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The Power of Clinical Curiosity
Benjamin Errett, Senior Director of Brand, FIGURE 1 (Canada)
Friday, June 7, 2019 · 12:43 p.m. · 23m 54s
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basically cool uh without benjamin yeah yeah uh should on square
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uh should remove the a. x. often say are to this yeah
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yeah yeah oh uh have a power along on layer for the
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uh so i i come from a company called figure one and it's
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an ad for your smart phone that lets healthcare professionals learn from one another
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so for the person to learn from another they need to be
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curious and that's why our whole business is powered by concur curiosity
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and one explain what that is and how it works and how can be harnessed
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so i even are at is used primarily by doctors i'm
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not a doctor myself i am a patient or not currently
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uh but uh as a patient when i go to see a doctor
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i think that the doctor knows everything i think you probably due to its um
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you walk in you may have a see a headache at finding cough about insomnia
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you have something that you aren't sure what it is and you want an answer
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and when it's you want a clear pigment planet decision process made by that doctor
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the fact is doctors don't know everything and it's increasingly hard for
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them to know everything because there's so much more for them to know
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you know the medical research that doctor is is but to keep up with is
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growing exponentially over the years and it's a commonly said statistic it takes seventeen years for
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research evidence to commit accountable tracts so what that means in real terms is that knowledge that
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could help your newborn child when we should be a fashion into little has a driver's license
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obviously much too slow for anyone who's ever taken a sick child to see the doctor
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so how does the that up how do you make sure that doctors are learning
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faster entering the information that they need to give you the best care in the moment
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well we need curious doctors this is where can probably aussie comes
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in we need doctors to want to know what they don't know
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and the best source of what they don't know is that the doctors know expand that be
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on doctors because figure one is for all health care best was of technical knowledge is other conditions
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and the best way for them to communicate with each other is that scale because you want to make sure that
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useful knowledge is not a one to one fans for
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a ghost as many people as can use it important factors
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so this was the idea that led to the town in figure one
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so the um i've the physician cofounder was staying at stanford university in to doesn't well
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you specifically looking at how doctors residence user doesn't at the time
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how residents use social media which was pretty much in its infancy that
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and what we observed was that they were using their smart phones to take
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pictures of patients of cases and share them with one another via text message
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so two big problems with that number one patient privacy not necessary security sure something over text message
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especially something that you are you know for the year snapping in in a clinic
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and number two so the larger philosophical problem with that
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is that if you ever isn't just found something extremely interesting so there's no hope
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in with the next case so interesting that they want to share with the callings
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shouldn't more people will learn from that information why we keeping it
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in this small cluster networking we could potentially expanded to every resident
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every nurse every doctor every medical student who could use that information
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so there's a saying in a in english in a medicine see one do one teach one
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meaning that yeah you watch uh as resident is noticed when you watch a doctor perform procedure
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you do that procedure yourself and then you can pass along the information
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so to that classic yeah if i had we add figure one because
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you can take the knowledge that you've just hot another present another medical student
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and teach a huge global community of healthcare professionals
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so our has been around for six years on i. m. s. n. and right and on the web
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we had tens of thousands of metal cases share even view billions of times
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and we've learned from us because we are of course curious
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whether we went well we we were what makes doctors pick up their phones and open figure one
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and we know uh we like to say that a doctor's health
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professionals are bases people were which obviously is flattering for our audience
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but you think about we hear from tarzan we talk to them that they you know often don't have time to
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yeah have to eat something quickly are used to watch it might make it was like
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that and five minutes between patients so we know that the time is extremely extremely valuable
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so when they pick up the phone in the open it open up for one we know they're there for basically one of the reasons
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they wanna know so first is what they're seeing what am i saying here and this is almost a a hypothetical question
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they wanna know this is something a a senior resident might ask a medical student
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they know what they're seeing their they just wanna make sure that the other student
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knows the junior person room knows they have a look at this time you see
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then comes with my colleagues now so this is a genuine a call for how you wanna know
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what am i saying here that i don't understand is there's something i'm missing can
