Table 1.

Motivators and barriers experienced by the ASCM I development team

Motivator	Description/Characteristics
Curriculum gap	Expressed need of faculty and students for contextually relevant, uniform curriculum available at all times across the university and its diverse affiliated hospitals
Team leadership	Vision to develop ASCM I website and improve the medical curriculum Vocal project champion and advocate Strong team recruitment and team building skills Ability to capture funding
Medical students	Posses in-depth knowledge of curriculum content, student learning needs, and target audience perspective Intelligent, altruistic, hard working, and cost-effective
Faculty	Investment of substantial personal and academic time Altruism Strong content and teaching expertise Commitment to improving medical education
Teamwork	Team members with different motivations all united in their desire to improve the clinical curriculum Strong grassroots and hands-on approach to resource development
Financial resources	Financial support from the U of T key to project initiation and completion
Space	Dedicated research and development space (Educational Innovation Lab)
Barrier
Administrative structure of institution	Educational IT new, expensive, and not fully incorporated into the academic institution Lack of centralized IT policy, support, and resources leading to redundancy and inefficiency
Development mandate	Lack of a faculty level champion able to assume site ownership and maintenance responsibility
Faculty	Little academic incentive for faculty to contribute to IT innovations (eg, no protected or paid time for clinicians to develop educational resources)
Support staff	Lack of support staff and expertise (eg, for user helpline, IT development and maintenance)
Equipment	Outdated equipment lacking user support