 503 00:27:31,640 --> 00:27:33,240 Is it scoring? Is it not? 504 00:27:33,480 --> 00:27:36,240 And you put in those features and then they'll say these are 505 00:27:36,240 --> 00:27:40,360 the possibilities for that pill. I would like it to be a scanner, 506 00:27:40,680 --> 00:27:43,640 yeah, but not at the moment. OK, at the moment. 507 00:27:43,640 --> 00:27:45,720 All right, All right. We'll see if you guys build that 508 00:27:45,720 --> 00:27:48,000 out. So for a nurse practitioner, 509 00:27:48,000 --> 00:27:51,080 that's like, all right, I've got Apocryphes free version. 510 00:27:51,200 --> 00:27:54,360 OK, you're trying to take my monies, my dollars to get the 511 00:27:54,360 --> 00:27:58,520 Apocryphes plus sell me on it. Tell me, tell me what the 512 00:27:58,520 --> 00:28:00,400 difference is and is it worth the upgrade? 513 00:28:00,480 --> 00:28:03,160 Yeah. So I think if you if you do just 514 00:28:03,160 --> 00:28:06,600 one thing all day long and you're seeing exactly the same 515 00:28:06,600 --> 00:28:09,280 kind of patients and treating the same conditions, you become 516 00:28:09,280 --> 00:28:11,640 expert in that and you don't need a lot of help. 517 00:28:12,000 --> 00:28:15,680 Yeah, you might be curious about like some other clinician is 518 00:28:15,800 --> 00:28:18,720 prescribing this or diagnosing that, you might want to learn 519 00:28:18,720 --> 00:28:20,520 about it. But I don't think you need 520 00:28:20,520 --> 00:28:23,280 Apocrates. Plus, if you are really doing 521 00:28:23,280 --> 00:28:26,000 repetitive same kind of conditions, a lot of nurse 522 00:28:26,000 --> 00:28:29,320 practitioners are seeing a wide variety of patients, 523 00:28:29,320 --> 00:28:32,040 increasingly wide variety of conditions. 524 00:28:33,240 --> 00:28:37,040 And so we noticed that for nurse practitioners, emergency 525 00:28:37,040 --> 00:28:40,120 medicine or they're seeing a lot of patients, any kind of primary 526 00:28:40,120 --> 00:28:44,440 care that it's very, very helpful if you want very quick 527 00:28:44,440 --> 00:28:46,240 answers. So if you want to do deep 528 00:28:46,240 --> 00:28:49,560 research and dig into all the clinical trials that have been 529 00:28:49,560 --> 00:28:52,880 done, you know there are better references out there for 530 00:28:52,880 --> 00:28:55,120 research. But if you just want an answer 531 00:28:55,120 --> 00:28:58,960 in the moment, 90 seconds or less, then Epocrates is going to 532 00:28:58,960 --> 00:29:03,000 be helpful to you. So the free app has drugs, drug 533 00:29:03,000 --> 00:29:05,680 interactions, the pill identifier. 534 00:29:05,680 --> 00:29:10,520 It has formularies that tell you what for a given health plan, 535 00:29:11,320 --> 00:29:14,000 this is the coverage. Do you need to do step therapy 536 00:29:14,000 --> 00:29:16,440 first, do you need to get prior authorization, et cetera. 537 00:29:16,440 --> 00:29:19,720 It gives you all those details. It also has calculators and risk 538 00:29:19,720 --> 00:29:21,120 scores. For example, if you're 539 00:29:21,120 --> 00:29:24,360 prescribing A statin, you know, what is their 10 year heart 540 00:29:24,360 --> 00:29:28,440 disease risk to know whether you want to go high or low or medium 541 00:29:28,800 --> 00:29:31,280 for the statins. And that's all part of the free 542 00:29:31,280 --> 00:29:33,480 app. The clinical practice guidelines 543 00:29:33,480 --> 00:29:36,160 are part of the free app as well as the medical news feed. 544 00:29:36,160 --> 00:29:39,480 So all those are part of free. And then if you go to the 545 00:29:39,480 --> 00:29:42,880 premium level, then the disease reference comes into play. 546 00:29:43,080 --> 00:29:47,480 And there's where you have, you know, over 1000 topics and we've 547 00:29:47,480 --> 00:29:51,760 chosen topics that according to the Athena clinicals EHR are the 548 00:29:51,760 --> 00:29:54,000 most common reasons for office visit. 549 00:29:54,160 --> 00:29:57,960 So you're going to find things like, you know, cough and 550 00:29:57,960 --> 00:30:01,640 various skin conditions and mental health conditions and a 551 00:30:01,640 --> 00:30:06,160 lot of commonly seen things and it'll take you soup through nuts 552 00:30:06,160 --> 00:30:08,800 through how do you diagnose? How do you treat? 553 00:30:08,960 --> 00:30:11,560 How do you monitor and follow up and manage patients? 