Category Archives: Tutorials

Battery Saving Tips

By Rebecca J. Hogue

Contrary to popular belief, leaving apps running on your iPad has very limited impact on your iPad’s (or iPhone’s) battery life. There are a few things you can do to maximize your battery life: (1) turn down the screen brightness, (2) close apps the use location services, (3) use airplane mode when you do not need cellular or wifi, (4) drain your battery once a month.

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The brighter your screen is, the more battery power is required. To save battery life, turn down the brightness to the minimum you need to see the device clearly. In iOS7, you can easily adjust screen brightness using the Control Center, by swiping up from the bottom on the screen.

 

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LocationServicesLocation services are used by apps such as Google Maps. These are very convenient when you are using your device to navigate (e.g. as a GPS when doing house calls). However, location services drain the battery. You can tell when location services are being used by the location services icon (arrow) on the top right of the screen next to the battery indicator.

To maximize battery life, close any apps using location services immediately after using them. For example, after arriving at your destination, close the Google Maps app.

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AirplaneModeAirplane mode automatically turns off any send and transmit functions, including Cellular, WiFi, and Bluetooth. After turning on Airplane mode, you can manually re-enable WiFi and Bluetooth.

If you know you will be in an area with limited cellular service, turning on airplane mode will prevent your device from constantly checking for service. This will significantly increase your device’s battery life; however, you will not be able to send or receive telephone calls with Airplane mode enabled.

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Apple recommends that you fully drain and recharge your devices once a month. This does not make the battery last longer, rather it re-calibrates the battery life indicator. This helps to keep the estimated batter life indicator more accurate.

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Closing Apps

By Rebecca J. Hogue

All apps remain open on the iPad, even after you navigate to the Home page or open a new app. However, there are times when you may wish to actually close apps. In particular, some of the medical education apps are memory intensive (e.g. Anatomy Atlas). Leaving these memory intensive apps open may slow down your iPad, or may prevent other apps from opening.

Leaving apps open has little or no impact on your devices battery life. If you are concerned about the battery life of your devices, see Battery Saving Tips.

To close apps, double click the home button. You can then scroll through the apps until you find the one you want to close. On the app you wish to close, swipe upwards.

Apps

By Rebecca J. Hogue

Apps (short for Applications) are programs that run on your iPad. Each apps is represented by an icon on the iPad home screen.

This section describes:

  1. How to purchase apps.
  2. How to delete apps.

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Unlike your desktop, all applications for the iPad are purchased and downloaded using a single application known as the App Store.

To purchase an app:

  1. Open the App Store by touching the App Store icon.
  2. If you know the name of the app, touch the search bar and enter the name.
  3. Touch Search.
  4. Touch the price of the app (e.g. if the app is free, touch FREE).
  5. Touch INSTALL.
  6. When prompted, enter the password associated with the displayed Apple ID. When the app has downloaded, the price button changed to OPEN.

When you purchase an app, that app is associated  with the Apple ID that was used to purchase the app. When you wish to update that app, you will need to know the password for the Apple ID for which it is associated.

Note: if you are not able to recover an Apple ID password associated with an app, the only way to update the app is to delete it and re-purchase it from the App Store using an Apple ID that you do know.

To check which Apple ID is being used by the App Store, see Settings > iTunes & Apps Store.

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To delete an app from the iPad:

  1. Begin by touching and holding the app. After a couple of seconds the apps begin to jiggle.
  2. You will notice an x in the top corner of any app that can be deleted. Touch the x to delete the app.
  3. Press the home button to stop the apps from jiggling.

Deleting an app from the iPad does not delete your purchase from the App Store. If you decide later that you want to re-install the app you can. This is useful if you need space on your iPad now, you can delete apps (even ones you paid for) to free up space, and re-install them later when you need them.

If you find that your iPad is automatically downloading apps even after you delete them, check your Settings for the iTunes & App Store. Go to Settings > iTunes & App Store. There are buttons to toggle on/off the Automatic Downloads for Music, Apps, iBooks, and Updates.

