Debating the Role of Smartphones and Mobile Applications in Medical Education

Volume 4, Issue 3, June 2020     |     PP. 86-102      |     PDF (213 K)    |     Pub. Date: May 10, 2020
DOI:    221 Downloads     5292 Views  

Author(s)

Christie Kim, St. Joseph Health Centre, University of Toronto. Toronto, Canada

Abstract
Mobile devices have become pervasive within our society. From telecommunications to social media to professional networking platforms, mobile devices are considered a necessity by their users. With the rapid pace of technology innovation and the general evolution of medicine, it would be expected that digital learning platforms, including mobile devices, have also entered the field of medical education. The literature supports the use of mobile devices and medical mobile applications, as a supplement to traditional educational modalities, facilitating access to online medical textbooks, webcasts/podcasts, and online asynchronous classroom. These technologies have the potential of enabling learner-centered and situational learning. However, despite reported benefits there are still concerns that mobile applications focus on lower levels of learning, such as knowledge attainment, with little benefit towards higher levels of Bloom’s taxonomy, such as critical thinking. Additionally, only a small percentage of the mobile applications are regulated or accredited by governmental organizations or medical associations, which underscores the concerns regarding content quality and acceptance of its use in medical education. To address these concerns, the following paper will review and highlight the benefits and risks of mobile devices and medical applications as educational tools in medical education

Keywords
mobile apps, education, smartphones

Cite this paper
Christie Kim, Debating the Role of Smartphones and Mobile Applications in Medical Education , SCIREA Journal of Sociology. Volume 4, Issue 3, June 2020 | PP. 86-102.

