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Smartphone use in Paediatric Practice: a national survey

Posted on Mar 28, 2016 in Original Article | 0 comments

Adamos Hadjipanayis, Prof.1, Alexios Klonis, Dr2, Omar Assem Abdel-Mannan, Dr3, Alastair G Sutcliffe, Dr4

1Assistant Professor of Paediatrics, Faculty of Medicine, European University Cyprus, Cyprus; 2School of Clinical Medicine, University of Cambridge, United Kingdom; 3Academic Clinical Fellow, General and Adolescent Paediatric Unit, Institute of Child Health, United Kingdom; 4Professor of General Paediatrics, Institute of Child Health, UCL, United Kingdom

Corresponding Author:

Journal MTM 5:1:3–8, 2016


Introduction: Smartphones have become universal among the general public since their launch in 2007. Alongside this, the use of smartphones and mobile medical applications (apps) by clinicians has risen exponentially.

Objectives: The aim of this study is to present the current prevalence of smartphone ownership among Cypriot paediatricians and the patterns of their use in everyday clinical practice.

Study design: A standardized telephone survey was conducted by trained interviewers on a random sample of all 225 currently registered and active paediatricians across all districts of Cyprus.

Results: From a total of 78 randomly selected eligible participants, 75 (96%) paediatricians agreed to participate in the study. The majority of physicians reported that they owned a smartphone (n =53, 71%) and the rest (n=22, 29%) used a Symbian phone as their primary device. Of those who owned a smartphone, 40% (n=21) reported using at least one app related to their clinical work. The mean number of applications used by these users was 3.5. The majority (44/53, 83%) responded that they did not use their smartphone as a tool for managing patient appointments, while 9 out of the 53 (17%) responded positively. Over 80% of participants used their smartphone to take or receive a picture or a video from their patients for professional purposes.

Conclusion: This study found a high level of smartphone ownership and usage among medical Cypriot paediatricians, corroborating with previous literature for other specialties in other countries. Despite the benefits they offer, more rigorous validation practices regarding mobile medical apps need to be established to ensure they are used safely and appropriately.

The era of tailored mHealth

Posted on Mar 28, 2016 in Editorial | 0 comments

Rahul Chakrabarti, Dr1

1Chief Editor, Journal of Mobile Technology in Medicine

Journal MTM 5:1:1–2, 2016


Dear Readers,

It is with great pleasure that we introduce the first issue of the fifth volume of the Journal with a diverse range of papers that illustrate the broad engagement of mobile health technologies to target the spectrum of socioeconomic groups in society. Currently the mHealth developers stand at the precipice of the greatest rate in growth of mHealth related apps. Results published in the mhealth App Developer Economics Survey in 2015 showed that the number of mHealth apps has now exceeded 165,000.1 However, with only 5 per cent of apps being developed from Africa and South America combined (compared to 72% from Europe and North America) there clearly remains a challenge in developing and implementing apps for low-resource settings.

Smartphone Use and Perceptions among Medical Students and Practicing Physicians

Posted on Mar 27, 2016 in Original Article | 0 comments

Andrew Buchholz, DO MPH, LT, MC, USN1, Brittany Perry, DO2, Lucia Beck Weiss, MS3, Danielle Cooley, DO3

1Naval Medical Center Portsmouth, Directorate for Mental Health, Portsmouth, VA, USA; 2Alfred I. DuPont Hospital for Children, Wilmington, DE, USA; 3Rowan University School of Osteopathic Medicine, Department of Family Medicine, Stratford, NJ, USA

Corresponding Author:

Journal MTM 5:1:27–32, 2016


Background: Smartphones have become mainstream, including in the healthcare setting. However, little formal research has been performed to examine mobile medical technology.

Aims: To examine smartphone use and perceptions among medical students and physicians in a statewide medical university.

Methodology: An IRB approved 23-item survey eliciting smartphone use and perceptions was developed by the research team and an e-mail invitation for participation was sent to all medical students, resident and attending physicians in three medical schools.

Results: A total of 544 surveys were submitted; 347 were completed and analyzed. 93.9% of respondents had smartphones, with no significant difference between students and physicians. Of those with the technology, 82.9% stated they have used it at least once in a clinical setting. Respondents perceived fast access to information to be the greatest benefit to mobile medical technology (96.6%), as well as simplified access (75.5%). Greatest perceived barriers to using this technology were uncertainty about available applications (39.4%) and inexperience (23.4%). There was no significant difference between students and physicians with regard to either category. Concerning patient-centered applications, assistance with lifestyle modification (78.8%) and increased adherence to treatment plans (73.8%) were agreed upon as potential benefits. Greatest perceived barriers to recommending this technology were added cost to the patient (52.6%) and concerns about patient self-diagnosis (47.7%), with no significant difference found between students and physicians.

Conclusion: These data demonstrate smartphone usage is prominent in the healthcare setting and indicates strong agreement regarding its benefits and barriers. Implementing smartphone education into medical curricula may be beneficial to healthcare providers.

Ipad Usage and Impact on Pediatric Medical Students’ Learning and Patient Care

Posted on Mar 27, 2016 in Original Article | 0 comments

Robert Riss, MD1, Angellar Manguvo, PhD2, Jennifer Quaintance, PhD3, Mohamed Radhi, MD4, Maria Dycoco, MD5

1Children’s Mercy Hospital, Associate Director of Medical Student Education, Department of Pediatrics, University of Missouri at Kansas City, USA; 2Instructional Design Specialist & Assistant Professor, University of Missouri at Kansas City, Department of Medical Education, USA; 3Director of Medical Education Support Services, University of Missouri at Kansas City, Department of Medical Education, USA; 4Associate Professor, Children’s Mercy Hospital, Department of Pediatrics, University of Missouri at Kansas City, USA; 5Director of Medical Student Education, Children’s Mercy Hospital, Department of Pediatrics, University of Missouri at Kansas City, USA

Corresponding Author:

Journal MTM 5:1:19–26, 2016


Background and Aims: The advent of mobile technologies has stimulated an academic shift in medical education from traditional methods to mobile teaching and learning. This study investigated medical students’ current and anticipated iPad usage as well as perceived impact of iPads on their learning and patient care. The ultimate purpose of the inquiry was to improve future implementation processes.

Methods: Twenty-three iPads were loaded with applications including Cerner Citrix Receiver, question banks, review texts, DynaMed, and the iTunes U application that contained clerkship curriculum. Fifty-eight students used the iPads during a Pediatrics rotation and filled out a survey upon completion. Descriptive statistics were generated from quantitative responses while thematic analysis was used to summarize ideas from qualitative responses. An exploratory mixed methods approach was used to integrate qualitative and quantitative findings. T-tests were used to determine differential usage as a function of prior iPad ownership and experience.

Results and Conclusions: Students variably used iPads to access question banks, didactics and review texts, conduct internet searches, and monitor patient information. IPads were most used compared to other electronic and print sources with cited advantages of portability, convenience, instant accessibility, enhancement of professional conduct, and time management. Respondents proposed other areas in which iPads could be used in the rotation. This highlighted the need to expand our iPad initiative to cover other aspects of learning. Given that prior iPad ownership and experience did not determine differences in usage, the observed variability in iPad usage suggests mere diversity of baseline needs.