554 00:30:11,560 --> 00:30:15,640 How do you prevent? So there's also a lot of topics 555 00:30:15,640 --> 00:30:19,760 that are about like a, a sign or symptom like red eye, patient 556 00:30:19,760 --> 00:30:21,400 has red eye. What could it be? 557 00:30:21,520 --> 00:30:23,680 How do I proceed in diagnosing it? 558 00:30:23,840 --> 00:30:27,440 Or abdominal pain, you know, how many patients come in with like 559 00:30:27,800 --> 00:30:30,080 pain in their joints and like what is it? 560 00:30:30,080 --> 00:30:35,040 So those kind of very helpful diagnostic and therapeutic 561 00:30:35,760 --> 00:30:39,400 options, treatment options are there in the diseases reference 562 00:30:39,400 --> 00:30:42,000 in our premium map. So the guidelines are part of 563 00:30:42,000 --> 00:30:45,760 free, but the disease, the full disease reference is part of the 564 00:30:45,760 --> 00:30:48,120 premium map. And we also have, do you guys 565 00:30:48,120 --> 00:30:49,640 have? Adult and children? 566 00:30:49,800 --> 00:30:51,520 Or is it just adult? Yes. 567 00:30:51,640 --> 00:30:55,480 So some of the topics are are the same for both populations 568 00:30:55,480 --> 00:30:58,760 and some are broken out As for adults and for children. 569 00:30:58,920 --> 00:31:02,760 But yes, it's and, and older persons as well. 570 00:31:02,800 --> 00:31:05,400 It also has an infectious disease treatment selector in 571 00:31:05,400 --> 00:31:07,160 the premium map. So if you just want to quickly 572 00:31:07,160 --> 00:31:09,880 know which antibiotic is good for which condition in which 573 00:31:09,880 --> 00:31:13,760 population, it's a very another quick, concise way to get to an 574 00:31:13,760 --> 00:31:17,720 answer for antibiotic treatments and antiviral treatments. 575 00:31:17,720 --> 00:31:20,440 The herbs and supplements reference are part of the 576 00:31:20,440 --> 00:31:22,600 premium app and a laboratory reference. 577 00:31:22,600 --> 00:31:26,320 So somebody comes back with abnormal liver tests or thyroid 578 00:31:26,320 --> 00:31:27,920 tests. How do you interpret that? 579 00:31:28,080 --> 00:31:31,360 What are the next steps in terms of diagnosing and etcetera. 580 00:31:31,880 --> 00:31:36,600 And also I CD10 codes, those are all part of the premium app and 581 00:31:36,640 --> 00:31:40,080 it's really well suited to people in primary care who are 582 00:31:40,080 --> 00:31:41,600 seeing a lot of different conditions. 583 00:31:41,800 --> 00:31:43,600 Yeah, no, exactly. And that's where nurse 584 00:31:43,600 --> 00:31:46,800 practitioners are really taking a stronghold, isn't that primary 585 00:31:46,800 --> 00:31:49,360 care setting, Right. It's just not lucrative for 586 00:31:49,360 --> 00:31:51,840 physicians to go into primary care. 587 00:31:51,840 --> 00:31:54,360 And I think that based on the amount of time they're in 588 00:31:54,360 --> 00:31:56,680 school, the amount of debt they're incruing to go to, you 589 00:31:56,960 --> 00:32:00,760 know, it's just there's a huge primary care gap, especially as 590 00:32:00,760 --> 00:32:03,720 the population of America is getting older and older and 591 00:32:03,720 --> 00:32:07,560 we're seeing this baby booming generation moving into this 592 00:32:07,560 --> 00:32:10,400 geriatric, you know, time in their lives where they need 593 00:32:10,400 --> 00:32:13,000 primary care. A lot of them have been telling 594 00:32:13,000 --> 00:32:15,720 me because I work in specialty care, I don't have a primary 595 00:32:15,720 --> 00:32:17,240 care doctor. I can't find them. 596 00:32:17,400 --> 00:32:19,920 There's nobody there. She was there, then she left 597 00:32:20,080 --> 00:32:22,840 that she was complaining that she was overworked and she left. 598 00:32:22,840 --> 00:32:24,600 Like this is what they're saying. 599 00:32:24,600 --> 00:32:27,200 And so NPS are stepping in these gaps. 600 00:32:27,240 --> 00:32:31,320 And so to have a resource to be able to get you an answer in 90 601 00:32:31,720 --> 00:32:35,880 seconds that you're seeing a patient is, is huge. 602 00:32:36,160 --> 00:32:39,840 So can you tell a story of how this is helping in, in the 603 00:32:39,840 --> 00:32:42,760 clinical setting? Like, all right, so she comes 604 00:32:42,760 --> 00:32:45,920 in, she sees a patient right then and there, she types it 605 00:32:45,920 --> 00:32:48,160 into the app. Like how do you incorporate this 606 00:32:48,280 --> 00:32:52,000 into your daily practice? You can tell a story of how a 607 00:32:52,000 --> 00:32:54,920 nurse practitioner made a quick clinical decision using your 608 00:32:55,040 --> 00:32:58,120 your app and practice. So I think that the most common 609 00:32:58,120 --> 00:33:00,920 clinical decision that nurse practitioners make is which drug 610 00:33:00,920 --> 00:33:05,040 to prescribe. So they might have a question of 611 00:33:05,160 --> 00:33:07,120 me make sure, I think I know the dose of this. 612 00:33:07,120 --> 00:33:10,360 Let me make sure are there any cautions, communications I need 613 00:33:10,360 --> 00:33:12,840 to be worried about? Are there any side effects that 614 00:33:12,840 --> 00:33:16,360 I need to consider and maybe inform the patient about? 