References

[ 1 ] Payne, KF. at al.(2012). Smartphone and Medical-related App use among Medical Students and Junior Doctors in the United Kingdom; a regional study. BMC Med Infor & Dec. Making. 12:121.
[ 2 ] Yip. Y. (2014). There’s an App for that: the use of Mobile Medical Applications in Clinical Practice. Ontario Medical Review. 1-4.
[ 3 ] Ventola, C. (2014). Mobile Devices and Apps for Health Care Professionals Uses and Benefits. P&T. 39 (5): 356-364.
[ 4 ] Snashall, E. (2016). The Use of Smartphone Applications in Medical Education. Open Med Jour. 3 (suppl-3): 322-327.
[ 5 ] Ozdalga, E. et al. (2012). The Smartphone in Medicine; a Review of Current and Potential Use Among Physicians and Students. Jour of Med. Internet Res. 14 (5):e128.
[ 6 ] Wallace, S. (2012) “It’s On My Iphone”: Attitudes To The Use Of Mobile Computing Devices In Medical Education. BMJ. 2 (4): e0001099.
[ 7 ] Mickan, S. (2013). Evidence Of Effectiveness Healthcare Professionals Using Handheld Computers: A Scoping Review Of Systematic Reviews . J Med Int Res. 15 (10):e212.
[ 8 ] Boulos, M. (2014). Mobile Medical and Health Apps: State of the Art, Concerns, Regulatory Control and Certifications. Online Jour. Public Health Infor. 5 (3): 229.
[ 9 ] Car, J. et al. (2019). Digital Education in Health Professions; the need for Overarching Evidence Synthesis. Jour Med. Int. Res. 21 (2): e12913.
[ 10 ] Hardyman W. Et Al. (2013). Mobile Technology Supporting Trainee Doctor’s Workplace Learning And Patient Care. BMC Med Ed. 13 (6):1-10.
[ 11 ] Webb, K. (2016) Can a Mobile App improve the Quality of Patient Care Provided by Trainee Doctors? Analysis of Trainee Reports. BMJ Open. 6 (9):e012075.
[ 12 ] Delgaty, L. et al. (2017) The “Dark Side’ of Technology in Medical Education. MedEd Pub. 1-13.
[ 13 ] Dunleavy, G.(2019). Mobile Digital Education for Health Professions; Systematic Review and Meta-Analysis by the Digital Health Education Collaboration. Jour of Med. Int. Res.21(2): e12937.
[ 14 ] Swing, S. (2010). Perspectives on Competency-Based Medical Education from the Learning Sciences. Med Teach. 32: 663-668.
[ 15 ] McGaghie, W. et al. 2011. Does Simulation-based Medical Education with Deliberate Practice Yield Better Results than Traditional Clinical Education? A Meta-Analytic Comparative Review of the Evidence. Acad. Med. 86 (6): 706-711.
[ 16 ] Yilmaz, K. (2011). The Cognitive Perspective on Learning: It’s Theoretical Underpinnings and Implications for Classroom Practices. The Clearing House. 84: 204-211
[ 17 ] Al Hamdani et al. (2013). Mobile Learning: A Good Practice. Proceeding Soc. And Behav. Sc. (113): 665-674
[ 18 ] Al-Eq, A. 2010. Simulation-based medical teaching and learning. J Family Community Med. 17(1): 35–40.
[ 19 ] Badawy, S. et al. (2015). Health-related smartphone Apps: Status Update for Heme- Onc Practitioners. The Hematologist. Vol 12 (4): 13-14.
[ 20 ] Hsaio, C. (2016). Using Interactive Multi-media eBooks for Learning Blood cell Morphology in Pediatric Hematology. BMC Med Ed. 16 (1): 290.
[ 21 ] Rasmussen, K.(2014). Offline eLearning for Undergraduate in Health Professions; A Systematic Review of the Impact of Knowledge, Skills, Attitudes and Satisfaction. Jour. Global. Health.4 (1): 010405.
[ 22 ] Ellaway, R. (2014). Left to their own Devices: Medical learner’s use of Mobile Technologies. Med. Teacher. 36 (2): 130-138.
[ 23 ] Friedrichs, H. (2014). Practicing Evidence based medicine at the bedside; a randomized controlled pilot study, in undergraduate medical students assessing the practicality of tablets, smartphone and computers in clinical life. BMC Med Inf and Dec. Mal. 5 (14): 113.
[ 24 ] Patocka, C et al. (2018). Point-of-care Resource Use in the Emergency Department: A Developmental Model. AEM Ed Train. 2 (3): 221-228
[ 25 ] Low, D et al. (2011). A Randomized Control Trial to Determine if use of the iResus Application on a Smartphone Improves the Performance on Advanced Life Support Provide in a Simulated Medical Emergency. Anesthesia. 66 (4): 255-262.
[ 26 ] Skiba, D. (2015). On the Horizon Mobile Devices: Are They a Distraction or Another Learning Tool? Emerg. Tech. 32(3):170-173.
[ 27 ] Martinez, F. (2017). Implementation of a Smartphone Application in Medical Education: A Randomised Trial (iSTART). BMC Med Ed. 17 (1): 168.
[ 28 ] Lohnari, T. (2016). Use of Mobile Application in Healthcare; a Review. Into Jour of Engin. Res and Gen Sc. 3: 250.
[ 29 ] Mickan, S. (2014) Use of Handheld Computers in Clinical Practice; A Systematic Review. BMC Med Inf & Dec Mak. 14(1):56.
[ 30 ] Bullock, A. et al.(2015). How a Mobile Apps Supports the learning and Practice of Newly Qualified Doctors in the UK; an Intervention Study. BMC Med Ed. 15: 71-85.
[ 31 ] Rhodes M et al. (2006). Teaching Evidence-based Medicine to Undergraduate Medical Students: A Course Integrating Ethics, Audit, Management and Clinical Epidemiology. Med Teach. 28:313–7
[ 32 ] Timm, DF. (2012). Critical Appraisal Process: Step-by-Step. South Med J. 2012;105:144–8.
[ 33 ] Rezaiean, M. (2013) How to Teach Medical Students to Critically Appraise a Published Article. Jour. Ed and Health Promotion. 2:8.
[ 34 ] Bozikov, J. (2017) Training of Students for Critical Evaluation of Mobile Health Applications. MEDINFO 2017: Precision Healthcare through Informatics 1321.
[ 35 ] Wolters Kluwer. Uptodate ® Inc. (2019). https://store.uptodate.com.
[ 36 ] Boruff, J. et al. (2014). Mobile Devices in Medicine: a survey of how Medical Students, Residents and Faculty use Smartphones and Other Mobile Devices to find Information. Med Lib Assoc. 102 (1): 22-30.
[ 37 ] Shah, S et al. (2016) Hematology on the Move: How are Mobile Health Apps helping Patients. ASH Clinical News. Dec. 2016.
[ 38 ] Shuren, J. (2014). The FDA’s Role in the Development of Medical Mobile Applications. Clinical Pharma & Thera. 95 (5): 485-8.
[ 39 ] Sharp, M. (2017). Mobile Medical Apps and mHealth Devices: A Framework to Build Medical Apps and mHealth Devices in an Ethical Manner and Promote Safer Use; A Literature Review. Infor for Health. European Federation for Medical Informatics (EFMI) and IOS Press.
[ 40 ] Gonnerman, A.(2015). Draft Guideline for the Development of Evidence-based Medicine-Related Apps. European Fed for Med. Inform. 21 (1): 10-20.
[ 41 ] Yetisen, A. (2014). The Regulation of Mobile Medical Applications. Lab on a Chip. 2014 (5): 833- 840.
[ 42 ] O’Neil, S. et al. (2013). Clinical Involvement and Transparency in Medical Apps; Not all Apps are Equal. Colorect. Dis. 15(1): 122.
[ 43 ] Chyjek, K. 2015. Rating Pregnancy Wheel Applications using the APPLICATIONS Scoring System. Obs. & Gyn. 125 (6): 1478-1483.
[ 44 ] Ferraro, N et al. (2013) Skin Scan: A Demonstration of the need of FDA regulation of Medical Apps on IPhone. J Am Acad. Derm 68 (3): 515-516.
[ 45 ] Shenouda et al. (2018). The Toll Of The Smartphone In The Transition From Medical Student To Foundation Trainee; A Qualitative Interview And Focus Group Study. BMC Med Ed. 18: 175.
[ 46 ] Ely et al. (2005) Answering Clinical Questions; Obstacles And Potential Solutions. J Am Med Infor, Assoc. 12 (2): 217-224.
[ 47 ] O’Reilly, M et al. (2014). DOCSS: Doctors On-call Smartphone Study. Ir J Med Sc. 183 (4):573- 577.
[ 48 ] O’Donovan, J.(2014). Using Low-Cost Android Tablets And Instructional Videos To Teach Clinical Skills To Medical Students In Kenya; A Prospective Study. J. Royal So. Of Med. 37:1-7.
[ 49 ] Breen, S. et al (2015) The Patient Remote Intervention And Symptom Management Systems (PRISMS) – A Telehealth- Mediated Intervention Enabling Real-Time Monitoring Of Chemotherapy Side-Effects In Patients With Haematological Malignancies: Study Protocol For A Randomised Controlled Trial. Trials 16(1):472.
[ 50 ] Maguire, R. et al (2017) The eSmart Study Protocol: A Randomised Controlled Trial To Evaluate Electronic Symptom Management Using The Advanced Symptom Management System (Asyms) Remote Technology For Patients With Cancer. BMJ Open 7(5):e015016