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Beyond information retrieval and electronic health record use: competencies in clinical informatics for medical education

Authors Hersh WR, Gorman P, Biagioli F, Mohan V, Gold J, Mejicano G

Received 11 March 2014

Accepted for publication 14 April 2014

Published 1 July 2014 Volume 2014:5 Pages 205—212

DOI https://doi.org/10.2147/AMEP.S63903

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Video abstract presented by William R Hersh

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William R Hersh,1 Paul N Gorman,1 Frances E Biagioli,2 Vishnu Mohan,1 Jeffrey A Gold,3 George C Mejicano4

1Department of Medical Informatics and Clinical Epidemiology, 2Department of Family Medicine, 3Department of Medicine, 4School of Medicine, Oregon Health & Science University, Portland, OR, USA

Abstract: Physicians in the 21st century will increasingly interact in diverse ways with information systems, requiring competence in many aspects of clinical informatics. In recent years, many medical school curricula have added content in information retrieval (search) and basic use of the electronic health record. However, this omits the growing number of other ways that physicians are interacting with information that includes activities such as clinical decision support, quality measurement and improvement, personal health records, telemedicine, and personalized medicine. We describe a process whereby six faculty members representing different perspectives came together to define competencies in clinical informatics for a curriculum transformation process occurring at Oregon Health & Science University. From the broad competencies, we also developed specific learning objectives and milestones, an implementation schedule, and mapping to general competency domains. We present our work to encourage debate and refinement as well as facilitate evaluation in this area.

Keywords: curriculum transformation, clinical decision support, patient safety, health care quality, patient engagement

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