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===What is WikiDoc?===
===What is WikiDoc?===


WikiDoc is an open source, web-based textbook or encyclopedia of medicine co-created by an international community of healthcare professionals.  As a result of its worldwide base of authors, WikiDoc is able to combine the broadest base of clinical knowledge with the latest breaking medical updates.
WikiDoc is a free, open source, web-based living textbook of medicine co-created by an international community of healthcare professionals.  As a result of its worldwide base of authors, WikiDoc is able to combine the broadest base of clinical knowledge with the latest breaking medical updates.
 
<u>''Discussion''</u>: is WikiDoc a textbook or encyclopedia or other?
 
Wikipedia definitions:
 
* textbook: a manual of instruction in any branch of study. Textbooks are produced according to the demands of educational institutions.  Although most textbooks are only published in printed form, many are now available as online electronic books and increasingly, although illegally, in scanned format on filesharing networks.
* encyclopedia: is a type of reference work - a compendium holding a summary of information from either all branches of knowledge or a particular branch of knowledge.  Encyclopedias are divided into articles or entries, which are usually accessed alphabetically by article name ... encyclopedia articles focus on factual information to cover the thing or concept for which the article name stands.
 
* other: a "living textbook" of medicine?; a definitive resource for medical knowledge?; clinical knowledge resource?; etc.


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===Whom is WikiDoc striving to serve?===
===Whom is WikiDoc striving to serve?===


WikiDoc is intended to be a shared resource for -
WikiDoc is intended to be a shared resource for;
 
* Housestaff (in preparation for morning report);  
 
* Medical students (in preparation for morning rounds);
 
* Fellows (in preparation for conferences); and


* Nurses and attending physicians (to share and improve upon their fund of general medical knowledge);
* Attending physicians, independent and group practitioners providing primary and specialty care - to share and improve upon their fund of general medical knowledge, to prepare for their sub-specialty boards, to help in teaching rotating residents and medical students and as a means of earning free CME credits.


* Pre-medical students sudying for the USMLE boards
* Fellows - in preparation for conferences, for teaching on the hospital wards and as preparation for specialty board exams.


* Housestaff - in preparation for morning report, and as a quick reference while on the hospital wards.


* Additionally, WikiPatient is intended to provide medical content catering to patients as well.
* Nursing and ancillary staff - to look up medical information, as well as to research management, medications, and dosing specific to their patients.


<u>''Discussion''</u>: is WikiDoc a resource written for in-hospital and outpatient care?
* Medical students - in preparation for morning rounds and for presentations, as well as to read about conditions seen in their patients. Also, to prepare for their USMLE examinations using board review.


Wikipedia definitions:
* Pre-medical students - to learn more about medicine in general, and about the various specialties within medicine.


* Patients - to learn more about their condition or the conditions of their family members through the WikiPatient pages.
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WikiDoc succeeds as it -  
WikiDoc succeeds as it -  


* captures the broadest possible community of contributors and users  
* Captures the broadest possible community of contributors and users.
* serves as an essential resource for practitioners worldwide
* Offers an editing process that delivers vetted content that is valid, independent and based upon the latest medical knowledge. In this sense it is a "living" textbook.
* assists clinicians at the point of care
* Serves as an essential resource for practitioners worldwide.
* permits user cohorts to filter clinical approaches (e.g., by geography, practice type, practice location, specialty, etc.)
* Assists clinicians at the point of care (ie. Intern survival guides, as well as free and easy accessibility to medical information through hand-held devices.
* permits clinicians to earn CME and CEU credits as they use WikiDoc to research clinical issues and questions
* Permits user cohorts to filter clinical approaches (e.g., by geography, practice type, practice location, specialty, etc.).


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===Vision===
===Vision===


WikiDoc, a living textbook of medicine, is the definitive resource for medical knowledge and care, providing the latest findings and insights from its global community of healthcare contributors.
<u>''Discussion''</u>: ''does this provide a long-term view on what WikiDoc intends to be in the future?  Will this serve as a source of inspiration for editors, contributors, users, collaborators, etc''? 
''What concepts, if any, are missing''?


