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Updated: Sep 13, 2025

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A Resident-Led Innovation in Communication: Introducing WhatsApp Communities in a Large Internal Medicine Residency

Aabid Mohiuddin1, Fawaz Hussain1, Astha Saini-Goeman1

  • 1Department of Internal Medicine, Detroit Medical Center/Wayne State University, Detroit, USA.

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|July 28, 2025
PubMed
Summary

WhatsApp Communities (WAC) significantly improved communication in an internal medicine residency program by reducing unnecessary messages and enhancing information sharing. This free platform offers a valuable solution for programs seeking efficient, cost-effective communication tools.

Keywords:
communicationgraduate medical educationquality improvementwhatsappwhatsapp communities

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Area of Science:

  • Medical Education Technology
  • Healthcare Communication Systems
  • Residency Program Management

Background:

  • Effective healthcare communication is crucial, but adoption of secure messaging apps is limited by cost and clinician preference.
  • WhatsApp is widely used in healthcare despite patient health information (PHI) safety concerns.
  • WhatsApp Communities (WAC) offers structured communication for large groups, presenting a potential solution for residency programs.

Purpose of the Study:

  • To evaluate the effectiveness of WhatsApp Communities (WAC) in improving communication and collaboration within an internal medicine residency program.
  • To assess resident satisfaction with the WAC platform compared to a traditional single group chat.
  • To measure the impact of WAC on reducing undifferentiated patient-care notifications and inappropriate sharing of protected health information (PHI).

Main Methods:

  • Transitioned from a single WhatsApp group to a WAC platform with multiple sub-groups for an internal medicine residency program.
  • Conducted a six-month survey using a five-point Likert scale to assess resident satisfaction.
  • Quantified "undifferentiated patient-care notifications" and implemented a chief medical resident (CMR)-led intervention to address PHI sharing.

Main Results:

  • High resident satisfaction reported: 84% with organization, 87.5% with timeliness, and 95% with information delivery.
  • 92% of residents preferred the WAC platform over the previous single group chat.
  • "Undifferentiated patient-care notifications" reduced by 97% (204 to 6 instances); a CMR-led intervention significantly decreased inappropriate PHI sharing.

Conclusions:

  • WhatsApp Communities (WAC) significantly enhances communication and collaboration in large internal medicine residency programs.
  • WAC provides an effective, zero-cost communication solution, particularly beneficial for resource-limited programs.
  • While PHI sharing remains a concern, targeted orientation and CMR moderation can effectively mitigate risks.