615 00:33:16,440 --> 00:33:18,440 Is there monitoring that I need to do? 616 00:33:18,600 --> 00:33:21,240 Do I need to check the creatinine clearance, etcetera? 617 00:33:21,720 --> 00:33:24,680 What do I need to do before prescribing that drug? 618 00:33:24,840 --> 00:33:28,760 So I think that drug prescribing is probably the most common 619 00:33:28,960 --> 00:33:30,800 reason. And even when people think they 620 00:33:30,800 --> 00:33:34,200 know, it's that reassurance factor that we spoke about of 621 00:33:34,200 --> 00:33:36,440 the confidence of knowing. Like, yes, I checked. 622 00:33:36,840 --> 00:33:40,960 And we find that clinicians use the app in front of the patient. 623 00:33:41,160 --> 00:33:42,800 Typically they're pulling it out of their pocket. 624 00:33:42,800 --> 00:33:45,200 And you might wonder like, doesn't it make you look like 625 00:33:45,200 --> 00:33:47,240 you're an idiot that you're having to look something up? 626 00:33:47,640 --> 00:33:51,560 But we find exactly the opposite, that patients like 627 00:33:51,720 --> 00:33:56,080 seeing their clinician using modern technology on their 628 00:33:56,080 --> 00:33:58,680 behalf. So they welcome seeing 629 00:33:58,680 --> 00:34:00,640 clinicians like I'm checking this. 630 00:34:00,760 --> 00:34:04,320 And sometimes, you know, they'll show the patient what they're, 631 00:34:04,320 --> 00:34:07,720 what they're looking at, if it's like an image or a diagnosis or 632 00:34:07,960 --> 00:34:11,199 something like an image of a, of a certain condition. 633 00:34:11,760 --> 00:34:14,679 But most of the time it's so cryptic to the patient that they 634 00:34:14,679 --> 00:34:16,679 probably wouldn't be able to understand it if you turn it 635 00:34:16,679 --> 00:34:19,520 around to show it to them. But like if or if patient 636 00:34:19,600 --> 00:34:22,719 patient asks, like I have this side, I have this situation. 637 00:34:22,719 --> 00:34:25,719 Is that a side effect of the drug I'm on that quick look up 638 00:34:25,719 --> 00:34:29,360 is probably the most common way that nurse practitioners use. 639 00:34:29,440 --> 00:34:33,239 And then as that, as that nurse practitioner in Boston told me 640 00:34:33,239 --> 00:34:36,840 her story about how she uses it to document, I used Hippocrates 641 00:34:36,840 --> 00:34:40,480 to make this decision when relying upon it as a clinical 642 00:34:40,480 --> 00:34:42,560 reference. For example, people having 643 00:34:42,560 --> 00:34:46,520 looked at a guideline or having looked at the diseases reference 644 00:34:46,520 --> 00:34:50,719 to sort of confirm that the decision making is aligned with 645 00:34:51,080 --> 00:34:53,960 with best practices. I do have a story of this was an 646 00:34:53,960 --> 00:34:57,680 MD, not a nurse practitioner, but a physician who who I know 647 00:34:57,680 --> 00:35:01,440 well who he was called in to see a patient who had severe 648 00:35:01,440 --> 00:35:04,560 hyponatremia. His sodium levels were so low 649 00:35:04,680 --> 00:35:09,240 that he was symptomatic and in he was put in the ICU for days 650 00:35:09,680 --> 00:35:12,760 and they couldn't figure out why is his salt level so low. 651 00:35:12,760 --> 00:35:16,040 And so my friend walked in and before he even saw the patient 652 00:35:16,320 --> 00:35:20,440 he opened up a chart, took his list of drugs and runt ran it 653 00:35:20,440 --> 00:35:23,480 through Hippocrates for drug interactions and found that a 654 00:35:23,480 --> 00:35:27,400 drug he had just been put on a few days ago was causing a drug 655 00:35:27,400 --> 00:35:30,160 interaction that led to a low sodium in his blood. 