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someone just give me a up quick console on what i should do in this situation
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so is the kind of thing where in a hospital document one of the hallway and confer with a collie
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this is the um just when you add when you wanna know what does the word grammy
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know what are the what are the smarter people in the room no about what i'm seeing
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and finally this is my personal favourite this is really are is on that is
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what i'm missing what don't i now we're gonna even know that i don't know
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so i can some categorise these three basic questions
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if we sort of from us to open our ah
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into the categories that right on the right is it can call curiosity is that we
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a bucket you can put the atrocity that drives people drives positions
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a silly to be curious they wanna know where no there is a
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no no no no what they're seeing they wanna share is unknown unknown
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they know the callings have this information they just wanna get that information in one as the callings
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by the way can you help me and again and my favourite is the uh no no no
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what am i missing when i pick up this this phone openness that i wanna see something i
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i'm a lesson in how me right now or they can how much more autonomy in five years are
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packed this but i never got i have no idea what it is because there's so much out there
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so i'm gonna give you some examples from figure one this is so what the cases look like ah
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and what the common sense and discussion looks like on at a and explain how these two categories work
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so this this is a condition article sign where the uh tips of the fingers you see here
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uh expand and if you have had this since you were younger has only live you probably have a heart condition
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congenital heart condition if it's something that comes is emergent
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it happens later in life it's generally sign of lung cancer
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this extremely telling kind of assigned if you see this you definitely should see a doctor
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and here we have noticed in sharing this uh uh popping the fingers is common english
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uh sharing this textbook case perfect specimen so
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this is exactly the doctors were scoring it's a
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they it's uh if you wanna learn this is exactly what you should be looking for
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so that's a no no and everyone in this conversation knows what is
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the new would i wasn't picture in the new it was in the shared
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now we get to no no no it's was a bit of a complicated case um what we have here it is
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i tell you oh boy i was playing soccer football and uh i was hurt when in
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to see uh the doctor was side period to president and surgery had a x. ray done
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easy to get it was it was wondering what they were seeing on
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the sex what specifically is that it's a dark cluster on the left side
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and not to go too far into the um medicine of it or not technique qualified to do that
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uh it is they wanna know is this something that serious how do i have to
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take further action on this unanswered likely was no from this uh for men or big surgeon
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so this is an example of a resident paging as specialised to get more information whether c.
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i should know that we're not a tele medicine now this is not a formal consultation wanna doctors
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going out of differential diagnosis or just need a little bit of hell technical figure one get that instantly
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and finally the unknown unknowns
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so this is a patient with a sweeper spinal fluid leak after pituitary surgery
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so what what that means is this uh this drop of blood in the centre and spinal
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fluid making a halo around it was spotted on the sheets of the bed adaptation was being featured
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this is a classic sign again that uh you have if it's but it's coming has been had from our
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if you see this when you know you have a spinal fluid early to deal with no it's not just plot
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it is variations on howard dependable the sign is but with the family doctors here say if they'd never seen it
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before detected for forty years and i didn't know that
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and this is just a perfect sign of how uh it
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i uh the distribution knowledge in medicine is very uneven
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and something that people take for granted that everyone knows
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some people never heard of maybe 'cause it's not this one fact this or maybe because it's something they just have not seen
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yet so figure one is a way to make them happen see that sooner before this even if you're patient in front of them
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also point out that uh a nurse uh in africa point how useful this would be for her because
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i'm being remote by having a pure facilities and us a technology
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to work with you wanna have those a quick taxes because it
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to make a diagnosis and how speed your big here you can get
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so what is it that we can do with these two we just the
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kinds of curiosity this can go curiosity that are users demonstrate how do we
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how we work with that just the basic uh ways that i uh think about the way we
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leverage that curiosity reactor ward it we want to scale it
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and because we are business we want to monitor i said something about a little bit about how we do each of those things
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so who order i mean we all know knowledge should be it's own award but we want we also running
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and when people come back as often as they can we wanna make sure that it's providing them maximum value again
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health care professionals of the bases people more so they have we
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have to respect every moment of your time make sure it's useful
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so one of the things we're working on right now is continuing medical education
