Health informatics: a required skill for 21st century clinicians

Fridsma, Douglas B.

doi:10.1136/bmj.k3043

Cited by 45 publications

(31 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although evidence that HI training improves the likelihood of success of digital implementation programmes is currently lacking, there is strong evidence that current IT programmes and current efforts to train clinicians in HI are suboptimal 14 70. Therefore, universal postgraduate training in HI represents the best way to create change at scale, alongside training of leaders and individuals seeking more specialist training.…”

Section: Discussionmentioning

confidence: 99%

“…The universal relevance of HI is exemplified by the WHO’s recent adoption of a digital health resolution, led by India,10 and the urgency is amplified by the ambition of recent investments in precision medicine11 12 and artificial intelligence 13. Despite acknowledgment that ‘upskilling’ and ‘increased capacity’ are necessary for ‘digital readiness’ across all health professions,4 7 14–16 there has been far less research and policy focus on training of doctors and other health professionals in HI, the variably defined discipline that has evolved into the application of information science and computer science to healthcare 17. Even in the USA, where a separate subspecialty accreditation programme in HI has been developed, there has been limited success with digital transformation 18…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Health informatics competencies in postgraduate medical education and training in the UK: a mixed methods study

et al. 2019

View full text Add to dashboard Cite

ObjectiveTo assess health informatics (HI) training in UK postgraduate medical education, across all specialties, against international standards in the context of UK digital health initiatives (eg, Health Data Research UK, National Health Service Digital Academy and Global Digital Exemplars).DesignA mixed methods study of UK postgraduate clinician training curricula (71 specialties) against international HI standards: scoping review, curricular content analysis and expert consultation.Setting and participantsA scoping literature review (PubMed until March 2017) informed development of a contemporary framework of HI competency domains for doctors. National training curricula for 71 postgraduate medical specialties were obtained from the UK General Medical Council and were analysed. Seven UK HI experts were consulted regarding findings.OutcomesThe International Medical Informatics Association (IMIA) Recommendations for Biomedical and Health Informatics Education were used to develop a framework of competency domains. The number (maximum 50) of HI competency domains included in each of the 71 UK postgraduate medical specialties was investigated. After expert review, a universal HI competency framework was proposed.ResultsA framework of 50 HI competency domains was developed using 21 curricula from a scoping review, curricular content analysis and expert consultation. All 71 UK postgraduate medical curricula documents were mapped across 29 of 50 framework domains; that is, 21 domains were unrepresented. Curricula mapped between 0 (child and adolescent psychiatry and core surgical training) and 16 (chemical pathology and paediatric and perinatal pathology) of the 50 domains (median=7). Expert consultation found that HI competencies should be universal and integrated with existing competencies for UK clinicians and were under-represented in current curricula. Additional universal HI competencies were identified, including information governance and security and secondary use of data.ConclusionsPostgraduate medical education in the UK neglects HI competencies set out by international standards. Key HI competencies need to be urgently integrated into training curricula to prepare doctors for work in increasingly digitised healthcare environments.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health informatics competencies in postgraduate medical education and training in the UK: a mixed methods study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…There is no clear picture that might justify the statement that EHRs always lead to an improved, more efficient, less expensive healthcare that is more suitable for all people involved [34]. Many studies report about a widespread frustration of the medical and nursing staff [35,36]. Electronic health records and the associated obligations for documentation are even mentioned as the most important single cause of endemic burnout syndromes of medical staff [37].…”

Section: General Reflectionsmentioning

confidence: 99%

“…All parties involved in the organization process would have to work on developing and implementing new skills that up to now did not belong to the classic competence profile of healthcare activities. Knowhow regarding conception and application technology as well as methods from design thinking and system analysis turn out to be core competences of the future, digitally modified medicine and should be regularly included in the education and training catalogue of healthcare professions [35,38]. It is obvious that sufficient time has to be available [137,138].…”

Section: Success Factors Strategic and Operative Implicationsmentioning

confidence: 99%

Medizinische Datenhaltung – Ansatz, Konzepte, strategische und operative Implikationen

Schönermark¹

2019

Laryngo-Rhino-Otol

View full text Add to dashboard Cite

ZuSaMMenfaSSung Die Erfassung, Auswertung und Bewirtschaftung klinischer Daten mittels elektronischer Anwendungen hat in der Medizin bereits eine weite Verbreitung gefunden. Der Digitalisierung von Patientenakten werden signifikante Effizienz-und Effektivitätspotenziale beigemessen, die auch dazu führen, dass seitens des Gesetzgebers und der Selbstverwaltungsorgane zahlreiche Initiativen gestartet wurden, um möglichst in naher Zukunft eine flächendeckende Etablierung von elektronischen Patientenakten in den klinischen Entitäten sicherzustellen. Gleichwohl liegen die deutschen Krankenhäuser und Praxen im internationalen Vergleich weit zurück. Der folgende Artikel beschreibt die Prinzipien der elektronischen medizinischen Datenhaltung und erläutert die verschiedenen Ansätze, die im internationalen Kontext verfolgt werden. Darüber hinaus wird diskutiert, wie mithilfe elektronischer Datenerfassungs-und Bewirtschaftungssysteme Wert im Sinne von höherer Versorgungsqualität oder von geringeren Versorgungskosten geschaffen werden kann. Und schließlich werden die strategischen und operativen Implikationen abgeleitet und konkrete Handlungsempfehlungen gegeben, wie die Einführung einer organisationsweiten elektronischen Patientenakte optimal gestaltet werden kann. abStractThe collection, analysis and management of clinical data with electronic applications has already widely been used. The digitalization of medical records is expected to bear significant potentials for the increase of clinical efficiency and effectiveness. This has led to numerous legal initiatives by policymakers and healthcare systems in many countries to secure the spatially inclusive and comprehensive establishment of electronic health records in preferably all medical entities. The following article describes the principles of electronic medical data management and exemplifies the different approaches which are followed internationally. Further more, it discusses how medical data management systems create value in terms of higher clinical quality or lower treatment and administrative costs. And finally, the strategic and operative implications are deducted and concrete opportunities for action are described how the introduction of electronic health records may be optimally structured. InhaltsverzeichnisZusammenfassung 220 Abstract 220 I. Prinzipielle Überlegungen 221 II Konzepte der medizinischen Datenhaltung 223 a. Terminologie und Einordnung 223 b. Wertschöpfungslogik 225 c. Anspruchsgruppen und Geschäftsmodelle 226 d) Technische Aspekte 228 e) Limitationen und Evidenz 230 III. Erfolgsfaktoren, strategische und operative Implikationen 231 Literatur 233 S220

show abstract

“…This points to a growing role for data management specialists and knowledge engineers who can pool and curate datasets; such experts may become as essential to modern healthcare as imaging technicians are now 14. Clinicians will also need training as collectors of health data and users of machine learning tools 15…”

Section: Holistic Solutionmentioning

confidence: 99%

What’s holding up the big data revolution in healthcare?

Dhindsa

Bhandari

Sonnadara

2018

BMJ

View full text Add to dashboard Cite

show abstract

Health informatics: a required skill for 21st century clinicians

Abstract: Literacy in informatics should be a formal requirement of all medical education

Cited by 45 publications

References 6 publications

Health informatics competencies in postgraduate medical education and training in the UK: a mixed methods study

Health informatics competencies in postgraduate medical education and training in the UK: a mixed methods study

Medizinische Datenhaltung – Ansatz, Konzepte, strategische und operative Implikationen

What’s holding up the big data revolution in healthcare?

Contact Info

Product

Resources

About