# gistalt vs Search on Shift

The clearest difference is in-app purchases: gistalt at none against Search on Shift's 2. gistalt also leads on iOS requirement (13.4 vs 15.0). Search on Shift's advantage is update cadence (every 4 weeks vs every 22 months). On price, rating, review sentiment and ratings volume there is nothing between them.

Both are free to download. Search on Shift sells 2 in-app purchases, starting at $9.99 per month. gistalt asks for nothing beyond the download.

On the App Store both sit at effectively the same score — 4.9 for gistalt against 5.0 for Search on Shift. Both are backed by a comparable volume of ratings — 16 and 6 respectively. Written reviews split almost evenly too, at 100% and 100% positive.

gistalt ships an update every 22 months, Search on Shift every 4 weeks. The most recent releases landed on October 29, 2026 and October 30, 2026 respectively.

## The numbers

| Metric | gistalt | Search on Shift |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.9 (16 ratings)](https://appshunter.io/ios/app/gistalt/id1520121253/reviews) | **[5.0 (6 ratings)](https://appshunter.io/ios/app/search-on-shift/id6451212385/reviews)** |
| Number of ratings | **16** | 6 |
| Positive reviews | 100.0% of reviews | 100.0% of reviews |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 22 months | **Every 4 weeks** |
| Monetization | **Free** | Subscription |
| Size | 35 MB | 66 MB |
| Requires iOS | **13.4** | 15.0 |
| Devices | iPhone, iPod | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [Tom Fadial](https://appshunter.io/developer/1316852248) | [Made by Nick LLC](https://appshunter.io/developer/1697177001) |

## What reviewers say

### gistalt

[App page](https://appshunter.io/ios/app/gistalt/id1520121253)

This medical game challenges players to quickly assess patient acuity by swiping left for stable patients and right for those needing immediate intervention. It's designed to make training clinical impression skills engaging and fun.

**Highlights:** Patient acuity assessment, Swipe-based gameplay, Vital signs and lab results, Imaging interpretation, Performance scoring, Regular content updates

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### Search on Shift

[App page](https://appshunter.io/ios/app/search-on-shift/id6451212385)

This medical reference app consolidates emergency medicine resources into a single, searchable platform. Quickly access websites, notes, and curated educational content for efficient learning and on-shift reference. It helps track your progress across various medical materials.

**Highlights:** Unified search for EM websites and notes, Curated learning recommendations (podcasts, articles), Learning progress tracking, Customizable website selection, Upload and edit personal notes (CSV, Anki, textbooks), Flashcards for board exam prep, Dark mode

**Features:** macOS Compatibility

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Monthly Subscription | $9.99 | per month |
| Yearly Subscription | $99.99 | per year |


## Frequently asked questions

### Is gistalt free?

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

### Is Search on Shift free?

Search on Shift is free to download, with in-app purchases available.

### Which has better reviews, gistalt or Search on Shift?

Search on Shift is rated higher. gistalt averages 4.9 out of 5 from 16 ratings, while Search on Shift averages 5.0 from 6 ratings.

### Do gistalt or Search on Shift have ads?

Neither gistalt nor Search on Shift shows ads.

### Which is updated more often, gistalt or Search on Shift?

gistalt ships an update every 22 months, and Search on Shift every 4 weeks. Most recently, gistalt was updated on October 29, 2026 and Search on Shift on October 30, 2026.

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