IPHIE Workshop Globalizing Health and Biomedical Informatics Programs

1. IPHIE WorkshopGlobalizing Health and Biomedical Informatics Programs

2. Goals of the Workshop • To define and conceptualize need for enriching and globalizing HI/BMI curricula • To inform on IPHIE rationale, goals, achievements • To provide recommendations for enriching HI/BMI curricula by integration of global elements

3. Outline of Topics George Demiris: Need for and challenges to globalization of HI curricula Monique Jaspers: IPHIE mission and achievements Matthias Ganzinger: Transatlantic student/faculty exchanges Genevieve Melton-Meaux: Recommendations for globalization of HI curricula Faculty and student panel

4. Global Education • Technological advances and global developments in biomedicine call for aspects of “global education” to be integrated into health informatics curricula. • "the lifelong growth in understanding, through study and participation, of the world community and the interdependency of its peoples and systems-ecological, social, economic, and technological.” • Informatics professionals whether in academic research or industry settings need to function as global citizens. -Sny, C. 1980. Global education: An implementation plan and resource guide. Madison, Wis.: University of Wisconsin Press. -http://www.globaleducation.edu.au/global-education/what-is-global-ed.html

5. Perspectives of global education • Interdependence and globalisation • Identity and cultural diversity in the context of health • Social justice • Conflict resolution • Sustainable futures

6. Why adopt a global perspective? • take into account the “whole of human society and the environments in which people live” • emerging and future trends in biomedicine and technology • critical thinking and communication with diverse audiences • an opportunity to explore important themes such as change, interdependence, identity and diversity, rights and responsibilities, poverty and wealth, sustainability and global justice, global health and local health initiatives • cooperative learning and action, and shared responsibility

7. Exposure to Diversity • Health care systems, workflows and processes • Health policy and economics perspectives • Public health initiatives • Software and hardware standards and tools • Innovative Interventions and Strategies

8. Educational tools • Applied approach • Not simply relying on lectures • Site visits • Active Discussion • Group work • Interdisciplinary, global teams • Global mentors

9. Global context for Informatics • Consumer health informatics-defining the consumer • Clinical Informatics- the role of the health care model • Bioinformatics-emerging trends for genomic medicine • Public Health Informatics-addressing local and global health

10. Challenges • Balancing curricular needs for technical, clinical and health policy needs • Creating global opportunities and international partnerships • Fostering ongoing dialogue with international partners • Overcoming logistical challenges, while acknowledging educational requirements and policies

11. History • 1997: Amsterdam aimed to globalize BMI program • 1999: Formal collaboration with Heidelberg/Heilbronn • 2000: Visit to US sites: • HI/BMI curriculum at master level • Research programs add ons • Tuition waved • Utah and Minnesota added • 2001: UMIT created, third EU partner • 2006: Washington invited, third US partner • 2012: Taipei invited, first Asian partner

12. IPHIE partners: • United States Partner Institutions • University of Utah • University of Minnesota • University of Washington • European Partner Institutions • Amsterdam Medical College • Germany: Heidelberg-Heilbronn Universities • Austria: University of Medical Informatics and Technologies • Taiwan institute: • Taipei Medical University

13. Mission Statement IPHIE members appreciate the growing tendency for countries all over the world to harmonize their financial and economic markets as well as their health care systems. More importantly, many national health care systems and medical research areas are forced to deal with global problems that call for creative solutions on an international scale. IPHIE members recognize the useful role health and medical informatics can play in addressing these world-wide issues. For these reasons IPHIE members are convinced that students in health and medical informatics should betrained to meet the demands of an increasingly international medical environment Health and medical informatics contribute significantly to high quality and efficient health care and high quality medical research. To advance and further develop the beneficial role of health and medical informatics in the medical field, high quality training of health and medical informatics specialists is crucial. IPHIE members, for several reasons, are convinced that a thoughtful international orientation of health and medical informatics students should be a vital and indispensable part of this training

14. Components • Annual Master Class • Joint EU Course: Strategic Information Management • International Summer School • Individualized Exchanges

15. Annual Master Classes • Accommodations and program by host • Each program invites: • Four honors students, two faculty • Week long certificate program • Lectures by BMI or other experts • Students’ research presentations • Health IT demonstrations and site visits • International student workgroups and assignments

16. Joint EU course

17. Joint EU course Local part: International part: AMC 2001: Heidelberg 2002: Amsterdam 2003: UMIT . . 2013: Amsterdam Heidelberg/Heilbronn UMIT Block 3: Theory, international group work, presentations Block 1: Theory Block 2: Clinical internships

18. International Summer School Two weeks certificate course ‘Bridging healthcare with IT’ Teaching outreach: (bio)medical / health sciences students USA, India, Africa, Europe.. Themes: medical documentation and information processing information systems in healthcare Ehealth medical classifications and terminologies..

