medical doctor, maker designer?
TRANSCRIPT
Joyce Lee, MD, MPH Doctor as Designer Twitter: @joyclee
@healthbyus
Medical Doctor, Maker Designer?
I have no ties to any pharmaceutical companies
Social Media/Web Editor
of JAMA Pediatrics
Associate Professor School of Medicine/
Public Health
My academic Identity:
I have no formal training as a designer
Folk in black turtlenecks and designer glasses working on small
things like the iWatch
This is a medical designer
“A pediatric endocrinologist who spends her days seeing patients in
clinic and writing grants & papers that no one will ever read?”
This is a medical designer?
No black turtleneck?
No designer glasses?
Design = Change
Part 1: A Personal Design Experiment
“B”
#design #fail
#lazytigermother
700+ students & 40 teachers
“ T w o v i d e o s r e c e n t l y impressed me with their use of illustration and narration to educate an audience about health…What interests me is how approachab le and i n f o r m a t i v e t h e y a r e , regardless of the production value.” -@SusannahFox
#designsuccess #proudtigermother
1683 views!
http://ihavefoodallergies.tumblr.com
B’s Trilogy Part 2: Ingredients and Food Handling
B’s Trilogy Part 3: Asthma
DESIGN
FAIL
Design Insights
about the Production of Health and the Future
of Medicine
We were
experts
We were
makers
We were
collaborators
Patient as
expert maker
collaborator #futureofhealthcare
Part #2 of the journey:
“Learning to design is learning to see”
-Oliver Reichenstein
#design #suckiness
The needle
is opposite
to the cap,
which is
counter-
intuitive
Design Flaw #1
>15,000 Unintentional injections from Epi-Pens in the US
between 1994-2007
There were
0
500
1000
1500
2000
2500
3000
< 6 yrs 6-12 yrs 18-64 yrs
Total
13-17 yrs >64 yrs
Unintentional Injections with Epinephrine auto-injectors
Simons, 2010
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!
Life or
death is
stressful!
Don’t make
me think!
Design Flaw #2
It’s an awkward
size, &
doesn’t fit in your
pockets
Design Flaw #3
Whoa the
cap &
needle are
at the
same end!
It
tells you
what to
do!
“Bad Design Causes Injury”
“Good Design Saves Lives!”
Design Insight
It’s thinner
and
shorter &
fits in your
pocket!
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And it
reminds me
when to
refill
“Aesthetics Do Matter for Health”
Design Insight
It was designed by patients!
“patients frequently do not understand how and when to use [the epi-pen].”
Sicherer, 2011
In medicine, we often blame the patient
“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
“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
“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
“patients often forget [the device], allow it to expire”
Sicherer, 2011
In medicine, we often blame the patient
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?
Patient problems are really
design problems
Joyce Lee, MD Medical Designer
Fix the design, and it’s no longer the
patient’s problem
Joyce Lee, MD Medical Designer
Let patients and caregivers design, and they will
fix the problem!
The Nightscout Project
75% of children fail to achieve
recommended blood sugar goals in Type 1 Diabetes
75% of healthcare providers/
systems fail to help children achieve recommended blood
sugar goals in Type 1 Diabetes
Part #3 of the Journey
#polarvortex
Applying Design Thinking to Healthcare
Curricular collaborations
Design Workshops
Human-Centered Design Thinking
User-Centered Problem Solving
Patient-Centered Design Thinking
Participatory Problem Solving
Empathy Prototype Define Ideate Test
Empathy Understand a problem
before solving it
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Define Patient-defined problem
Ideate Collaborative, creative
brainstorming
Prototype Sketch, draw, glue, code
Test Iterative Feedback from User
Design My Diabetes Solution
#diabeticons
Diabetesevangelist.com
@jakiebones & @TheTrevorTorres
“A” & @robokittycat
Maker Movement
Do It Yourself (DIY)
Learning by Doing
Peer-to-Peer
“The essential democratization of the technology has
happened; once you put the tools in the hands of
everybody, it liberates the ideas and creativity of so many
people”
-Chris Anderson
Maker Movement
Participatory Design =
DIY = Expert
Learning by doing = Maker
Peer-to-Peer = Collaborator
We #makehealth
Design = A Distraction
A critical tool for the creation of health
Expert “Doctors are
experts, not patients
#cultureofhealthcare
“Only certified health professionals should be creating health”
Maker
#cultureofhealthcare
“Health is created doctor
TO patient”
Collaborator #cultureofhealthcare
The Secret Life of Medical Devices
Hacking Diabetes Workshop
Resident Signout Deserves
Great Design
MD to Patient Passive Solitary
Patient to Patient Active
Collaborative
“Don't cry” (said the boy to his mom)
#waitingwaitingwaiting
HealthDesignBy.Us Twitter: @healthbyus FB: healthdesignby.us
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healthdesignby.us virtual community
#designthinkinghellokitty