Medical Informatics for
Students
Dr.T.V.Rao MD
Medical InformaticsDefinitions
Medical Information Science is the science of using system-analytic tools . . . to develop procedures (algorithms) for management, process control, decision making and scientific analysis of medical knowledge - Ted Shortliffe
Medical Informatics comprises the theoretical and practical aspects of information processing and communication, based on knowledge and experience derived from processes in medicine and health care - Jan van Bemmel
Medical informatics
Medical informatics is the intersection of information science, computer science, and health care. It deals with the resources, devices, and methods required to optimize the acquisition, storage, retrieval, and use of information in health and biomedicine
Medical Informatics Medical informatics has
been also defined as the field that "concerns itself with the cognitive, information processing, and communication tasks of medical practice, education, and research, including information science and the technology to support these tasks
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Health (Medical) Informatics a Rapidly developing science
Medical informatics is the rapidly developing scientific field that deals with resources, devices and formalized methods for optimizing the storage, retrieval and management of biomedical information for problem solving and decision making.Edward Shortliffe, M.D., Ph.D. What is medical informatics? Stanford
University, 1995.
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Health Informatics consists of
Information Technology Health care Research Education
Fundamentals Communication Knowledge
Management Decision support Clinical Information
Management
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Medical Informatics
Knowledge Management
Clinical InformationManagement
Communication Decision Support
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Technology needs
Laptops for each student Microsoft Office
Professional Stedman’s
Medical Spellchecker
Endnotes Adobe Photoshop
Elements Medical
References
Personal Digital Assistant keep you update anywhere
PDAs for each student Evidence Based Ref. Disease Reference Medical Calculator Drug Reference Medical Dictionary The CDCS system
Computer Lab Student teaching Faculty
development
Medical Informatics Improves Educational Strategies
Didactic vs problem solving
Competencies Word processing Information
retrieval Information
management Data analysis Presentation Communication
skills E-mail, file transfer,
web 10
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Informatics Use in Health Care
Communication Telemedicine Tele-radiology Patient e-mail Presentations
Knowledge management Journals Consumer Health
information Evidence-based medical
information
Decision Support Reminder systems Diagnostic Expert
Systems Drug Interaction
Information Management Electronic Medical
Records Billing transactions Ordering Systems
Computer make the Diagnostic-Therapeutic Cycle,
Simplified
Patient
Data collection:-History-Physical examinations-Laboratory and other tests
Decisionmaking
Planning
Information
Diagnosis/assessmentTherapyplan
Data
Medical Informatics? Why We Learn Computers are cool
today. If you don’t know a
little bit about what "coils” are inside -
you will get frustrated and will bother other people.
And yet we want computers and IT now!
Examples of Medical Informatics Areas
Hospital information systems Electronic medical records & medical
vocabularies laboratory information systems pharmaceutical information systems radiological (imaging) information
systems Patient monitoring systems
Clinical decision-support systems Diagnosis/interpretation Therapy/management
Health Informatics Tools include not only
computers but also clinical guidelines, formal medical terminologies, and information and communication systems. It is applied to the areas of nursing, clinical care, dentistry, pharmacy, public health and (bio)medical research.
Infrastructure to Support Informatics Curriculum.
Hardware/Software
Support Issues Workflow/
Mindset Issues Training Issues Budgeting
Issues16
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Infrastructure for Medical Informatics
Data Collection andEvaluation System
Arcstream SystemAvantgo Server
SQL Server
Studentand Faculty PDAs
Stedman’s Medical DictionaryInfoRetriever
ePocratesPDxMD
CPOnhand
StudentWireless Laptops
Microsoft Office ProfessionalDorland’s Medical Spellchecker
Photoshop ElementsInfoRetriever
Endnote
Virtual LibraryResources
BlackboardCourseware
All Courses
IT Section SupportDatabase Development
Web designVideo EditingTech Support
College of MedicineNetwork Infrastructure
Technology Enhanced ClassroomsCampus Wide Wireless Coverage
Video ConferencingFile, Exchange, Web Servers
Computer-aided instruction
These include computer-aided instruction, learning about computers and their applications, use of computer-based information resources, use of computers as a tool and as a mechanism for information management, decision support and communication.) While medical informatics includes computer applications, it is not limited only to the use of computers, but includes the knowledge, skills and attitudes involved in seeking, manipulating and using biomedical information.