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what we've usually offer offer for the last six years is an informal way
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to learn you can open yeah in in a couple minutes you can learn something
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you can see what other people seeing you get a glimpse into what what medicine look like in real time all over the world
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we're augmenting that with continuing medical education in the united states as or pilot
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because doctors have to maintain certain other planets each year and
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they can get those but it's to digital applications like figure one
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so we make it easy for them to fatima time they spend on for the one in claims bet
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we also take figure one off the apple into conferences where we can use our quiz formats to
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challenge doctors know there naturally competitive anyone who's into
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medical school and residency is obviously gonna competitive streak
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so we can leverage that and they can test the knowledge against the callings and they can do it in real time
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now scale is uh how knowledge networks work network affects me in basically that the more
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people you have on an applet for one more valuable it is for everyone's on it
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so was key from the very beginning that we make this as big as
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it could be you think back to the example you have a stanford with
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text messages we don't want people sending one case to be calling x. we
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want as many people have been from from the knowledge in that case as possible
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so right now we have to have million users in a hundred nine countries
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and i point out for sebastian that we have almost five thousand users in switzerland
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um so these are healthcare professionals all on the world's halter students
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they're learning from each other their meeting across time zones across borders
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all in the thing that they keep that they have in common they all
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see patient cases and they all are in charge of improving those patient out out
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what a waste we've got a kind of scale is by partnering with hospitals so whatever early
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partnerships with mount sinai hospital in new york city one of the leading research hospitals in united states
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we bought them onto a variety of formats where they could basically the
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goal was to highlight the amazing research because on an amazing characters on there
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so we have a couple examples here there uh there neurosurgery department was
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ever walk to how they use augmented reality how their brain surgeons will use
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a computer simulations to guide them as they do surgery and they will show that for comedian income on answer questions
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and we have their physician in chief the very um how expected a cardiologist came on
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and answer questions and some more personally but history are hard to get where you got to
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where is primary research interests is taking those questions from one from follow cardiologist american students
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and then uh the intervention radiology department of the hospital with a logo has their
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own account and then going to individual cases will discuss exactly doing in specific cases
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i'll say uh that this is something i'm very interested in pursuing so in one here would like to
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consider opening perfect one oh hi like this with things that your instructions doing i'm
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i'm very go how uh open to helping we would love to welcome you on that for
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now for the money part how do we make money uh which i think is a very good question so
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there's a lot you can do when you have the attention of two and a half million healthcare professionals around were
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and one of the things we do that i'm most proud of is educate them about their disease
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so we're diseases are defined as a disease that affects you within one in two thousand people
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it's if you have a rare disease you generally spend ten years with it
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before you get it correctly diagnosed you see eight specialise in your misdiagnosed three times
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so if you can get that diagnosis we're you can get the treatment centre and this is what uh that this
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particular disease it's uh uh probably um people point zacharias stores
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disorder uh the first one in every hundred thousand newborn works
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it's called huntress and on and we partner with the firms to somebody makes the one well that with this in though
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to bring on the world's leading experts in on the top where users
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explain what it is and a series of quizzes other users spot this animal
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so just think that a nurse could see this in the front line
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think i don't think that is down syndrome i think it's something else
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uh and fly back and basically just as a possibility means
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that shouldn't be that much closer to getting the care they need
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we can also put a information in front of our users that they might not otherwise of c. so we
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pardon with a a a major organisational states to last
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year to uh explain the new hypertension guidelines have been issued
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so that's basically new ways does new guidelines that change the definition of what high blood pressure was
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change the guidelines for how you measure blood pressure and you know the resulting in
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fact is huge in terms of concern how many people work have high blood pressure
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this was published in journals and it was news stories about it and they did a
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mural out but you know that in this is really reach every single person mentioned but structure
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they were to augment that strategy but coming on figure one and game refining it so they were able
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to do quizzes we could test risky or do you know what you're doing when you measure but pressure
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i think one most health care proposals would think they do and we were to find out how many didn't
