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Information Use on Mobile Devices in MedicinePreliminary Survey Results
Presenters: Jill Boruff (McGill), Dale Storie (Alberta)Lee-Anne Ufholz (Ottawa), Dagmara Chojecki (Alberta), Helen Robertson (Calgary)
Background • Rapid adoption of smartphones and
tablet computers (1-2).
• Explosion of content available for mobile devices, of varying quality (1).
• Challenges for libraries: availability of institutional licensing, authentication processes, new software platforms to support (3).
Research Questions
What resources, if any, are medical students, residents, and faculty using on their mobile devices when answering clinical questions?
In what situations do they use their mobile devices for finding information?
What intellectual and technical barriers prohibit medical students, residents and faculty from using their mobile devices to find information related to their studies and work?
Survey
• The survey was comprised of fourteen questions and was only administered online.
• Respondents from 4 out of 5 institutions are represented in this presentation.
1210 results up to April 14, 2012.
Do you have a mobile device?
n=1210
Yes92.6%
No7.4%
Demographic
n=1092
Preclinical un-dergraduate
medical student15.5%Clinical under-
graduate medical student
8.5%
Medical resident28.9%
Graduate student (other than medical
resident)8.4%
Faculty member32.1%
Clinical instructor3.2%
Other3.3%
Device type
n=1073
Other phone with Internet access
Other tablet computer
Android phone
Blackberry
iPad
iPhone or iPod touch
2.8%
4.2%
10.9%
14.6%
42.1%
71.8%
None of these
Other use
Differential diagnoses
Search for journal articles
Read point-of-care information
Find practice guidelines
Read journal articles
Take notes
Clinical calculations
Find drug information
10.2%
10.9%
34.5%
46.4%
48.9%
49.8%
50.1%
51.6%
57.9%
73.4%
What do you do with your device?
n=1069
What was the last resource you used?
n=846Google ScholarSkyscape
GuidelinesMicromedex
TextbooksWeb/Internet (general)
WikipediaPEPID
Library/Library databasesDynamed
Medical CalculatorJournals/Articles
GoogleEpocratesLexicomp
PubMedMedscapeUpToDate
1.2%
1.4%
2.1%
2.7%
2.8%
3.2%
4.1%
4.6%
4.8%
5.8%
7.7%
7.7%
8.5%
8.7%
9.8%
9.9%
12.8%
20.9%
Seconds/Less than a minute
1-2 minutes
A few minutes
More than 10 minutes
26.6%
26.4%
39.5%
7.4%
How long did it take you?
n=714
How often do you use your device to access medical resources?
n=1071
More than once a day
Once a day
Several times a week
Several times a month
Once a month
Less than once a month
Never
47.5%
9.3%
17.6%
8.6%
3.5%
4.2%
9.3%
Aware that the library offers mobile resources
All responses (n=992)
42.9%
Have used those resources
All responses from those who replied yes to the previous question
(n=419)
67.5%
Have found those resources useful
All responses from those who replied yes to the previous question
(n=278)
96.8%
Satisfaction with library resources
“They are very expensive apps, so getting access from the university library is incredibly helpful.”
“Free, with instant access to information in areas without computers or textbooks available.”
What support would you like the library to provide?
N=931None
Other
Hands-on workshops on how to use mobile devices
More resources
Drop-in troubleshooting assistance
Hands-on workshops on how to use medical resources on mobile devices
Online how-to guides specific to your institution
7.9%
8.3%
17.0%
23.1%
39.1%
42.9%
64.2%
Barriers to access
N=923Do not have permission to install software (e.g. corporate Blackberry)
Other barriers
Complicated installation process
Technology problems
Understanding how to use the resources
Lack of time
Knowing what resources are available
Wireless access in the hospital or clinic
9.1%
11.8%
18.5%
20.7%
20.8%
26.2%
55.9%
70.6%
Access Problems:
“Actually accessing the journal/article via the online library resources. Too many steps involved to go from PubMed search result to actually downloading the PDF to my iPad.”
“I keep meaning to get the code for pepid and did use it years ago but keep getting distracted and then when I want to use it I'm in the middle of clinic and can't stop to apply for the code.”
Formatting problems: “Small print, sometimes hard to read.
Sometimes the mobile version of a site doesn't have all the links or info that I want.”
Pages are not optimized for display on small smart phone screen (like this survey page by the way, ironically)
What they like
“Speed, convenience, portability”
“So fast, so easy. I can read articles or check notes during rounds or during a quick break.”
It's fast - can access information immediately without having to look for a computer.”
“speed of having an app already on phone and not having to use a website”
Communication
“Send out a newsletter with a list of available apps and how to install them (make installation easier!)”
“provide a list and email info about where to find these resources”
Discussion
Speed of access is very important, in particular, authentication to licensed resources is a significant issue.
Users who are aware of the libraries’ licensed resources are generally happy with what is available.
Large demand for unmediated support and increased communication of available resources.
Next Steps
Further data analysis
Conduct follow-up interviews
Acknowledgements University of Alberta Libraries’ Travel
and Research Support Fund
Questions?
References:
1. Franko OI, Tirrell TF. Smartphone App Use Among Medical Providers in ACGME Training Programs. J Med Syst [Internet]. 2011 Nov 4 [cited 2011 Dec 14];Available from: http://www.ncbi.nlm.nih.gov/pubmed/22052129
2. Jackson & Coker Research Associates. Apps, Doctors, and Digital Devices [Internet]. Jackson & Coker Industry Report. [cited 2011 Dec 20];Available from: http://www.jacksoncoker.com/physician-career-resources/newsletters/monthlymain/des/Apps.aspx
3. Chatterley T, Chojecki D. Personal digital assistant usage among undergraduate medical students: exploring trends, barriers, and the advent of smartphones. J Med Libr Assoc. 2010 Apr;98(2):157–60.
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