Biomedical Informatics in Health Professions Curricula at OSU

1. Biomedical Informatics in Health Professions Curricula at OSU Peter J. Embi, MD, MS Vice-Chair, Biomedical Informatics The Ohio State University AMIA Academic Forum May 23, 2012

2. 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

3. 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

4. Supporting and Enabling Our Tripartite Mission

5. 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

6. Alignment with OSUWMC Research Strategic Plan Data Generation 4 P’s Prediction Prevention Personalized Care Management, Integration, Delivery Patient Participation Evidence Generation

7. Innovation Focus Areas Innovation Focus Areas Human Factors Knowledge Engineering Cross-Cutting Competencies High Performance Computing Data Science

8. 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)

9. 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

10. 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

11. Phased Training Program Expansion NLM T15 + Institutional Resources

12. OSU – Educational Programs - Examples • College of Public Health programs • College of Medicine – MD Curriculum redesign • (College of Nursing) • (School of Health and Rehabilitative Sciences)

13. OSU College of Public Health - Cunz Hall First and Only College of Public Health in Ohio Accredited by the Council on Education for Public Health (CEPH)

14. OSU CPH - Five Divisions • Biostatistics • Environmental Health Sciences • Epidemiology • Health Behavior & Health Promotion • Health Services, Management & Policy

15. 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

16. New Curriculum for OSU College of Medicine

17. College of Medicine Class Size: 195-276 (220) 50% of students from Ohio 30% stay in Ohio for residency

18. 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

19. 1 2 3 Hallmarks of New LSI Curriculum • 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 • 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

20. Part Three Advanced Clinical Management 18 months 12 months 12months Longitudinal Projects 4 Years CommunityHealthEducation Interprofessional Systems BasedThinking LongitudinalHealth Coach PatientSafety

21. Clinical Setting Small GroupDiscussion IndependentStudy Lecture/Podcast/ E-learning 1 PART

22. 1 PART Clinical Foundations Patient Empanelling • Behavioral Science Issues • Lifestyle Behavioral Change • Social Isolation in the Elderly • Use of brand versus generic drugs • Depression • Sexuality • Psychoneuroimmunology • Diagnoses: • Back Pain (B&M) • Stroke (Neuro) • CAD (CardioP) • Renal Disease (GI-R) • Pelvic Pain (E-R) • Cancer (HD)

23. Clinical Applications 2 PART

24. Enter any rotation Enter any rotation Enter any rotation Evaluation Remediation Understanding Patients with Reproductive and Surgical Needs Ground School Understanding Patients with Special Medical Needs Understanding Patients within Populations Ground School Evaluation Remediation Evaluation Remediation Ground School

25. Part 2: Ground School Advanced Foundational Science Advanced Clinical Skills using Standardized Patients Problem Solving and Clinical Reasoning in small group setting through simulation

26. Advanced Clinical Management 3 PART

27. 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

28. Longitudinal Projects • Project 1: e-portfolio • Project 2: Service Learning • Project 3: Health Coach • Project 4: Quality/Safety; Inter-professional/Systems; Health Informatics

29. FacultyDevelopment Basic and Advanced Simulation Student Coaching for Success Use of Innovative Teaching Technologies Integrated Teaching