[Applause] so I was told you all want to apply to
so I was told you all want to apply to
so I was told you all want to apply to medical school and become physicians
medical school and become physicians
medical school and become physicians well I hope that’s true because if we’re
well I hope that’s true because if we’re
well I hope that’s true because if we’re talking about the future of healthcare
talking about the future of healthcare
talking about the future of healthcare we’re gonna be able to bring you the
we’re gonna be able to bring you the
we’re gonna be able to bring you the tools and resources to be your own
tools and resources to be your own
tools and resources to be your own physician imagine that healthcare future
physician imagine that healthcare future
physician imagine that healthcare future so let’s talk about what that future
so let’s talk about what that future
so let’s talk about what that future might look like in the principles that
might look like in the principles that
might look like in the principles that we’re going to work towards we want a
we’re going to work towards we want a
we’re going to work towards we want a better patient experience we want better
better patient experience we want better
better patient experience we want better access we want less waiting time if
access we want less waiting time if
access we want less waiting time if you’re your own doctor hopefully you
you’re your own doctor hopefully you
you’re your own doctor hopefully you don’t have to wait very long we want to
don’t have to wait very long we want to
don’t have to wait very long we want to do it at less cost we want a better
do it at less cost we want a better
do it at less cost we want a better provider experience today 44% of doctors
provider experience today 44% of doctors
provider experience today 44% of doctors experience burnout and we know when they
experience burnout and we know when they
experience burnout and we know when they do that they don’t take as good care of
do that they don’t take as good care of
do that they don’t take as good care of us as they should and then finally we
us as they should and then finally we
us as they should and then finally we want better outcomes so how do we get
want better outcomes so how do we get
want better outcomes so how do we get there in the future well one way is
there in the future well one way is
there in the future well one way is through personalized or precision
through personalized or precision
through personalized or precision medicine and what does that mean it
medicine and what does that mean it
medicine and what does that mean it means we’re going to be able to collect
means we’re going to be able to collect
means we’re going to be able to collect a lot of information on you that we
a lot of information on you that we
a lot of information on you that we never had before
never had before
never had before and that’s going to not only allow us to
and that’s going to not only allow us to
and that’s going to not only allow us to take care of your illness and diseases
take care of your illness and diseases
take care of your illness and diseases better but get to a place where we can
better but get to a place where we can
better but get to a place where we can actually prevent illness and disease to
actually prevent illness and disease to
actually prevent illness and disease to begin with to let you live longer with a
begin with to let you live longer with a
begin with to let you live longer with a better quality of life and that brings
better quality of life and that brings
better quality of life and that brings us to a concept of scientific wellness
us to a concept of scientific wellness
us to a concept of scientific wellness the science of being well and that is
the science of being well and that is
the science of being well and that is the future of health care so how do we
the future of health care so how do we
the future of health care so how do we get there will we pull out the Star Trek
get there will we pull out the Star Trek
get there will we pull out the Star Trek tricorder we already have that with us
tricorder we already have that with us
tricorder we already have that with us we have all sorts of sensors many of you
we have all sorts of sensors many of you
we have all sorts of sensors many of you might be wearing fitbit’s or eye watches
might be wearing fitbit’s or eye watches
might be wearing fitbit’s or eye watches right now that can collect steps your
right now that can collect steps your
right now that can collect steps your sleep-wake cycle
sleep-wake cycle
sleep-wake cycle but we can do a lot more already and in
but we can do a lot more already and in
but we can do a lot more already and in the future not only are you gonna wear
the future not only are you gonna wear
the future not only are you gonna wear these devices some of them will be
these devices some of them will be
these devices some of them will be attached to you some of them will be
attached to you some of them will be
attached to you some of them will be implanted in you and then some of them
implanted in you and then some of them
implanted in you and then some of them are going to be in the environment
are going to be in the environment
are going to be in the environment collecting information on your health
collecting information on your health
collecting information on your health 24/7 in a passive way you won’t even
24/7 in a passive way you won’t even
24/7 in a passive way you won’t even know but we’ll have all this amazing
know but we’ll have all this amazing
know but we’ll have all this amazing data that will help us make better
data that will help us make better
data that will help us make better decisions about you will also have your
decisions about you will also have your
