sgea ipad
DESCRIPTION
Anupam KumarTRANSCRIPT
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Anupam KumarVanderbilt University School of Medicine
Class of 2014
A multi-stage trial of iPad utility at VUSM
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Pilot issues
Small numbers of students Classroom focus Tech-savvy students Written content-focused
Rather than exploring the iPad as an ideal device for multimedia—videos, audio, books, etc.
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Mobile computing at Vanderbilt Survey Fall 2012 219 students
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Tablet owners
VMS 1 VMS 2 VMS 3 VMS 4 Total0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
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Types of tablets used
iPad83%
Android8%
Other9%
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iPad note-taking frequency VMS 1/2
Never31%
Rarely11%
Occasionally20%
Often9%
Always29%
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“Binders worth of information in a 1 lb. package”
-VMS 2
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“No idea how I would do that ”
-VMS 2
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VMS 3 tablet purchase timing
< 3 mo 3-6 mo 6-12 mo >1 yr0
0.1
0.2
0.3
0.4
0.5
0.6
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VMS 4 tablet purchase timing
< 3 mo 3-6 mo 6-12 mo >1 yr0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
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VMS 4 use of tablets for shelf study
Never 3%
Rarely22%
Occ19%
Often41%
Exclusive16%
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Approaching the trial
Should we mandate How can we implement
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Vanderbilt trial
Preclinical Gross anatomy lab
Clinical Clinical clerkships iTunes U course Access to the clinical workstation
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phase 1Gross
Anatomy
phase 2Clinical
clerkships
Nov-Dec 2012
Jan-Mar 2013
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Mary Van Meter and John Knowlton
12iPADs
60STUDENT
S
20DISSECTI
ONS
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Gross anatomy laboratory
60 studentsNov-Dec 2012
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Data Collection
Participation 60% (n=36)
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iPad Use Cases
0%
20%
40%
60%
80%
All Owners Non-owners
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iPad Application Features
0%
20%
40%
60%
80%
100%
All Owners Non-owners
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Access to More iPad Resources
Internet (other) (12)
Class notes (6) Netter’s Atlas (5) Google (5) Wikipedia (5) Lecture slides (4)
Nova Skeleton Pro Langman's
Embryology YouTube KnowledgeMap
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Resource Utilization
Before trial
Grant's Dissector Printed atlases “Lab Goals” slides Digital atlases Other materials Anatomy.tv
During trial
Grant's Dissector Printed atlases “Lab Goals” slidesiPad applicationsDigital atlases Other materials Anatomy.tv
MOST USED
LEAST USED
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Improving Understanding
0%
20%
40%
60%
80%
All
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Usefulness in Anatomy Lab
ALL OWNERS NON-OWNERS0%
20%
40%
60%
80%
Not useful at all Somewhat useful Very useful
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Recommending Student Purchase
ALL OWNERS NON-OWNERS0%
10%
20%
30%
40%
No Not sure Maybe Definitely
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Recommending Admin GA Lab Purchase
ALL OWNERS NON-OWNERS0%
10%
20%
30%
40%
50%
60%
No Not sure Maybe Definitely
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Large Screen Mirroring
No Not sure Maybe Definitely0%
20%
40%
60%
80%
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32 studentsJan-March 2013
Clinical clerkships
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Clinical Workstation access
Access to EHR via Windows virtualization Restricted to resident and attending
physicians
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iTunes U
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iPad-based EKG teaching
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What is the width of the QRS waveform?
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Clerkship data
20 responses (63%)
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Internal Medicine
44%
Peds/Ob33%
Psych/Neuro
6%
Surgery17%
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Frequency of Use
Never Once/wk Once/d Multiple x/d0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8Before During
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Common uses
Patient notes
CWS Net Email Ref. apps
Course reading
Practice ?s
Lecture notes
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
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Frequency of CWS use
Never Once/mo. Once/wk. Daily Mult. x/d0
0.1
0.2
0.3
0.4
0.5
0.6
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Usefulness of CWS for clinical duties
Not at all Somewhat Very0
0.1
0.2
0.3
0.4
0.5
0.6
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Difficulty using iTunes U
Not at all94%
Somewhat6%
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Frequency of iTunes U access
Never Rarely Once/month
Weekly Daily0
0.1
0.2
0.3
0.4
0.5
0.6
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iTunes U uses
Clerk
ship
mat
eria
ls
Dev
ice
set-up
Lear
ning
to u
se
Podca
sts
Recom
men
ded
apps
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
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Prefer iTunes U to current LMS
Yes74%
No26%
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Students who watched vodcasts
Yes32%
No68%
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Why not?
Lack
of a
war
enes
s
Tim
e co
nstrai
nt
Too
long
Not
use
ful
iPad
form
at0
0.1
0.2
0.3
0.4
0.5
0.6
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Prefer podcasts for iPad instruction
Yes No0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
All Watchers
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Prefer vodcasts for clerkship lectures
Yes No0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
All Watchers
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Podcasts are a good method for delivering content to students
Yes89%
No11%
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EKG comments
All students Very helpful Better than prior non-iPad sessions
iPad 75% students very helpful 1 student somewhat helpful
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Frequency of use while rounding
Never Once/wk Once/d Mult x/d0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
0.45
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Uses on rounds
Patient info Reference Email/nonpt.0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
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Comfort using on rounds
Not at all50%
Somewhat28%
Very22%
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Barriers to use while rounding
Non
e
Usage
diffi
culty
Carryi
ng d
evice
Usefu
lnes
s
Disco
urag
emen
t0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
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How useful is the iPad for clinical duties?
Somewhat26%
Very74%
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iPad contribution to clerkship learning
Very little Somewhat A great deal0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
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Trial contribution to improvement
None5%
Very little 5%
Some47%
Great42%
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Conclusions
Utility Optimization Student role
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Role of med student on clinical team
Data hunter-gatherer/data steward Role shared with residents Is already a primary role of the med school Data
Find Organize Interpret Apply
iPad allows expand through instant access to information Patient info, reference material Anywhere—rounds, at the bedside
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Conclusions
Paradigm shift
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Acknowledgements
Learning Technology Committee at VUSM Ryan Adams Scott Hagan Mitch Odom Jared Shenson
VUSM faculty Dean Kimberly
Lomis IT faculty
Ram Piyaket
VUSM students
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Questions?