‘It's on my iPhone’: attitudes to the use of mobile computing devices in medical education, a mixed-methods study

Objective The last decade has seen the introduction of new technology which has transformed many aspects of our culture, commerce, communication and education. This study examined how medical teachers and learners are using mobile computing devices such as the iPhone in medical education and practice, and how they envision them being used in the future. Design Semistructured interviews were conducted with medical students, residents and faculty to examine participants’ attitudes about the current and future use of mobile computing devices in medical education and practice. A thematic approach was used to summarise ideas and concepts expressed, and to develop an online survey. A mixed methods approach was used to integrate qualitative and quantitative findings. Setting and participants Medical students, residents and faculty at a large Canadian medical school in 2011. Results Interviews were conducted with 18 participants (10 students, 7 residents and 1 faculty member). Only 213 participants responded to the online survey (76 students, 65 residents and 41 faculty members). Over 85% of participants reported using a mobile-computing device. The main uses described for mobile devices related to information management, communication and time management. Advantages identified were portability, flexibility, access to multimedia and the ability to look up information quickly. Challenges identified included: superficial learning, not understanding how to find good learning resources, distraction, inappropriate use and concerns about access and privacy. Both medical students and physicians expressed the view that the use of these devices in medical education and practice will increase in the future. Conclusions This new technology offers the potential to enhance learning and patient care, but also has potential problems associated with its use. It is important for leadership in medical schools and healthcare organisations to set the agenda in this rapidly developing area to maximise the benefits of this powerful new technology while avoiding unintended consequences.

[1]  Gary McCord,et al.  Handheld Computer Use in a Family Medicine Clerkship , 2004, Academic medicine : journal of the Association of American Medical Colleges.

[2]  John Fulcher,et al.  Mobile Technology Use in Medical Education , 2012, Journal of medical systems.

[3]  Kendall Ho,et al.  The Impact of a Personal Digital Assistant (PDA) Case Log in a Medical Student Clerkship , 2009, Teaching and learning in medicine.

[4]  Benjamin J. Visser,et al.  There’s a medical app for that , 2012, BMJ : British Medical Journal.

[5]  L. Rose,et al.  Use of mobile handheld computers in clinical nursing education. , 2008, The Journal of nursing education.

[6]  B Searles,et al.  2010 Survey on cell phone use while performing cardiopulmonary bypass , 2011, Perfusion.

[7]  Kate Huvane Gamble,et al.  Wireless Tech Trends 2010. Trend: smartphones. , 2010, Healthcare informatics : the business magazine for information and communication systems.

[8]  B. Dala-ali,et al.  The uses of the iPhone for surgeons. , 2011, The Surgeon.

[9]  Pieter L. Kubben,et al.  Neurosurgical apps for iPhone, iPod Touch, iPad and Android , 2010, Surgical neurology international.

[10]  W. Dunsmuir,et al.  Association of interruptions with an increased risk and severity of medication administration errors. , 2010, Archives of internal medicine.

[11]  I. Haq,et al.  Mobile Medical Education (MoMEd) - how mobile information resources contribute to learning for undergraduate clinical students - a mixed methods study , 2012, BMC Medical Education.

[12]  Scott Reeves,et al.  An Evaluation of the Use of Smartphones to Communicate Between Clinicians: A Mixed-Methods Study , 2011, Journal of medical Internet research.

[13]  G. Putzer,et al.  The effects of innovation factors on smartphone adoption among nurses in community hospitals. , 2010, Perspectives in health information management.

[14]  J. Barlow The Shallows: What the Internet is Doing to Our Brains , 2010 .

[15]  M. Irigoyen,et al.  Use of personal digital assistants to enhance educational evaluation in a primary care clerkship , 2002, Medical teacher.

[16]  N. Mallikharjuna Rao,et al.  Cloud Computing Through Mobile-Learning , 2012, ArXiv.

[17]  Neil Busis,et al.  Mobile phones to improve the practice of neurology. , 2010, Neurologic clinics.

[18]  D. Baumgart,et al.  Smartphones in clinical practice, medical education, and research. , 2011, Archives of internal medicine.

[19]  M. Zolfo,et al.  Mobile learning for HIV/AIDS healthcare worker training in resource-limited settings , 2010, AIDS research and therapy.

[20]  Clay A. Johnson,et al.  The Information Diet - A Case for Conscious Consumption , 2012 .

[21]  R. Trelease Diffusion of innovations: Smartphones and wireless anatomy learning resources , 2008, Anatomical sciences education.

[22]  Julia C Phillippi,et al.  Web 2.0: easy tools for busy clinicians. , 2010, Journal of midwifery & women's health.

[23]  Jennifer M. Brusco Using smartphone applications in perioperative practice. , 2010, AORN journal.

[24]  Bill Spooner One-on-one with CHIME CIO of the year Bill Spooner of Sharp Healthcare. Interview by Mark Hagland. , 2010, Healthcare informatics : the business magazine for information and communication systems.

[25]  W. Dunsmuir,et al.  The impact of interruptions on clinical task completion , 2010, Quality and Safety in Health Care.

[26]  J S White,et al.  Surgery 101: Evaluating the use of podcasting in a general surgery clerkship , 2011, Medical teacher.

[27]  Eric Berger,et al.  The iPad: gadget or medical godsend? , 2010, Annals of emergency medicine.

[28]  Orrin I. Franko,et al.  Smartphone App Use Among Medical Providers in ACGME Training Programs , 2012, Journal of Medical Systems.

[29]  R. Oehler,et al.  Infectious diseases resources for the iPhone. , 2010, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.