[Provides a long-term view on what the organization wishes to be in the future.  The Vision Statement serves as a source of inspiration for editors, contributors, users, collaborators, etc.
* statement of content quality & validity?


Examples:
* point of care decision support resources?


* Amazon: "to be the earth's most customer centric company; to build a place where people can come to find and discover anything thety might want to buy online"
* patient level resources?


* Toys 'R Us: "to put joy in kids' hearts and a smile on parents' faces."
* evidence based medicine?


* MedCentral Health System: "will be a recognized leader in health care quality."
* situation specific information and insights?


* Intuit: "to revolutionize the way people do financial work."]
* indispensable part of clinical workflows?
 
* other?


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===Mission===
===Mission===


As an open source, web-based clinical resource developed by and for the global medical and patient communities, WikiDoc combines the broadest base of medical knowledge with the latest breaking clinical updates, utilizing an interactive interface for physicians to share what they know with others.


[Defines the fundamental purpose of the organization.  The Mission Statement outlines why it exists and how it goes about achieving its vision.
Examples:


* The Chubb Corporation: "We are dedicated to providing excellent underwriting and loss control advice up front, and to ensuring superior customer service through the life of the policy. Our knowledgable loss prevention experts can help commercial customers reduce losses in the workplace.  Our personal appraisers are invaluable in determining accurate replacement value, which is more likely to provide you with the right amount of coverage for your valuable property."
<u>''Discussion''</u>: ''does this define WikiDoc's fundamental purpose and outline why it exists and how it goes about achieving its vision''?  


* Federal Express: "FedEx will produce superior financial returns for shareowners by providing high value-added supply chain, transportation, business and related information services through focused operating companies. Customer requirements will be met in the highest quality manner appropriate to each market segment served. FedEx will strive to develop mutually rewarding relationships with its employees, partners and suppliers. Safety will be the first consideration in all operations. Corporate activities will be conducted to the highest ethical and professional standards."]
''What concepts are missing? ''


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* "healthcare is enriched when medical knowledge flows freely?"


===Values===
* free?


* copyleft?


[Beliefs that are shared among the stakeholders of an organization.  Values drive an organization's culture and priorities and provide a framework within which decisions are made.]
* neutral and objective coverage of medicine?
* statement of targeted or intended audiences?


Examples for WikiDoc:
* clinical areas of coverage?


* "Innovation increases as open access to information increases"
* other?


* open source, designed to facilitate collaborative authoring


* "copyright is out, copyleft is in"
A Couple of Mission Statement Examples:


* coverage of medicine is neutral and objective
* The Chubb Corporation: "We are dedicated to providing excellent underwriting and loss control advice up front, and to ensuring superior customer service through the life of the policy.  Our knowledgable loss prevention experts can help commercial customers reduce losses in the workplace.  Our personal appraisers are invaluable in determining accurate replacement value, which is more likely to provide you with the right amount of coverage for your valuable property."


* censorship and 'control of message' by or in favor of any group, opinion or perspective is not supported and, when offered by a contributor, erodes with further input
* Federal Express: "FedEx will produce superior financial returns for shareowners by providing high value-added supply chain, transportation, business and related information services through focused operating companies. Customer requirements will be met in the highest quality manner appropriate to each market segment served. FedEx will strive to develop mutually rewarding relationships with its employees, partners and suppliers. Safety will be the first consideration in all operations. Corporate activities will be conducted to the highest ethical and professional standards."]


