Comparison

UpToDate vs Littmann Learning

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

UpToDate

This clinical decision support tool provides healthcare professionals with evidence-based guidance to improve patient care. It features AI-powered conversational answers, continuously updated medical content, and tools for drug reference, calculations, and patient education.

Highlights
  • Expert AI conversational guidance
  • Gold standard clinical content
  • Practice-changing updates
  • Patient education materials
  • Drug reference and interactions
  • Clinical calculators
  • Kidney dosing guidance
Features
Read full description

UpToDate is the clinical decision support solution trusted by over 3M healthcare professionals to help improve care delivery and patient outcomes. Now powered by UpToDate Expert AI, a generative AI experience built on rigorously maintained UpToDate clinical intelligence to delivers fast, clinically grounded answers through a conversational interface. Expert AI, available in select packages and applications, brings together the latest evidence and real-world clinical expertise and provides transparent sourcing, embedded guardrails, and oversight, supporting clinical reasoning and helping clinicians make confident, informed decisions. Key features include: • Expert AI: Conversational guidance that mirrors how clinicians think. • Gold Standard Clinical Content: Clinician-authored clinical intelligence and graded recommendation, enriched with clinical algorithms, graphics, videos, and continuously updated to reflect the latest evidence and clinical care experience. • Practice-Changing Updates: Timely insights that reflect the latest evidence and how it impacts patient care. • Patient Education: Thousands of patient education leaflets in up to 19 different languages to improve patient understanding and support care plan adherence. • Key Points Panels: Quick, clinically actionable guidance to help clinicians avoid common diagnostic and treatment errors embedded in UpToDate search results. • Drug Reference & Interactions: Evidence-based drug monographs and interaction analysis to support safe and informed prescribing decisions. • Clinical Calculators: Over 200 tools to support dosing, risk scoring, and patient assessments. • Rx Transitions: Step-by-step support for switching antidepressants safely. • Kidney Dosing: Drug dosing guidance for patients with renal impairment. Available on mobile, desktop, and integrated into EHRs, ensuring you can access UpToDate’s trusted guidance where and when you need it. Access to features will vary depending on your UpToDate account. Expert AI is now available in personal trainee subscriptions and UpToDate Pro Plus subscriptions in the US, and through select Enterprise Edition accounts. To get access, explore personal subscription options on the UpToDate website or contact your Enterprise account lead. This app is designed for use by medical professionals. If you are not a medical professional, please consult a qualified healthcare provider before making any medical decisions.

About

Littmann Learning

This app provides access to real patient heart and lung sounds for auscultation education. It offers visual and audio displays, self-paced learning modules, and background reading material to help users recognize various heart and lung sounds.

Highlights
  • Real patient heart and lung sounds
  • Visual and audio displays
  • Self-paced learning modules
  • Graduated learning difficulty
  • Background reading material
Features
Read full description

Littmann® Learning, powered by eMurmur®, is a mobile app for cardiac and pulmonary auscultation education. Built for students, educators, and clinicians, it gives you access to real patient heart sounds, lung sounds, and guided learning modules – available anytime, anywhere. Train your ear and strengthen your stethoscope skills with a rich library of high-fidelity recordings and interactive lessons designed to improve stethoscope auscultation and clinical listening confidence. Whether you are learning the basics or refining advanced listening skills, Littmann Learning helps you recognize and distinguish normal, benign, and pathological heart and lung sounds. Compare healthy and abnormal findings, reinforce pattern recognition, and build confidence for the classroom, simulation lab, and clinical practice. Build confidence with heart and lung sound recognition. Learn cardiac and pulmonary auscultation with Littmann Learning. Littmann Learning includes a library of curated heart and lung sounds, including: * A range of normal heart sounds * Abnormal heart sounds, including systolic, diastolic, and continuous murmurs * Key pathologies like aortic stenosis, aortic insufficiency, mitral insufficiency, mitral stenosis, hypertrophic cardiomyopathy, ventricular septal defect, atrial septal defect, patent ductus arteriosus, or tetralogy of Fallot * Additional sounds such as clicks, splits, S3/S4, PAC/PVC * A range of normal lung sound recordings * Abnormal lung sounds, including crackles, wheezes, and rhonchi Learn by listening and by seeing. Visual tools such as phonocardiograms and sound displays help connect what you hear through the stethoscope with the underlying acoustic patterns, making it easier to identify important cardiac and pulmonary findings. Littmann Learning is designed for anyone learning heart and lung auscultation, including: nursing students, medical students, interns, residents, fellows, physicians, nurses, PAs, or EMTs. DISCLAIMER: THIS APP DOES NOT PROVIDE MEDICAL ADVICE OR IS AN ATTEMPT TO PRACTICE MEDICINE. The information including but not limited to, text, graphics, images and other material contained on this app are for informational purposes only. No material on this app is intended to be a substitute for professional medical education, advice, diagnosis or treatment. –- Available in-app purchases Subscription titles, content and length: * Basic Monthly — Access to Listening modules for 1 month. * Semester Pass — Full access for 6 months. * Annual Pass — Full access for 12 months. Payment will be charged to iTunes Account at confirmation of purchase. Type of subscriptions: Auto-renewable. Subscription automatically renews unless auto-renew is turned off at least 24-hours before the end of the current period. Account will be charged for renewal within 24-hours prior to the end of the current period; the cost for renewal is the same as the initial charge. Subscriptions may be managed by the user and auto-renewal may be turned off by going to the user’s Account Settings after purchase. ---- Privacy Policy: https://www.solventum.com/en-us/home/legal/website-privacy-statement/ Terms of Use: https://info.littmann-learning.com/legal/learning/en/tou_littmann_learning.html