decisions about you will also have your personal blueprint your DNA and why is
personal blueprint your DNA and why is
personal blueprint your DNA and why is that important because when I appreciate
that important because when I appreciate
that important because when I appreciate the building blocks of you as an
the building blocks of you as an
the building blocks of you as an individual I can begin to see the
individual I can begin to see the
individual I can begin to see the disease’s that you might be predisposed
disease’s that you might be predisposed
disease’s that you might be predisposed to but even more exciting than that is
to but even more exciting than that is
to but even more exciting than that is we can begin to see what kinds of
we can begin to see what kinds of
we can begin to see what kinds of therapies or drugs that might work on
therapies or drugs that might work on
therapies or drugs that might work on you and maybe even more importantly the
you and maybe even more importantly the
you and maybe even more importantly the ones that won’t the ones that might
ones that won’t the ones that might
ones that won’t the ones that might cause you a serious side effect will
cause you a serious side effect will
cause you a serious side effect will know that before you even take your
know that before you even take your
know that before you even take your first dose imagine living in a world
first dose imagine living in a world
first dose imagine living in a world where you never have a side effect from
where you never have a side effect from
where you never have a side effect from a medication again or you never have a
a medication again or you never have a
a medication again or you never have a serious interaction because we’ve
serious interaction because we’ve
serious interaction because we’ve already figured that out for you before
already figured that out for you before
already figured that out for you before you took your therapy we know that
you took your therapy we know that
you took your therapy we know that telehealth is gonna bring better access
telehealth is gonna bring better access
telehealth is gonna bring better access there’s one healthcare organization in
there’s one healthcare organization in
there’s one healthcare organization in the u.s. that said by next year 50% of
the u.s. that said by next year 50% of
the u.s. that said by next year 50% of their patients are going to access
their patients are going to access
their patients are going to access primary care through a device like this
primary care through a device like this
primary care through a device like this an iPad or a computer Wow 50% sometimes
an iPad or a computer Wow 50% sometimes
an iPad or a computer Wow 50% sometimes we think about telehealth as just that
we think about telehealth as just that
we think about telehealth as just that interaction but I’d like to explain to
interaction but I’d like to explain to
interaction but I’d like to explain to you the concept of telepresence there’s
you the concept of telepresence there’s
you the concept of telepresence there’s a lot more that goes on in a visit than
a lot more that goes on in a visit than
a lot more that goes on in a visit than just that interaction there are tools
just that interaction there are tools
just that interaction there are tools that we can use remotely where the
that we can use remotely where the
that we can use remotely where the patient is
patient is
patient is also where the provider is and those
also where the provider is and those
also where the provider is and those things might be devices or diagnostic
things might be devices or diagnostic
things might be devices or diagnostic tools but sometimes they’re people other
tools but sometimes they’re people other
tools but sometimes they’re people other professionals that could be your friends
professionals that could be your friends
professionals that could be your friends and family that we can engage to help
and family that we can engage to help
and family that we can engage to help take care of you and that’s going to
take care of you and that’s going to
take care of you and that’s going to require a different set of skills down
require a different set of skills down
require a different set of skills down the road and we’ll talk about that a
the road and we’ll talk about that a
the road and we’ll talk about that a little bit later uh-oh this looks like a
little bit later uh-oh this looks like a
little bit later uh-oh this looks like a pug dog being flown around by a drone
well what is this about I’m not
well what is this about I’m not interested in a drone flying a pug dog
interested in a drone flying a pug dog
interested in a drone flying a pug dog but think about what drones could do
but think about what drones could do
but think about what drones could do with regards to changing access to
with regards to changing access to
with regards to changing access to health care particularly in rural areas
health care particularly in rural areas
health care particularly in rural areas I want to get you thinking about this
I want to get you thinking about this
I want to get you thinking about this concept of care wherever you are
concept of care wherever you are
concept of care wherever you are through drones if you get sick and
through drones if you get sick and
through drones if you get sick and you’re two and a half hours away from
you’re two and a half hours away from
you’re two and a half hours away from help we could drone out to you a
help we could drone out to you a
help we could drone out to you a diagnostic kit through telepresence you
diagnostic kit through telepresence you
diagnostic kit through telepresence you could be instructed on how to use that
could be instructed on how to use that
