HandHeld Librarian Online Conference II

1. Mobile Access to Licensed
Databases in Medicine &
Other Subject Areas
Bohyun Kim, Digital Access Librarian, Medical Library
Marissa Ball, E
M i B ll Emerging T h l i Lib i
i Technologies Librarian, G
Green Lib
Library
photo:http://www.flickr.com/photos/johanl/2968794599/sizes/l/

2. Potential & Opportunities
 Demands for “advanced” mobile content & capabilities are growing.
 54 5 million smartphones were shipped i th 4th quarter of 2009 an i
54.5 illi t h hi d in the t f 2009, increase of 39%
f
compared to the same period in 2008.
(Source: IDC, a market research firm)
 2010 estimation: 1.3 bill. Mobile phones will ship globally, 250 mill. of them will be
g y
smartphones.
 The boundary between handheld devices and desktops is beginning to blur.
 Mobile devices are inundating the market it’s not just cell phones any more.
market- more
 SmartPhones, iPods, iPhones, iPad, netbooks, labtops, PDAs, e-Readers…
photo: http://www.flickr.com/photos/niallkennedy/668565224/sizes/l/

3. Reality... & Practice
 Mobile browsing capabilities currently exist only on ~60% of handsets today, by 2013, that
number will climb to +80%.
 Handheld devices, sites, tools and applications in libraries:
 Play mostly a supplemental role
 Consists of a mobile-friendly website/presence
y p
 Basic services
 Renew materials, SMS/text reference, search capabilities for OPACs/licensed
databases, locate available computers, tours, podcasts
 Quick, on-the-go information: Hours, directions, contact information
 Both services and resources are in infancy.
photo: http://www.flickr.com/photos/misbehave/2352753067/sizes/l/

4. Licensed Resources Available
 Content providers & databases:
 EBSCO
 Gale’s AccessMyLibrary
 IEEExplore
 Factiva
 Naxos Music Library, NML and NML:Jazz apps
 Westlaw
 LexisNexis GetCases & Shepardize
LexisNexis,
 Hoover’s
 American Institute of Physics, iResearch
 N t
Nature.com mobile
bil
 WorldCat
 Serials Solutions, SummonMobile
 Alexander Street Press (in development)

5. Recurring Themes & Features
 Mobile versions of library databases and licensed content are not always available for
institutional accounts.
 Majority of providers who are developing mobile-ready apps are iPhone/iTouch compatible only.
 The “authentication process” varies (or does not exist).
 Location-aware features vary.
 Apps vs mobile optimized websites.
 Limited number of databases, resources, articles, results, search capabilities
 PDFs , OpenURL, branding and associations with desktop/web account on some platforms
photo: http://www.flickr.com/photos/40853856@N03/3940583561/sizes/l/

6. Other Outcomes
 “Mobile-centrics” are driving the bus
 Licensed database content for mobile devices in non-subject-specific
areas are still in infancy given existing limitations
limitations.
 Mobile learning is about how effectively and quickly you can search for
and retrieve the information you need (2010 Horizon Report).
 However, the benefit of using these mobile products in research seems to be
unclear.
 How can handhelds improve learning and affect research and teaching?
 We see much wider adoption of mobile devices in specific fields of study,
especially practice-based disciplines like medicine…

7. In Medicine & Healthcare
Photo Credit: CBS News

8. Mobile Devices in Medicine
 32% of all Americans have gotten online with a mobile device.
(Pew I t
(P Internet Report 2009)
tR t
 54% of U.S. doctors own a PDA or smartphone. More than half of
them consider it to be an integral part of their practice
practice.
(iHealthBeat, Feb. 2009.)
 60-70% of medical students and residents use handheld computers
for education or patient care. (Kho et al., 2006)
 PDAs are often required during medical students’ clinical training.

9. Use of Mobile Devices in Medicine
 Classroom
 Lecture content as a podcast
 Polling
 Evaluation
 At the point of care
 Clinical education
 Clinical decision support
 Healthcare communication
 Patient care/documentation
(Ducut and Fontelo, 2008)
Photo Credit: Daniel Morris

10. Content for Mobile Devices
 More diverse than in other areas:
 General medical reference
 Drug Reference
g
 EBM (evidence-based medicine)
resources for clinical
decision support
 Anatomical diagrams
 Medical calculators
 Study guides
 Patient education

12. Licensed Databases in Medicine
 DynaMed Valued as a quick look-up tool
 Epocrates
 Harrison’s Practice
 MD Consult
 Micromedex
 Natural Standard
 Pepid
 VisualDX
 UpToDate
 And more…

13. Issues for Mobile Device Users
 What’s available?
 What to choose –
free or paid?
 Where to get help –
library or IT?
 How to make them work?
 Registration
 Serial Number
 Authentication
 What’s the right format?
 Downloadable applications
 Mobile web sites
 Free vs. Paid
Photo Credit: Oberazzi

14. Time-consuming Installation
 Specific URL for mobile access
 Personal account required
 Serial number for installation
 Authentication
Finally!