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and with that knowledge yeah we could show this is where we need more education
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if only since we have a this huge window this huge community of healthcare professionals misused window on
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them a cheating patients every single day we can see exactly what they do and we can see
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how their minds work when they are thinking about treating a patient so for instance you have a migraine
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and you see a your family doctor you see a neurologist or even you see a nurse in a clinic
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what are they gonna say what they can prescribe really thinking about where they suggest what tested they recommend
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those are all things that we can plot in aggregate and shares information
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and our business women you've been doing it for three years uh and we work with uh uh
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nice roster of a blue chip organisations
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and um non government organisation from struggle companies
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and many of them are repeat customers i'm happy to see so they are getting the results
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they want from us they're reaching healthcare professionals on apart from that they want to be reached on
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and the communique messages and wait or stay just double and most important useful
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so as as it were business based on clinical curiosity and
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we're still curious about that there's lots more we wanna do
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this is a a project we did earlier this year with a
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major newspaper and canada about how healthcare talked about alcohol during pregnancy
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the official guidelines say that a woman was pregnant with thinking of becoming pregnant should drink no alcohol in
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uh this is in the north american gallons we asked doctors and nurses what they actually tell their patients
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one four of them say okay something 'cause for seventy five percent
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of them so they don't really have up to date information on this
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again this is the kind of thing where we can get that information and shared in
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a way that people can take action much um a machine learning in artificial intelligence of
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course uh these are hot topics in technology this is things that we've uh explores well
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in the machine learning every simple form can take a picture of an electro cardio graham
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plot the points on it so we have we have tens of thousands of these pictures there often blurry
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or there where we call the data points out in concrete data that is easy to measure and compare
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and finally this i'm very excitable is a new partnership we have
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with the children's hospital los angeles because pediatrics hostels in united states
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they have a heck of on with their that fine to gamer five
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pediatrics with the trying to do is uh increase the uh would be
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help the young patients who have diabetes specifically uh do things like nested like because properly
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take your insulin is well things that if i think of better ways me give patients
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so creating system the then sharing of figure one so other health care professionals
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can come in and say i would do this differently i would do that differently
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i work part into they can just instilling ascii huge community how can i make this prototype better
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is that something we do with other medical startups as well i get another conversation happy to have
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so in conclusion uh we're looking for any sort of organisations hospitals start ups were
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interested in reaching this kind of community in bringing good clinical information to this community
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uh in in showcasing some innovations innovative stuff that they're doing and uh
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i'm happy to take questions now or uh in the lobby afterwards thank you
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take your remote for the presentation yeah a question of the presentation
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s. e. i. to grow closer to the most sorry uh things with the presentation thank you
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i have two questions um how do you get access
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how to do a biblical petitions get access to up
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okay sorry uh could you you're my first yeah i heard so i won't take that one first so we start we want to reach as
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many people as possible and one for the knowledge and people as possible
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so anyone can download figure one it's in the ass for example play
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to signing you have to be you can be an observer which means you can look at what's on there
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you can post or comment or you sign in as a health care professional and then we verify your credentials
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so we do have a large we provoking everybody once you get in your to go through
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a series of stages before you can actually upload cases it's a good question but it like this
00:22:06
how do you uh uh what measures do you take to prevents personally identifiable information
00:22:12
of patient to pure form that that is the big question and let us to uh
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so the best way to keep a secret is not to have a secret we uh exist entirely
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outside of hip or the uh the patient privacy act we don't know any identifying details on a platform
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we uh you have a face block technology they are likely botany faces but on the platform uh every user you get a
00:22:36
a sort of swedish editing tools you can cut or anything like a a number on an x. ray i date of birth
00:22:41
you know how to mention times dates locations in your
00:22:44
captions we've a twenty four hour monitoring tina checks every single
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case it goes out and we have a budget of flag any case that has any of those in for any that
00:22:52
information and the best part of that is that there's no loss in the educational value of the cases even when you
00:22:59
remove that information okay thanks okay maybe the last question before
00:23:06
the launch telling you know it's always the f. with question
00:23:13
yes we will you had the thank you very much for your presentation
00:23:20
and what's the police young when patients be part of a bit of people that come on
00:23:28
it's something we thought about a lot was nothing we do at the current time um
00:23:32
we think that might be of a possibility for patients choose to use it as a service eventually but but now
00:23:38
it's really a mini for health care professionals d. c. thank
00:23:44
you thank you very much but some uh for your presentation
Conference Program
Mots de bienvenue
Sébastien Mabillard, CEO | Swiss Digital Health
June 7, 2019 · 9:05 a.m.
