J Am Med Inform Assoc - Adoption of a wiki within a large internal medicine residency program: a 3-year experience.

Tópicos

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Resumo

JECTIVE: 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.

Resumo Limpo

jectiv describ creation evalu use wiki medic resid determin wiki use tool improv experi effici educ housestaffmateri method team medic resid built wiki contain institut knowledg refer inform use microsoft sharepoint track visit data year perform audit page view updat second year evalu attitud medic resid toward wiki use surveyresult user access wiki time three success academ year year two audit user made total updat page new page creation user fortyeight percent resid edit page housestaff felt wiki improv abil complet task report wiki improv experi effici educ respect survey academ year discuss wiki use popular tool organ administr educ content resid housestaff felt strong wiki improv workflow smaller educ impact observ near half housestaff edit wiki suggest broad buyin among residentsconclus wiki feasibl use tool improv inform retriev hous offic

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