A Four Year Integrated Medical Informatics Curriculum The

A Four Year Integrated Medical Informatics. Curriculum: The FSU Story Nancy B. Clark, M. Ed. Director of Medical Informatics Education Florida State University - College of Medicine STFM Pre. Doc – January 2008 1 Pre. Doc 2008

The FSU Model Founded 2000 Pensacola First 2 years at central campus 120 per class Last 2 years at assigned to one of six regional campus Tallahassee Faculty are community physicians Paid on per week basis when have students Given access to all virtual library resources including PDA downloads Technology Emphasis 2 Pre. Doc 2008 Daytona Orlando Ft Pierce Sarasota

Where does Informatics live? 3 Pre. Doc 2008

Philosophy Informatics is a tool best taught in the context of how it will be used: education/lifelong learning, decision support, communication, patient care, research. One of 10 integrated curriculum themes at FSU Co. M 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 4 Ethics Geriatrics Informatics Evidence-based Medicine Behavioral Science Culturally-Appropriate Care Professionalism Rural Medicine Care of the Underserved Humanities Pre. Doc 2008

Tablet. PCs issued to Class of 2010 5 Pre. Doc 2008

Essential Elements Standardization of equipment and software Students and faculty provided laptops and PDAs System wide resources – one network, email system, intranet, Blackboard, web site, single signon, video conferencing All software provided Technical support Curriculum Committee mandates Faculty support and buy-in Virtual Library 6 Pre. Doc 2008

7 The Generalists 2007

Development of Informatics Competencies 1. 2. 3. 4. 5. 8 Formed Informatics Curriculum Advisory Committee Reviewed AAMC MSOP, STFM Information Management, AAFP residency informatics objectives Developed FSU Competencies Sequenced by student year: M 1, M 2, M 3 Recruited courses to include teaching and assessment Pre. Doc 2008

Year 1 Curriculum 1 Week Orientation 10 Weeks (Summer) 15 Weeks (Fall) Clinical Anatomy, Embryology & Imaging Clinical Neuroscience Clinical Microanatomy 15 Weeks (Spring) 3 Weeks Clinical Summer Clinical Physiology Practicum Medical (Block clinical Biochemistry and experience in Genetics Geriatrics, Rural Doctoring 1 (Lecture, Small Group, CLC, Preceptor) Health or Urban Underserved) Orientation: Students given laptops - 4 hours on IT survival skills. PDAs distributed in Fall with 3 hours training and loading 9 Pre. Doc 2008

Year 1 Informatics Integration Anatomy: Micro. Anatomy: Digital photography Biochemistry: 10 Presentation Skills Neuro. Anatomy: Computer based training Digital photography Audience response system Using library Resources Medical references: Genetics databases, disease, drug, DDx Doctoring 1: Online Medical References – assessing the reliability and validity of medical information online PDA operation and maintenance Clinical Data Collection System training PDA Medical References Power. Point skills Lifelong learning – e. Portfolios EBM concepts 3 OSCEs Pre. Doc 2008

Year 2 Curriculum 12 weeks Core Principles 22 weeks Organ Systems General Pathology and Immunology Systemic Pathology & Laboratory Medicine General Medical Pharmacology General Medical Microbiology Systemic Medical Pharmacology Systemic Medical Microbiology Systemic Physiology Doctoring 2 Psychosocial Medicine Review Medicine and Behavior 11 Health Issues 3 weeks 4 Weeks Review Pathology. Radiology Review Pharmacology Review Microbiology Review USMLE Step 1 Doctoring Review Pre. Doc 2008

Year 2 Informatics Integration Health Issues: Using MEDLINE Finding full text e. Journal articles Finding health statistics online Writing a research paper using End. Note HIT systems and national initiatives Patient Safety EBM principles/ epidemiology Critical Review of the literature Medicine and Behavior Patient Education materials EMR chronic disease mgmt Pathology: Presentations Pharmacology: Presentation Drug references EBM – drug company advertising Doctoring 2: 12 EBM Principles PDA practice Pre. Doc 2008

Years 3 & 4 Year 3 Curriculum Orient 6 8 6 weeks Peds Surg Fam Med 8 weeks Comm OSCE Medicine 3 weeks Int Med 6 6 weeks OB/ Gyn Psych Doctoring 3 and Longitudinal Clinical Experience (1 day per week) Year 4 Curriculum 40 weeks Advanced Family Medicine – 4 weeks Emergency Medicine – 4 weeks Geriatrics – 4 weeks Advanced Internal Medicine – 4 weeks Electives – 24 weeks 13 Pre. Doc 2008 OSCE

Year 3 Informatics Integration Doctoring 3: Longitudinal: D 3 sessions: Paper Community Medicine: Evidence based decision support tools Surgery Clerkship: Using an EMR to manage chronic disease (SOAPware) Finding evidence based guidelines Presentation All Clerkships: demonstrate ability to find information 14 Pre. Doc 2008

Assessment Strategies Prove. It assess incoming skills Test questions Projects Papers, presentations, etc. Practicum OSCE stations (9 OSCEs total Yrs 1 -3) Academic e. Portfolio 15 Pre. Doc 2008

Informatics Web Site http: //www. med. fsu. edu/informatics Hits in 2006 -2007 = 471, 736 Average Hits per Day = 1, 292 Visitors 66, 843 from 170 countries Document Downloads: Writing on the Pocket PC – 56, 500 Using Epocrates – 10, 000 Pocket. PC Operation – 8, 800 Decision Support – 8, 700 Using Drug Resources – 8, 000 16 Pre. Doc 2008

Informatics Faculty Development • Informatics Seminar Series – Certificate Series 1. Introduction to the Maguire e-Library and PDA Resources 2. Locating and Accessing Full Text Journal Articles 3. Selecting the Best Evidence-Based Medicine Resources (Web and PDA) 4. Using Drug Resources (Web and PDA) 5. Using Disease Resources and Textbooks, Including Reference e-Books (Web and PDA) 6. Using Calculators and Quick Decision Support References (Web and PDA) Orientation to FSU Co. M Information Technology 17 Pre. Doc 2008

Informatics Faculty Development 2006 -2007 41 workshops 10 sites: main campus, 6 regional campuses, 2 residencies, 2 remote sites 350 attended 2007 -2008 18 Planned 50+ workshops Pre. Doc 2008

New Developments 2007 -2008 Informatics Curriculum Directors Orlando, Pensacola and Sarasota regional campuses MD. 2 FTE clinical faculty Duties - at their regional campus Deliver Faculty Development in Informatics D 3 Longitudinal - EMR implementation 19 Train, monitor and provide ongoing feedback D 3 Lecture informatics integration Pre. Doc 2008