What's the best approach for develolping new apps for the iPad?

What's the best way to develop new apps for speech-language pathologists using the iPad? When we first started designing Minimal Pairs, we started with a blank sheet. Oh sure, we looked at other apps others had done, but there were very few by mid-2010. What do you think? is it better to start from scratch or should developer adapt what already exists in the traditional media?

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