Starting an iPad Program in a Medical College - Including the Library in the Process
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This was a talk I gave at the 2013 American Library Association meeting in Chicago, IL
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Starting an iPad Program in a Medical College - Including the Library in the Process
- 1. Starting an iPad Program in a Medical College* *including the library in the process
- 5. Rush University • Location: Near West Side of Chicago (IMD) • 664-bed hospital • ~2200 students • 128 M1’s starting in fall 2013 • 550 total students M1-M4 • 600 faculty overall
- 6. How it all started Image courtesy of Flickr user COCOEN
- 8. Advice and Consent• Mobile Device Management / Encryption • Apple Bulk Purchase Program • iPad Lending Library • Tech Community • Delivery, Orientation, Documentation • Including the Library in the Process • Support
- 11. Creating course syllabus materials in iBooks Author iBooks Author
- 12. iPads for Everyone! Photo courtesy of Flickr user Newtown Graffiti Photo courtesy of Paul Kennedy
- 13. Resources • TEACHnology in Medicine: http://teachnology.tumblr.com/ • Health 2.0 and Digital Literacy: http://health2course.tumblr.com/ • Library of Rush University: http://www.rushu.rush.edu/library • AAMC GIR: https://www.aamc.org/members/gir/ • MedEd Portal: https://www.mededportal.org/
Hinweis der Redaktion
- Depending on who you talk to and what their idea of ‘recent’ is, the idea of giving iPads to students is not necessarily new though colleges started giving them out to students as soon as the iPad became available. Before the iPad was available, the iPod Touch was often given to students (like at Duke University in the mid-2000’s) By 2011, there was an increasing number of medical schools instructing students to use mobile devices. Stanford gave iPads to all incoming medical students in 2010. Many medical schools give laptops to students that are pre-loaded with software for taking tests. The students could also of course access eBooks and other electronic resources from a laptop. They felt that the iPad opened up a whole new way of accessing information; the ability to pinch and zoom images and text is an example of this innovation. http://www.imedicalapps.com/2010/07/stanford-school-of-medicine-ipad-incoming-class/ Yale gave iPad 2’s to every medical school student in 2011. As the assistant dean for curriculum at Yale School of Medicine explained, “We recognized that we were spending a lot of money on curriculum materials that our students were not always using and that the format of the materials was not the most conducive for learning.” At Yale, the iPads came preloaded with the entire Yale medical curriculum for M1/M2’s. UC-Irvine: http://www.ocregister.com/articles/students-367087-year-third.html – each of the 104 medical students from the class of 2014 received an iPad. UC Irvine, one of the early adopters of distributing iPads to medical students, reported that the first class to receive the iPads scored an average of 23% higher on national exams than previous classes, even though their incoming GPA and MCAT scores were comparable with previous classes http://mobihealthnews.com/20311/ipad-equipped-medical-school-class-scores-23-percent-higher-on-exams/. Their program was also chosen as a 2012-2013 Apple Distinguished Program, and was recognized as conforming to 21st century learning styles and needs of students worldwide. http://news.uci.edu/press-releases/ucis-imeded-initiative-named-a-2012-13-apple-distinguished-program/. One of the pluses of being recognized by Apple is, an endowed fund pays for fully loaded, latest gen iPads for each medical class at the school including a full collection of electronic textbooks. Cornell: http://weill.cornell.edu/news/releases/wcmc/wcmc_2011/09_15_11.shtml
- UC-Irvine: http://www.ocregister.com/articles/students-367087-year-third.html – each of the 104 medical students from the class of 2014 received an iPad. UC Irvine, one of the early adopters of distributing iPads to medical students, reported that the first class to receive the iPads scored an average of 23% higher on national exams than previous classes, even though their incoming GPA and MCAT scores were comparable with previous classes http://mobihealthnews.com/20311/ipad-equipped-medical-school-class-scores-23-percent-higher-on-exams/. Their program was also chosen as a 2012-2013 Apple Distinguished Program, and was recognized as conforming to 21st century learning styles and needs of students worldwide. http://news.uci.edu/press-releases/ucis-imeded-initiative-named-a-2012-13-apple-distinguished-program/. One of the pluses of being recognized by Apple is, an endowed fund pays for fully loaded, latest gen iPads for each medical class at the school including a full collection of electronic textbooks.
