See also Apple iPhone3GS for physicians, Medical sites for mobiles and Wireless
Apple’s latest mobile device, the iPad, was released in the United States in early April 2010 and will not be available in Canada until at least June 2010. The early reviews have been very positive but some early adopters in medicine are concerned about what the iPad doesn’t do or doesn’t do as well as the iPhone. The iPad is also generally seen as a competitor to the many e-readers, tablet PCs and netbooks currently available such as the Sony eReader and Amazon Kindle. That said, Dr. Joshua Schwimmer, blogging at Healthline, has compiled some useful information in The First iPad Reviews and News Roundup. Some of the more common issues being raised about using the iPad for physicians are summarized below.
See iMedicalApps.com for current reviews of applications for the iPad.
Here’s what Twitter users are saying…
Early reviews are saying that…
- iPad is positioned between a smartphone and a laptop — but is more portable and lighter than a laptop
- Question for physicians: is this a supplement to iPhone or a replacement? Do you need both??
- Handsome 9.7-inch interface enhances viewing of patient records and medical images, which are problematic on the iPhone
- physicians will like iPad’s finger touchscreen design for data entry, or if not they can always use an external keyboard (optional)
- for day-to-day use, the iPad doesn’t do anything better than an iPhone or a laptop/desktop
- But what is the iPad’s potential to enhance patient care?
- wider screen and better resolution is welcome; but if the iPad doesn’t fit into lab coats, forget about doctors using it
- iPad has writing capabilities, but must be good enough to replace the way doctors enter records and take clinical notes on the wards and in clinical settings
- Apple is already pitching iPad in US hospitals as replacement for old physician clipboard; but cumbersome to carry
- inexplicably, iPad does not have mouse support; making navigation and usability a challenge for some functions
- can’t take pictures or do telemedicine conferencing; a major drawback for on the go clinical practice
- no multitasking so cannot run several applications at a time like iPhone
- not resistant to dust and liquids
- selection of medical software or applications is limited; see Top 5 Medical Apps for the Upcoming iPad
- no barcode scanning or voice-to-text dictation
- not meant to replace laptops; in addition, there is no USB port, and does not support Flash for web browsing
- battery replacement (10 hours battery life) not allowed, have to recharge – other power issues?
- most hospitals run Windows, and do not support Macs (introducing incompatibility)
Early apps
Carter’s Encyclopedia of Health and Medicine developed for the iPad by mogeneration gives the look and feel of a print encyclopedia with ease of an iPad app; features 12,000 entries provided by Medwords that in print would equal 1,800 pages of content. With all of this content, the app weighs in at around 50MB.
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Rather than be negative about the iPad, I’ll offer the following comments (based on my first week with the iPad):
1. The iPad has been perfect for hospital rounds and office use. Quick and easy. Can access office EMR and hospital system (McKesson) with ubiquitous WiFi.
2. iPad is supplement to iPhone. iPhone still needed due to pocketability and ready-availability.
3. iPad screen real estate makes it MUCH better in day-to-day use (iPhone/smartphone screen too small for regular usage.)
4. Enhancement of patient care comes by using the iPad when interacting with patients directly. No need for keyboard, easy to look up patient data, do limited patient entry, look up drugs on ePocrates, PubMed articles, patient information, etc ‘on the spot’.
5. I don’t wear a lab coat in the hospital but have found the iPad to be a great addition on rounds. Easy to carry in my opinion.
6. Mouse support is not required and detrimental especially in hospital (you moan about the iPad being cumbersome to carry and then complain about the lack of a mouse?)
7. Lack of camera is a plus – no concerns about patient confidentiality or privacy.
8. Multi-tasking not an issue as primarily use web browrer for EMR; plus switching between programs is very fast.
9. iPad is much more resistant to dust and liquids in comparison to a keyboard (and much lower likelihood of fomite source).
10. Do not see any need for barcode. Dragon Dictation is already out (free) and great for short notes.
11. Do not see any need for Flash or USB port in my use of the iPad in the hospital or office.
12. Windows is easily supported with Citrix Receiver. I expect many vendors will be updating their software to support Webkit (which is on most if not all smartphones, including iPhone, Android and Palm Pre as well as Mac and Windows)
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