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A Longitudinal Graduate Medical Education Curriculum in Clinical Informatics: Function, Structure, and Evaluation
Bradley Rowland1,2, Jacqueline You3,4, Sarah Stern1,5
1Department of Internal Medicine, Wake Forest School of Medicine, Informatics and Analytics, Winston Salem, North Carolina, United States.
Implementing a longitudinal informatics curriculum in graduate medical education (GME) can enhance the health informatics workforce. This program trains physicians in health information technology, supporting clinical informatics (CI) development.
Area of Science:
- Medical Education
- Health Informatics
- Academic Medicine
Background:
- Growing demand for health informaticians necessitates informatics education in medical training.
- Accreditation bodies advocate for integrating informatics curricula into graduate medical education (GME).
Purpose of the Study:
- To describe a 2-year longitudinal informatics curriculum implemented over seven years.
- To guide U.S. GME program leaders on establishing similar informatics programs.
Main Methods:
- Curriculum aligns with clinical informatics (CI) core content, led by a multidisciplinary team.
- Utilizes an academic learning health system (aLHS) model within an internal medicine department.
- Characterized by low direct cost and practical application in a tertiary academic medical center.
Main Results:
- Graduated 13 physicians (internal medicine and pediatrics) with projects in acute/ambulatory care and various specialties.
- Developed clinical decision support tools, with potential for extramural funding applications.
- Graduates pursued CI board certification, fellowships, and other specialties, forming a distributed CI-experienced physician network.
Conclusions:
- GME-level informatics curricula can boost CI fellowship enrollment and the CI workforce.
- Develops physicians with health information technology expertise across specialties, including those without formal CI certification.
- Highlights a longitudinal pathway rooted in aLHS principles, requiring multidisciplinary teams and leadership support.
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