title: Adoption of a wiki within a large internal medicine residency program: a 3-year experience.
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.
  
  
  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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  A wiki is a feasible and useful tool for improving information retrieval for house officers.
authors.affiliation: Department of Medicine, Beth Israel Deaconess and Harvard Medical School, Boston, Massachusetts 02215, USA. bcrotty@bidmc.harvard.edu
authors.forename: Bradley H
authors.initials: BH
authors.lastname: Crotty
authors.forename: Arash
authors.initials: A
authors.lastname: Mostaghimi
authors.forename: Eileen E
authors.initials: EE
authors.lastname: Reynolds
mesh_terms: D001291:Attitude of Health Personnel; D001900:Boston; D003195:Computer Communication Networks; D018961:Educational Technology; D006751:Hospital Information Systems / Q000706:statistics & numerical data; D006801:Humans; D033181:Information Dissemination; D019451:Information Management; D016247:Information Storage and Retrieval; D007388:Internal Medicine / Q000193:education; D007396:Internship and Residency; D015397:Program Evaluation; D014584:User-Computer Interface