This document summarizes the initial process of a project to promote medical app usage among physicians through iPad trials. Key steps included obtaining funding, creating surveys, getting IRB approval, selecting apps, and promoting the project. 46 surveys were collected, with responses about resource usage and potential iPad benefits. Four iPads were distributed to selected participants, including an emergency physician. Monthly usage surveys will track the impact on clinical care.

1. Emily Vardell, MLS
Yanira “Jenny” Garcia-Barcena, MSLS
May 20, 2012

2. Initial Process
Obtained funding
Created initial survey
Completed IRB training
Successfully submitted project through IRB
approval
Created list of librarian-approved apps
Downloaded selected apps onto one iPad
Promoted project at Physicians’ Cafeteria and
Hospital Cafeteria

3. Marketing Our Project

4. Identifying Apps

5. Which apps?
• iPhone/Droid: • iPad:
– AHRQ ePSS – Cochrane Library
– Calder Library Mobile Site – Isabel
– CardioMath Tool – MedlinePlus
– Micromedex – Pillbox
– Epocrates
– LactMed
– Medscape
– MedlinePlus Mobile
– Shots 2012
– Vision Test

6. Promotional Materials
 Handouts
 Poster
 Survey
 Consent
Form
 iPad

7. iPad
Medical
apps
Links to
Productivity
PubMed
apps
And library
homepage

8. iPad
Standard
Apple
apps

9. http://www.flickr.com/photos/nathaninsandiego/2770652191/

10. Physicians’ Cafeteria

11. Observations
• You never know who
you are going to meet!
• Our first visitor was the
new CEO of the
hospital.

12. Observations
• Wear your badge where
it is visible so that they
do not think you are
selling something.

13. Observations
• Are physicians
interested in
borrowing iPads?
• Will any iPad do?
http://techcrunch.com/2012/03/07/yes-apple-is-actually-just-calling-it-ipad/

14. Resistance
• “I already have an iPad.”
• “I’m a surgeon.”
• “No, I don’t want it, because I’ll lose it.”
• “No, I’ll get attached to it and then I’ll be
sad.”
• “We already know everything.”

15. Hospital Cafeteria

16. Observations
• Stark differences
between physicians and
nurses
• Need to create a
message specific to
each group
• Determine how to find
a captive audience http://askanmd.blogspot.com/2009/10/nurses-vs-residents.html

17. Where did we collect the most surveys?
Total number
of surveys: 46

18. Emails

19. Survey
• What resources (websites, databases, etc) do you use
for patient care?
• Have you used an iPad before?
 Yes ___ No ___
• If you had an iPad, how would you use it to improve
patient care?
• If you are interested in participating in our study and
potentially being selected to borrow an iPad for a three
month trial, please include your name and email
address below. Please see the consent form for details.
 Name:
 Email:

20. What resources (websites, databases,
etc) do you use for patient care?
30
25
20
15
10
5
0
Epocrates Medscape PubMed UpToDate Google electronic journal association Other
medical record sites/apps sites/apps

21. Other?

22. iPad Use
Our study ITG survey of 600 physicians
Have you Do you have
used an iPad an iPad or
before? tablet device?
http://alert.marketingresearch.org/documents/Alert_1111.pdf

23. If you had an iPad, how would you use
it to improve patient care?

24. If you had an iPad, how would you use
it to improve patient care?
1. electronic
medical
records
http://www.azcomp.com/emr-software/emr-for-ipad.aspx

25. If you had an iPad, how would you use
it to improve patient care?
• It would allow me to look things up
while in a patient’s room… It would
also allow me to pull up images for
patients to view…
• I think using an iPad in the field of Plastic
and Reconstructive Surgery would be helpful
in using some of the imaging software to
help inform patients during pre-operative
and post-operative evaluation.
• show neuro patients images of the brain
• demonstrate videos to patients

26. If you had an iPad, how would you use
it to improve patient care?
• quicker access to help with
diagnosis, medical orders, and literature
searches
• dosage
• film review
• diagnostic assessment criteria
• would be able to conduct search in the room
with patient instead of needing to look up
data later on and then contact patient with it

27. If you had an iPad, how would you use
it to improve patient care?
In summary…
 Electronic medical records
 Patient demonstrations
 Clinical decision support
tools
http://www.slashgear.com/why-doctors-love-apple-
products-and-miss-steve-09201271/

28. http://www.flickr.com/photos/maveric2003/2917870129/

29. Next Steps
Download recommended apps on to four iPads
Process each iPad with a library barcode
Select first four participants
Request that selected participants fill out
liability statement
Administer monthly surveys to evaluate how
participants are using iPads to improve patient
care

30. What is the iCloud?
• Access what you have
downloaded on any of
your devices
• “iCloud stores your
music, photos, docume
nts, and more and
wirelessly pushes them
to all your devices”
• http://www.apple.com/
icloud/

33. iCloud
2
1
3

34. iCloud

36. iCloud

37. iCloud

39. Accessories

40. Selected Participants
Emergency Department Physician
Hospitalist/Palliative Care
Plastic Surgery Resident
Urology Professor

41. First Response
-----Original Message-----
To: Vardell, Emily
Subject: RE: UMH
Librarians have selected
you to borrow an iPad for
a three-month period
Sounds great!
Where do I go to pick up the
iPad and check it out?

42. Liability Statement

43. Monthly Usage Survey
• How are you using the iPad to improve clinical
care?
• What resources are most useful to you?
• What have you downloaded to the iPad?
• What would you like to download to the iPad?
• What surprised you about using the iPad?

44. Acknowledgements
• Mary Moore, PhD • Peter Raposo
• JoAnn Van Schaik • David Goolabsingh
• NN/LM • Steve Machuca
Southeastern • Bruno Rodriguez
Atlantic Region • Edward Vinson
• National Library of • Brenda Linares
Medicine
• Kimberly Loper
• Elaine Robinson
This project has been funded in whole or in part with Federal funds from the
National Library of Medicine, National Institutes of Health, Department of Health
and Human Services, under Contract No. HHS-N-276-2011-00004-C with the
University of Maryland Baltimore.
http://www.flickr.com/photos/45409431@N00/3272079115