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===Objectives===
===Values===


Examples for WikiDoc:


[Objectives represent the results an organization needs or wants to achieve in the medium or longer term. Objectives should relate to the broader expectations and requirements of and the underlying reasons for running the site.]
* Open access (i.e., healthcare is enriched when medical knowledge flows freely)


Examples for WikiDoc:
* Open source (i.e., open source facilitates collaborative authoring)


# capture the broadest possible community of contributors and users
* "Copyright is out, copyleft is in"
# serve as an essential resource for practitioners worldwide
* Moderated wisdom of the crowd (i.e., content development via crowd-sourcing-meets-content-experts)
# assist clinicians at the point of care
# permit user cohorts to filter clinical approaches (e.g., by geography, practice type, practice location, specialty, etc.)


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* Censorship and 'control of message' by or in favor of any group, opinion or perspective is not supported and, when offered by a contributor, erodes with further input.  Coverage of medicine must be neutral and objective.


===Strategies===
<u>''Discussion''</u>: ''while this needs to be re-written in the form of a statement, do these reflect the beliefs that are shared among the WikiDoc contributors?  If accurate, these ultimately should drive the group's culture and priorities and provide a framework within which decisions will be made. What other beliefs, if any, are missing''?


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[Strategies represent the rules and guidelines by which the vision, mission, objectives, etc. may be achieved.  They represent the higher level approaches to achieving the stated objectives.]
===Objectives, Strategies and Tactics===


A sample strategy based upon the above-stated initial objective to establish community of contributors and users:  
Potential Objectives for WikiDoc:  


* By _______ 2013, increase by __x the number and broaden the representation of site contributors while maintaining the highest standards for content quality [Tactics will then a) define the targeted profiles for growth, e.g., by practitioner type, specialty, geography, practice setting, etc. b) define quality standards and control mechanisms, c) ...]
* '''Objective 1: Double the number of site contributors by August, 2013 while maintaining the highest standards for site content quality'''
** Strategy 1: Permit clinicians to earn CME and CEU credits as they use WikiDoc to research clinical issues and questions.
***Tactic 1: Develop site capabilities necessary to permit the awarding of educational credits to editors / contributors
***Tactic 2: Consider WikiDoc developing its own CME capabilities, including its becoming separately accredited by the ACCME
** Strategy 2: Pursue collaborations with internships and residency programs worldwide
***Tactic 1: Establish and pursue short-list of priority US based programs
***Tactic 2: Establish and pursue key academic programs overseas
** Strategy 3: Achieve greater search prominence and results with the leading search engines
***Tactic 1: Pursue search engine optimization programs by ... with ...
***Tactic 2: ...


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===Tactics===
* '''Objective 2: Serve as an essential resource for practitioners worldwide'''
** Strategy 1: Achieve preeminence and leadership in the fine-tuning of current and emerging clinical guidelines
***Tactic 1: offer users opportunities for polling and suggested edits to guidelines
***Tactic 2: present finding at relevant national society meetings
** Strategy 2: Provide a breadth of resources not present in current published resources
***Tactic 1: Aggressively pursue video and audio content for integration into WikiDoc, including thousands of free, downloadable "copyleft" images
***Tactic 2: ...
** Strategy 3: Provide equal emphasis and balance between hospital-based and independent or group practitioner-related content and care 
** Strategy 4: Offer an editing process that guarantees delivery of vetted content that is valid, independent and based upon the latest medical knowledge
** Strategy 5: Establish a world class board of clinician-educators to represent the key areas of medicine
** Strategy 6: Assist clinicians at the point of care


* living guidelines (polling and suggested edits to guidelines)


* free, no required registration to view site
* '''Objective 3: Replicate the depth of coverage found within Cardiology to the other specialties'''


* no pharmaceutical of device company support


* video & audio can be inserted into medical textbook
* '''Objective 4: Offer patient level information and resources linked to professional WikiDoc sections and pages'''
** Strategy 1: Make certain that information is accessible to the broad patient audience
***Tactic 1: Construct information so that it is comprehensible at an 8th grade or lower level.
***Tactic 2: Make extensive use of images and video.
** Strategy 2:
*** ...