656 00:35:30,360 --> 00:35:33,760 In under a couple of minutes he was able to say this is your 657 00:35:33,760 --> 00:35:35,680 problem. They took the patient off the 658 00:35:35,680 --> 00:35:39,080 drug and he went home. So, but there's just so much 659 00:35:39,080 --> 00:35:44,520 power in having an app that has synthesized all that information 660 00:35:44,520 --> 00:35:48,640 for you and can deliver it up in a few seconds to solve clinical 661 00:35:48,640 --> 00:35:50,800 problems. What you're talking about, and 662 00:35:50,800 --> 00:35:54,880 I've noticed this in practice too, is the fact that patients 663 00:35:55,000 --> 00:35:59,960 are more open to the use of devices and artificial 664 00:35:59,960 --> 00:36:04,840 intelligence and knowing that we don't know it all and we've got 665 00:36:04,840 --> 00:36:08,440 resources to find the answer. And I feel like they are so open 666 00:36:08,440 --> 00:36:12,280 to that and they're so thankful because ultimately what 667 00:36:12,280 --> 00:36:15,920 Apocrates is helping all of us do, and I get kind of goosebumps 668 00:36:15,920 --> 00:36:19,200 and emotional about it, is provide good patient care. 669 00:36:19,400 --> 00:36:24,280 To provide care that at the end, what we signed up to go into 670 00:36:24,320 --> 00:36:27,760 this field, which was to care for people, it allows us to do 671 00:36:27,760 --> 00:36:31,040 that in the best possible way, in a way that is outside of 672 00:36:31,040 --> 00:36:33,640 ourselves. It's acknowledging that I don't 673 00:36:33,640 --> 00:36:37,880 know it all, I don't have infinite capacity, but that I 674 00:36:37,880 --> 00:36:41,320 know my resources. And I think that that is 675 00:36:41,440 --> 00:36:44,440 absolutely invaluable. And I think that patients are 676 00:36:44,440 --> 00:36:47,960 beginning to realize and they appreciate a provider that goes, 677 00:36:48,000 --> 00:36:51,520 I may not know this 100%, but I know where to go find the answer 678 00:36:51,520 --> 00:36:54,080 and where to go get it. And that might actually help me 679 00:36:54,120 --> 00:36:58,280 think about something that in my mind I didn't piece together or 680 00:36:58,280 --> 00:37:01,200 I didn't know or I didn't recognize. 681 00:37:01,200 --> 00:37:03,480 And this app is helping me help you. 682 00:37:03,560 --> 00:37:06,520 And I think patients are so receptive to that. 683 00:37:06,520 --> 00:37:10,480 And I agree with you what 100%? And I agree with you 100% with 684 00:37:10,480 --> 00:37:12,360 what you just said. Everything you just said is so 685 00:37:12,360 --> 00:37:14,800 aligned and it's what I have noticed. 686 00:37:14,800 --> 00:37:18,520 I actually use a device to help me write my notes and it saves 687 00:37:18,520 --> 00:37:19,800 me. The patients are fine with it. 688 00:37:19,800 --> 00:37:21,240 They're like, Oh yeah, go ahead and use that. 689 00:37:21,240 --> 00:37:24,160 Like they're totally fine because they know this helps me 690 00:37:24,160 --> 00:37:25,760 save time. I'm going to make sure I'm 691 00:37:25,760 --> 00:37:26,840 hearing everything that they're saying. 692 00:37:26,840 --> 00:37:29,200 I can actually pay attention to them and not feel like I need to 693 00:37:29,200 --> 00:37:32,560 be torn, that I can actually kind of TuneIn and make a 694 00:37:32,560 --> 00:37:35,880 decision without having another thing going on in the 695 00:37:35,880 --> 00:37:37,800 background. Cuz there's so much going on. 696 00:37:38,000 --> 00:37:41,600 And it's nice to quiet the noise on a couple other things to stay 697 00:37:41,600 --> 00:37:44,000 focused in on the mission, which is let me hear you. 698 00:37:44,000 --> 00:37:46,000 Let me see if I can help you come to some of the answers so 699 00:37:46,000 --> 00:37:49,400 we can get you the best care, so we can help you feel better, so 700 00:37:49,400 --> 00:37:53,040 we can help solve this problem. And I think, yeah, Apocrates is 701 00:37:53,040 --> 00:37:56,920 just another tool in the nurse practitioner tool belt to help 702 00:37:57,040 --> 00:38:00,320 them do what it is we went into medicine to do. 703 00:38:00,840 --> 00:38:03,760 Yeah, exactly. By the way, ambient listening, 704 00:38:03,840 --> 00:38:05,400 everything. Ambient listening has just 705 00:38:05,400 --> 00:38:07,320 changed everything. What a pleasure it is to 706 00:38:07,320 --> 00:38:11,880 actually communicate and make eye contact with a clinician 707 00:38:11,880 --> 00:38:15,120 rather than having them buried in their near EHR. 708 00:38:15,160 --> 00:38:18,280 You know, a lot of clinicians call Epocrates their peripheral 709 00:38:18,280 --> 00:38:22,440 brain because it's not just that you can't know everything, it's 710 00:38:22,440 --> 00:38:24,520 that you make a conscious choice. 711 00:38:24,520 --> 00:38:29,720 I'm not going to waste my brain power memorizing how, you know, 712 00:38:29,720 --> 00:38:32,320 8000 drugs interact with 8000 other drugs. 