A MOBILE SYMPTOM SORTER FOR DOCTORS


 

PROJECT GOAL

Create a mobile symptom sorter tool using existing partner data to drive subscriptions to Epocrates (the #1 medical reference app used by doctors) by adding new value to the premium product. 

 
 
 
 

WHY MAKE A SYMPTOM SORTER FOR DOCTORS?

 

When a doctor sees a patient, they run through a mental list of possible diagnoses and try to rule in and out each diagnosis through questions, exams, and labs. In the average case, the patient has the most common condition, at the top of the list. But sometimes the story doesn’t add up and they have to go further down their list. Given the time pressures on doctors, the current tendency is for them to narrow their thinking too early. We wanted to help expand their thinking so they didn't miss rare or urgent diseases that might be causing the patient's symptoms.

 
 
 

foundational research

 

research goals

 

Research Methods

 

Initial research was rapid and iterative. We started with semi-structured interviews and generative exercises. As we gained understanding, we added sacrificial concepts. By the end of 3 weeks we got to a click-through prototype. Following the initial research, we ran ongoing usability studies throughout the course of the project. 

 
 

Research Findings & design implications

 

 

1. Doctors want help verifying decisions, not making them

 

This finding helped us understand the proper role of the tool: an occasional memory aid for difficult cases where the story doesn’t add up. 

 
 

2. In order to trust our tool, doctors need to understand how it 'thinks'

One way we addressed doctors' need to understand how the algorithm works was by including a 'read-back' to explain why we were suggesting each disease. 

 

 

3. Doctors organize the list of diseases they are considering by 'Horses' and 'zebras'

            An early concept separating the disease list into three tabs

            An early concept separating the disease list into three tabs

An early concept that tested well used tabs to allow doctors to flip between disease lists showing common diseases (horses), rare diseases (zebras), and urgent diseases (what is likely to kill you).

 

When you hear hoofbeats, look for horses, not zebras.
— Physician
 
 

4. Doctors get overwhelmed by too many possibilities

Our charge was to find the sweet spot, where we expand the possibilities to a manageable and accurate group of diagnoses that doctors could work from. This meant constant iteration with the thresholds for results.

 
 

Final Design

The final product, a tool within the larger Epocrates app, has 3 steps.

Impact

 

We released to a general Epocrates audience following an 11% increase in engagement with the Epocrates app for users with this tool during the beta period. Within the first month of release, 20% of Epocrates subscribers were engaging with the new tool.