* thousands of free, downloadable "copyleft" images


* expert algorithms
* '''Other'''
** Board review related course content


* growing collaborations with internships and residency programs


* patient level information is written at an 8th grade level and below.
<u>''Discussion''</u>: ''do these represent the results that we need or wish to achieve in the medium or longer term?  What's missing? Objectives should relate to the broader expectations and requirements of and the underlying reasons for running the site.  What other objectives are missing?  Second, do the stated strategies adequately represent the higher level approaches to achieving the stated objectives?  And third, do the listed Tactics represent the key steps required to fulfill upon the strategies and achieve the stated objectives''?


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Latest revision as of 19:34, 7 January 2013


Strategic Planning Process

What is WikiDoc?

WikiDoc is a free, open source, web-based living textbook of medicine co-created by an international community of healthcare professionals. As a result of its worldwide base of authors, WikiDoc is able to combine the broadest base of clinical knowledge with the latest breaking medical updates.


Whom is WikiDoc striving to serve?

WikiDoc is intended to be a shared resource for;

  • Attending physicians, independent and group practitioners providing primary and specialty care - to share and improve upon their fund of general medical knowledge, to prepare for their sub-specialty boards, to help in teaching rotating residents and medical students and as a means of earning free CME credits.
  • Fellows - in preparation for conferences, for teaching on the hospital wards and as preparation for specialty board exams.
  • Housestaff - in preparation for morning report, and as a quick reference while on the hospital wards.
  • Nursing and ancillary staff - to look up medical information, as well as to research management, medications, and dosing specific to their patients.
  • Medical students - in preparation for morning rounds and for presentations, as well as to read about conditions seen in their patients. Also, to prepare for their USMLE examinations using board review.
  • Pre-medical students - to learn more about medicine in general, and about the various specialties within medicine.
  • Patients - to learn more about their condition or the conditions of their family members through the WikiPatient pages.


How does WikiDoc succeed?

WikiDoc succeeds as it -

  • Captures the broadest possible community of contributors and users.
  • Offers an editing process that delivers vetted content that is valid, independent and based upon the latest medical knowledge. In this sense it is a "living" textbook.
  • Serves as an essential resource for practitioners worldwide.
  • Assists clinicians at the point of care (ie. Intern survival guides, as well as free and easy accessibility to medical information through hand-held devices.
  • Permits user cohorts to filter clinical approaches (e.g., by geography, practice type, practice location, specialty, etc.).


Strategic Planning Components

Vision

WikiDoc, a living textbook of medicine, is the definitive resource for medical knowledge and care, providing the latest findings and insights from its global community of healthcare contributors.


Discussion: does this provide a long-term view on what WikiDoc intends to be in the future? Will this serve as a source of inspiration for editors, contributors, users, collaborators, etc?

What concepts, if any, are missing?

  • statement of content quality & validity?
  • point of care decision support resources?
  • patient level resources?
  • evidence based medicine?
  • situation specific information and insights?
  • indispensable part of clinical workflows?
  • other?


Mission

As an open source, web-based clinical resource developed by and for the global medical and patient communities, WikiDoc combines the broadest base of medical knowledge with the latest breaking clinical updates, utilizing an interactive interface for physicians to share what they know with others.


Discussion: does this define WikiDoc's fundamental purpose and outline why it exists and how it goes about achieving its vision?

What concepts are missing?

  • "healthcare is enriched when medical knowledge flows freely?"
  • free?
  • copyleft?
  • neutral and objective coverage of medicine?
  • statement of targeted or intended audiences?
  • clinical areas of coverage?
  • other?