- Rush is a not-for-profit academic medical center comprising Rush University Medical Center, Rush University, Rush Oak Park Hospital and Rush Health. The Tower Hospital Building has 376 beds, and opened in early 2012 as a part of the medical center’s major renovation plans. Rush is the preferred hospital for the Chicago Bulls and home to the team physicians to both the Chicago Bulls and the White Sox. Rush University is home to one of the first medical colleges in the Midwest and one of the nation's top-ranked nursing colleges, as well as graduate programs in allied health, health systems management and biomedical research. The Medical Center also offers many highly selective residency and fellowship programs in medical and surgical specialties and subspecialties. Rush's unique practitioner-teacher model for health sciences education and research gives students the opportunity to learn from world-renowned instructors who practice what they teach. Rush has four colleges: Rush Medical College, College of Health Sciences, College of Nursing and the Graduate College.
- I joined Rush in July 2012 as the Assistant Library Director for Educational Technology, overseeing the McCormick Educational Technology Center or METC. My department manages 3 computer classrooms; the biggest one seats 40. There are lecture halls that can seat around 80-100 people. We are an urban campus so one of the ongoing issues has been space. The incoming M1’s for instance has ~128 students. To be able to test them, the medical college has to split them up into groups. Some of these tests are 3 hours, so that makes for a long day. Scantron forms are still heavily used on campus and some exams are given using Blackboard. The medical college was initially trying to find ways to get away from paper exams so before I got there, and there has been a need for item banking for a very long time. So, they have been exploring ways to use mobile devices to deliver content as well as testing. The college underwent a LCME (Liaison Committee on Medical Education) accreditation last year and part of what they proposed to the LCME during the interviews was that Rush would be going paperless, much like other medical schools have been doing across the country. My department has a small project request outstanding to offer wireless printing but this will likely not be in place before the M1’s arrive in August. Recently we had a visit from a rep from Inkling to show the faculty and some students how they could access some key textbooks using the iPad.
- In October 2012, I was asked to co-chair a committee that became the University Device and Tablet Strategy Committee. It initially included the Library Director, representatives from each of the four colleges as well as from Information Services and Student Services. This planning committee was put in place to help guide the university and medical center in implementing tablet devices. Some of the initial issues brought forth included: Development of guiding principles for a university-wide device strategy The university has a policy for computer device and media controls, which basically means a baseline of information security controls to protect sensitive information processed and stored on Rush and personally-owned devices. This policy specifically states that users cannot download or install software on workstations AND mobile devices. This clearly will not work in an iPad environment. Training of staff, faculty and students in how to use iPads (if that was to be the device chosen); Determining bandwidth needs for a major influx of wireless devices (we already have many wireless devices on campus but there would be a LOT more with the M1’s getting tablets) Determining apps Determining best practices (would the students own the devices, renting the devices, what information would we want to put on the devices?) I feel like I was very lucky in this situation because my predecessor had my job and is also a librarian. He now works in the Office for Student Medical Programs in the Rush Medical College. This unique perspective means he is able to speak to different sides of the project.
- Christine Frank, the Library Director at Rush, sent an email to the AAHSL list in October 2012. She forwarded the replies on to me and I contacted some of the institutions that replied. I am grateful for the many willing people at institutions like Stanford, Dartmouth University, Arizona State and the University of Rochester Medical College. I set up appointments with these institutions and got some really great advice. Many phone calls later…and lots of useful data. Mobile Device Management: One institution stressed that Mobile Device Management (MDM) is important – they had built their own MDM but is looking at outside vendors in the future. The need for encryption on devices is crucial. When I attended EDUCAUSE in November, there seemed to be a lot of MDM vendors. Apple has Profile Manager included in their OSX Server: a management console that allows enterprise administrators to assign user profiles, control settings, and configure a number of Macs and mobile devices. Some of the features of the Profile Manager: Standardize and secure user interfaces, Specify mobile device settings, Secure specific resources, Customize user settings, Set security policies, Distribute updated configurations At Rush, even though we have policies for encryption on mobile devices, these iPads will be owned by the students so there will be no encryption on them other than a recommendation for a strict password. Apple has a Bulk Purchase program where you are sent a list of redemption codes for apps. Once the student uses the redemption code, the app becomes theirs. Not sure whether we are going to pursue this option or not. Lending Library: More than a few libraries have iPads to lend to faculty, students and staff. Some of the institutions pre-load the iPads are loaded with apps. Others also kept a select number for in-house use and to use for staff development Rush is considering purchasing 5-10 iPads to check out to faculty, students and staff. We already have a few iPads that we use in our department for our staff to get more comfortable with using the devices. Tech Community: one institution created an Intercollege Tech Community where faculty can share stories, tips and tricks, and had them create workshops for each other. We encourage the faculty at Rush to attend any workshops we create. We know they need a lot of support – what ends up happening is a lot of one-on-one instruction. Delivery, Orientation, Documentation: Many places suggest to students to have certain accounts set up in advance like Dropbox and to have an AppleID created before they come to campus. At Rush, the laptops will be held at the bookstore and the students will be instructed to come to get their laptops on a schedule. Since this is the first time we are doing it this way, it will be interesting to see if the students follow the schedule. Part of orientation will be devoted to the set-up of the iPads. Students to help other students? The students will get the standard iPad box, but the bookstore will sell other accessories like simple covers, covers that have keyboards, different types of styluses, more AC power, etc. Documentation? Including the Library in the conversations: The Instructional Designers and Blackboard Support fall under the Library and that team has been working with all faculty to make their courses more mobile-friendly. We use Blackboard at our institution and there is already an app for mobile devices. We also have a webpage of mobile resources: http://rushu.libguides.com/mobile, much like many other libraries out there. Formatting of PDFs: A bit of a more practical concept – the formatting of documents for mobile devices. Many institutions ran into issues with PDFs not in the correct format. Some faculty members saved their PowerPoint presentations quickly as a PDF, without really looking at it to see if it translated well first as a PDF, and second how it is viewed in a mobile device. Support: I attended EDUCAUSE last fall and heard a presentation that was making the conference circuit: three institutions that deployed iPads and a mobile curriculum. It’s helpful to learn from places that have done it before! Other faculty and staff from Rush attended AAMC and heard similar presentations. Dr. Warren Wiechmann from UC-Irvine holds a series of mobile working group calls. If you can get on the calls, they are interesting and useful.
