Clinical Informatics

Credits: 4.00 CREDITS (Clinical Elective)
Directors: Safran, Charles
Prerequisites: Students should have already had PCE experience; background in computer science or a proficiency in computer programming.
Offered: Full time every month.
Open to Exclerks: Yes (may be restricted for international students)
This elective will provided students with a broad overview of the newly recognized field of clinical informatics. The American Board of Medical Specialties has recognized "Clinical Informatics" as a medical sub-specialty and physicians in all 24 subspecialties are now eligible to become Board Certified in Clinical Informatics. Clinical Informatics is the application of information and communication technology to deliver healthcare services. Students with have the opportunity to interact with both local and national leaders as we explore the opportunities and barriers at the intersection of medical education and health information technology. Students will explore how can Electronic Health records be leveraged in clinical settings to improve patient engagement, optimize disease management, and implement prevention initiatives? Students will have the opportunity to work with faculty mentors and physician leaders at the Office of the National Coordinator for health Information Technology (ONC) in the US Department of Health and Human Services to explore these questions, design “lean” experiments, and collaborate with both government and educational leaders to better understand and define policy or process interventions.

The Division of Clinical Informatics is a research division of the Department of Medicine at the Beth Israel Deaconess Medical Center and has been at the forefront of computers in healthcare for 40 years. This elective is designed to give students hands-on experience with the design, implementation, governance, and evolution of electronic health records and other real-world clinical computing systems. Enrollment is subject to the pre-approval of the course director, Dr. Charles Safran.
Learning Goals:
1) To understand the role of clinical informatics in delivering and improving healthcare. The Student will identify an opportunity for care improvement in a clinical setting, and will design an intervention leveraging health information technology that would improve care quality, cost and efficiency.
2) To give each student a basic understanding of the components of an electronic health records and an appreciation of the complexity of implementing such systems in teaching hospitals and office practices.
3) The Student will be able to understand and explain the HHS Meaningful Use Incentive program, and the role of the federal government in accelerating the adoption and meaningful use of health information technology.
4) The student will gain exposure to the emerging field of clinical informatics and possible future career choices.
Incorporation of Basic Science Content and Evidence-Based Medicine:
The field of clinical informatics has a rich literature. The weekly conferences are a mix of basic topics like security and confidentiality of health information, presentation of on-going clinical informatics research and a monthly journal club.
Feedback about the student's performance will be solicited from the faculty, fellows, and research staff over the elective rotation. The course director (or assigned mentor) will meet with the student weekly and review progress. The final presentation will be assessed by faculty and fellows in attendance. The course director will summarize the assessments on the HMS evaluation form.
Grade Criteria:
High Honors:
Demonstrates exceptional grasp of learning objectives; contributes academic discourse during the rotation; leaves a memorable impression on the faculty. Honors:
Demonstrates full understanding of learning objectives; exceeds expectations for knowledge acquisition; performs better than most of his/her peers; nteracts well with division faculty and staff.
Meets all of the learning objectives.
Demonstrates lack of effort; fails to attend conferences; fails to meet most of the learning objectives.
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