1. A Four Year Integrated Medical Informatics Curriculum
Nancy B. Clark, M.Ed.
Director of Medical Informatics Education
Florida State University - College of Medicine
STFM PreDoc – January 2008
PreDoc 2008

2. The FSU Model Founded 2000 First 2 years at central campus
Tallahassee
Daytona
Ft Pierce
Orlando
Sarasota
Pensacola
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
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3. Where does Informatics live?
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4. Philosophy
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 CoM
Ethics
Geriatrics
Informatics
Evidence-based Medicine
Behavioral Science
Culturally-Appropriate Care
Professionalism
Rural Medicine
Care of the Underserved
Humanities
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5. TabletPCs issued to Class of 2010
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6. Essential Elements Standardization of equipment and software
Students and faculty provided laptops and PDAs
System wide resources – one network, system, intranet, Blackboard, web site
All software provided
Technical support
Curriculum Committee mandates
Faculty support and buy-in
Virtual Library
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7. The Generalists 2007

8. Development of Informatics Competencies
Formed Informatics Curriculum Advisory Committee
Reviewed AAMC MSOP, STFM Information Management, AAFP residency informatics objectives
Developed FSU Competencies
Sequenced by student year: M1, M2, M3
Recruited courses to include teaching and assessment
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9. Year 1
Year 1 Curriculum
1 Week
10 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 Microanatomy
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
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10. Year 1 Informatics Integration
Anatomy:
Computer based training
Digital photography
Audience response system
Using library Resources
MicroAnatomy:
Presentation Skills
NeuroAnatomy:
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
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11. Year 2 Doctoring 2 Medicine and Behavior Health Issues
Year 2 Curriculum
12 weeks Core Principles
22 weeks Organ 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 Pharmacology
Pharmacology Review
General Medical Microbiology
Systemic Medical Microbiology
Microbiology Review
Systemic Physiology
Doctoring 2
Doctoring Review
Medicine and Behavior
Psychosocial Medicine Review
Health Issues
PreDoc 2008

12. Year 2 Informatics Integration
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
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
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13. Years 3 & 4 Year 3 Curriculum Orient 6 weeks 8 weeks 6 weeks OSCE Comm
Medicine 3 weeks
8 weeks
Peds
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
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14. Year 3 Informatics Integration
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
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15. Assessment Strategies
ProveIt assess incoming skills
Test questions
Projects
Papers, presentations, etc.
Practicum
OSCE stations (9 OSCEs total Yrs 1-3)
Academic ePortfolio
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16. Informatics Web Site http://www.med.fsu.edu/informatics
Hits in = 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
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17. Informatics Faculty Development
Informatics Seminar Series – Certificate Series
Introduction to the Maguire e-Library and PDA Resources
Locating and Accessing Full Text Journal Articles
Selecting the Best Evidence-Based Medicine Resources (Web and PDA)
Using Drug Resources (Web and PDA)
Using Disease Resources and Textbooks, Including Reference e-Books (Web and PDA)
Using Calculators and Quick Decision Support References (Web and PDA)
Orientation to FSU CoM Information Technology
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18. Informatics Faculty Development
41 workshops
10 sites: main campus, 6 regional campuses, 2 residencies, 2 remote sites
350 attended
Planned 50+ workshops
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19. New Developments 2007-2008 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
PreDoc 2008