PDAs in Medical Education: MARP (Mobile Access Resource Project)


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Presentation at the Western Medical Library Association Chapters Meeting 2006.

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PDAs in Medical Education: MARP (Mobile Access Resource Project)

  1. 1. PDAs in Medical Education:MARP (Mobile Access Resource Project) Annis Lee Adams, MA, MLIS Virginia M. Tanji, MLS, MEd Joshua L. Jacobs, MD Western MLA Chapters Annual Conference October 17, 2006
  2. 2. MARP-Mobile Access Resource Project• 3-year project funded by an NLM Grant (just entered Year 3)• Provided PDAs with Internet access to first year medical students (MARP students)• Provided training to MARP students on PDA use (basic & MD on Tap)• NLM created MD on Tap transaction log website for JABSOM to save PDA searches & citations• Enabled the development of an Intranet for students & faculty to communicate & share files 2
  3. 3. The Setting• Community-based medical school• Problem-based learning curriculum• 51 first-year med students participating• Each received an Internet-capable PDA (Palm or Pocket PC) and activated an Internet data plan• PDAs were not required until 3rd year, but now they are required in the 1st year 3
  4. 4. Goals of the Grant• To improve electronic communication and information gathering of medical students. – Provide Internet PDAs and training to MS – Create a personalized Intranet for students & faculty to communicate & collaborate on coursework – Use AvantGo to allow MS to upload and download data (course evaluations, patient encounters, procedure logs, announcements) between PDAs and Intranet 4
  5. 5. Med Student Participation• To get a PDA, students agreed to: – Take pre-training and post-training surveys – Attend PDA trainings• To get reimbursed for monthly Internet service plans, the students had to: – Search MD on Tap (MDoT) at least once a week to get reimbursed for that week 5
  6. 6. Library’s Role• Provide training on PDA use, including MD on Tap• Provide reference support for PDA use• Create & administer pre-training & post-training surveys on comfort-level, skill-level, & satisfaction with PDAs generally and with med applications• Create & administer PubMed & MD on Tap searching skills test 6
  7. 7. Intranet 7
  8. 8. MD on Tap• Search Medline on a PDA• Can display results by subject or publication type instead of most recent first• Retains history of previous searches 8
  9. 9. MD on Tap, cont’dMost recent first Subject clustering MeSH & Publication Type 9
  10. 10. MD on Tap Transaction Website 10
  11. 11. Evaluation Thus Far• Pre-training survey - MS1s (MARP students) and MS2s (non MARP) at start of school year• Post-training survey – MARP students at end of school year• Compared MARP students Pre & Post surveys• Compared MS2 Pre & MARP students Post surveys• Transaction logs track number of searches on MDoT 11
  12. 12. Evaluation Still to Come• Administer a PubMed & MDoT literature searching skills test to MARP students and non MARP students• Administer the Post-training Survey to MARP students at end of this school year• Continue monitoring # of MDoT searches 12
  13. 13. I think a PDA will enhance my educational experience in med school?80% 73%70% 62%60%50% 46% Agree40% 35% Dont Know 28%30% 24% 23% Disagree20%10% 2% 0%0% Pre Survey Post Survey NonMARP MARP MARP 13
  14. 14. Comments from MARP Students Post Survey• Agree – I use the web feature to look up definitions. . .• Agree – It’s useful as a planner and to look things up quickly• Agree – Lots of good resources• Disagree – Don’t use it except for its calendar• Disagree – Access to resources is limited• Disagree – good for schedule. . . Internet is too slow and cumbersome to use. 14
  15. 15. Having a PDA has improved my ability to retrieve info for med school 45% 39% 39% 40% 35% 30% Agree 25% 22% Dont Know 20% Disagree 15% 10% 5% 0% Post Training Survey 15
  16. 16. Is the info from MD on Tap useful? 40% 37% 35% 30% 28% 24% 25% Agree 20% Dont Know 15% Disagree 10% 5% 0% Post Training Survey 16
  17. 17. How often do you retrieve the full text from the MDoT transaction website? 50% 45% 43% 40% 37% 35% Often 30% Occasionally 25% 17% Rarely 20% 15% Never 10% 5% 2% 0% Post Training Survey 17
  18. 18. How often students searched MD on Tap over a 25 week period 70% 60.7% 60% 50% Rarely 40% Monthly 30% Twice Monthly 19.6% Weekly 20% 11.7% 7.8% 10% 0% 18
  19. 19. PDA features used at least weekly80% 74% 70%70% 61%60% 57% Calendar50% Address Book40% Email 28%30% Internet20% Games10%0% Post Training Survey 19
  20. 20. General Comments from Post Training Survey• Internet service is too slow• Treo phone model is really bad. . . phone freezes• Info from MDoT is beyond what we need in the 1st year. . . I want basic info not clinical trials• Links to full articles do not always connect• Besides MDoT, more useful programs should be offered• Thanks for paying for our PDA. . . I’d be better off with a dictionary than MDoT• MDoT hard to do searches and oftentimes doesn’t give as relevant searches as with PubMed 20
  21. 21. Preliminary Conclusions• MDoT is marginally useful for 1st year med students – Textbooks and databases like UpToDate & eMedicine generally answer their questions better than PubMed or MDoT• Anecdotal evidence suggests that students who purchased med apps like Stedman’s were happier with their PDAs than those who didn’t.• Some students commented that PDAs would probably be more useful during their clinical clerkships years when they don’t have ready access to a computer 21