Purpose of App Review

To review how Skitch can be used as an image annotation tool for medical professionals.


We’ve already written about how Evernote is a great app for organization, efficiency, and productivity.

This “most essential” app is not inherently medical, but is tremendously useful for medical professionals by creating an organized, searchable place to put all our thoughts and notes. Evernote takes advantage of mobile camera phones, encouraging users to take photos of their notes to index them, then automatically makes any text in the photo searchable.

Skitch is a photo annotation tool created by the Evernote developers and meant to be used in conjunction with the original app. As an enthusiastic Evernote user, I was curious to see what Skitch could add, so I tried it out on my iPhone and iPad. The app is also available for Android, Windows, and Mac.

User Interface

Skitch offers multiple starting places, from taking a new photo, using one from the photo library, or starting with a map or web search.

I started with a photo I’d taken of a sick patient’s cardiac monitor that I wanted to use for an upcoming talk.

I decided to add some text and colored shapes to highlight the teaching points.

The annotation menu is simple – arrows, text, shapes, free hand drawing, blurring, and cropping. Controls are relatively easy to navigate, though the small iPhone screen makes subtle changes difficult.

Next, I wanted to try out the web clipping feature, so I switched to the iPad for a larger screen.

I focused in on the image, and added some notations.

Then, I looked at the map feature, which opens up the iOS Maps application, and allows the user to edit a screen cap. I made a quick map showing the different hospitals our residents rotate through.

All the images I annotated in Skitch were automatically saved to my Evernote library.

Here is an accurate video demonstration created by the app developers that shows how the app works on the iPhone:


  • Free


  • Simple, useful photo annotation tools.
  • Helpful to be able to clip from Maps and Safari from within the app.
  • Interfaces well with Evernote across different devices.


  • Only one font – more options would be helpful.

Healthcare providers that would benefit from the app

  • Those already using Evernote.


  • Like Evernote, Skitch uses simple tools to open up endless possibilities for users. For those already using Evernote, this photo annotation app is a must have.

iMedicalApps recommended?

  • Yes

iTunes Link


Rating: 4.75 Stars

  • User Interface – 4 – Straightforward, but can be slow.
  • Multimedia usage – 5 – Simple yet high yield image annotation tools.
  • Price – 5 – Free.
  • Real world applicability – 5 – Interfaces well with Evernote, useful on a regular basis.

This post does not establish, nor is it intended to establish, a patient physician relationship with anyone. It does not substitute for professional advice, and does not substitute for an in-person evaluation with your health care provider. It does not provide the definitive statement on the subject addressed. Before using these apps please consult with your own physician or health care provider as to the apps validity and accuracy as this post is not intended to affirm the validity or accuracy of the apps in question. The app(s) mentioned in this post should not be used without discussing the app first with your health care provider.