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 j.fairclough@bsms.ac.uk
Brighton & Sussex Medical School
The MoMEd project - Mobile Medical Education Research and results – 2005 to present The librarian/library role – how does that fit in? The future – 2011 onwards - where are we going now?
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? BSMS, as a new medical The future of education lies in school, wants students to the adoption of technology, become familiar with mobile such as mobile and wireless, technology and take that connects people, unifies advantage of the technology the education process and to explore innovative enhances learning. 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 Divisional assistant Everyone! – Dr Inam Haq IT Technicians x2 – Tim IT Manager – Mark Packer Lambert, Matthew Day Librarian – Jil Fairclough Learning Technologist – Tim Vincent Clinical Research Fellow(s) – Dr Jethin Rafique, Dr Bethany Davies, Dr Anna Jones
Providing mobile hardware and software @
Resources on the Dr Companion card British National Formulary Oxford Concise Medical Dictionary Chemical Laboratory References Oxford Handbook of Emergency Medicine Classification of Surgical Operations & Procedures Oxford Handbook of Clinical & Lab Investigation Clinical Evidence Oxford Handbook of Cochrane Abstracts Clinical Medicine DSM IV Oxford Handbook of Clinical Surgery ICD 10 Oxford Handbook of NICE Compilation Practical Drug Therapy Guidance Oxford Handbook of Netter Atlas of Human General Practice Anatomy Oxford Handbook of Evidence Based Medicine Medical Sciences Patient Organizations
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 ?”
What is the impact of putting digital mobile information resources in the hands of medical students? How much do medical What are the advantages student really use mobile and disadvantages of devices to access learning mobile devices in the resources? clinical setting What is the impact on students’ learning? 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:10.1186/1472-6920-12-1 http://www.biomedcentral.com/1472-6920/12/1/abstract
Data collection Usage stats on server Focus groups Questionnaires
Results: Most popular resource Questionnaire Tracking No. of Choose 3 most Votes Most popular resource popular resources uses BNF 91 OH Clinical Medicine 3,385 OH Clinical Medicine 89 BNF 3,137 Medical dictionary 1,867 Medical dictionary 22 Netter’s anatomy OH General Practice 791 19 OH Clinical Surgery 884
Analysis : Three major themes identified Access to Consolidation Need for knowledge of knowledge change
Theme 1: Access to knowledge Mobility Speed of access Immediacy 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 “It has enhanced [my knowledge] Repetition by reinforcing key points at point- Better use of ‘wasted’ time 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 “The more repetition I get, the Repetition more I’m able to look at Better use of ‘wasted’ time 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 “One of the drivers for me of Repetition using it might be more general is Better use of ‘wasted’ time 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 “…if you remember to take it Resistance to change with you” Establishing change “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 “What changed your mind?” “Finding I did use the PDA Resistance to change and it did come in handy Establishing change 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 future of MoMEd
The emergence of smartphones Apple becomes BSMS becomes the first UK Apple announces sales largest smartphone medical school to introduce of 4.7m iPhones vendor the widespread use of PDAs First Android phone to its students Smartphone (G1) launches sales make Steve Jobs unveils up 31% of Apple the iPhone 1.8bn devices launches sold globally iPad 2005 2006 2007 2008 2009 2010 2011 2012 2013
What do the students want? Nothing Smartphone + PDA + DrCompanion DrCompanion Own smartphone + DrCompanion
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
What MoMEd provides now Year 3 Year 4 Year 5
Librarians/Library role • Resources knowledge • Publisher knowledge • Knowledge of usage of print/online resources • Teacher role
Thank you www.bsms.ac.uk Follow MoMEd on Twitter @bsms_momed
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