Adoption of a wiki within a large internal medicine residency program: a 3-year experience

Bradley H. Crotty · Arash Mostaghimi

21 citations0/0 files storedJournal of the American Medical Informatics Association

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Wikis in Education and Collaboration Innovations in Medical Education Electronic Health Records Systems

Abstract

OBJECTIVE: To describe the creation and evaluate the use of a wiki by medical residents, and to determine if a wiki would be a useful tool for improving the experience, efficiency, and education of housestaff. MATERIALS AND METHODS: In 2008, a team of medical residents built a wiki containing institutional knowledge and reference information using Microsoft SharePoint. We tracked visit data for 3 years, and performed an audit of page views and updates in the second year. We evaluated the attitudes of medical residents toward the wiki using a survey. RESULTS: Users accessed the wiki 23,218, 35,094, and 40,545 times in each of three successive academic years from 2008 to 2011. In the year two audit, 85 users made a total of 1082 updates to 176 pages and of these, 91 were new page creations by 17 users. Forty-eight percent of residents edited a page. All housestaff felt the wiki improved their ability to complete tasks, and 90%, 89%, and 57% reported that the wiki improved their experience, efficiency, and education, respectively, when surveyed in academic year 2009-2010. DISCUSSION: A wiki is a useful and popular tool for organizing administrative and educational content for residents. Housestaff felt strongly that the wiki improved their workflow, but a smaller educational impact was observed. Nearly half of the housestaff edited the wiki, suggesting broad buy-in among the residents. CONCLUSION: A wiki is a feasible and useful tool for improving information retrieval for house officers.

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2006Wikis, blogs and podcasts: a new generation of Web-based tools for virtual collaborative clinical practice and education 2006How Web 2.0 is changing medicine 2005Wiki: Web Collaboration 2007The effect of Web 2.0 on the future of medical practice and education: Darwikinian evolution or folksonomic revolution?2009Twittering Healthcare: Social Media and Medicine 2010What is a Wiki, and How Can it be Used in Resident Education?

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