Computer and Medical informatics
Changes in health care delivery and styles of learning in medical education have forced a need to use and critically evaluate a variety of new teaching tools, including the computer. While the computer is unlikely to ever replace the patient as the primary focus of learning, it does have the ability to reproduce a highly interactive environment and can mimic many situations in Medicine.
Earlier attempts of teaching with Computers
The first serious introduction of computers into medical education was made two decades ago. De Dombal reported the use of computer-based material to enhance the understanding of trainees faced in an emergency department with the management of patients with acute abdominal pain.
Are too slow adopting the change
Medical schools have long recognized the need to revise their teaching methodology, but have been slow to change.
Patient data is most important source of information
As medical knowledge continues to expand rapidly with demands for more efficient coordination of patient data become paramount, and the pressures for improved practice and application of evidence based medicine increases, medical informatics will have increasing influence in our working lives as clinicians.
We still continue to do with traditional didactic
methods Till recently, teachers and their pupils have been content with, and able to rely on, the traditional resources that have always been available in medical education.
This involves teaching and learning centred on the patient, and backed up by lectures and tutorials. Other information can be obtained from and journals. For a number of reasons these resources are no longer sufficient
Medical Education is shifting to Problem based
learning There has been a philosophical shift in medical education in recent years.
Pioneered by the McMaster and Newcastle medical schools, there has been a move from the traditional lecture-focussed program to a problem-based approach (Harden).
Virtual reality in teaching a priority in Medical
Education The use of virtual reality in simulated procedures is a new application of computers in medical education and is as yet in its infancy. Procedures can be standardised and trainees able to test and practice their skills.
Cybernetics Theory of Information
CommunicationsCodingAlgorithmsProbabilities and Stochastic Processes
Theory of ControlOperations ResearchOptimizationManagement Science
Systems Analysis
Library resources becomes Electronic
The modern library places an increasing amount of its material in electronic format and increasing numbers of journals are available either on CD- -ROM or over the Internet. This represents a considerable saving in storage space and manpower. Many students who wish to pursue their studies using library facilities can now do son in electronic fashion, and often from their own home
Faculty should be provide electronic information
Faculty must identify the prerequisite information and skills that students need to enable them to access electronic information sources, as well as the course content the student needs to "know" and the information the student needs to "know how to access" electronically.
Students should develop interest in electronic
information Students' attitudes toward their education may also have to change. Students need to learn that they must be information seekers as well as information managers. They also need to acquire knowledge about relevant sources of information, and the skills to access electronic information.
ePocrates 5 Minute
Clinical Consult
Medical Calculators
Immunization schedule
Handheld Applications
Medical informatics Empower Students
Helping students to become independent learners, information seekers, and proficient users of computer technology have long been goals that were often inadequately implemented throughout the medical school curriculum.
Orientation by teachers is the primary goal
By making our primary goal the preparation of students to be medical information managers, we have a strong rationale for the inclusion of medical informatics applications into the curriculum. This goal also provides a criterion by which the appropriateness of curricular offerings can be judged and the outcomes of instruction can be evaluated.
Indian Journal of Medical Informatics (IJMI)
Indian Journal of Medical Informatics (IJMI) is an Open Access, peer-reviewed, online journal adopting a broad definition of "medical informatics" and focusing on the applied aspects of computers to healthcare delivery.
Information TechnologyBasics of Security - 1
• make sure workstation is physically safe and secure never send passwords by email• never paste passwords beside the workstation• install and regularly (weekly) update virus protection• avoid sending attachments• never open unsolicited attachments, always check an double-check the attachment’s file extension
Information TechnologyBasics of Security -2
Never open unexpected file with extensions EXE COM DOC DLL PIF LNK VBS (Windows does not show LNK and PIF extensions)
Never click on a link – hover the link with mouse and look at the status bar where the link leads when clicked
firewall may protect both yourself and the world but may also cheat you)
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Barriers to Implementation of Technology
Knowledge is exploding and Patients are demanding
Medical informatics improves the Professional standards
Our Goals include Improving health care through information technology ,while promoting the renewal of traditional values in the medical profession."
