1. Mobile Medical Education (MoMEd): What is the impact of putting digital mobile resources in the hands of medical students? Tim Vincent, Learning Technologist Jil Fairclough, Medical School Librarian

2. Brighton & Sussex Medical School

3. In 2005, BSMS became the first UK medical school to introduce the widespread use of mobile devices to its students Offered to all Year 3, 4, and 5 students (approx. 350 students) Loaned PDA and software for free

4. Providing mobile hardware and software @

5. Resources on the Dr Companion card British National Formulary Chemical Laboratory References Classification of Surgical Operations & Procedures Clinical Evidence Cochrane Abstracts DSM IV ICD 10 NICE Compilation Guidance Netter Atlas of Human Anatomy Evidence Based Medicine Patient Organizations Oxford Concise Medical Dictionary Oxford Handbook of Emergency Medicine Oxford Handbook of Clinical & Lab Investigation Oxford Handbook of Clinical Medicine Oxford Handbook of Clinical Surgery Oxford Handbook of Practical Drug Therapy Oxford Handbook of General Practice Oxford Handbook of Medical Sciences

6. Supporting set-up, roll-out, maintenance, and training Dir. of Undergraduate Studies IT Manager Librarian Learning Technologist Everyone! Clinical Research Fellow Divisional assistant IT Technicians x2

7. Useful mobile technology in the clinical setting The CCU consultant asks you What evidence is there for the use of ACE inhibitors in secondary prevention post MI? And what dose is the SHO writing up?

8. Why mobile technology in medical training? The future of education lies in the adoption of technology, such as mobile and wireless, that connects people, unifies the education process and enhances learning. BSMS, as a new medical school, wants students to become familiar with mobile technology and take advantage of the technology to explore innovative approaches to teaching and learning. Dr John D. Halamka, Associate Dean, Harvard Medical School, 2002 Prof Jon Cohen, Dean of BSMS, 2003

9. GMCs: Tomorrows Doctors (2009) expects doctors to be able to use information effectively in a medical context Access information sources and use the information in relation to patient care, health promotion, advice and information to patients, and research and education Make effective use of computers and other information systems, including storing and retrieving information.

10. What is the impact of putting digital mobile resources in the hands of medical students? How much do medical student really use mobile devices to access learning resources? What is the impact on students learning? What are the advantages and disadvantages of mobile devices in the clinical setting

11. Data collection Focus groupsQuestionnaires Usage stats on server

12. Results: Amount of use Questionnaire Tracking

13. Results: Most popular resource Questionnaire Choose 3 most popular resources Votes BNF91 OH Clinical Medicine89 Medical dictionary22 Netters anatomy19 Tracking Most popular resource No. of uses OH Clinical Medicine3,385 BNF3,137 Medical dictionary1,867 OH General Practice791 OH Clinical Surgery884

14. Access to knowledge Consolidation of knowledge Need for change Analysis: Three major themes identified Mobile Medical Education (MoMEd) - how mobile information resources contribute to learning for undergraduate clinical students: a mixed methods study. Bethany S Davies, Jethin Rafique, Tim R Vincent, Jil Fairclough, Mark H Packer, Richard Vincent and Inam Haq. BMC Medical Education 2012, 12:1 doi:10.1186/1472-6920-12-1 http://www.biomedcentral.com/1472-6920/12/1/abstract

15. Theme 1: Access to knowledge Mobility Immediacy Speed of access Two devices

16. Theme 1: Access to knowledge Mobility Immediacy Speed of access Two devices The only thing is, you dont have that many pockets. I would have my wallet in one pocket, my phone in another. I found it quite hard to carry [the PDA] around with me all the time. The whole two devices thing is my major gripe. The only thing is, you dont have that many pockets. I would have my wallet in one pocket, my phone in another. I found it quite hard to carry [the PDA] around with me all the time. The whole two devices thing is my major gripe.

17. Theme 2: Consolidation of knowledge Quick reference information Repetition Better use of wasted time

18. Theme 2: Consolidation of knowledge Quick reference information Repetition Better use of wasted time It has enhanced [my knowledge] by reinforcing key points at point- of-need. If you want to know then-and-there, you can find it then-and-there. Its just the memory jog you need to reinforce the point a bit more. It doesnt mean youre relying on the PDA – it just helps to reinforce and consolidate the knowledge a bit better.

19. Theme 2: Consolidation of knowledge Quick reference information Repetition Better use of wasted time The more repetition I get, the more Im able to look at something quickly – when I need to - the more its likely to stick. Because you can look and say oh ok, thats what it is again Initially, you may look at it three times and then after that you will become more confident in saying yes I know this now The more repetition I get, the more Im able to look at something quickly – when I need to - the more its likely to stick. Because you can look and say oh ok, thats what it is again Initially, you may look at it three times and then after that you will become more confident in saying yes I know this now

20. Theme 2: Consolidation of knowledge Quick reference information Repetition Better use of wasted time One of the drivers for me of using it might be more general is just my dislike of wasted time particularly during the day. I agree. Actually, thats one of the reasons I have started to use it a lot more. There and then when there isnt anything to do you can make use of time. One of the drivers for me of using it might be more general is just my dislike of wasted time particularly during the day. I agree. Actually, thats one of the reasons I have started to use it a lot more. There and then when there isnt anything to do you can make use of time.

21. Theme 3: Change Attitude, behaviour, approach Resistance to change Establishing change Next section

22. Theme 3: Change Attitude, behaviour, approach Resistance to change Establishing change …if you remember to take it with you I think its about adopting a different mentality. Im worried that the nurses or patients will think I am texting or emailing …if you remember to take it with you I think its about adopting a different mentality. Im worried that the nurses or patients will think I am texting or emailing

23. Theme 3: Change Attitude, behaviour, approach Resistance to change Establishing change What changed your mind? Finding I did use the PDA and it did come in handy several times. It just makes life a bit easier....I have definitely got used to having that type of reference at my fingertips. I would definitely look into ways of continuing that. What changed your mind? Finding I did use the PDA and it did come in handy several times. It just makes life a bit easier....I have definitely got used to having that type of reference at my fingertips. I would definitely look into ways of continuing that.

24. The future of MoMEd

25. The emergence of smartphones 200520062007200820092010201120122013 BSMS becomes the first UK medical school to introduce the widespread use of PDAs to its students Apple announces sales of 4.7m iPhones First Android phone (G1) launches Apple becomes largest smartphone vendor Smartphone sales make up 31% of 1.8bn devices sold globally Steve Jobs unveils the iPhone Apple launches iPad

26. What do the students want?

27. iPhone pilot 4 month trial (Nov-Feb) 48 students with own iOS device Novel logging to track usage Contract to recording usage and research participation

28. Changing the model to information over technology Offered to all students in years 3-5 with their own device

29. Is this the right approach?