713 00:38:32,320 --> 00:38:34,640 It's there's no point. It doesn't serve me and my 714 00:38:34,640 --> 00:38:37,320 patient. So it's a conscious decision to 715 00:38:37,320 --> 00:38:41,960 use technology to support your decisions, give you confidence 716 00:38:41,960 --> 00:38:45,320 and deliver better care. And I think patients are using 717 00:38:45,320 --> 00:38:48,760 technology in their lives and it's not surprising that they 718 00:38:48,760 --> 00:38:52,040 want to see it being used on their behalf in the in the 719 00:38:52,040 --> 00:38:54,120 clinic, yeah. It's funny because it makes me 720 00:38:54,120 --> 00:38:58,400 think of a pilot on a plane. Like I want a capable pilot, of 721 00:38:58,400 --> 00:39:01,120 course. But at the same time, I like 722 00:39:01,120 --> 00:39:05,080 that there's autopilot too. Like if a pilot needs, you know 723 00:39:05,080 --> 00:39:07,400 what I'm saying? Like here's that, it's there. 724 00:39:07,400 --> 00:39:09,040 It's just we want to land the plane. 725 00:39:09,040 --> 00:39:12,720 You know, it's that's my name concepts in, in medicine and in, 726 00:39:12,760 --> 00:39:14,920 you know, working as a nurse practitioner, we want to land 727 00:39:14,920 --> 00:39:18,440 the plane and the plane is patient care, getting them the 728 00:39:18,440 --> 00:39:20,560 results and you know, the things that we need. 729 00:39:20,560 --> 00:39:23,320 So I think that's good that you are able to give an example of 730 00:39:23,320 --> 00:39:24,920 how to use it every day in practice. 731 00:39:24,920 --> 00:39:27,000 Don't be afraid to pull it out. Don't think like, oh, I got to 732 00:39:27,000 --> 00:39:29,200 wait till the patient leaves, then go Google and then I have 733 00:39:29,200 --> 00:39:31,080 1000 other questions that I didn't get to answer. 734 00:39:31,120 --> 00:39:33,280 I think patients are really receptive to you just pulling 735 00:39:33,280 --> 00:39:36,240 out of pocketies the app right then and there, talking to them 736 00:39:36,240 --> 00:39:37,760 about it. So you can integrate it 737 00:39:37,880 --> 00:39:41,960 seamlessly in your practice and make it easy and it's easy to 738 00:39:41,960 --> 00:39:43,480 use. So I think that's great, right? 739 00:39:43,600 --> 00:39:47,800 So for a new NP grad about who's going to be integrating, you 740 00:39:47,800 --> 00:39:51,440 know, apocryphes in their practice, kind of where do you 741 00:39:51,440 --> 00:39:54,920 see the best time to kind of start integrating the app into 742 00:39:54,920 --> 00:39:57,880 your workflow? So is it at the beginning of 743 00:39:57,880 --> 00:40:00,560 your, you know, appointment before you walk in the door? 744 00:40:00,720 --> 00:40:03,800 Is it maybe what we talked about just in the middle, like, hey, 745 00:40:03,800 --> 00:40:05,880 just whip it out in the middle of seeing a patient? 746 00:40:06,080 --> 00:40:08,480 Or is it better to kind of integrate at the end of the 747 00:40:08,480 --> 00:40:09,840 clinic visit? Where do you find? 748 00:40:09,920 --> 00:40:11,280 Most people are integrating it into. 749 00:40:11,280 --> 00:40:14,560 Their in our research with nurse practitioners, we've seen it 750 00:40:14,560 --> 00:40:17,960 used before, during and after patient care. 751 00:40:18,160 --> 00:40:22,640 So what we've heard is that a lot of them like to review. 752 00:40:22,640 --> 00:40:25,680 They, they look at their patient list for the next day and 753 00:40:25,680 --> 00:40:28,960 they're reviewing here's this weird diagnosis. 754 00:40:28,960 --> 00:40:31,840 I, I'm not familiar with. Let me, let me see what that is. 755 00:40:31,840 --> 00:40:35,160 Or this patient is coming back, you know, we're called to for an 756 00:40:35,240 --> 00:40:38,120 urgent appointment because this isn't working, sort of looking 757 00:40:38,120 --> 00:40:42,840 things up in advance related to diseases guidelines, etcetera. 758 00:40:42,960 --> 00:40:47,720 And then during the visit, it's certainly very commonly used 759 00:40:47,720 --> 00:40:50,760 when it's like someone says I have a side effect or a new drug 760 00:40:50,760 --> 00:40:53,880 needs to be prescribed etcetera for all that prescribing 761 00:40:53,880 --> 00:40:56,440 support. But then patients often as you 762 00:40:56,440 --> 00:40:59,880 know, come up with things during the visit that we're not exactly 763 00:40:59,880 --> 00:41:03,080 on their intake form. That's a one more thing I've 764 00:41:03,080 --> 00:41:06,040 been having this. And so that's another time when 765 00:41:06,040 --> 00:41:08,720 it's sort of pulled out something you didn't expect to 766 00:41:08,720 --> 00:41:11,160 be dealing with during that visit arises. 