These slides are adapted from a talk that I gave this year at the 2013 Cusp Conference, which is a conference about the design of everything. It's about my personal journey from medical doctor to medical "designer" and why we as medical professionals must become design thinkers. I was honored to be presenting at the event and it literally was the most amazing conference I have ever attended in my life! Thank you to Dave Mason and the folks at Multiple. http://joycelee.me
6. I have no formal training
as a designer, but
these were my notes from when
I was studying for my medical
board exams. Does this count as
design?
7. This is design, right?
“A priesthood of folk in black
turtlenecks and designer glasses
working on small things.”
So how does this have
anything to do with me, a
physician?
8. I had the great privilege of
learning about design thinking
while I was on sabbatical last
year at Stanford
31. Design which leverages
mobile technology & social media
changes the paradigm of
who, what, and how health
information is communicated
My Second Design Insight
35. Anyone can “design” a health
solution, even a 6 year old boy!
I felt safer, and B learned a lot of
fancy words!
“lactalbumin, lactoglobulin, whey…”
36. The next part of the journey:
“Learning to design
is learning to see”
-Oliver Reichenstein
37. I am used to bad design
in healthcare
So I never even questioned
the design of the Epi-Pen
48. Greenberg, 2010
“Despite instructions rendered on the package
insert, a large number of health care
professionals including nurses, paramedics,
and physicians inadvertently self-inject while
attempting to administer the EpiPen to
patients. One recent report chronicles a 6-
year experience at a single US poison center
that fielded 365 epinephrine injections to the
hand.”
Trained health care providers can’t
even use the pen properly!
49. Whoa the cap
& needle are
at the same
end!
But Auvi-Q found a design solution
57. When I started pulling this blog
post together, I went back to the
scientific literature to see what it
had to say about the design of
the epi pen
58. I found this article, and I began to
see the world through the eyes
of a designer
59. “patients frequently do not understand
how and when to use [the epi-pen].”
Sicherer, 2011
In medicine, we often blame the
patient
60. “patients frequently do not understand
how and when to use [the epi-pen].”
Sicherer, 2011
But is it a patient problem or is it
a design problem?
Design flaw:
The needle is
opposite to
the cap
61. “Children had only used their EpiPen device
in 29% of recurrent anaphylaxis reactions.
This is perhaps unsurprising because a fear of
needles/injections is common”
Sicherer, 2011
In medicine, we often blame the
patient
62. “Children had only used their EpiPen device
in 29% of recurrent anaphylaxis reactions.
This is perhaps unsurprising because a fear of
needles/injections is common”
Sicherer, 2011
But is it a patient problem or is it
a design problem?
Design Flaw:
It’s confusing
to use in a
scary
emergency
63. “patients often forget [the device],
allow it to expire”
Sicherer, 2011
In medicine, we often blame the
patient
64. But is it a patient problem or is it
a design problem?
“patients often forget [the device],
allow it to expire”
Sicherer, 2011
Design
Flaw:It’s too
long & wide &
where’s the
app to go w/
it?
67. “Fix the Design and
then its no longer
the “Patient’s” problem”
-Joyce Lee, MD, MPH
Medical Designer?
68. “Patient” problems
are really
“Design” problems
-Joyce Lee, MD, MPH
DEO* (Design Executive
Officer?)
*Check out @mgiudice for the def’n of a DEO; she’s the one
who told me that I could call myself a DEO :)
69. Could Doctors have something to
learn from Designers?
http://goo.gl/L6yQ0V
70. As a medical designer (MD),
instead of seeing the
world like this:
77. If we as health care
providers do not think like
designers, we will fail in
our mission to serve our
patients
78. B you are a true “design thiker”;
thanks for
teaching me so much
79. Joyce Lee, Medical Designer, DEO
Twitter @joyclee
http://www.doctorasdesigner.com
Thanks to: B, S, and E
Hyoung O. Lee, MD, Heeja Lee
Friends, Colleagues, Twitter connections, &
@CuspConference for inspiring this talk!
Notas do Editor
Any and all opinions that I express about any products are unfettered by any monetary influence
I am Associate professorof Pediatrics at the University of Michigan. In the clinical setting, I provide medical care to children and their families at mott children’s hospital.
I specialize in pediatric endocrinology, so that means I mostly take care of kids with type 1 diabetes.
