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Enormous technological changes in medicine and healthcare are heading our way. If they hit us unprepared (which we are now), they will wash away the medical system we know, leaving a purely technologybased service without personal interaction. By preparing and planning, we have the opportunity to consciously and purposefully redesign the healthcare sector piece-by-piece. Thats the belief of medical futurist Dr. Bertalan Mesk, author of The Guide to the Future of Medicine: Technology and the Human Touch.
Part 1 of this column summarized the first set of tech trends that Mesk described as being already underway or those that will have an impact on us in the near term. Now we take a look at the next set of trends that Mesk identifies as being in earlier stages of development and not quite yet ready for prime time.
Medical decisions via artificial intelligence (AI) Watson, the IBM room-sized super-computer, beat Jeopardys all-time best contestants, Ken Jennings and Brad Rutter. Thats just the beginning. With virtual computer networks working together on a particular problem, Big Data is becoming Huge Data. Healthcare is a prime candidate for making intelligent use of that data. With new, relevant medical research being produced so quickly, its impossible for a human to constantly be up-to-date. But a super-computer could, even to the extent of advising on medical decisions. AI will offer many benefits, including generating insights for lowering costs and creating better outcomes.
The future of medicine will involve complex interactions between man and machine. (Image credit: B. Mesk)
Growing organs in a dish Regenerative medicine seeks to aid those who suffer from organ failure or loss by providing them with artificially created replacement organs. 3D printers have already successfully produced organs, and stem cells can be used to grow some organs. Eventually, these advances may eliminate the shortage of organ donations altogether.
Eating in the future With instant content analysis, we will know exactly what we are eating and, hopefully, that will teach us how to eat properly. Fast food will be defined by more than the local McDonalds, Wendys, or Burger King, as 3D printing begins to produce a variety of nutritional options. This will become a norm to satisfy the ever-increasing population.
Augmented reality and virtual reality Augmented reality through technology such as Google Glass will be increasingly streamlined into healthcare. Currently, a surgeon can stream a live surgery procedure in order to create an enhanced learning tool for students who would have to typically watch over the doctors shoulder. In the future, virtual reality will create environments that allow patients to share point-of-view information and concerns directly with medical caregivers. It will also be applied to psychotherapy in order to let patients view scenarios or reprocess memories virtually.
The end of human experimentation Computational cognitive architecture will simulate how human physiology works, detail-by-detail. Virtual experimentation through this kind of simulation could test numerous samples on virtual patients in an extremely short time period. Mesk describes one example: A technique called organ-on-a-chip simulates the activities, mechanics, and physiology of entire organs and organ systems.
Nanorobots living in our bloodstream These microscopic robots will measure health parameters and diagnose disease. They could also expand our knowledge of biology and anatomy, improve how we deliver drugs, or perform extremely localized surgery. The nanorobots could eventually develop a network, communicate with each other, identify health concerns, and automatically take corrective actions.
Hospitals of the future In the future, hospitals will be less about recovery from acute illness, and more about rejuvenating ourselves. The shift will be comparable to the transition in the healthcare system from reactive to proactive care, from acute care to disease management and prevention. Hospitals will become places to double-check that patients are on track to stay healthy. Delivering care will be patient-centered, with intelligent designs to improve the healing process.
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Enormous technological changes in medicine and healthcare are heading our way. These trends have a variety of stakeholders: patients, medical professionals, researchers, medical students, and consumers. They are important because of the impact they will likely have on all of us at one time or another. To get an overview of the trends in healthcare technology, we turned to Dr. Bertalan Mesk, medical futurist and author of The Guide to the Future of Medicine: Technology and the Human Touch. In it, he identifies several areas that he believes will shape the futureof medicine and healthcare for decades to come.
Mesks predictions easily fall into two categories. The first group of trends, descried below, involve concepts already underway today, or those that will likely have an impact on us in the near future. (Part 2 of this article discusses a second group of tech trends that are still several years away or in much earlier stages of development).
The future of medicine will involve complex interactions between man and machine. (Image credit: B. Mesk)
Gamifying health Games are ubiquitous on our computers and phones, and increasing numbers of them are designed to have a positive impact beyond simply killing time. Combining fun and games into healthcare apps can motivate the patient and collect data needed to make informed decisions on daily activities that contribute to ones health. An estimated 50% of patients with chronic diseases do not follow the prescribed treatment, says Mesk. Gamified health tracking creates an environment that keeps the patient from straying from the appropriate therapy path.