767 00:41:11,320 --> 00:41:15,360 And then afterwards there's information that during 768 00:41:15,360 --> 00:41:19,360 documentation, if it's not done live, where clinicians look at 769 00:41:19,360 --> 00:41:22,120 it again or just to validate. Yes, I think that that was 770 00:41:22,120 --> 00:41:23,480 right. I made a good decision. 771 00:41:23,520 --> 00:41:27,480 So we find it that nurse practitioners use a properties 772 00:41:27,520 --> 00:41:30,320 in all three before, during and after a visit. 773 00:41:30,440 --> 00:41:34,800 But I think where it shines most is during the visit because it's 774 00:41:34,800 --> 00:41:37,680 rare to have a reference that you can get an answer in 90 775 00:41:37,680 --> 00:41:41,720 seconds that doesn't disrupt your flow with the patient very 776 00:41:41,720 --> 00:41:45,000 much. But we share it being used in 777 00:41:45,000 --> 00:41:47,600 all three situations. Yeah, I was thinking too, when 778 00:41:47,600 --> 00:41:51,160 you're in clinical practice, especially as a new NP, you've 779 00:41:51,160 --> 00:41:54,200 got to go find someone to ask the question and that takes 780 00:41:54,200 --> 00:41:57,120 longer than if you than 90 seconds, right? 781 00:41:57,120 --> 00:42:00,640 Finding a provider fighting another MD and experienced MD or 782 00:42:00,640 --> 00:42:03,400 another experienced NP to be like, hey, I'm seeing this, this 783 00:42:03,400 --> 00:42:05,880 is new. I had a question like that 784 00:42:05,880 --> 00:42:08,600 sometimes will take minutes and the patients in the room waiting 785 00:42:08,600 --> 00:42:13,640 for you to go find someone to spitball or maybe sideline, hey, 786 00:42:13,640 --> 00:42:16,240 what do you think about this? Which sometimes we have to do 787 00:42:16,240 --> 00:42:19,640 Like that may not help with all of that, but it could take a 788 00:42:19,640 --> 00:42:23,720 level of that off that you're like, as a new grad, I can just 789 00:42:23,880 --> 00:42:27,920 reference this, get an answer and then maybe even verify like, 790 00:42:28,080 --> 00:42:30,200 hey, I'm going to do this. I looked it up. 791 00:42:30,200 --> 00:42:31,840 I think this is the best course of action. 792 00:42:31,840 --> 00:42:34,440 Do you agree or disagree? That's a whole different story 793 00:42:34,440 --> 00:42:38,160 than if you're presenting the case, asking for their opinion. 794 00:42:38,160 --> 00:42:40,560 You have no thoughts of your own because you're new and you're 795 00:42:40,560 --> 00:42:43,600 just figuring it out. But Apocrates can help have you 796 00:42:43,600 --> 00:42:46,520 kind of come into the room with a plan and then get a 797 00:42:46,520 --> 00:42:48,680 confirmation. That's a quicker conversation to 798 00:42:48,680 --> 00:42:51,760 have with a provider that then gets the answer to the patient 799 00:42:51,760 --> 00:42:54,040 with like, Yep, I was right. That's what we needed to do when 800 00:42:54,160 --> 00:42:55,920 Apocrates helped me. But yeah, you get what I'm 801 00:42:55,920 --> 00:42:57,880 saying. Like I can see that clipping, 802 00:42:57,880 --> 00:43:00,680 that time issue as well as in UNP because that's what you end 803 00:43:00,680 --> 00:43:02,880 up doing, right? Can you, can you tell me where 804 00:43:02,880 --> 00:43:05,520 you see Apocrates in the next 5 to 10 years going? 805 00:43:05,520 --> 00:43:09,440 I mean, look in your crystal, you know, and just tell me this 806 00:43:09,440 --> 00:43:11,720 is where I hope to see our app, you know, do we have that 807 00:43:11,720 --> 00:43:13,680 scanner that that pill scanner? What? 808 00:43:13,680 --> 00:43:15,400 What else do you see maybe coming down the road? 809 00:43:15,440 --> 00:43:17,320 Yeah, I would like to have that pill scanner. 810 00:43:17,360 --> 00:43:21,960 So I think that one of the things that we can do for people 811 00:43:21,960 --> 00:43:27,360 who rely on Epocrates is provide education credits just for using 812 00:43:27,520 --> 00:43:30,520 the app because you are learning even when you're confirming. 813 00:43:30,680 --> 00:43:33,440 So I think that education credits would be a wonderful 814 00:43:33,440 --> 00:43:39,280 addition to Hippocrates. And I also think that we're 815 00:43:39,280 --> 00:43:42,920 going to continue to do research on what are the needs and what 816 00:43:42,920 --> 00:43:46,520 ways to serve up the information, for example, using 817 00:43:46,520 --> 00:43:49,120 artificial intelligence to get to the right answer. 