15. More work for installation

16. Use per Device? - Authentication
 Example: MD Consult

17. Same Content on Different Devices
 Many different licensing models
 Free with existing licensed product (e g Dynamed)
(e.g.
 User add-on purchase (e.g. Pepid)
 Institutional site license (
(e.g. Epocrates)
)
 Set number of downloads
 Electronic loaning with due dates (e.g. eBooks)
 Devices with resources pre-installed (e.g. AACN, Epocrates)
 Freeware (e.g. Apps for iPhone/iPod Touch)
(Koufogiannakis et al., 2005)
(Cuddy d Wrynn, 2007)
(C dd and W
Photo Credit: Howard Gees

18. Medical Libraries & Mobile Devices
 Resources  Support
 Licensed databases  Devices
 Free resources  Software installation & updates
 Guides for mobile devices  User training
g
 Library mobile websites

19. Challenges for Libraries
 Collection Development
 How to gauge demand
 How to track usage
 Licensing
 Providing Actual Service
 Device purchase for testing
 Staff training & support
 Promotion of service
 Coordinating with other units
 Sustaining the program
Photo Credit: Eleaf

20. Librarians on Mobile Devices
 The majority of librarians don’t know (Spires, 2008)
 the percentage of their patrons using mobile devices.
 how mobile devices are being used in their libraries.
 if there is a demand for more or different services for mobile device
users.
 Librarians are split into three camps: (i) addressing issues now, (ii)
waiting until the demand increases and/or devices improve, and (iii) doing
nothing. (Spires, 2008)
Photo Credit: AndresV

21. Can we assume that
mobile devices will
become popular
in non-practice-focused
subject areas
bj t
as in medicine?
Probably. But…
Photo Credit:Darwin Bell

22. Medicine vs. Other Subject Areas
 Decision support  Learning/Research tool
g
 Quick reference  Journal articles & books
 Up-to-date information
Up to date  Comprehensive information
 Immediate access  More flexible time frame
 T k i t d
Task-oriented  Process oriented
Process-oriented
 At the point of care ?
Photo Credit: mag3737

23. Capabilities that only mobile devices can provide?
From YouTube:
Ivor Ković - An EMR Physician with an iPhone

24. Clear and unique benefits
from using mobile devices in learning/research?
From YouTube:
Ivor Ković - An EMR Physician with an iPhone

25. Mobile devices not as a supplemental but an essential tool
From YouTube:
Ivor Ković - An EMR Physician with an iPhone

26. Mobile Devices at the Point of Need
Users
Information
Resources Mobile
& Data Computing
p g

27. References
 Cuddy, C., Wrynn, P. (2007). Licensing content for PDAs. Journal of Electronic Resources in
Medical Libraries, 4 (1/2), 175-184.
 Ducut, E., Fontelo, P. (2008). Mobile devices in health education: current use and practice.
Journal of Computing in Higher Education, 20 (2), 59-68.
 Fox, M. K. (2007). Mobile Technologies in Libraries. Retrieved from:
( ) g
http://web.simmons.edu/~fox/pda/
 Frost & Sullivan. (2009). 2010 Outlook & Forecast: Mobile & Wireless Communications.
http://www.slideshare.net/FrostandSullivan/2010-outlook-forecast-mobile-wireless-communications-2635125
 Gartner, Inc. Research Firm. (2009). Gartner Identifies the Top 10 Consumer Mobile
Applications for 2012. http://www.gartner.com/it/page.jsp?id=1230413
 iHealthBeat (2009) Smartphones becoming integral tools for health care providers, medical
iHealthBeat. (2009). providers
Students. http://www.ihealthbeat.org/Special-Reports/2009/Smartphones-Becoming-Integral-Tools-for-Health-Care-
Providers-Medical-Students.aspx
 Koufogiannakis, D., Ryan, P., and Dahl, S. (2005). Just another format: integrating resources
g y ( ) g g
for users of personal digital assistants. The Acquisition Librarian, 17 (33/34), 133-145.

28. References (2)
 Ković, I. (2010, Feb 2). An EMR physician with an iPhone, Mobile Monday Amsterdam. [Video
File] Video posted to http://www.youtube.com/watch?v=Q-E-B3Pc8mk&feature=player_embedded
 Kyo, A., Henderson, L.E., Dressler, D.D., Kripalani, S. (2006). Use of handheld computers in
medical education: a systematic review. Journal of General Internal Medicine. 21(5), 531-7.
 M Libraries (n d ) Retrieved from Library Success: A Best Practices Wiki:
M-Libraries. (n.d.).
http://www.libsuccess.org/index.php?title=M-Libraries#Vendors_and_Publishers
 Pew Internet & American Life Project. (2009). Wireless Internet Use Report.
http://www.pewinternet.org/Reports/2009/12 Wireless Internet Use.aspx?r 1
http://www pewinternet org/Reports/2009/12-Wireless-Internet-Use aspx?r=1
 Spires, T. (2008). Handheld librarians: a survey of librarian and library patron use of wireless
handheld devices. Internet Reference Services Quarterly, 13 (4), 287-309.

29. Bohyun Kim, Digital Access Librarian, Medical Library
Marissa Ball, Emerging Technologies Librarian, Green Library
Questions?