140 views
Mots de bienvenue
Victor Fournier, Chef de Service de la santé publique | Canton du Valais
June 7, 2019 · 9:09 a.m.
151 views
Mots de bienvenue
Laurent Sciboz , Directeur des instituts informatiques
June 7, 2019 · 9:14 a.m.
155 views
Vidéo avec Nao
June 7, 2019 · 9:23 a.m.
Soutenir le parcours du patient à l'ère du numérique
Frédéric Ehrler, R&D chef de groupe Interaction homme-machine et capteurs, HUG (Suisse)
June 7, 2019 · 9:28 a.m.
188 views
La santé à l'ère des assistants numériques
Yariv Adan, Chef produits Google Assistant, GOOGLE (Suisse)
June 7, 2019 · 9:56 a.m.
149 views
Preventive medicine at home allows health costs reduction
Guillaume Dupasquier, CEO, Domosafety
June 7, 2019 · 10:29 a.m.
Introduction de la 2ème partie, Assistants @ Home
Sébastien Mabillard, CEO | Swiss Digital Health
June 7, 2019 · 11:22 a.m.
How humanoid robot can be an assistant to the healthcare personnel
Thierry Perronnet, General Manager, Avatarion Technology (Switzerland)
June 7, 2019 · 11:24 a.m.
Physical Therapy made Digital ? The new standard of care for the next 50 years
André Eiras Dos Santos, COO, General Manager EMEA & APAC, SWORD HEALTH (Portugal)
June 7, 2019 · 11:54 a.m.
208 views
Aging in Place – A story of intelligent design and assistive technology
James Wyman, COO & co-founder, PILLO HEALTH (USA)
June 7, 2019 · 12:14 p.m.
The Power of Clinical Curiosity
Benjamin Errett, Senior Director of Brand, FIGURE 1 (Canada)
June 7, 2019 · 12:43 p.m.
Introduction à la 3ème partie: Seeds of innovation and pre-arranged meetings
Sébastien Mabillard, CEO | Swiss Digital Health
June 7, 2019 · 2:04 p.m.
A conversational robot doubles the success rate of quitting smoking
Roland Savioz and Michael Schumacher, OBEEONE / HES-SO Valais-Wallis (Switzerland)
June 7, 2019 · 2:07 p.m.
124 views
What are the challenges facing the health system in the face of the digitalization of family life?
Maddalena Di Meo, CEO & founder, BABY & KIDS CARE (Switzerland)
June 7, 2019 · 2:29 p.m.
622 views
How do health companions change our daily lives?
Giovanni Joerger, Marketing & sales director, OFAC (Switzerland)
June 7, 2019 · 2:47 p.m.
113 views
Soignez-Moi.ch: your doctor without delay
Romain Boichat, COO & co-founder, SOIGNEZ-MOI.CH (Switzerland)
June 7, 2019 · 3:10 p.m.
501 views
Table ronde
June 7, 2019 · 3:29 p.m.
Conclusions
Sébastien Mabillard, CEO | Swiss Digital Health
June 7, 2019 · 4:24 p.m.
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