Settings > iTunes & App Store

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Managing your Apple ID

By Rebecca J. Hogue

Your Apple ID is your identity in the Apple ecosystem. It allows you to buy apps in the App Store and update your iPad’s operating system. In addition, your Apple ID is used for messaging, iBooks purchases, and iCloud backup and file transfer.

When you initially configure your iPad, you enter one Apple ID; however, the iPad will allow you to use a different Apple ID for each service. For example, my husband and I share an Apple ID for our App Purchases. Most Apps allow you to install the App on up to 5 devices. Having a shared ID allows us to buy apps once. We each have our own unique Apple ID for messaging and for iCloud backups. The unique ID ensures that we are not sharing contacts, calendar, and device configuration data. For most people, I recommend two Apple IDs. One family ID for shared purchases and another unique per person ID for messaging data associated with individuals. Specifically, I recommend setting up the following using individual and family accounts:

Individual:

  • iCloud (to change the Apple ID associated with iCloud, you must delete the current configuration first)
  • iMessages
  • FaceTime
  • Game Center

Family:

  • iTunes & App Store – Note, you may be asked to confirm your credit card information. You can either confirm it or hit cancel. In both cases, your Apple ID will be updated
  • Music – Home sharing feature (if you change the Music Sharing setting, it also changes the Video sharing setting)
  • Video – Home sharing feature (if you change the Video Sharing setting, it also changes the Music sharing setting)

When you download an app, it is associated with your current App Store Apple ID. When the app needs to be updated, you will be required to enter the password associate with the Apple ID that was used to purchase (or download) that app. If you no longer have access to that Apple ID, you will not be able to update that app. If it is a free app, the easiest solution is to delete the app and then re-add it with your current App Store Apple ID.

Reference: iPad User Manual, section “Apple ID”

This video shows how to change your iCloud Apple ID.

 

 

 

Tone Generator Ultra

App: Tone Generator Ultra
Cost: Free
Function: Replaces


Tone Generator Ultra is a replacement app with a difference. It does not replace medical resource information clinical academic content such as a textbook but instead uses technology to replace clinical tools (in this case a tuning fork) to provide more flexibility and effectiveness to the clinician. Strictly speaking this is not a recommendation for a specific app, rather it is an example of a type of app that can provide a replacement for an existing tool in your office. In addition, as it is easier to use with a smaller device, you may wish to use your iPhone rather than your iPad.

Many hearing conduction apps exist, however, for this example, we will demonstrate the free app Tone Generator Ultra which can be used to replace the tuning forks in your office. As it is easier to use with a smaller device, you may wish to use your iPhone rather than your iPad. Tone Generator Ultra is particularly useful when providing clinical care outside the office setting where specific diagnostic tools may be limited.

From a teaching perspective, it is easy to demonstrate the principles of air conduction to trainees, easy to perform and interpret the test and gives a foundation on which to discuss the limitations of testing in the office and in the field. Specifically, the increased frequencies tested with this app will provide better assessment of the patient’s deficits: the diagnosis of hearing loss will not just be limited to the voice recognition frequencies but will also pick up gaps in higher and lower frequencies that could put patients at risk if not heard (e.g., a bus that may be barreling in behind them).

If you search the App Store for Tone Generator, you will soon discover a plethora of free apps that serve this hearing assessment purpose. We recommend that you play with a few of them and choose the one that works best for you.

Preventing you iPad screen from rotating

Your iPad can detect which direction is up, and as a result, it can automatically adjust the screen to always be right-side-up. However, there are times when you do not want your iPad to automatically rotate – such as when you are using a stylus for handwritten annotations or when you are giving a presentation.

To prevent your iPad from automatically adjusting, you need to activate the Lock Rotation feature. If you use this feature a lot, I recommend setting the iPad’s side switch to Lock Rotation. When this setting is selected, the side switch is used to turn on or off Lock Rotation.

