WikiMSK:Website Brief

General

• The aim of this wiki is to become a modern, uptodate, central repository of knowledge for the practice of Musculoskeletal Medicine in New Zealand. Rather than a "document dump," (although it can be used that way) the aim is to have individually written articles that discuss key MSK topics (with references), a la the white papers but in 2020 and beyond.
• Most content is planned to be open access, except for the training portal (read below).
• Only NZAMM members are eligible for accounts, and account creation is managed by the administrator.
• Most of the registrars now have accounts

Infrastructure

• The wiki is free. It runs on secure opensource software on a local Auckland secure server. Backups are done automatically every day for free, and offsite copies are held.
• If the website became too large then a server upgrade may be required, this would be at a cost of around $30 a month. The current server storage capacity is ~15GB
• The software is MediaWiki, and has been customised to suit the purposes of WikiMSK. MediaWiki is the software used by Wikipedia.

Structure

• I have done several hours of research on website article hierarchy, drawing from many medical and non-medical wikis that I thought were exemplary, as well as drawing from the literature on wiki construction in medical education.
• Articles may be on any Musculoskeletal Medicine topic. I will use Lateral Elbow Tendinopathy as an example. But they can also be on procedures, examination, concepts, or anything.
• Articles are placed into one or more Categories to allow ease of browsing and search. Lateral Elbow Tendinopathy is is the Elbow & Forearm Category, as well as the Tendinopathies Category.
• Categories are placed into Portals. The Elbow & Forearm Category is placed into the Topics by region portal, The Tendinopathies Category is placed into the Topics by concept portal
• A dropbox or onenote type product only allows you to place a particular file in one particular folder. A wiki allows the file to be in as many areas as you want. This makes searching for content much easier.

Portals

The full list of portals are below:

Portals

Regions · Concepts · Procedures · DDX · Cases · EBQs · Links · Training

Note:Training portal is restricted to trainees and fellows.

Most portals are fairly self-explanatory. DDX means differential diagnosis, an area for differential diagnosis lists for regions. These articles can be placed into other articles and you only have to edit it once. EBQ means evidence based questions. This is an area for the analysis of key MSK papers.

Access Control

• Any article can be made private. It can be locked to one users, or a group of users.
• The Training Portal has many helpful articles and links but access is only allowed for NZAMM members. This section can be used for many purposes. For example storing links to recorded zoom lectures, or uploading material where permission has only been granted for NZAMM members to access.

Quality Control

Articles go through quality improvement stages:

1. Stub: basically a dump of information or limited information. Indicated by a quarter circle at the top right of the article ◔
2. Partial. Most of the structure and content is present. Indicated by a half circle ◒
3. Complete. Thought to be complete by the non-fellow author but not signed off. Indicated by a three quarter circle ◕
4. Certified. Indicates that the article has been signed off by a fellow or other relevant expert. Indicated by a full green circle, and says the reviewer and date of review. ⬤

For nonmainstream topics a disclaimer can be placed at the top of an article.

See the following article for an example ACNES Ultrasound Guided Injection

Other Advantages

There are many other advantages to a wiki. Some of them:

• Discussion and collaboration in the pursuit of knowledge construction
• A sense of ownership
• Free open access (except for training portal), helping other professionals in particular GPs
• Administration benefits
• Integration of multimedia tools like the Quiz software, videos, and more.
• Infinitely customisable.
• Designed to be quick to access information at work
• The software has been around since 2002. It is very robust and very easy to find out how to do basically anything you want.
• It is basically impossible to break anything. Changes can be easily reverted.
• Powerful search. For example it searches within articles.