19. Individual exchanges • Student exchanges • MSc / PhD research • Faculty exchanges: • Lectures, seminars • Research advising

20. Student and faculty evaluations: ‘The most wonderful MI experience’ ‘This must continue’ ‘The most exciting experiences take place as different worlds of the same discipline meet and interact

21. IPHIE student and faculty exchange experiences Matthias Ganzinger and Thomas Wetter

23. Pioneers • 1999: 1st Masterclass • 1999 AMS->HD/HN: Minne van der Haak, • now Dr. MvdH, Siemens, Erlangen (Germany) • 2000 HD/HN->AMS: Antje Blohm • 1999 SLC and MN join • 2000 to MN: • Jeroen van Dalen (AMS) • Guess who? „No, I don‘t speak Dutch“ „Yes, I‘d do it again.“

24. Pioneers 1999: 1st Masterclass • 1999 AMS->HD/HN: Minne van der Haak, • nowDr. MvdH, Siemens, Erlangen (Germany) • 2000 HD/HN->AMS: Antje Blohm • 1999 SLC and MN join • 2000 to MN: • Jeroen van Dalen (AMS) • Matthias Ganzinger • 2002 Thomas Wetter -> SLC „No, I don‘t speak Dutch“ „Yes, I‘d do it again.“

27. Practice and statistics 44 student exchanges, mostly ~ ½ yr • 36 from Europe • 8 from US Some learnt German or Dutch US to EU not covered by NLM grants • Peak in 2005-06 • 31 male • 6 of the 8 from US female

28. Stories • Frequent traveler: Laël Gatewood (6* to HD) • Wanderer: George Demiris • MSc from HD/HN • PhD from MN • Ass. Prof. Missouri • Prof at UW • Truck and trailers: • Thomas Wetter‘s XChng to SLC -> 11 student XChngs

29. Awards • GMDS best student paper award 2007 • Former exchange student Maya Galazka • Second best paper award MedInfo 2010 • Former IPHIE fellow, now assistant professor at AMC Linda Peute

30. Careers • ACMI fellows • numerous IPHIE faculty • Harvard professor • former exchange student Shobha Phansalkar • Head Quality Management System, Roche Diagnostics International, Rotkreuz (CH) • former exchange student Jens Lauber

31. Love stories Wedding in Las Vegas Maya (née Galazka) and Thorsten Weires Four exchange students found their wifes Minne van der Haak, Shaun Shakib, Baas de Veer , Manfred Graaf One faculty found his son in law Thomas Wetter, Albert-Jan Schol

32. IPHIE • International • Taipei Medical University now joining • Karolinska Institutet in preparation • PHriendship • Much more than just partnership • Inspiration • Excitement

33. Recommendations for globalization of HI curricula Laël Gatewood PhD Genevieve Melton-Meaux MD Institute of Health Informatics University of Minnesota

34. Outline • Build culture of globalization • Recommendations • 1. Recognize benefits of globalization • 2. Add virtualized interactions • 3. Reduce exchange barriers • 4. Encourage joint research • Summarize workshop presentations • Discussion by IPHIE faculty and students

35. Promote Culture of Globalization • Sponsor international conferences • Consider international mentorships • Create international fellowships • Feature international work on resumes • Form list of international opportunities • Build bioethical, global use cases

36. Improve Virtual Interactions • Publish one-page English Summaries • Seminars, Guests, Conferences, News • See Karolinska Institutet HIC example • Share links to websites, pictures, events • Set up remote access for seminars • Consider social networking

37. Reduce Barriers to Exchange • Arrange joint transfer credits • Name dual coordinators and advisors • Jointly review protocols and consent forms • Add mechanisms for language support • Support living in host communities

38. Initiate Joint Collaborations • Share practice, teaching and research • Involve faculty and student participants • International team membership • Interprofessional and interdisciplinary • Investigate models for joint funding • Build infrastructure for global studies

39. Summarize IPHIE Workshop George Demiris: Need for and challenges to globalization of HI curricula Monique Jaspers: IPHIE mission and achievements Matthias Ganzinger: Transatlantic student/faculty exchanges Laël Gatewood and Genevieve Melton-Meaux: Recommendations for globalization of HI curricula Faculty and student panel