could be instructed on how to use that let’s say you have some kind of heart
let’s say you have some kind of heart
let’s say you have some kind of heart problems and we’re going to send you out
problems and we’re going to send you out
problems and we’re going to send you out a portable ultrasound unit will instruct
a portable ultrasound unit will instruct
a portable ultrasound unit will instruct you how to use it that data will
you how to use it that data will
you how to use it that data will instantaneously get back to a provider
instantaneously get back to a provider
instantaneously get back to a provider and they can say you know what you don’t
and they can say you know what you don’t
and they can say you know what you don’t need to move but we’re going to drone
need to move but we’re going to drone
need to move but we’re going to drone out to you a set of therapies that you
out to you a set of therapies that you
out to you a set of therapies that you need to apply and then you’ll be okay
need to apply and then you’ll be okay
need to apply and then you’ll be okay we’ve just saved a bunch of money we
we’ve just saved a bunch of money we
we’ve just saved a bunch of money we saved you potentially the danger of
saved you potentially the danger of
saved you potentially the danger of travel while you’re sick and we’ve taken
travel while you’re sick and we’ve taken
travel while you’re sick and we’ve taken care of you where you are imagine being
care of you where you are imagine being
care of you where you are imagine being on the road at a rest area and getting
on the road at a rest area and getting
on the road at a rest area and getting sick how would you get help through a
sick how would you get help through a
sick how would you get help through a drone we could get you help
drone we could get you help
drone we could get you help pretty darn quickly and I’ll take you
pretty darn quickly and I’ll take you
pretty darn quickly and I’ll take you one step further what if we had drones
one step further what if we had drones
one step further what if we had drones that could actually fly you to a place
that could actually fly you to a place
that could actually fly you to a place if you had some kind of urgent or
if you had some kind of urgent or
if you had some kind of urgent or critical need or fly a provider out to
critical need or fly a provider out to
critical need or fly a provider out to you if you couldn’t be moved Wow
okay we gotta take it up a notch I’m
okay we gotta take it up a notch I’m going to show you a short video that’s
going to show you a short video that’s
going to show you a short video that’s going to have four technologies I’m
going to have four technologies I’m
going to have four technologies I’m gonna begin to talk about them and let’s
gonna begin to talk about them and let’s
gonna begin to talk about them and let’s see what we have here
see what we have here
see what we have here the first thing is semi autonomous
the first thing is semi autonomous
the first thing is semi autonomous robotic surgery
robotic surgery
robotic surgery this is robotic surgery with minimal
this is robotic surgery with minimal
this is robotic surgery with minimal involvement from a human being but we
involvement from a human being but we
involvement from a human being but we are moving towards fully autonomous
are moving towards fully autonomous
are moving towards fully autonomous robotic surgery imagine going to a
robotic surgery imagine going to a
robotic surgery imagine going to a surgery where a doctor never touches you
surgery where a doctor never touches you
surgery where a doctor never touches you the next thing we’re looking at is
the next thing we’re looking at is
the next thing we’re looking at is augmented reality physicians can now use
augmented reality physicians can now use
augmented reality physicians can now use augmented reality to help them with the
augmented reality to help them with the
augmented reality to help them with the computer overlay over the reals scenario
computer overlay over the reals scenario
computer overlay over the reals scenario so that they know exactly what to do
so that they know exactly what to do
so that they know exactly what to do this is a little bit of a demonstration
this is a little bit of a demonstration
this is a little bit of a demonstration of artificial intelligence think IBM
of artificial intelligence think IBM
of artificial intelligence think IBM Watson the ability to have
Watson the ability to have
Watson the ability to have supercomputers which we all have one in
supercomputers which we all have one in
supercomputers which we all have one in our pocket with our phones the ability
our pocket with our phones the ability
our pocket with our phones the ability to have something like Watson to help us
to have something like Watson to help us
to have something like Watson to help us diagnose conditions and recommend the
diagnose conditions and recommend the
diagnose conditions and recommend the best treatment plans that is in part
best treatment plans that is in part
best treatment plans that is in part going to get you to be able to take care
going to get you to be able to take care
going to get you to be able to take care of yourself in the future and lastly you
of yourself in the future and lastly you
of yourself in the future and lastly you saw a video of what we call a digestible
saw a video of what we call a digestible
saw a video of what we call a digestible sensor a sensor you swallow that can
sensor a sensor you swallow that can
sensor a sensor you swallow that can then give us information about your
then give us information about your
then give us information about your inner workings when before all we could
inner workings when before all we could
