| Specifically, this study assessed the readiness of pediatric faculty and residents at an urban medical school to incorporate an innovative, web-based technology, known as an instructional intranet (II), into the curriculum for medical residents. Opinions about the potential of an II to augment graduate medical education, serve as a management tool, and increase access to information and communication, were investigated. The target population was physician educators and residents practicing, teaching, and learning in clinical settings. The sample was selected from pediatric generalists, specialists, residents, local program directors and chairpersons at an urban medical school in Florida. The sample also included pediatric chairpersons and program directors from medical schools across the United States, who were asked to summatively evaluate the II. All participants connected to the II via TCP/IP protocols and reviewed it online. Data were derived from their responses to multiple-choice items and open response questions on four different surveys about the II. Mean scores indicated that respondents tended to possess an overall attitudinal readiness to use the II for pediatric resident education. Statistically significant results were limited, however. One of the Repeated Measures ANOVA, yielded two statistically significant effects; one was the group main effect (p $<$.05) and the other was the time main effect (p $<$.05). These results were due to decreases in mean scores for faculty and residents from pretest to posttest. This was interpreted to mean that effectiveness of the II was being challenged or questioned from pretest to posttest. According to the regression analyses, the independent variables did predict some of the variance in the four attitude dimensions, but the only significant predictor of posttest attitude was the regression weight, pretest attitude; the other factors did not contribute to R$/sp2.$ The findings verified a need to develop physicians' knowledge and attitudes about the advantages of incorporating information technologies into medical practice and education, the advantages of Internet based instruction (IBI), and the advantages of intranets, in particular. Additionally, it is evident that physicians must be taught the skills necessary to successfully use information technologies for their work. |