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Technology

The People Margin

February 24, 2022 By Bryan Vartabedian · Reading Time: < 1 minute

I love this concept of the people margin. It comes from Automattic engineer Mike Shelton in 2018. Data can be precise, specific, absolute and is meant to represent the actions and behaviors of people and things. Yet, people themselves can be imprecise, abstract, non-linear, and unpredictable. I call this the people margin – data’s margin of error when ... Continue Reading about The People Margin

EHR/Health IT, Information, Physicians

MyChart Messages the Wild West of Patient Communication

October 2, 2021 By Bryan Vartabedian · Reading Time: 6 minutes

Medicine is facing a crisis of information. Beyond the increase of biomedical information are rising demands for physician response to portal messaging (MyChart messages) and review of wearable generated data.  More recently health professionals have seen a rise in MyChart messages coming in through the Epic patient portal. According to Epic, the number of ... Continue Reading about MyChart Messages the Wild West of Patient Communication

Tagged With: Burnout, EHR, Epic

Physicians, Technology

The Illusion of Eye Contact with Telemedicine

August 16, 2021 By Bryan Vartabedian · Reading Time: 2 minutes

I’m big on eye contact with patients. It’s how we show ourselves as humans. The eyes are the windows to the soul. Through them, we build trust, empathy and reciprocity. When I’m with a patient face-to-face it isn’t always possible but I do my best. Like the IRL experience I try to achieve some level of eye contact during telemedicine encounters. But care through ... Continue Reading about The Illusion of Eye Contact with Telemedicine

Tagged With: Attention, Communication, Telemedicine

Information, Technology

Zooming Court From the Operating Room

March 17, 2021 By Bryan Vartabedian · Reading Time: 3 minutes

As health professionals we’ve all multitasked on Zoom calls. But few of us have done Zoom calls with a patient asleep in front of us. Recently we heard the story of a California plastic surgeon Zooming court from the operating room with a patient on the operating table. “Hello, Mr. Green? Hi, are you available for trial?” a courtroom clerk said as Dr. Green, ... Continue Reading about Zooming Court From the Operating Room

Tagged With: Attention, Information overload

EHR/Health IT

Compromised connection: Lessons from a Year of Telemedicine

February 18, 2021 By Bryan Vartabedian · Reading Time: 5 minutes

Let’s face it: Telemedicine isn’t there yet. I’ve been treating patients for nearly a year by remote care and so far I’m underwhelmed. And my patients have voted with their feet — most still want to see me in person. I suspect they're not happy with the compromised connection that telemedicine delivers. So I want to unpack some of my ideas on telemedicine. ... Continue Reading about Compromised connection: Lessons from a Year of Telemedicine

Tagged With: Telemedicine

Technology

Stanford’s COVID Vaccine Algorithm – What We Can Learn

December 23, 2020 By Bryan Vartabedian · Reading Time: 3 minutes

Stanford stepped in just before Christmas when they distributed their COVID vaccine supply according to a homemade algorithm. When the vaccine algorithm was unleashed it invited non-patient facing personnel and only one resident as part of the vaccine’s first phase. It apparently failed because residents as institutional nomads had no ‘home base’ or address that ... Continue Reading about Stanford’s COVID Vaccine Algorithm – What We Can Learn

Tagged With: Artificial intelligence, COVID, Vaccines

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Bryan Vartabedian, MD

Bryan Vartabedian is a pediatrician at Baylor College of Medicine / Texas Children’s Hospital and one of health care’s influential voices on technology & medicine.
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What is 33 Charts?

With a mashup of curated and original content that crosses the spaces of digital health, media, communication, technology, patient experience, digital culture, and the humanities, 33 charts offers unique insight and analysis on the changing face of medicine.

Founded in 2009 as a center of community and thought leadership for the issues doctors face in a digital world, 33 charts was included in the National Library of Medicine permanent web archive in 2014.
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