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

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The FSU Model

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Founded 2000 First 2 years at central campus 120 per class Last 2 years at assigned to one of six

regional 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

TallahasseeTallahassee

DaytonaDaytona

Ft PierceFt Pierce

OrlandoOrlando

SarasotaSarasota

PensacolaPensacola

Where does Informatics live?

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Philosophy

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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 CoM1. Ethics2. Geriatrics3. Informatics4. Evidence-based Medicine5. Behavioral Science6. Culturally-Appropriate Care7. Professionalism8. Rural Medicine9. Care of the Underserved10. Humanities

TabletPCs issued to Class of 2010

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Essential Elements

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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

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Development of Informatics Competencies

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1. Formed Informatics Curriculum Advisory Committee

2. Reviewed AAMC MSOP, STFM Information Management, AAFP residency informatics objectives

3. Developed FSU Competencies4. Sequenced by student year: M1, M2, M35. Recruited courses to include teaching and

assessment

Year 1

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Year 1 Curriculum

1 Week10 Weeks(Summer)

15 Weeks (Fall)

15 Weeks (Spring)

3 Weeks

Orientation

Clinical Anatomy,

Embryology & Imaging

Clinical Neuroscience

Clinical Physiology

Summer Clinical

Practicum (Block clinical experience in

Geriatrics, Rural Health

or Urban Underserved)

Clinical Microanato

my

Medical Biochemistry and Genetics

Doctoring 1 (Lecture, Small Group, CLC, Preceptor)

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

Year 1 Informatics Integration

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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

Year 2

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Year 2 Curriculum

12 weeksCore Principles

22 weeksOrgan Systems

3 weeks Review

4 Weeks

General Pathology and Immunology

Systemic Pathology & Laboratory Medicine

Pathology-Radiology

Review

USMLE Step 1

General Medical Pharmacology

Systemic Medical PharmacologyPharmacology Review

General Medical Microbiology

Systemic Medical Microbiology Microbiology Review

Systemic Physiology

Doctoring 2 Doctoring Review

Medicine and Behavior

Psychosocial

Medicine Review

Health Issues

Year 2 Informatics Integration

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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

Years 3 & 4

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Year 3 Curriculum

Orient

6 weeks

8 week

s

6weeks OSC

E

CommMedicin

e3

weeks

8 weeks

6 week

s

6 weeks OSC

EPeds

Surg

Fam Med

Int Med

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

Year 3 Informatics Integration

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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

Assessment Strategies

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ProveIt assess incoming skills Test questions Projects

Papers, presentations, etc. Practicum OSCE stations (9 OSCEs total Yrs 1-3)

Academic ePortfolio

Informatics Web Site

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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

Informatics Faculty Development

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Informatics Seminar Series – Certificate Series1. Introduction to the Maguire e-Library and PDA

Resources2. Locating and Accessing Full Text Journal Articles3. 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 CoM Information Technology

Informatics Faculty Development

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2006-2007 41 workshops 10 sites: main

campus, 6 regional campuses, 2 residencies, 2 remote sites

350 attended 2007-2008

Planned 50+ workshops

New Developments 2007-2008

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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