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Searching for metaphors: Naviga4on in turbulent waters Paul Dorian Director , Division of Cardiology St Michael’s Hospital ,University of Toronto Professor, Departments of Medicine and Pharmacology, University of Toronto

Paul Dorian Presentation ~ The Data Effect

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Page 1: Paul Dorian Presentation ~ The Data Effect

Searching  for  metaphors:    Naviga4on  in  turbulent  waters  

Paul  Dorian  Director  ,  Division  of  Cardiology  

St  Michael’s  Hospital  ,University  of  Toronto  Professor,  Departments  of  Medicine  and  Pharmacology,  University  of  Toronto    

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In theory, theory is as good as practice.

In practice, it isn’t

Yogi Berra

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Alan  Trive;,  execu4ve  director  of  Triathlon  Canada,  is  calling  physiologists  and  doctors  involved  in  Paula  Findlay’s  care  to  determine  how  her  case  of  iron  deficiency  could  have  been  missed  before  she  competed  at  the  London  Olympic  Games.  The  revela4on  about  Findlay’s  iron  deficiency  came  this  week  aJer  she  blogged  that  low  iron  levels  likely  had  a  “huge  impact”  on  her  disastrous  last-­‐place  finish  in  London.  She  discovered  the  problem  only  last  week  aJer  staff  at  her  new  training  base  in  Guelph,  Ont.,  ordered  the  tests  because  she  had  been  feeling  sluggish.    Findlay  says  she  saw  the  May  results  for  the  first  4me  this  week.  “It’s  pre;y  clear  that  they  dropped  a  lot,”  she  said.  “They  were  lower  than  they’d  ever  been  in  May.  And  then  in  August,  they  were  lower.”    

Toronto  Globe  and  Mail  Sept  12,  2012    Hayley  Mick    

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PHeMI:  Personal  Health    Management  Ini4a4ve    

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Priniciples  from  the  trenches      

•  Prefer  simplicity  to  complexity  unless  complexity  is  totally  invisible  

•  What  pts  want  is  a  doctor  who  looks  them  in  the  eye  and  listens,  and  does  not  look    to  a  screen  

•  Very  smart  people  have  spent  a  decade  and  hundreds  of  millions  of  $  to  design  systems  of  informa4on  entry,    retrieval,  management,  processing.  Why  have  they  failed  to  find  an  overall    sa4sfactory  solu4on?  

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Most  important  :  simplicity,  transparency  and  usability    Less  important:  Complexity  and  comprehensiveness          

Design  from  need  ,  ie  perceived  need  ,  not  from  design  poten4al  .  

It’s  all  about  the  user  interface