We switched from physical pagers to this app when I started residency in 2017. Fast forward to now, Spok has remained essentially unchanged, getting updates to make sure it remains functional with iOS updates, but nothing more. It feels like an app that was designed before the original iPhone even came out. It is clunky, has a terrible UI, and seems to function worse now than when I first had to use it (e.g., you are supposed to be able to tap phone numbers within a page to easily call, but this either doesn’t work now or you have to tap multiple times for the call prompt to come up). It’s just an embarrassment and they likely have no real incentive to improve it because huge healthcare systems often don’t want to switch to a new system.