# iECHO vs pGALS

The clearest difference is update cadence: iECHO at every 4 weeks against pGALS's every 6 months. pGALS's advantage is iOS requirement (8.0 vs 15.0). On price, ads, in-app purchases and device support there is nothing between them.

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

iECHO ships an update every 4 weeks, pGALS every 6 months. The most recent releases landed on October 8, 2026 and October 12, 2026 respectively.

## The numbers

| Metric | iECHO | pGALS |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[3.1 (8 ratings)](https://appshunter.io/ios/app/iecho/id6461050355/reviews)** | — |
| Number of ratings | **8** | — |
| Positive reviews | 60.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 4 weeks** | Every 6 months |
| Monetization | Free | — |
| Size | 35 MB | 85 MB |
| Requires iOS | 15.0 | **8.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 4+ |
| Developer | [Project ECHO](https://appshunter.io/developer/1689352367) | [PReS - Paediatric Rheumatology European Society](https://appshunter.io/developer/1794856292) |

## What reviewers say

### iECHO

[App page](https://appshunter.io/ios/app/iecho/id6461050355)

This app connects participants in a global healthcare education community, providing tools and resources for training and remote mentoring. It aims to democratize knowledge and enhance the delivery of best-practice care to underserved populations worldwide.

**Highlights:** Global community connection, Training and telementoring tools, Access to resources, Knowledge democratization, Best-practice care for underserved

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

**In-app purchases:** none


### pGALS

[App page](https://appshunter.io/ios/app/pgals/id6741597500)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is iECHO free?

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

### Is pGALS free?

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

### Do iECHO or pGALS have ads?

Neither iECHO nor pGALS shows ads.

### Which is updated more often, iECHO or pGALS?

iECHO ships an update every 4 weeks, and pGALS every 6 months. Most recently, iECHO was updated on October 8, 2026 and pGALS on October 12, 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.*