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Transcript of Mobile Medical Education (MoMEd): Putting digital mobile resources in the hands of medical students...
Mobile Medical Education (MoMEd):Putting digital mobile resources in the hands of medical students – impact, lessons learnt and
the future
Jil Fairclough, Medical School Librarian
Brighton & Sussex Medical School
Research and results – 2005 to present
The librarian/library role – how does that fit in?
The future – 2011 onwards - where are we going now?
The MoMEd project - Mobile Medical Education
GMC’s: Tomorrow’s Doctors (2009) expects doctors to be able to “use information effectively in a
medical context”
“Access information sources and use the information in relation to patient care, health promotion, advice and
information to patients, and research and education”
“Make effective use of computers and other information systems, including storing and retrieving
information.”
Why mobile technology in medical training?
The future of education lies in the adoption of technology, such as mobile and wireless, that connects people, unifies
the education process and enhances learning.
BSMS, as a new medical school, wants students to
become familiar with mobile technology and take
advantage of the technology to explore innovative
approaches to teaching and learning.
Dr John D. Halamka, Associate Dean, Harvard Medical School, 2002
Prof Jon Cohen, Dean of BSMS, 2003
In 2005, BSMS became the first UK medical school to introduce the widespread use of mobile devices to its
students
Offered to all Year 3, 4, and 5 students (approx. 350 students)
Loaned PDA and software for free
What did we do? Supporting set-up, roll-out, maintenance, and
training
Dir. of Undergraduate Studies – Dr Inam Haq
IT Manager – Mark PackerLibrarian – Jil FaircloughLearning Technologist –
Tim Vincent
Everyone!
Clinical Research Fellow(s) – Dr Jethin Rafique, Dr Bethany
Davies, Dr Anna Jones
Divisional assistantIT Technicians x2 – Tim Lambert, Matthew Day
Resources on the Dr Companion card
British National Formulary
Chemical Laboratory References
Classification of Surgical Operations & Procedures
Clinical Evidence
Cochrane Abstracts
DSM IV
ICD 10
NICE Compilation Guidance
Netter Atlas of Human Anatomy
Evidence Based Medicine
Patient Organizations
Oxford Concise Medical Dictionary
Oxford Handbook of Emergency Medicine
Oxford Handbook of Clinical & Lab Investigation
Oxford Handbook of Clinical Medicine
Oxford Handbook of Clinical Surgery
Oxford Handbook of Practical Drug Therapy
Oxford Handbook of General Practice
Oxford Handbook of Medical Sciences
Useful mobile technology in the clinical setting
The CCU consultant asks you
“What evidence is there for the use of ACE inhibitors in
secondary prevention post MI?”
“And what dose is the SHO writing up?”
A 45-year-old Bangladeshi
gentleman is reviewed on
the Coronary Care ward
round. He was admitted 3
days previously and
underwent primary
angioplasty for a myocardial
infarction. He has mild
pulmonary oedema. The
SHO is prescribing some
ramipril.
What is the impact of putting digital mobile information resources in the hands of medical
students?
How much do medical student really use mobile devices to access learning
resources?
What is the impact on students’ learning?
What are the advantages and disadvantages of mobile devices in the
clinical setting
Mobile Medical Education (MoMEd) - how mobile information resources contribute to learning for undergraduate clinical students: a mixed methods study. Bethany S Davies, Jethin Rafique, Tim R Vincent, Jil Fairclough, Mark H Packer, Richard Vincent and Inam Haq.BMC Medical Education 2012, 12:1 doi:10.1186/1472-6920-12-1http://www.biomedcentral.com/1472-6920/12/1/abstract
Results: Most popular resource
Questionnaire
Choose 3 most popular resources
Votes
BNF 91
OH Clinical Medicine 89
Medical dictionary 22
Netter’s anatomy 19
Tracking
Most popular resource No. of uses
OH Clinical Medicine 3,385
BNF 3,137
Medical dictionary 1,867
OH General Practice 791
OH Clinical Surgery 884
Theme 1: Access to knowledge
Mobility
Immediacy
Speed of access
Two devices
“The only thing is, you don’t have that many pockets. I would have my wallet in one pocket, my phone in another. I found it quite hard to carry [the PDA] around with me all the time.”
“The whole two devices thing is my major gripe.”
Theme 2: Consolidation of knowledge
Quick reference information
Repetition
Better use of ‘wasted’ time
“It has enhanced [my knowledge] by reinforcing key points at point-of-need. If you want to know then-and-there, you can find it then-and-there. It’s just the memory jog you need to reinforce the point a bit more. It doesn’t mean you’re relying on the PDA – it just helps to reinforce and consolidate the knowledge a bit better.”
Theme 2: Consolidation of knowledge
Quick reference information
Repetition
Better use of ‘wasted’ time
“The more repetition I get, the more I’m able to look at something quickly – when I need to - the more it’s likely to stick. Because you can look and say ‘oh ok, that’s what it is again’”
“Initially, you may look at it three times and then after that you will become more confident in saying ‘yes I know this now’”
Theme 2: Consolidation of knowledge
Quick reference information
Repetition
Better use of ‘wasted’ time
“One of the drivers for me of using it might be more general is just my dislike of wasted time particularly during the day.”
“I agree. Actually, that’s one of the reasons I have started to use it a lot more. There and then when there isn’t anything to do you can make use of time.”
Theme 3: Change
Attitude, behaviour, approach
Resistance to change
Establishing change
“…if you remember to take it with you”
“I think it’s about adopting a different mentality.”
“I’m worried that the nurses or patients will think I am texting or emailing”
Theme 3: Change
Attitude, behaviour, approach
Resistance to change
Establishing change
“What changed your mind?” “Finding I did use the PDA and it did come in handy several times.
It just makes life a bit easier.”
“...I have definitely got used to having that type of reference at my fingertips. I would definitely
look into ways of continuing that.”
The emergence of smartphones
2005 2006 2007 2008 2009 2010 2011 2012 2013
BSMS becomes the first UK medical school to introduce the widespread use of PDAs to its students
Apple announces sales of 4.7m iPhones
First Android phone (G1) launches
Apple becomes largest smartphone vendor
Smartphone sales make up 31% of 1.8bn devices sold globally
Steve Jobs unveils the iPhone
Apple launches iPad
Nothing
PDA + DrCompan-ion
Own smartphone + Dr-Companion
Smartphone + DrCompanion
What do the students want?
iPhone pilot
4 month trial (Nov-Feb)
48 students with own iOS device
Novel logging to track usage
Contract to recording usage and research participation
Changing the model to information over technology
Offered to all students in years 3-5 with their own device
Librarians/Library role
• Resources knowledge
• Publisher knowledge
• Knowledge of usage of print/online resources
• Teacher role
Thank you
Follow MoMEd on Twitter @bsms_momed
www.bsms.ac.uk