Special Issue on Informatics Education A Longitudinal Graduate Medical Education Curriculum in Clinical Informatics: Function, Structure, and Evaluation

Bradley Rowland; Jacqueline Guan-Ting You; Sarah Stern; Richa Bundy; Adam Moses; Lauren Witek; Corey Obermiller; Gary E Rosenthal; Ajay Dharod

doi:10.1055/a-2432-0054

Special Issue on Informatics Education A Longitudinal Graduate Medical Education Curriculum in Clinical Informatics: Function, Structure, and Evaluation

Appl Clin Inform. 2024 Oct 3. doi: 10.1055/a-2432-0054. Online ahead of print.

Authors

Bradley Rowland¹, Jacqueline Guan-Ting You^{2

3}, Sarah Stern⁴, Richa Bundy¹, Adam Moses⁴, Lauren Witek⁵, Corey Obermiller⁶, Gary E Rosenthal⁶, Ajay Dharod¹

Affiliations

¹ Internal Medicine, Atrium Health Wake Forest Baptist, Winston-Salem, United States.
² Pathology, Massachusetts General Hospital, Boston, United States.
³ Medicine, Brigham and Women's Hospital, Boston, United States.
⁴ Internal Medicine, Wake Forest School of Medicine, Winston-Salem, United States.
⁵ Internal Medicine, Wake Forest Baptist Medical Center, Winston-Salem, United States.
⁶ Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, United States.

PMID: 39362291
DOI: 10.1055/a-2432-0054

Abstract

Background: There is a need to integrate informatics education into medical training programs given the rise in demand for health informaticians and the call on the Accreditation Council for Graduate Medical Education (ACGME) and the body of undergraduate medical education (UGME) for implementation of informatics curricula.

Objectives: This report outlines a 2-year longitudinal informatics curriculum now currently in its seventh year of implementation. This report is intended to inform United States (US) Graduate Medical Education (GME) program leaders of the necessary requirements for implementation of a similar program at their institution.

Methods: The curriculum aligns with the core content for the subspecialty of clinical informatics (CI) and is led by a multidisciplinary team with both informatics and clinical expertise. This educational pathway has a low direct cost and is a practical example of the academic learning health system (aLHS) in action. The pathway is housed within an internal medicine department at a large tertiary academic medical center.

Results: The curriculum has yielded 13 graduates from both internal medicine (11, 85%) and pediatrics (2, 15%) whose projects have spanned acute and ambulatory care and multiple specialties. Projects have included Clinical Decision Support (CDS) tools, of which some will be leveraged as substrate in applications seeking extramural funding. Graduates have gone on to CI board certification and fellowship, as well as several other specialties, creating a distributed network of clinicians with specialized experience in applied CI.

Conclusions: An informatics curriculum at the GME level may increase matriculation to CI fellowship and more broadly increase development of the CI workforce through building a cadre of physicians with HIT expertise across specialties without formal CI board certification. We offer an example of a longitudinal pathway which is rooted in aLHS principles. The pathway requires a dedicated multidisciplinary team and departmental and IT leadership support.