A Four Year Integrated Medical Informatics Curriculum: The FSU Story

1. 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 PreDoc – January 2008 PreDoc 2008

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

3. Where does Informatics live? PreDoc 2008

4. 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 CoM • Ethics • Geriatrics • Informatics • Evidence-based Medicine • Behavioral Science • Culturally-Appropriate Care • Professionalism • Rural Medicine • Care of the Underserved • Humanities PreDoc 2008

5. TabletPCs issued to Class of 2010 PreDoc 2008

6. 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 sign-on, video conferencing • All software provided • Technical support • Curriculum Committee mandates • Faculty support and buy-in • Virtual Library PreDoc 2008

7. The Generalists 2007

8. Development of Informatics Competencies • Formed Informatics Curriculum Advisory Committee • Reviewed AAMC MSOP, STFM Information Management, AAFP residency informatics objectives • Developed FSU Competencies • Sequenced by student year: M1, M2, M3 • Recruited courses to include teaching and assessment PreDoc 2008

9. Year 1 Orientation: Students given laptops - 4 hours on IT survival skills. PDAs distributed in Fall with 3 hours training and loading PreDoc 2008

10. Year 1 Informatics Integration • Anatomy: • Computer based training • Digital photography • Audience response system • Using library Resources • MicroAnatomy: • Presentation Skills • NeuroAnatomy: • Digital photography • Biochemistry: • 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 • PowerPoint skills • Lifelong learning – ePortfolios • EBM concepts • 3 OSCEs PreDoc 2008

11. Year 2 PreDoc 2008

12. Year 2 Informatics Integration • Health Issues: • Using MEDLINE • Finding full text eJournal articles • Finding health statistics online • Writing a research paper using EndNote • 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: • EBM Principles • PDA practice PreDoc 2008

13. Years 3 & 4 PreDoc 2008

14. Year 3 Informatics Integration • Doctoring 3: • Longitudinal: • Using an EMR to manage chronic disease (SOAPware) • Finding evidence based guidelines • D3 sessions: • Evidence based decision support tools • Surgery Clerkship: • Paper • Community Medicine: • Presentation • All Clerkships: demonstrate ability to find information PreDoc 2008

15. Assessment Strategies • ProveIt assess incoming skills • Test questions • Projects • Papers, presentations, etc. • Practicum • OSCE stations (9 OSCEs total Yrs 1-3) • Academic ePortfolio PreDoc 2008

16. 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 • PocketPC Operation – 8,800 • Decision Support – 8,700 • Using Drug Resources – 8,000 PreDoc 2008

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

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

19. 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 • D3 Longitudinal - EMR implementation • Train, monitor and provide ongoing feedback • D3 Lecture informatics integration PreDoc 2008