A Couple of Mission Statement Examples:

  • The Chubb Corporation: "We are dedicated to providing excellent underwriting and loss control advice up front, and to ensuring superior customer service through the life of the policy. Our knowledgable loss prevention experts can help commercial customers reduce losses in the workplace. Our personal appraisers are invaluable in determining accurate replacement value, which is more likely to provide you with the right amount of coverage for your valuable property."
  • Federal Express: "FedEx will produce superior financial returns for shareowners by providing high value-added supply chain, transportation, business and related information services through focused operating companies. Customer requirements will be met in the highest quality manner appropriate to each market segment served. FedEx will strive to develop mutually rewarding relationships with its employees, partners and suppliers. Safety will be the first consideration in all operations. Corporate activities will be conducted to the highest ethical and professional standards."]


Values

Examples for WikiDoc:

  • Open access (i.e., healthcare is enriched when medical knowledge flows freely)
  • Open source (i.e., open source facilitates collaborative authoring)
  • "Copyright is out, copyleft is in"
  • Moderated wisdom of the crowd (i.e., content development via crowd-sourcing-meets-content-experts)
  • Censorship and 'control of message' by or in favor of any group, opinion or perspective is not supported and, when offered by a contributor, erodes with further input. Coverage of medicine must be neutral and objective.

Discussion: while this needs to be re-written in the form of a statement, do these reflect the beliefs that are shared among the WikiDoc contributors? If accurate, these ultimately should drive the group's culture and priorities and provide a framework within which decisions will be made. What other beliefs, if any, are missing?


Objectives, Strategies and Tactics

Potential Objectives for WikiDoc:

  • Objective 1: Double the number of site contributors by August, 2013 while maintaining the highest standards for site content quality
    • Strategy 1: Permit clinicians to earn CME and CEU credits as they use WikiDoc to research clinical issues and questions.
      • Tactic 1: Develop site capabilities necessary to permit the awarding of educational credits to editors / contributors
      • Tactic 2: Consider WikiDoc developing its own CME capabilities, including its becoming separately accredited by the ACCME
    • Strategy 2: Pursue collaborations with internships and residency programs worldwide
      • Tactic 1: Establish and pursue short-list of priority US based programs
      • Tactic 2: Establish and pursue key academic programs overseas
    • Strategy 3: Achieve greater search prominence and results with the leading search engines
      • Tactic 1: Pursue search engine optimization programs by ... with ...
      • Tactic 2: ...


  • Objective 2: Serve as an essential resource for practitioners worldwide
    • Strategy 1: Achieve preeminence and leadership in the fine-tuning of current and emerging clinical guidelines
      • Tactic 1: offer users opportunities for polling and suggested edits to guidelines
      • Tactic 2: present finding at relevant national society meetings
    • Strategy 2: Provide a breadth of resources not present in current published resources
      • Tactic 1: Aggressively pursue video and audio content for integration into WikiDoc, including thousands of free, downloadable "copyleft" images
      • Tactic 2: ...
    • Strategy 3: Provide equal emphasis and balance between hospital-based and independent or group practitioner-related content and care
    • Strategy 4: Offer an editing process that guarantees delivery of vetted content that is valid, independent and based upon the latest medical knowledge
    • Strategy 5: Establish a world class board of clinician-educators to represent the key areas of medicine
    • Strategy 6: Assist clinicians at the point of care


  • Objective 3: Replicate the depth of coverage found within Cardiology to the other specialties


  • Objective 4: Offer patient level information and resources linked to professional WikiDoc sections and pages
    • Strategy 1: Make certain that information is accessible to the broad patient audience
      • Tactic 1: Construct information so that it is comprehensible at an 8th grade or lower level.
      • Tactic 2: Make extensive use of images and video.
    • Strategy 2:
      • ...


  • Other
    • Board review related course content


Discussion: do these represent the results that we need or wish to achieve in the medium or longer term? What's missing? Objectives should relate to the broader expectations and requirements of and the underlying reasons for running the site. What other objectives are missing? Second, do the stated strategies adequately represent the higher level approaches to achieving the stated objectives? And third, do the listed Tactics represent the key steps required to fulfill upon the strategies and achieve the stated objectives?


Implementation Plans