Medical Informatics to be part of Curriculum
Medical informatics to be incorporated into medical school curricula in developing world. So Medical informatics allows physicians to access, analyze, and manage information so that they can make educated decisions in patient care .The use of computers and the related technology is essential for communication and information-sharing with colleagues, for public and patient education, and for professional development
Electronic Media should be part of Education
Computer technology provides immediate access to information and a mechanism for the rapid dissemination of knowledge. The use of computer technology has become an important component of education, particularly at the medical college level, and
computer-assisted instruction (CAI) has also been integrated into continuing medical education
Continued efforts by Faculty will create interest
Continued efforts must
be made to teach them the skills necessary so that they can benefit from available and evolving technology. In addition, we recommend that students be introduced to computer-based testing early in their medical school careers to improve their comfort levels with this medium
Educational Strategies
Didactic vs problem solving
Competencies Word processing Information retrieval Information
management Data analysis Presentation Communication skills
E-mail, file transfer, web
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Approaching Basic Sciences Classes with Medical
Informatics Anatomy lab video enabled BacusLabs digital web-slide program Gold Standard Multimedia* Cross Sectional Anatomy
LXR Testing Program Question bank Computer-based testing Item analysis/grading
United Streaming Videos Anatomy Histology
Web Path
Medical Informatics makes the better Health Managers
Our primary goal the preparation of students to be medical information managers, we have a strong rationale for the inclusion of medical informatics applications into the curriculum.
MedicalStudent.com
A digital library of authoritative medical information for the medical student and all students of medicine
About.comwww.about.com
The site contains the greatest collections of information on diseases and conditions on the Net. It spans the globe and provides interactive chats and forums for experts and patients to come together. This site not only directs you to outside sources, but also takes each topic and gives you the rundown from top to bottom.
Best Doctors www.bestdoctors.com
Find the best doctors and provide the best content on a site that others can access free of charge. Founded by a man who was diagnosed with an inoperable tumor and wanted the best doctors to treat him, he set out to empower other patients through information.
HealthAtoZ.com www.healthatoz.com This is the kind of site that
contains so much information that there's little chance you won't find what you're looking for. Not only are the diseases covered extensively, but the interactive tools make your search for information much more enjoyable. Come here to learn, then take advantage of links to other sources to intensify your search for information.
Healthcommunities.com www.healthcommunities.com his site is specifically
designed to give you disease-related information through what it calls channels. It's one of the most interactive medical portals on the Net, offering chats, discussion forums, and clinical trials. This site enables you to access the world of medicine in seconds.
Health finder www.healthfinder.gov This government portal
opens the world of Internet medicine. Whether it's through tools such as libraries, online journals, or medical dictionaries or hot topics that might interest you, this site delivers quickly and with reliability. A big bonus of the site is that it also provides content in Spanish.
InteliHealth www.intelihealth.com
t's important for a portal to "have it all." This one is a good example. Whether it's drug information, a medical dictionary, or a rundown on a long list of diseases and conditions, Intelihealth is your gateway to top-notch information. It doesn't hurt to have Harvard Medical School's consumer health information tied to the site.
National Institutes of Health www.nih.gov Contain the leading
collection of health research institutes in the world. Whether the topic is allergy and infectious disease or cancer, this is your gateway to health information. You'll find the latest in research and well-written fact sheets and brochures that reach out to inform all.
National Library of Medicine www.nlm.nih.gov The best electronic
medical library in the world. It gives you access to the most important research and links to thousands of sites, sending you around the globe for the best information in a matter of seconds. Physical medical libraries,
WebMD www.webmd.com
One of the most heavily marketed portals on the Net, this site stands up to most of the hype. It's nicely divided for different audiences, ranging from patients and doctors to physician assistants to health teachers. It has a robust television service that allows you to watch broadcasts on different health topics.
Standards for exchange and management of medical
information To maintain interoperability
between systems across different platforms.
HL7 (Health Level 7): aims to provide standards for the exchange, management and integration of data that support clinical patient care and management, delivery and evaluation of health care services.
Digital Imaging and Communications in Medicine (DICOM): Diagnostic images, waveforms and test reports.
Medical informatics makes education Interesting
Computer are staying with us.. The computer is here
to stay in one form or another. It is unlikely that any amount to scientific data on its reliability or validity will influence use of the medium. However, used appropriately computers can be of considerable educational benefit and will serve medical students and practitioners throughout their careers
Information technology is not a remedy for all ills in Medical
Education Information technology must not be viewed as a potential cure to the current ailments of medical education. It may be part of the solution and should be treated as such
Created by Dr.T.V.Rao MD for ‘e’ learning resources for Medical
Professionals.Email
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