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Clinical Informatics Fellowship training has rapidly expanded since 2014. This paper details the evolution of Clinical Informatics (CI) curricula and proposes a framework to standardize fellowship program design and implementation.

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Area of Science:

  • Medical Education
  • Health Informatics
  • Graduate Medical Training

Background:

  • Clinical Informatics (CI) has rapidly grown as a medical subspecialty since 2011.
  • The number of accredited CI fellowship programs has increased significantly from 4 in 2014 to over 50.
  • Training literature and curricula have evolved, including the CI Subspecialty Delineation of Practice and ACGME Milestones 2.0.

Purpose of the Study:

  • To outline the evolution of Clinical Informatics Fellowship (CIF) training and curricula.
  • To analyze the impact of this evolution on CIF programs.
  • To propose a framework for standardizing CIF program design and implementation.

Main Methods:

  • Review of historical development of CI fellowship programs.
  • Analysis of changes in core content, practice delineations, and accreditation milestones.
  • Development of a proposed framework with specific processes and tools for CIF program optimization.

Main Results:

  • Significant growth in ACGME-accredited Clinical Informatics Fellowship programs.
  • Substantial updates in the guiding literature and curriculum standards for CI training.
  • Identification of needs for standardization in CIF program design and implementation.

Conclusions:

  • The rapid expansion of CI necessitates standardized approaches to fellowship training.
  • A proposed framework, processes, and tools can optimize the design and implementation of CIF programs.
  • Standardization will support the continued growth and quality of Clinical Informatics education.