Biomedical Informatics in Health Professions Curricula at OSUPeter J. Embi, MD, MSVice-Chair, Biomedical InformaticsThe Ohio State University

AMIA Academic ForumMay 23, 2012

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Our Mission & Vision

Mission: To improve people’s lives through innovation in research, education, and patient care.

Vision: To lead the advancement of health and biomedicine through the development, application, and dissemination of novel biomedical informatics theories and methods capable of driving biological discovery, generating and translating knowledge, and advancing personalized healthcare

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The OSU Department of Biomedical Informatics is part of one of the nations largest integrated academic health centers, providing a unique living laboratory for informatics research and development

Supporting and Enabling Our Tripartite Mission

BMI Program

Research

EducationServices

Strategic Plan for BMI Program Growth

Strategy 1: Collaborate across internal and external partners to advance research programs & platforms.

Strategy 2: Enhance programmatic and administrative infrastructure to create a culture of service to the community.

Strategy 3: Improve the management, development and utilization of vital resources

Strategy 4: Recruit and retain talented faculty through expedited processes, mentoring, and support and performance management

Strategy 5: Develop innovative education programs for students and healthcare professionals that insure OSU is recognized as a leader in producing measurably excellent Informaticians and healthcare professionals

Strategy 6: Create greater awareness of OSU’s Department of Biomedical Informatics locally, regionally, and nationally through knowledge generation and dissemination

Creating a Culture of Science,

Discovery, & Education

Alignment with OSUWMC Research Strategic Plan

Management, Integration,

Delivery

Prediction

Prevention

Personalized Care

Patient Participation

4 P’s

Evidence Generation

Data Generation

Driving Biological Discovery

Bioinformatics

Computational

Biology

Generating & Translating Knowledge

Translational

Bioinformatics

Clinical Research

Informatics

Advancing Personalized Healthcare

Clinical Informatic

s

Imaging Informatic

s

Human Factors

Knowledge Engineering

High Performance Computing

Cross-CuttingCompetencies

InnovationFocus Areas

Data Science

Innovation Focus Areas

Current Faculty by Research Focus Area

Currently faculty focus and strengths lie in the areas of Clinical Informatics, Translational Bioinformatics, and Clinical Research Informatics (n=13)

Strategic Plan for BMI Program Growth

Strategy 1: Collaborate across internal and external partners to advance research programs & platforms.

Strategy 2: Enhance programmatic and administrative infrastructure to create a culture of service to the community.

Strategy 3: Improve the management, development and utilization of vital resources

Strategy 4: Recruit and retain talented faculty through expedited processes, mentoring, and support and performance management

Strategy 5: Develop innovative education programs for students and healthcare professionals that insure OSU is recognized as a leader in producing measurably excellent Informaticians and healthcare professionals

Strategy 6: Create greater awareness of OSU’s Department of Biomedical Informatics locally, regionally, and nationally through knowledge generation and dissemination

Creating a Culture of Science,

Discovery, & Education

Develop informatics competencies at all trainee and professional levels

• Engage in medical school curriculum planning efforts• Increase participation by BMI faculty in medical student teaching• Develop and implement a core curricula for health professions students

Train and support an informatics workforce

• Continue current IBGP- and CS/ECE-based MS/PhD mentorship and training programs• Develop an interdisciplinary terminal masters program• Develop an interdisciplinary doctoral program• Develop an interdisciplinary certificate program• Develop and implement a fellowship in clinical informatics• Continue to develop distance-learning programs• Secure funding support for training programs

Strategy 5: Develop innovative education programs for students and healthcare professionals that insure OSU COM is recognized as a leader in producing measurably excellent Informaticians and healthcare professionals

Phased Training Program Expansion

Expansion Phase 2

Interdisciplinary

BMI PhD Program

Expansion Phase 1

Professional

Masters

Current State

Distance Education (CRI 10x10)

NLM T15 + Institutional Resources

OSU – Educational Programs - Examples

College of Public Health programs

College of Medicine – MD Curriculum redesign

(College of Nursing) (School of Health and Rehabilitative Sciences)

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OSU College of Public Health - Cunz HallFirst and Only College of Public Health in Ohio

Accredited by the Council on Education for Public Health (CEPH)

OSU CPH - Five Divisions

Biostatistics

Environmental Health Sciences

Epidemiology

Health Behavior & Health Promotion

Health Services, Management & Policy

OSU CPH – Degree Programs Graduate Degrees and Specializations Offered:

PhD in Public Health (five specializations) MS in Public Health (three specializations) MPH (eight specializations) MHA

Newest specializations for MS and MPH Biomedical Informatics Jointly offered by BMI and CPH Programs managed by BMI Enrolling first classes Fall 2012

New Curriculum for OSU College of Medicine

Class Size: 195-276 (220)

30% stay in Ohio for residency

50% of students from Ohio

College of Medicine

Current State of Curriculum

Two Pre-Clinical Pathways for Foundational Science Independent Study Pathway Integrated Pathway

Clinical Analysis and Problem Solving Traditional Med 3 year with 7 core clerkships Med 4 year: Emergency Medicine, Senior Ambulatory

Chronic Care, Sub-internship, Electives

Hallmarks of New LSI Curriculum

Reinforce foundational science throughout curriculum

Early clinical service-learning experiences Emphasis on multi-modal learning and

assessing critical thinking skills and research Longitudinal experiences Self- directed learning Faculty coaching Longitudinal projects Mastery based evaluations

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2 31 Multiple opportunities to incorporate

informatics Medicine is information intense Physicians as information

managers Leveraging integrated, longitudinal

aspects of new curriculum Laying down principles Injecting Informatics as thread “Informatics” to teach general

topics

Part ThreeAdvanced

Clinical Management

4 Years18 months 12 months 12months

Longitudinal ProjectsInterprofessional Systems Based

ThinkingLongitudinal

Health CoachCommunity

HealthEducation

PatientSafety

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Lecture/Podcast/E-learning

IndependentStudy

Small GroupDiscussion

Clinical Setting

1PART

Clinical Foundations

1PART

Diagnoses: Back Pain (B&M) Stroke (Neuro) CAD (CardioP) Renal Disease (GI-R) Pelvic Pain (E-R) Cancer (HD)

Behavioral Science Issues Lifestyle Behavioral Change Social Isolation in the Elderly Use of brand versus generic drugs Depression Sexuality Psychoneuroimmunology

Patient Empanelling

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2PART Clinical Applications

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Ground School

Ground School

Ground School

Evaluation

Remediation

Evalu

ation

Rem

ediati

on

EvaluationRemediation

Part 2: Ground School

Advanced Foundational Science

Advanced Clinical Skills using Standardized Patients

Problem Solving and Clinical Reasoning in small group setting through simulation

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3PART Advanced Clinical Management

Advanced Management in Hospital Based Care Emergency Medicine Sub Internship

Advanced Management in Ambulatory and Relationship Centered Care Advanced Outpatient Chronic Care

Advanced Competencies Track

Advanced Clinical Track 27

Longitudinal Projects

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Project 1: e-portfolio Project 2: Service Learning Project 3: Health Coach Project 4: Quality/Safety; Inter-

professional/Systems; Health Informatics

FacultyDevelopment

Basic and Advanced Simulation

Student Coaching for Success

Use of Innovative Teaching Technologies

Integrated Teaching