title: WISE-MD usage among millennial medical students.
abstract: BACKGROUND
  E-learning is increasingly common in undergraduate medical education. Internet-based multimedia materials should be designed with millennial learner utilization preferences in mind for maximal impact.
  
  
  METHODS
  Medical students used all 20 Web Initiative for Surgical Education of Medical Doctors modules from July 1, 2013 to October 1, 2013. Data were analyzed for topic frequency, time and week day, and access to questions.
  
  
  RESULTS
  Three thousand five hundred eighty-seven students completed 35,848 modules. Students accessed modules for average of 51 minutes. Most frequent use occurred on Sunday (23.1%), Saturday (15.4%), and Monday (14.3%). Friday had the least use (8.2%). A predominance of students accessed the modules between 7 and 10 PM (34.4%). About 80.4% of students accessed questions for at least one module. They completed an average of 40 ± 30 of the questions. Only 827 students (2.3%) repeated the questions.
  
  
  CONCLUSIONS
  Web Initiative for Surgical Education of Medical Doctors has peak usage during the weekend and evenings. Most frequently used modules reflect core surgical problems. Multiple factors influence the manner module questions are accessed.
authors.affiliation: Department of Surgery, Massachusetts General Hospital, 460 Wang ACC, 15 Parkman Street, Boston, MA 02114, USA. Electronic address: rphitayakorn@mgh.harvard.edu.
authors.forename: Roy
authors.initials: R
authors.lastname: Phitayakorn
authors.affiliation: New York University Langone Medical Center, New York, NY, USA.
authors.forename: Michael W
authors.initials: MW
authors.lastname: Nick
authors.affiliation: Virginia Mason Medical Center, Seattle, WA, USA.
authors.forename: Adnan
authors.initials: A
authors.lastname: Alseidi
authors.affiliation: Drexel University College of Medicine, Philadelphia, PA, USA.
authors.forename: David Scott
authors.initials: DS
authors.lastname: Lind
authors.affiliation: Duke University School of Medicine, Durham, NC, USA.
authors.forename: Ranjan
authors.initials: R
authors.lastname: Sudan
authors.affiliation: Jefferson Medical College, Philadelphia, PA, USA.
authors.forename: Gerald
authors.initials: G
authors.lastname: Isenberg
authors.affiliation: UPMC Altoona, Altoona, PA, USA.
authors.forename: Jeannette
authors.initials: J
authors.lastname: Capella
authors.affiliation: New York University Langone Medical Center, New York, NY, USA.
authors.forename: Mary A
authors.initials: MA
authors.lastname: Hopkins
authors.affiliation: Department of Surgery, Massachusetts General Hospital, 460 Wang ACC, 15 Parkman Street, Boston, MA 02114, USA.
authors.forename: Emil R
authors.initials: ER
authors.lastname: Petrusa
mesh_terms: D003194:Computer-Assisted Instruction / Q000379:methods / Q000706:statistics & numerical data*; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D003479:Curriculum; D004504:Education, Medical, Undergraduate / Q000379:methods*; D013502:General Surgery / Q000193:education*; D006801:Humans; D020407:Internet; D019212:Multimedia / Q000706:statistics & numerical data*; D015397:Program Evaluation; D012647:Self-Assessment; D013337:Students, Medical / Q000523:psychology* / Q000706:statistics & numerical data; D014481:United States
keywords: Internet-based learning; Millennial learners; Multimedia learning; WISE-MD