About this project
The problem we solve: What if there was a way to solve any clinical case from around the world, and avoid paying for expensive textbooks and board prep materials? The need for a widely available, high-quality medical training resource is urgent as fewer than two physicians are available per 1,000 patients, creating a gap of nearly 1 million physicians globally (source: World Health Organization). Physician training is costly, resource intensive, and often ineffective. To meet the demands of a rapidly growing and aging population, and the accelerating rate of progress in medical knowledge, innovative approaches for the initial and ongoing training of physicians are urgently needed. Efforts to disseminate high-quality educational content through massive online open courses (or MOOCs) have made university-level education widely accessible; beginning with MIT OpenCourseWare, EdX (a collaboration between MIT and Harvard), and Khan Academy. However, similar efforts in medical education have been limited. About our solution: The Human Diagnosis Project (or Human Dx, www.humandx.org) enables physicians from around the world to post a clinical case using any smartphone or web-enabled device. As doctors contribute to Human Dx, pioneering technologies automatically transform the case into a brief clinical case simulation that mimics clinical practice and is readily available online to any physician or trainee. As doctors work through the case step-by-step, Human Dx encodes their thought processes and decisions so that the system can provide detailed feedback on their performance and others can benefit from their individual insights. With support from the AMA, we hope to make these cases available to more physicians and trainees and partner with additional academic medical centers to make their teaching content freely available online for others to learn from. Progress to date: Human Dx has enabled an open medical education platform, created with and and led by the world's leading academic medical institutions (including Harvard, Johns Hopkins and Yale), physician societies (including the American College of Physicians and Society for Hospital Medicine) and thousands of doctors from more than 45 countries and 40 medical specialties. Participants have made over 30,000 case contributions to date.
It is also supported by some of the world's top thinkers in technology, medicine and public health, including Dr. Robert Wachter (former chair of the American Board of Internal Medicine); Dr. Michael Klag (Dean of the Johns Hopkins Bloomberg School of Public Health); Mitch Kapor (first chair of the Mozilla Foundation); and the Rx Foundation, whose board includes Dr. Howard Hiatt (former Dean of the Harvard School of Public Health) and Dr. Don Berwick (former head of the Centers for Medicare and Medicaid Services; founder of the Institute for Healthcare Improvement).
About Our Team
Dr. Shantanu Nundy, MD / MBA Internal Medicine, Practicing Physician Location: Washington, District of Columbia Medical school: Johns Hopkins University School of Medicine Bio: Dr. Shantanu Nundy's experience spans global health, technology, and medicine. Previously, he served as a consultant to the World Health Organization, the United Nations Development Programme, and the Results for Development Institute. Dr. Nundy has conducted research at Harvard Medical School, MIT, Johns Hopkins, the Centers for Disease Control and Prevention, and the University of Chicago where he completed an Agency for Healthcare Research and Quality fellowship in health disparities.
Practice: Mary's Center Title: Director of Medicine LinkedIn:www.linkedin.com/in/shantanu-nundy-1a094a33
Today, expert medical knowledge is available to few people, and over one billion people lack access to basic health care (source: World Health Organization). Through the medical education use case, Human Dx is encoding the thought processes, decisions, and actions of thousands of physicians into an open system that will ultimately be accessible to anyone, anywhere, including patients. To do so, the system employs medical ontologies, information retrieval, semantic text extraction, natural language processing, machine learning, data mining, and other techniques to automatically encode structured data based on physicians’ decision making processes. Thus, in helping individual patients today, physicians are simultaneously enabling the system to automatically help patients in the future.
How We Help Education
Diagnosis is the most crucial early step in assessing, treating, managing, and ultimately curing disease. And yet today, the Institute of Medicine estimates that five percent of Americans experience a diagnostic error each year.
Unlike traditional question-and-answer content, Human Dx’s core technologies enable brief case simulations that much more closely mimic clinical practice and evaluate multiple dimensions of performance (including accuracy, breadth, efficiency, speed, precision, depth, and novelty). This enables deliberate practice, repeated cycles of performance and feedback, which is the key to developing expertise and ultimately mastery (source: Professor K. Anders Ericsson).
Preliminary data is already showing that as physicians and trainees solve more cases in Human Dx, they are having a marked improvement in their clinical reasoning and diagnostic abilities.
How We Help Physicians
Over the past three years, the have developed the core technologies that ensure that Human Dx is inspiring, enjoyable, and easy to contribute to while also capturing the highest-quality clinical data. Human Dx is already beginning to impact patient care by enabling the simplest and fastest way for medical professionals to access the collective insights of the medical community on complex clinical cases.
Our hope is that for physicians and trainees contributing to Human Dx is their 5 minutes a day to be a part of a something greater than themselves, to share their insights with the global medical community, to build a resource for current and future generations of humankind, and in doing so, renew the reasons that brought them to medicine in the first place and find joy in clinical practice.
Mission: This project will empower anyone, anywhere, with free access to expert medical education content: and in doing so, dramatically improve the cost of, access to, and effectiveness of health care. Use of funds: With support from the AMA, we will ensure that Human Dx’s cases are broadly available to any physician or trainee by a) Conducting educational campaigns directed at the global medical community to promote broader use of the tool; b) Connecting with faculty, physicians, and students at the world’s top academic institutions; and c) Partnering with key healthcare organizations and institutions to make their teaching content freely available online for others to learn from. Intellectual Property Status: Not applicable FDA Status: Not applicable Personal Message: Try Human Dx for yourself at www.humandx.org/join. By contributing to Human Dx, you can enhance your own clinical skills while helping your patients, your colleagues, the medical community and the world.