818 00:43:49,120 --> 00:43:52,480 So I think there's still concerns that people have about 819 00:43:52,480 --> 00:43:55,760 like if I get an answer from an AI bot, can I rely on that? 820 00:43:55,760 --> 00:43:59,920 Do I have to go dig into each of the references and really verify 821 00:43:59,920 --> 00:44:02,920 that this is true? But when it comes to using AI to 822 00:44:02,920 --> 00:44:06,000 navigate and get to an answer quickly, if Pocrates already 823 00:44:06,080 --> 00:44:10,040 does it very well. But we could do even better to 0 824 00:44:10,040 --> 00:44:14,360 in, you know, more instantaneously on an answer 825 00:44:14,360 --> 00:44:16,680 rather than having people click, click, click, click, click. 826 00:44:16,720 --> 00:44:20,240 I think that's a really great addition and answers the next 827 00:44:20,240 --> 00:44:22,760 question that I had about features that you can add in the 828 00:44:22,760 --> 00:44:24,960 future. And I think that I'm really 829 00:44:24,960 --> 00:44:28,480 inspired and excited to see what new things that Pocrates adds to 830 00:44:28,480 --> 00:44:30,440 their app. And I will definitely be using 831 00:44:30,440 --> 00:44:33,760 mine a lot more than I have been after this conversation. 832 00:44:33,760 --> 00:44:36,360 I think you've definitely eliminated a lot of things that 833 00:44:36,360 --> 00:44:38,880 I didn't even know Apocryphes was bringing to the table. 834 00:44:38,880 --> 00:44:42,800 So this has been awesome. Thank you for your time and any 835 00:44:42,800 --> 00:44:46,440 final tips, must know tips that you have for NPS and where they 836 00:44:46,440 --> 00:44:48,400 can follow your work at Apocryphes. 837 00:44:48,400 --> 00:44:51,000 So. Apocryphes.com has all the 838 00:44:51,000 --> 00:44:55,760 information, including links to download for Android and iOS 839 00:44:55,760 --> 00:44:59,520 devices, as well as our web product of course. 840 00:44:59,520 --> 00:45:02,200 And consider signing up for the newsletters. 841 00:45:02,480 --> 00:45:05,920 We have newsletters that go out called the Epocrates Scan that 842 00:45:06,200 --> 00:45:10,720 really highlights some of the practice, changing news that is 843 00:45:10,720 --> 00:45:14,600 most important and a guideline, updates and things like that, 844 00:45:14,600 --> 00:45:17,520 that I think nurse practitioners will appreciate. 845 00:45:17,600 --> 00:45:21,160 So those are the main ways. And then try out various 846 00:45:21,280 --> 00:45:25,120 decisions, support references and see what saves you time, 847 00:45:25,120 --> 00:45:28,440 what gives you confidence and what helps you practice more 848 00:45:28,440 --> 00:45:29,920 safely. Try them out. 849 00:45:30,440 --> 00:45:33,120 And I think that if you're really looking for something 850 00:45:33,120 --> 00:45:37,760 that is very quick and very tailored to a wide variety of 851 00:45:37,920 --> 00:45:42,280 situations that you have in primary care especially, that 852 00:45:42,280 --> 00:45:46,600 you'll find that there's a lot of value in the Hippocrates 853 00:45:46,760 --> 00:45:49,720 platform. Yeah, I agree IA 100% agree. 854 00:45:49,800 --> 00:45:53,600 Well, we at the podcast, did you say, did you describe where 855 00:45:53,600 --> 00:45:55,240 people can find you? Hippocrates.com. 856 00:45:55,800 --> 00:45:57,360 Follow your work. I think you're think you're on 857 00:45:57,360 --> 00:45:59,280 LinkedIn, right? Yes, I'm on LinkedIn. 858 00:45:59,400 --> 00:46:02,200 Me personally. OK, yes, we'll put we'll link 859 00:46:02,200 --> 00:46:04,960 your your profile on there in case somebody wants to reach 860 00:46:04,960 --> 00:46:06,920 out. Apocrates has a social media 861 00:46:06,920 --> 00:46:09,280 Instagram account. So hopefully we'll be when we 862 00:46:09,320 --> 00:46:12,040 launch this episode, we'll be able to link them and all the 863 00:46:12,040 --> 00:46:15,200 stuff and make people can click on their Instagram profile and 864 00:46:15,200 --> 00:46:16,640 stuff like that and follow. Perfect. 865 00:46:17,000 --> 00:46:20,640 All right, so at the podcast we do a rapid fire set of 866 00:46:20,640 --> 00:46:23,400 questions. And Are you ready for rapid? 867 00:46:23,400 --> 00:46:25,440 Fire I am ready for rapid fire all. 868 00:46:25,680 --> 00:46:28,320 Right, let's do it. So if you had to pick a season 869 00:46:28,320 --> 00:46:30,680 to live in, which season would you choose? 870 00:46:30,680 --> 00:46:32,680 Out of the four, which one's your favorite? 871 00:46:32,760 --> 00:46:36,880 It's your autumn, no question. Autumn is beautiful, it's 872 00:46:37,480 --> 00:46:41,320 cooling and it's makes me reflect on life. 873 00:46:42,040 --> 00:46:44,080 Such a reset. Well, nice. 874 00:46:44,320 --> 00:46:46,960 And then if you had to pick your favorite color, color the whole 875 00:46:46,960 --> 00:46:48,920 world in this color, what would it be? 876 00:46:49,440 --> 00:46:52,120 Sky blue sky. Yeah, it's peaceful. 