- Upper Respiratory Virtual Lab / iLarynx: https://itunes.apple.com/us/app/upper-respiratory-virtual/id435530624?mt=8 – designed to reduce the learning curve of using the bronchoscope. It allows students to see what to expect when performing an intubation before progressing to practice manikens. Available for iOS (not sure about Android) AHRQ ePSS (Electronic Preventative Services Selector): https://itunes.apple.com/us/app/ahrq-epss/id311852560?mt=8 – This app was developed to assist primary care clinicians to identify the screening, counseling, and preventative medication services that are appropriate for their patients based on recommendations of USPSTF. You can enter the patient data and the app will give you screening recommendations. Available for iOS and Android. Animated Essential Atlas of Anatomy: https://itunes.apple.com/us/app/animated-essential-atlas-anatomy/id558757178?mt=8 – The app is free but each chapter costs $6.99 or $39.99 for all chapters. Available for iOS. DrawMD: https://itunes.apple.com/us/app/drawmd-general-surgery/id463969650?mt=8 – This is a series of apps that has been recognized in lists of top 10 medical apps for at least the past 3 years. There are 12 different specialities covered, including General Surgery, OBGYN, Cardiology, Orthopaedics, etc. High quality illustrations that can be marked up to demonstrate complex surgical procedures and is ideal for educating students and patients. Available for iOS. Nurse Tabs: https://itunes.apple.com/us/app/nursetabs-medsurg/id322319180?mt=8 - $9.99. This comes in three parts: Fundamentals, Medical Surgery diseases, and Pharmacology. This application allows novice nurses and nursing students to search for over 340 common diseases and disorders, separated by body system. Once the disease/ disorder is selected, the user will be able to have useful information right at their fingertips, including a nursing process approach to managing client care. There are simple explanations of what each of the diseases/ disorders are and common assessment findings associated with them. In addition, useful information is included that incorporates priority assessments needed for clients with the selected disease/ disorder. QxCalculate: https://itunes.apple.com/us/app/calculate-medical-calculator/id361811483?mt=8 – Clinical calculator – includes 150 unique calculators and decision support tools. An example is a a calculator to calculate chemotheraphy based on Body Surface Area iAnnotate PDF Citrix and VDI Inkling
- The Medical School may not be ready to put their course packets into iBooks Author yet, but other colleges have already begun experimenting with it. The library staff is keeping a close watch on this to make sure the faculty are not violating any copyright on materials owned by Rush. Image: http://tco.osu.edu/tag/ed-wallitt-podmedics/ - The iBook entitled, The Podmedics Do Surgery, is a free medical textbook designed for medical students. It combines text, interactive images, video lectures and questions in one place and is a first for medical education.
- So, now that the word has gotten out that the medical college is investing in iPads, the other colleges have started asking about them. There have already been a few iPad Institutes and other Apple-related symposia held at Rush, mostly organized by the College of Nursing. We had one of these institutes in May 2013 and some of the library staff were invited to participate. We will be purchasing 5-10 iPads to have for checkout purposes. We already have a few 3rd generation iPads that are used internally by our staff to get more familiar with the devices. Many of our staff had never used one before so it’s been an interesting experience for them. We are in a very public place in the university and students often come up to the counter asking how to use their iPads. We are in the process of purchasing ExamSoft - an item banking software for use in delivering exams. They recently came out with an iPad app and the medical school is very interested in using this to deliver exams.
- GIR - group on Information Resources