# ISMA Online vs Elsevier eBooks+

The clearest difference is rating: Elsevier eBooks+ at 4.7 against ISMA Online's 4.0. Elsevier eBooks+ also leads on ratings volume (1.9K vs 8). ISMA Online's advantage is monetization model (free vs freemium) and iOS requirement (9.0 vs 17.6). On price, review sentiment, update cadence and ads there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Elsevier eBooks+ holds the better App Store score, 4.7 against 4.0. That said, the two scores are not equally well evidenced: Elsevier eBooks+ has 1.9K ratings behind it against 8, so its average is the more settled of the two. Written reviews complicate that: 50% of ISMA Online's written reviews are positive against 43% of Elsevier eBooks+'s, so the app with the better star average is not the one people write more warmly about.

ISMA Online ships an update every 3 months, Elsevier eBooks+ every 2 months. The most recent releases landed on November 2, 2026 and November 3, 2026 respectively.

## The numbers

| Metric | ISMA Online | Elsevier eBooks+ |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.0 (8 ratings)](https://appshunter.io/ios/app/isma-online/id1416817470/reviews) | **[4.7 (1.9K ratings)](https://appshunter.io/ios/app/elsevier-ebooks-plus/id1643980050/reviews)** |
| Number of ratings | 8 | **1.9K** |
| Positive reviews | **50.0% of reviews** | 42.9% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 3 months | **Every 2 months** |
| Monetization | **Free** | Freemium |
| Size | 3 MB | 183 MB |
| Requires iOS | **9.0** | 17.6 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 4+ | 4+ |
| Developer | [Elite Tech Systems, LLC](https://appshunter.io/developer/1416817469) | [Elsevier Inc.](https://appshunter.io/developer/367031326) |

## What reviewers say

### ISMA Online

[App page](https://appshunter.io/ios/app/isma-online/id1416817470)

Access the latest continuing medical education content on the go. Physicians and nurses can find and complete courses anytime, anywhere, with the ability to start, stop, and return to learning sessions.

**Highlights:** On-the-go learning, Access up-to-date CME content, Find and complete courses, Start, stop, and resume learning, Available for physicians and nurses

**Features:** macOS Compatibility

**In-app purchases:** none


### Elsevier eBooks+

[App page](https://appshunter.io/ios/app/elsevier-ebooks-plus/id1643980050)

Access your medical textbooks offline and enhance your learning with tools for note-taking, highlighting, and flashcard creation. Sync your progress and annotations across devices for a seamless study experience.

**Highlights:** Offline book access, Note-taking and highlighting, Flashcard creation, Cross-device syncing, In-book search, Figure viewing and zooming

**Features:** Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 🚀 Student / Study friendly
- 🚀 Enhances content
- 👍 Ebooks from Elsevier
- 👍 Great app

**What reviewers complain about**

- 🐛 Unable to view images/tables
- 🐛 Useless for medical textbooks
- 🐛 Positioning issues
- 🐛 Scrolling and zooming problems
- 🐛 Slow loading times

**Reported bugs**

- Figures placed at the end of chapters
- Search function only works for single words
- Inability to clear search history
- Freezing and crashing issues
- Incompatibility with older devices

**Requested features**

- More highlighting and note-taking options
- Ability to write, draw, or paste images on pages
- Separate flashcard option integration with Anki/Quizlet
- More font size options
- Streamlined text selection for voiceover


## Frequently asked questions

### Is ISMA Online free?

ISMA Online is free to download, with no in-app purchases.

### Is Elsevier eBooks+ free?

Elsevier eBooks+ is free to download, with no in-app purchases.

### Which has better reviews, ISMA Online or Elsevier eBooks+?

Elsevier eBooks+ is rated higher. ISMA Online averages 4.0 out of 5 from 8 ratings, while Elsevier eBooks+ averages 4.7 from 1.9K ratings.

### Do ISMA Online or Elsevier eBooks+ have ads?

Neither ISMA Online nor Elsevier eBooks+ shows ads.

### Which is updated more often, ISMA Online or Elsevier eBooks+?

ISMA Online ships an update every 3 months, and Elsevier eBooks+ every 2 months. Most recently, ISMA Online was updated on November 2, 2026 and Elsevier eBooks+ on November 3, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*