877 00:46:52,360 --> 00:46:54,200 I like that color. Yeah, that's a, that's a good 878 00:46:54,200 --> 00:46:56,280 pick. So for the last question, it's 879 00:46:56,280 --> 00:46:59,000 not really a rapid fire. It's kind of a deep, it's a deep 880 00:46:59,000 --> 00:47:03,200 dive, but it's one that I've been reflecting on a lot more 881 00:47:03,200 --> 00:47:07,240 and more as I've gotten older and we at the Success NP 882 00:47:07,240 --> 00:47:09,200 podcast. So we're focusing on what does 883 00:47:09,200 --> 00:47:11,600 it look like for NPS to be successful? 884 00:47:11,800 --> 00:47:15,800 But I wouldn't know what defines success for you in your life. 885 00:47:15,960 --> 00:47:19,240 What does it look like? I define success as making a 886 00:47:19,240 --> 00:47:20,720 difference in the world. Yeah, yeah. 887 00:47:21,240 --> 00:47:23,120 That's good. No, It's one of those things 888 00:47:23,120 --> 00:47:26,320 where kind of going back to the beginning of your story when you 889 00:47:26,320 --> 00:47:30,200 were talking about making impact and how do you maximize impact. 890 00:47:30,440 --> 00:47:33,360 And I think sometimes in healthcare, you think, and we 891 00:47:33,360 --> 00:47:37,400 are making a difference in every single patient's life when we 892 00:47:37,480 --> 00:47:40,560 interact with them and treat them and take care of them. 893 00:47:40,600 --> 00:47:44,480 But I love that you have this global outlook of how do I make 894 00:47:44,480 --> 00:47:48,960 and maximize my my impact for more people. 895 00:47:48,960 --> 00:47:50,600 And you're doing that at pocketies. 896 00:47:50,600 --> 00:47:53,600 And I think that the what you guys are putting together is a 897 00:47:53,600 --> 00:47:58,600 top notch grade A product to help NPS in their practice. 898 00:47:58,600 --> 00:48:00,280 And I'm so happy to have you on today. 899 00:48:00,280 --> 00:48:02,760 I'm so glad you were able to share what it is that you're 900 00:48:02,760 --> 00:48:06,880 spending your life creating to maximize your impact. 901 00:48:06,960 --> 00:48:09,160 I think it's incredible. Thank you so much, Doctor Men 902 00:48:09,160 --> 00:48:12,720 and Getty for coming on the podcast and sharing all of your 903 00:48:12,720 --> 00:48:15,880 wisdom and what you're doing to maximize the impact of 904 00:48:15,880 --> 00:48:18,040 Apocrates. And thank you for having me. 905 00:48:18,200 --> 00:48:21,440 I wish your listeners every success in their profession. 906 00:48:21,800 --> 00:48:24,640 Thanks for tuning into another episode of Success and P. 907 00:48:24,720 --> 00:48:27,800 We hope today's discussion has shed some light on the diverse 908 00:48:27,840 --> 00:48:30,840 career options or taught you how to improve your clinical 909 00:48:30,840 --> 00:48:32,440 practice as a nurse practitioner. 910 00:48:32,880 --> 00:48:35,320 Remember, whether you're considering a specialization, 911 00:48:35,400 --> 00:48:38,320 pursuing advanced certifications, or exploring non 912 00:48:38,320 --> 00:48:41,120 traditional roles, there's a wealth of opportunities out 913 00:48:41,120 --> 00:48:44,040 there waiting for you. Be sure to subscribe to the show 914 00:48:44,040 --> 00:48:46,720 so you don't miss an episode and leave us a five star review. 915 00:48:46,960 --> 00:48:50,360 It helps the podcast grow. The Success and Peace Podcast is 916 00:48:50,360 --> 00:48:54,760 on the World Wide Web, YouTube, Instagram, Facebook, and X, so 917 00:48:54,760 --> 00:48:57,680 subscribe to our newsletter for updates on new podcast episodes 918 00:48:57,680 --> 00:49:00,160 and other information to help you on your own NP journey. 919 00:49:00,680 --> 00:49:04,000 You can always message us at success.npspodcast@gmail.com 920 00:49:04,320 --> 00:49:07,600 with any NP podcast episodes or topics you'd like us to discuss. 921 00:49:07,840 --> 00:49:11,280 Until next time, take care, stay curious, and keep advancing your 922 00:49:11,280 --> 00:49:14,360 careers as a nurse practitioner. And just a friendly reminder, 923 00:49:14,520 --> 00:49:17,240 the information on this podcast is for educational purposes 924 00:49:17,240 --> 00:49:18,960 only. The information should not be 925 00:49:18,960 --> 00:49:21,560 used and substitute for professional care by a medical 926 00:49:21,560 --> 00:49:23,720 provider. The information on this podcast 927 00:49:23,720 --> 00:49:26,760 does not represent medical or professional advice or services. 928 00:49:26,760 --> 00:49:27,560 Bye for now.