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. 2020 May 1;27(5):788-792.
doi: 10.1093/jamia/ocaa015.

Early experiences with combined fellowship training in clinical informatics

Affiliations

Early experiences with combined fellowship training in clinical informatics

Jonathan P Palma et al. J Am Med Inform Assoc. .

Abstract

Given the ubiquitous nature of information systems in modern health care, interest in the pursuit of formal training in clinical informatics is increasing. This interest is not restricted to generalists-informatics training is increasingly being sought by future subspecialists. The traditional structure of Accreditation Council on Graduate Medical Education subspecialty training requires completion of both clinical and clinical informatics fellowship programs, and understandably lacks appeal due to the time commitment required. One approach to encourage clinical informatics training is to integrate it with clinical fellowships in order to confer dual-board eligibility. In this perspective, we describe 3 successful petitions for combined training in clinical informatics in order to support other programs and the American Board of Preventive Medicine in establishing pathways for training subspecialists in clinical informatics.

Keywords: EHR; EMR; education; health informatics; medical.

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Figures

Figure 1.
Figure 1.
Structure of combined programs. (A) Children’s Hospital of Philadelphia: clinical informatics (CI) blocks contain 2-3 shifts/month of pediatric critical care medicine (PCCM) clinical time. Underlying blocks represent CI research (in year 1) and PCCM clinical time (in year 2). (B) Boston Children’s Hospital: underlying blocks represent pediatric infectious diseases (PID) clinical rotations (wide) and clinics (narrow). (C) Stanford University: year 1 included approximately 20% clinical time in obstetrics. Underlying blocks represent combined research rotations. MFM: maternal-fetal medicine.

References

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    1. Longhurst CA, Pageler NM, Palma JP, et al. Early experiences of accredited clinical informatics fellowships. J Am Med Inform Assoc 2016; 23 (4): 829–34. - PMC - PubMed
    1. American Medical Informatics Association. Clinical Informatics Fellowship Programs. https://www.amia.org/membership/academic-forum/clinical-informatics-fell... Accessed November 20, 2019.
    1. ACGME General Requirements for Graduate Medical Education in Clinical Informatics (Subspecialty of Anesthesiology Emergency Medicine, Family Medicine, Internal Medicine, Medical Genetics and Genomics, Pathology, Pediatrics, Preventive Medicine, and Radiology). https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/381_Clinica... Accessed December 18, 2019.

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