inner workings when before all we could do is maybe open you up to get that
do is maybe open you up to get that
do is maybe open you up to get that information now we can give you a pill
information now we can give you a pill
information now we can give you a pill and get it holy cow
and get it holy cow
and get it holy cow let’s say you get sick and you have some
let’s say you get sick and you have some
let’s say you get sick and you have some significant organ damage right now your
significant organ damage right now your
significant organ damage right now your only option is to get a transplant but
only option is to get a transplant but
only option is to get a transplant but what you’re looking at on the screen is
what you’re looking at on the screen is
what you’re looking at on the screen is the future it’s a 3d organ printer and
the future it’s a 3d organ printer and
the future it’s a 3d organ printer and pretty soon we’re going to have the
pretty soon we’re going to have the
pretty soon we’re going to have the capability to make a customizable organ
capability to make a customizable organ
capability to make a customizable organ that is exactly like yours Wow I want to
that is exactly like yours Wow I want to
that is exactly like yours Wow I want to talk about social media and you’re like
talk about social media and you’re like
talk about social media and you’re like holy cow we thought social media was bad
holy cow we thought social media was bad
holy cow we thought social media was bad for your health but he can also be used
for your health but he can also be used
for your health but he can also be used for
for
for veterinarians in other countries are
veterinarians in other countries are
veterinarians in other countries are able to use social media to track the
able to use social media to track the
able to use social media to track the health of livestock and when livestock
health of livestock and when livestock
health of livestock and when livestock get ill their owners start to text and
get ill their owners start to text and
get ill their owners start to text and post the social media and veterinarians
post the social media and veterinarians
post the social media and veterinarians can actually track those texts on social
can actually track those texts on social
can actually track those texts on social media and then figure out what’s wrong
media and then figure out what’s wrong
media and then figure out what’s wrong with herds and then intervene before the
with herds and then intervene before the
with herds and then intervene before the sickness spreads imagine using social
sickness spreads imagine using social
sickness spreads imagine using social media for human beings in that same way
media for human beings in that same way
media for human beings in that same way we could do it so I’ve just given you a
we could do it so I’ve just given you a
we could do it so I’ve just given you a small glimpse into some of the potential
small glimpse into some of the potential
small glimpse into some of the potential future of healthcare but let’s talk a
future of healthcare but let’s talk a
future of healthcare but let’s talk a little bit now how we’re going to get
little bit now how we’re going to get
little bit now how we’re going to get all of you there because you’re gonna
all of you there because you’re gonna
all of you there because you’re gonna end up taking care of yourself because
end up taking care of yourself because
end up taking care of yourself because after this you’re all going to be
after this you’re all going to be
after this you’re all going to be physicians so what might you have to do
physicians so what might you have to do
physicians so what might you have to do well if you’re gonna be learning from
well if you’re gonna be learning from
well if you’re gonna be learning from computers and computers are going to be
computers and computers are going to be
computers and computers are going to be an integral part of the healthcare
an integral part of the healthcare
an integral part of the healthcare process then maybe you might need to
process then maybe you might need to
process then maybe you might need to learn how to code and if you say
learn how to code and if you say
learn how to code and if you say coatings to hard well you should at
coatings to hard well you should at
coatings to hard well you should at least know how a computer crunches data
least know how a computer crunches data
least know how a computer crunches data and what the algorithms mean because you
and what the algorithms mean because you
and what the algorithms mean because you know what happens right now physicians
know what happens right now physicians
know what happens right now physicians use about 15 pieces of data to help you
use about 15 pieces of data to help you
use about 15 pieces of data to help you get better but in the future we’re not
get better but in the future we’re not
get better but in the future we’re not gonna have a hundred or a thousand or a
gonna have a hundred or a thousand or a
gonna have a hundred or a thousand or a hundred thousand we’re gonna have a
hundred thousand we’re gonna have a
hundred thousand we’re gonna have a million data points on each and every
million data points on each and every
million data points on each and every one of you how do we figure out which
one of you how do we figure out which
one of you how do we figure out which ones are the important ones we’re gonna
ones are the important ones we’re gonna
ones are the important ones we’re gonna have to get better at that if we’re
have to get better at that if we’re
have to get better at that if we’re going to be using telehealth there is an
going to be using telehealth there is an
going to be using telehealth there is an art to communicating emotion and