I am also a researcher. I perform clinical research which means that I work with real live patients and I also conduct health child health policy research, mostly focused on measuing the burden and long term health consequences of childhood diabetes and obesity. I also c0-direct a program focused on the use of mobile technology andinteractive data visualizations for helping children manage their chronic disease. Finally, I have a strong interest in social media for connecting patients and providers and for enhancing communication among researchers.
I started a blog focused on the intersection between design thinking and health. I will be sharing excerpts of posts throughout this talk.
So what I want to share with you today is my personal evoluation as a design thinker which was heavily influenced by my kids, b and s.
Both of my children have severe life threatening food allergies. My son B for example is allergic to dairy, nuts and aggs, and if he is exposed to even just a small amount of allergen he can develop a generalized allergic reaction called analphylaxis, which can cause difficulty breathing, shock and can be fatal.
You get something called a food allergy action plan from the allergist, which is 2 sheets of paper printed out, that you are supposed to give to the teachers, outlining allergy symptoms and when to use the epipen for serious reactions and when to use the medication called an antihistamine for the mild reaction.
It’s a piece of paper. It’s blak and white it’s got a lot of words. Unfortunately…this is how we print out pt instructions even using our sophisticated emrs.
So we had just arrived in silicon valley, the epicentre of social media (google youtube. khan academy,) Make a videoAll of his teachers have smartphones. And with an iphone and some screencasting software, . my son had just learned to read and write the previous year. I sat down and drafted a script for the video, He then helped create the illustrations for the video, and narrated the entire script himself.
http://ihavefoodallergies.tumblr.com/
http://goo.gl/984r9R
http://goo.gl/w5RRIlhttp://goo.gl/EVIhgu
http://ihavefoodallergies.tumblr.com/
http://ihavefoodallergies.tumblr.com/
http://goo.gl/6MwfeT
Design thinking can help you solve health problems. This was my first exercise in design thinking: Identified the problem, ideate solutions, created and tested prototypes, and we found a prototype that worked! I didn’t set out to make a prototype, I just had a problem that needed to be fixed, so I came up with a design solution.
New medicine is peer to peer patient to patient. Sharing online on social media, on online communities. You must follow…..SO as much as I am disturbed by Howard Tullman’s talk yesterday about social media and the dark side, THERE IS A POSITIVE SIDE TO SOCIAL MEDIA IN MEDICINE.
Finally this was an example of Participatory Design (in which patient and family helped to create and design the solution). I can say for myself that it was a therapeutic and empowering experience for our family. I had peace of mind that I could make an accessible place online that his teachers could refer to anytime as a reference, but more importantly it was a great opportunity for him to practice his writing and illustration skills, and learn more about his own health condition, especially the second video which focused on “tricky allergic ingredients. Finally, there is no doubt in my mind that the video really resonated because it was done with B’s drawings and his voice as the narrator instead of his mother’s., making for more effective learning (I made sure to add the Thanks for taking care of me slide to that they understood how cute he was , so that they would be extra careful).
ANYONE CAN MAKE A MOVIE, EVEN A 6 YEAR OLD BOY, BECAUSE the tools are available and cheap. WITH SOCIAL MEDIA, AND MOBILE TECHNOLOGY, THE Llessons of a 6 year old boy HAVEENORMOUS REACH.
I MADE SOMe prototypes with my first design experiments but the other thing I learned to do this year is learn to see like a designer. And again, this transformation, was again mediated by
In medicine, we are used to pretty dismal design, whether its our web browsers, out pagers that we use in the hospital or our medical Devices. So you just learn to accept the status quo. And you don’t have high expectations. Design suckiness….there’s a lot of that in healthcare.
it’s like
it’s like
http://www.youtube.com/watch?v=3rkyJzl9vNw
http://www.youtube.com/watch?v=3rkyJzl9vNw
Pocket
pocket
pocket
pocket
pocket
pocket
pocket
pocket
pocket
http://goo.gl/M2Sxs5
Tools providers, clinics health systems
Joyce Lee, MD, MPHAssociate ProfessorCo-Director, Program on Mobile Technology in Child HealthPediatric Endocrinology and Health Services ResearchChild Health Evaluation and Research UnitUniversity of Michigan300 NIB, Room 6E18, Campus Box 5456Ann Arbor, MI 48109-5456Tel: 734-615-3139 Fax: 734-936-0941Email: joyclee@umich.eduhttp://joycelee.me/Linkedin: http://www.linkedin.com/pub/joyce-lee/7/6a5/a15Twitter: @joyclee