Screenshots

UpToDate4 screens
Littmann Learning4 screens

Verdict

The call

The clearest difference is rating: Littmann Learning at 4.9 against UpToDate's 3.6. Littmann Learning also leads on review sentiment (48% vs 28%) and iOS requirement (15.6 vs 18.0). UpToDate's advantage is in-app purchases (none vs 11). On price, ratings volume, update cadence and ads there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Littmann Learning sells 11 in-app purchases, starting at $3.99 per month. UpToDate asks for nothing beyond the download.

ReceptionRating · Positive reviews · Number of ratings

Littmann Learning holds the better App Store score, 4.9 against 3.6. Both are backed by a comparable volume of ratings — 579 and 850 respectively. Written reviews point the same way: 28% of UpToDate's written reviews are positive against 48% of Littmann Learning's.

UpkeepUpdate frequency

UpToDate ships an update every 5 weeks, Littmann Learning every 6 weeks. The most recent releases landed on October 14, 2026 and October 12, 2026 respectively.

Scorecard5 real differences · 5 level
UpToDate versus Littmann Learning: the parameters behind the verdict, then further details
ParameterUpToDateLittmann Learning
PriceFreeFree
Rating3.6 (579 ratings)4.9 (850 ratings) — better
Positive reviews28.4% of reviews47.6% of reviews — better
Number of ratings579850 — better
Update frequencyEvery 5 weeks — betterEvery 6 weeks
AdsNoNo
In-app purchasesNo — betterYes
MonetizationSubscriptionFree with in-app purchases — better
DevicesiPhone, iPadiPhone, iPad, iPod — better
Requires iOS18.015.6 — better
Further details — not scored
Size56 MB19 MB
Age rating17+17+
DeveloperUpToDate, Inc.CSD Labs

Customer experience

UpToDate

All ratings579 ratings
Positive60.4%
Neutral10.4%
Negative29.2%
Written reviews384 reviews
Positive28.4%
Neutral9.6%
Negative62.0%

Littmann Learning

All ratings850 ratings
Positive97.9%
Neutral1.1%
Negative1.1%
Written reviews21 reviews
Positive47.6%
Neutral14.3%
Negative38.1%

Bugs and requests

UpToDate

Reported bugs

3 issues
  • Inability to download offline content
  • Constant need to re-authenticate
  • Incompatibility with recent iOS updates

Requested features

3 requests
  • Highlight and annotate content
  • Improved institutional login support
  • Dark mode and font size options

Littmann Learning

Not enough reviews yet to summarise bugs or requests.

In-app purchases

None

UpToDate

No in-app purchases

11 purchases

Littmann Learning

Subscriptions8
  • Standard Plan - 1 month$3.991 Month
  • Premium Plan - 1 month$6.991 Month
  • Basic Monthly$8.991 Month
Show 5 more
  • Standard Plan - 1 year$19.991 Year
  • Semester Pass$29.996 Months
  • Premium Plan - 1 year$39.991 Year
  • Full Version$44.991 Year
  • Annual Pass$49.991 Year
One-time3
  • CE - Fundamentals$124.99
  • CE -Advanced$174.99
  • CE - Intermediate$249.99

Questions

Is UpToDate free?
UpToDate is free to download, with no in-app purchases.
Is Littmann Learning free?
Littmann Learning is free to download, with in-app purchases available.
Which has better reviews, UpToDate or Littmann Learning?
Littmann Learning is rated higher. UpToDate averages 3.6 out of 5 from 579 ratings, while Littmann Learning averages 4.9 from 850 ratings.
Do UpToDate or Littmann Learning have ads?
Neither UpToDate nor Littmann Learning shows ads.
Which is updated more often, UpToDate or Littmann Learning?
UpToDate ships an update every 5 weeks, and Littmann Learning every 6 weeks. Most recently, UpToDate was updated on October 14, 2026 and Littmann Learning on October 12, 2026.

Other comparisons