Empowered patients Patients will become equal partners with their caregivers. Healthcare is moving beyond the hospital, and shifting towards patient self-knowledge and empowerment. The Internet has led to many people (for better or worse) researching their symptoms and diagnosing and treating themselves. While that extreme should be avoided whenever traditional healthcare providers are available, theres no way to put the genie back in the bottle in terms of patients educating themselves. Rather, healthcare professionals should embrace the change and guide patients in participating in their own care. New technologies will finally help medical professionals focus more on the patient as a human being instead of spending time hunting down pertinent information. They will be able to do what they do best provide care with expertise. In turn, patients will get the chance to be equal partners in their healthcare. As Mesk puts it, Healthcare cannot really advance without physicians letting their patients help themselves.
Telemedicine and remote care Home healthcare services and innovative technology will allow for doctor-patient connectivity where it had not been previously possible, saving both lives and money. Patient monitoring before, during, and after a procedure can now include autonomous robots, such as iRobots RP-VITA.
Rethinking the medical curriculum Medical schools will prepare future physicians for a world full of e-patients and dazzling technology. It takes many years to go from studying to practicing medicine. During that time, what students are learning is constantly changing in the real world. The old-fashioned textbook is a static learning piece in a dynamic professional field with integrated, innovative technology. Digital classrooms will create new connections between students and healthcare professionals and allow for access to the most current information and resources.
Surgical and humanoid robots Robotic-assisted surgery enhances the skill of the surgeon and allows for less invasive procedures. Advanced robots will be able to perform an operation from continents away, with precision beyond what a surgeons hand can do. Robots may never fully take over a surgical room due to their weak versatility and adaptability compared to humans, but they will become much more integrated into surgical teams.
Genomics and truly personalized medicine DNA analysis will become a standard step when prescribing medicine or treatment, to ensure it is personalized and optimized for that particular patients metabolic background. This kind of specificity, according to Mesk, will make it possible to define disease in terms similar to GPS coordinates.
Body sensors Technology is allowing us to measure critical health parameters in convenient and inexpensive ways. Tiny, wearable, sensors collect data without inferring with our daily lives in order to make better, more informed quantifiable decisions. Electronic clothing paired with sensors is one outlet used to collect such data.
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Newswise November 24, 2014(BRONX, NY)Six faculty members at Albert Einstein College of Medicine of Yeshiva University have been named Fellows of the American Association for the Advancement of Science (AAAS). Election as an AAAS Fellow is an honor bestowed upon AAAS members by their peers. This year, 401 members have been awarded this honor by AAAS because of their scientifically or socially distinguished efforts to advance science or its applications.
The 2014 AAAS Fellows at Einstein are:
Aviv Bergman, Ph.D. Elected for drawing upon concepts from physics, mathematics, computer science, and biology to address problems in a broad range of biological inquiries, spanning evolutionary systems biology to cancer. Dr. Bergman is professor and chair, systems & computational biology, professor of pathology and of neuroscience and the Harold and Muriel Chair in Systems & Computational Biology.
Margaret Kielian, Ph.D. Elected for distinguished contributions to the field of virology, particularly for studies on the alphavirus and flavivirus membrane fusion proteins and on virus entry and exit. Dr. Kielan is professor of cell biology and Samuel H. Golding Chair in Microbiology.
Richard Kitsis, M.D. Elected for distinguished contributions to fundamental and translational aspects of cell death, particularly for originating and driving the field of cell death in the heart. Dr. Kitsis is professor of medicine and of cell biology, the Dr. Gerald and Myra Dorros Chair in Cardiovascular Disease and director of the Wilf Family Cardiovascular Research Institute at Einstein and attending physician, cardiology at Montefiore Medical Center.
U. Thomas Meier, Ph.D. Elected for distinguished contributions to the field of RNA biology, particularly for elucidating RNA-protein complexes and their roles in RNA modification and stabilization and in human disease. Dr. Meier is professor of anatomy & structural biology.
Robert Singer, Ph.D. Elected for distinguished contributions to the development and application of imaging technologies and insights into the kinetics and spatial distributions of single mRNAs in living cells. Dr. Singer is professor and co-chair of anatomy & structural biology, professor of neuroscience and of cell biology, co-director of the Gruss Lipper Biophotonics Center and of the Integrated Imaging Program, and the Harold and Muriel Chair in Anatomy & Structural Biology.
Jan Vijg, Ph.D. Elected for distinguished contributions to the fields of mutagenesis and aging, development of innovative mouse models. Dr. Vijg is professor and chair of genetics, professor of ophthalmology & visual sciences and the Lola and Saul Kramer Chair in Molecular Genetics.
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