Using iBooks

iBooks is a free application for your iPad, iPhone, and Mac that allows you to read specially formatted eBooks. iBooks can also be used to read and annotate PDF documents. The iBooks application can be downloaded from the Apple App Store. iBooks represents an enhancement over physical objects as the eBooks can include quizzes, video, and audio.

eBooks, like iPadagogy: Employing the iPad as a clinical teaching tool, can be purchased and downloaded from the iBooks Store.

The iBooks application and each eBook that you purchase (even a free eBook) is associated with your Apple ID. You will need to know your Apple ID and password to download or update eBooks.

You can change which Apple ID is associated future iBooks Store purchases by changing the Apple ID associated with iTunes & App Store (See Managing your Apple ID).

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To purchase and download an eBook from the iBooks Store, you need to know the title of the book or the author. For this example, the eBook we are downloading is “ipad-fm.ca: Employing the iPad as a Clinical Teaching Tool” by Rebecca J. Hogue.

Note the even free eBooks must be purchases from the iBooks Store. When you purchase an eBook, similar to apps, the eBook is associated with your Apple ID. If the author publishes an update to the eBook, you can download that update from the iBooks Store, but you must know the password associated with the Apple ID that you used to download the original version of the eBook.

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Most eBooks can be viewed in either landscape or portrait mode. If the eBook supports both modes, then the portrait version may provide the ability to change the font size of the text. The availability of this feature depends on how the eBook was built.
Before changing the rotation, ensure Lock Rotation is not enabled.

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Books allows you to highlight and write notes within both eBooks and PDF documents. You must first highlight text in order to add a note.

To highlight text, touch and drag your finger across the text you wish to highlight.

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[tboot_accordion_bootstrap_section color=”primary” name=”UniqueName” heading=”Managing Notes” number=”4″]Once you have created notes, you may wish to view all the notes within your document, delete notes, or email notes. The My Notes window allows you to do all that and more.

To access the My Notes page, touch the center of the screen to display the menu, and then touch the notes icon located to the right of the table of contents button on the top left menu.

Once you have highlighted text, you can add notes by touching the highlighted text. You can also change the colour of the highlight or underline text.

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Upgrading to iOS 7

On September 18, 2013 Apple released a major upgrade to their mobile operating system (iOS). This is the operating system that is used by the iPad, iPhone, and iPod Touch. The new version, iOS 7 has additional features an a new look-and-feel. All procedures, images, and video clips in this eBook/website use an iPad Mini or iPad Phone running the iOS 7. If your iPad was shipped from Apple before September 20, 2013, you will need to manually upgrade to iOS 7. This upgrade is free. Note that iOS 7 is not supported on the original iPad and older iPhones/iPod Touches.

Updating to iOS 7 takes approximately 45 minutes. It is advised that you perform this procedure with a fully charged iPad or an iPad that is connected to power. The procedure to update your iPad can be run directly on your iPad. There is no need to connect your iPad to a computer, however, as the installation requires the download of a large file, you should ensure that you are connected over WiFi. This procedure begins by downloading the new iOS (10-15 minutes with high-speed Internet connection), and then continues to the installation (20-30 minutes).

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To see a video clip of this process, click the image below:

To Download the iOS 7 update:

  1. Launch the Settings app.
  2. Touch General.

You must have enough storage space free in order to update. The iOS 7 download is 728MB; however, it requires 3.1GB of storage space to run. If you do not have enough free space available, the iOS 7 update will warn you and provide you with a link to Usage Settings. The Usage Settings screen will show you which apps are using storage space, so that you can clear up enough for the upgrade.

  1. Touch Software Update.
  2. Touch Download and Install.
  3. Touch Agree.
  4. Touch Agree on pop-up alert.

If you are not connected to power, you will receive a warning. If your iPad is fully charged then you can choose to touch Continue. If not, you may wish to plug in your iPad before proceeding.

If you receive an error message downloading, try again. The survey may be busy.

When the download is complete, the installation will automatically occur unless you touch Later in the pop-up alert.