art to communicating emotion and
art to communicating emotion and compassion across a video medium it’s
compassion across a video medium it’s
compassion across a video medium it’s not like we’re doing right now where I
not like we’re doing right now where I
not like we’re doing right now where I can look in the eye I could see your
can look in the eye I could see your
can look in the eye I could see your smile or your frown or your tiredness
smile or your frown or your tiredness
smile or your frown or your tiredness it’s harder to do that so maybe the
it’s harder to do that so maybe the
it’s harder to do that so maybe the clinicians of the future need acting
clinicians of the future need acting
clinicians of the future need acting classes maybe you better I’ll start
classes maybe you better I’ll start
classes maybe you better I’ll start prepare
if we’re gonna be printing 3d organs may
if we’re gonna be printing 3d organs may be our future clinicians need to
be our future clinicians need to
be our future clinicians need to understand a little bit about graphic
understand a little bit about graphic
understand a little bit about graphic design and how 3d printers work today
design and how 3d printers work today
design and how 3d printers work today their limitations and their capabilities
their limitations and their capabilities
their limitations and their capabilities so as we’re designing organs of the
so as we’re designing organs of the
so as we’re designing organs of the future we’ll know what we’re up against
if we’re gonna involve more people in
if we’re gonna involve more people in the team we have to be better leaders
the team we have to be better leaders
the team we have to be better leaders and we have to know how to work together
and we have to know how to work together
and we have to know how to work together as a team and lastly if we’re going to
as a team and lastly if we’re going to
as a team and lastly if we’re going to be flying pug dogs around in drones or
be flying pug dogs around in drones or
be flying pug dogs around in drones or bringing you medical supplies and
bringing you medical supplies and
bringing you medical supplies and therapies and using social media to help
therapies and using social media to help
therapies and using social media to help track disease and illness maybe it’s not
track disease and illness maybe it’s not
track disease and illness maybe it’s not too far-fetched to think that the
too far-fetched to think that the
too far-fetched to think that the trainees of today need to work with
trainees of today need to work with
trainees of today need to work with video games and need to involve
video games and need to involve
video games and need to involve simulation today what we know about
simulation today what we know about
simulation today what we know about surgeons who do lap Resaca laparoscopic
surgeons who do lap Resaca laparoscopic
surgeons who do lap Resaca laparoscopic surgery is that if they practice 10
surgery is that if they practice 10
surgery is that if they practice 10 minutes before they go into the surgical
minutes before they go into the surgical
minutes before they go into the surgical room on a laparoscopic simulator or a
room on a laparoscopic simulator or a
room on a laparoscopic simulator or a video game you will have a 25% better
video game you will have a 25% better
video game you will have a 25% better outcome in your procedure I want all my
outcome in your procedure I want all my
outcome in your procedure I want all my surgeons to be playing video games if
surgeons to be playing video games if
surgeons to be playing video games if we’re gonna get to this place where
we’re gonna get to this place where
we’re gonna get to this place where you’re your own physician someday
you’re your own physician someday
you’re your own physician someday there’s a lot of ethical questions we
there’s a lot of ethical questions we
there’s a lot of ethical questions we have to answer let me just throw out a
have to answer let me just throw out a
have to answer let me just throw out a few if we’re gonna use artificial
few if we’re gonna use artificial
few if we’re gonna use artificial intelligence to tell us what to do when
intelligence to tell us what to do when
intelligence to tell us what to do when do human beings get involved if we can
do human beings get involved if we can
do human beings get involved if we can make organs on demand is it okay that we
make organs on demand is it okay that we
make organs on demand is it okay that we abuse our organs because we know there’s
abuse our organs because we know there’s
abuse our organs because we know there’s a replacement right around the corner
a replacement right around the corner
a replacement right around the corner and if it’s true that sharing our
and if it’s true that sharing our
and if it’s true that sharing our personal data could improve the health
personal data could improve the health
personal data could improve the health of our neighbors or ourselves might we
of our neighbors or ourselves might we
of our neighbors or ourselves might we think differently about the privacy
think differently about the privacy
think differently about the privacy of our data and whether or not it should
of our data and whether or not it should
of our data and whether or not it should only be ours well you guys have been
only be ours well you guys have been
only be ours well you guys have been great applicants and I’m sure you’re
great applicants and I’m sure you’re
great applicants and I’m sure you’re gonna get into medical school someday
gonna get into medical school someday
gonna get into medical school someday thank you very much
thank you very much
thank you very much [Applause]
”
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