Residents’ and preceptors’ perceptions of the use of the iPad for clinical teaching in a family medicine residency program

BMC Medical Education

Javier Fiallos³  Rebecca J Hogue¹  Judith Plante²  Colla J Macdonald¹  Douglas Archibald³ 

[1] Faculty of Education, University of Ottawa, 145 Jean-Jacques-Lussier Private, Ottawa, Ontario K1N 6N5, Canada;Pembroke Regional Hospital, 705 Mackay St., Pembroke, Ontario K8A 1G8, Canada;C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, 43 Bruyère St., Annex E, Ottawa, ON K1N 5C8, Canada

关键词: ELearning;    Medical applications;    Preceptor;    Handheld computers;    Tablet;   

Others  :  1091806
DOI  :  10.1186/1472-6920-14-174

 received in 2014-04-30, accepted in 2014-08-05,  发布年份 2014

【 摘 要 】

Background

As Family Medicine programs across Canada are transitioning into a competency-based curriculum, medical students and clinical teachers are increasingly incorporating tablet computers in their work and educational activities. The purpose of this pilot study was to identify how preceptors and residents use tablet computers to implement and adopt a new family medicine curriculum and to evaluate how they access applications (apps) through their tablet in an effort to support and enhance effective teaching and learning.

Methods

Residents and preceptors (n = 25) from the Family Medicine program working at the Pembroke Regional Hospital in Ontario, Canada, were given iPads and training on how to use the device in clinical teaching and learning activities and how to access the online curriculum. Data regarding the use and perceived contribution of the iPads were collected through surveys and focus groups. This mixed methods research used analysis of survey responses to support the selection of questions for focus groups.

Results

Reported results were categorized into: curriculum and assessment; ease of use; portability; apps and resources; and perceptions about the use of the iPad in teaching/learning setting. Most participants agreed on the importance of accessing curriculum resources through the iPad but recognized that these required enhancements to facilitate use. The iPad was considered to be more useful for activities involving output of information than for input. Participants’ responses regarding the ease of use of mobile technology were heterogeneous due to the diversity of computer proficiency across users. Residents had a slightly more favorable opinion regarding the iPad’s contribution to teaching/learning compared to preceptors.

Conclusions

iPad’s interface should be fully enhanced to allow easy access to online curriculum and its built-in resources. The differences in computer proficiency level among users should be reduced by sharing knowledge through workshops led by more skillful iPad users. To facilitate collection of information through the iPad, the design of electronic data-input forms should consider the participants’ reported negative perceptions towards typing data through mobile devices. Technology deployment projects should gather sufficient evidence from pilot studies in order to guide efforts to adapt resources and infrastructure to relevant needs of Family Medicine teachers and learners.

【 授权许可】

   
2014 Archibald et al.; licensee BioMed Central Ltd.

【 图 表 】

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【 参考文献 】

• [1]Chamessian A: How a medical student uses an iPad for patient care and education. [http://www.kevinmd.com/blog/2011/10/medical-student-ipad-patient-care-education.html webcite]
• [2]Davies BS, Rafique J, Vincent TR, Fairclough J, Packer MH, Vincent R, Haq I: Mobile Medical Education (MoMEd) - how mobile information resources contribute to learning for undergraduate clinical students - a mixed methods study. BMC Med Educ 2012, 12:1. BioMed Central Full Text
• [3]Patel BK, Chapman CG, Luo N, Woodruff JN, Arora VM: Impact of mobile tablet computers on internal medicine resident efficiency. Arch Intern Med 2012, 172:436-438.
• [4]Tiedeken MD, Handal MD, John A, Eng S, Solomon P: Orthopaedics and iPads: the future of resident education? Popul Heal Matters (Formerly Heal Policy Newsletter) 2013, 26(3):9.
• [5]Berkowitz SJ, Kung JW, Eisenberg RL, Donohoe K, Tsai LL, Slanetz PJ: Resident iPad use: has it really changed the game? J Am Coll Radiol 2014, 11:180-184.
• [6]Leung GM, Johnston JM, Tin KYK, Wong IOL, Ho LM, Lam WWT, Lam TH: Learning in practice: randomised controlled trial of clinical decision support tools to improve learning of evidence based medicine in medical students. BMJ 2003, 327:1-6.
• [7]Tanaka PP, Hawrylyshyn KA, Macario A: Use of tablet (iPad®) as a tool for teaching anesthesiology in an orthopedic rotation. Rev Bras Anestesiol 2012, 62:214-222.
• [8]Comstock J: iPad-equipped medical school class scores 23 percent higher on exams mobihealthnews. [http://mobihealthnews.com/20311/ipad-equipped-medical-school-class-scores-23-percent-higher-on-exams webcite]
• [9]George P, Dumenco L, Doyle R, Dollase R: Incorporating iPads into a preclinical curriculum: a pilot study. Med Teach 2013, 35:226-230.
• [10]Robinson RL, Burk MS: Tablet computer use by medical students in the United States. J Med Syst 2013, 37:9959.
• [11]Dolan B: Nine medical schools that support mobile learning mobihealthnews. [http://mobihealthnews.com/12346/nine-medical-schools-that-support-mobile-learning webcite]
• [12]The College of Family Physicians Canada: Triple C Competency-based Curriculum: Canada’s Family Medicine Curriculum. [http://www.cfpc.ca/Triple_C/ webcite]
• [13]Gonzalez NR, Dusick JR, Martin NA: Effects of mobile and digital support for a structured, competency-based curriculum in neurosurgery residency education. Neurosurgery 2012, 71:164-172.
• [14]The College of Family Physicians Canada: Four Principles of Family Medicine. [http://www.cfpc.ca/Principles/ webcite]
• [15]The College of Family Physicians Canada: CanMEDS-Family Medicine: A Framework of Competencies in Family Medicine. [http://www.cfpc.ca/ProjectAssets/Templates/Resource.aspx?id=3031 webcite]
• [16]Creswell JW, Plano Clark VL: Designing and Conducting Mixed Methods Research. 2nd edition. Thousand Oaks, CA: Sage publications; 2010.
• [17]Clark JP: How to peer review a qualitative manuscript. In Peer Review in Health Sciences. 2nd edition. Edited by Godlee F, Jefferson T. London: BMJ Books; 2003:219-235.
• [18]University of Minnesota: CEHD iPad Initiative. [http://www.cehd.umn.edu/mobile/about.html webcite]
• [19]Ellaway RH, Fink P, Graves L, Campbell A: Left to their own devices: Medical learners’ use of mobile technologies. Med Teach 2014, 36:130-138.
• [20]Luo N, Chapman CG, Patel BK, Woodruff JN, Arora VM: Expectations of iPad use in an internal medicine residency program: is it worth the “hype”? J Med Internet Res 2013, 15:e88.