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To see a video clip of the first portion of this process, click the image below:

If your installation did not automatically start after the download, you can launch the installation by:

  1. If you are not already in Settings, Launch the Settings app.
  2. Touch General.
  3. Touch Software Update.
  4. Touch Install Now.
  5. Touch Agree.
  6. Touch Agree (on pop up).

The iPad will verify the update and begin updating. After verifying, the iPad will reboot. You will then see an Apple with a progress bar underneath indicating the progress of the iPad updating. The upgrade process typically takes 20-30 minutes. Once complete, you will be prompted to answer some configuration questions. The update is now complete.

If you receive an error during the verification process, try again. The verification website may be busy.

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Configuring Your Apple ID

Your Apple ID is your identity in the Apple ecosystem. It allows you to buy apps in the App Store and update your iPads operating system. In addition, your Apple ID is used for messaging, iBooks purchases, and iCloud backup and file transfer.

When you initially configure your iPad, you enter one Apple ID; however, the iPad will allow you to use a different Apple ID for each service. For example, my husband and I share an Apple ID for our App Purchases. Most Apps allow you to install the App on up to 5 devices. Having a shared ID allows us to buy apps once. We each have our own unique Apple ID for messaging and for iCloud backups. The unique ID ensures that we are not sharing contacts, calendar, and device configuration data. For most people, I recommend two Apple IDs. One family ID for shared purchases and another unique per person ID for messaging data associated with individuals. Specifically, I recommend setting up the following using individual and family accounts (click the link to see a demonstration on how to change your Apple ID configuration):

  • Individual:
  • Family:
    • iTunes & App Store (Note, you may be asked to confirm your credit card information. You can either confirm it or hit cancel. In both cases, your Apple ID will be updated)
    • Music – Home sharing feature (Note, if you change the Music Sharing setting, it also changes the Video sharing setting)
    • Video – Home sharing feature (Note, if you change the Video Sharing setting, it also changes the Music sharing setting)

Note, when you download an app, it is associate with your current App Store Apple ID. When the app needs to be updated, you will be required to enter the password associate with the Apple ID that was used to purchase (or download) that app. If you no longer have access to that Apple ID, you will not be able to update that app. If it is a free app, the easiest solution is to delete the app and then re-add it with your current App Store Apple ID.

Draw MD OBGYN

App: DrawMD OB/GYN
Cost: Free
Function: Enhancement


DrawMD is a series of free apps created by Visible Health Inc that include basic two dimensional anatomy images with ‘stamps’ that allow you to add common conditions or tools directly to the image. This allows you to easily describe a condition or a procedure graphically, without unnecessary complexity. The apps are available for free from the App Store, and are promoted as useful tools to “revolutionize patient conversations”.  Other DrawMD apps include: Anesthesia and Critical Care, Breast Health, Cardiology, Female Pelvic Surgery, Orthopedics, Pediatrics, Pathology, Thoracic Surgery, etc.)

This demonstration illustrates how you would describe an ectopic pregnancy to a first year medical student using the DrawMD OBGYN app.

DrawMD also has a cloud feature that allows you to store common images and information. If, for example, you find that you are explaining the same condition many times over, you may simply write up the description once and save it in the DrawMD cloud. You can then email the description or print the image as needed. This option is useful not only with learners but also when discussing clinical conditions with patients and their care givers.

It is recommended that you explore using the application without engaging the cloud features. If you discover that you use the app regularly, and that you are frequently describing the same clinical content, you may wish to take advantage of the cloud features.

Challenge Activity

For this challenge activity, recall the phases for role modelling (cueing, modelling, debriefing). The first phase of role modelling is to cue the learner on what they will be observing. In this activity, you will use the DrawMD OBGYN app to cue a learner (a third year clerk) on the proper technique for performing a PAP smear.

As with all challenge activities, you are encouraged to play with the app. Don’t be afraid to touch every button to see what it does. 

Challenge Activity

Choose a different DrawMD app (other than OBGYN). Envision a teaching scenario (e.g. how you might want to cue a learner before you actively role model or how you might want to review steps before performing a procedure). Use the app to help you demonstrate the teachable moment more effectively.