A Four Year Integrated
Medical Informatics Curriculum:
The FSU Story
Nancy B. Clark, M.Ed.
Director of Medical Informatics Education
Florida State University - College of Medicine
STFM PreDoc – January 2008
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PreDoc 2008
The FSU Model
Founded 2000
Pensacola
First 2 years at central campus
120 per class
Last 2 years at assigned to one of six
regional campus
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Tallahassee
Faculty are community physicians
Paid on per week basis when have students
Given access to all virtual library resources
including PDA downloads
Technology Emphasis
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Daytona
Orlando
Ft Pierce
Sarasota
Where does Informatics live?
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Philosophy
Informatics is a tool best taught in the context of how it
will be used: education/lifelong learning, decision support,
communication, patient care, research.
One of 10 integrated curriculum themes at FSU CoM
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1.
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5.
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10.
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Ethics
Geriatrics
Informatics
Evidence-based Medicine
Behavioral Science
Culturally-Appropriate Care
Professionalism
Rural Medicine
Care of the Underserved
Humanities
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TabletPCs issued to Class of 2010
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Essential Elements
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Standardization of equipment and software
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Students and faculty provided laptops and PDAs
System wide resources – one network, email
system, intranet, Blackboard, web site, single sign-on,
video conferencing
All software provided
Technical support
 Curriculum Committee mandates
 Faculty support and buy-in
 Virtual Library
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The Generalists 2007
Development of Informatics Competencies
1.
2.
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5.
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Formed Informatics Curriculum Advisory Committee
Reviewed AAMC MSOP, STFM Information
Management, AAFP residency informatics objectives
Developed FSU Competencies
Sequenced by student year: M1, M2, M3
Recruited courses to include teaching and assessment
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Year 1
Year 1 Curriculum
1 Week
Orientation
10 Weeks
(Summer)
15 Weeks
(Fall)
Clinical Anatomy,
Embryology &
Imaging
Clinical
Neuroscience
Clinical
Microanatomy
15 Weeks
(Spring)
3 Weeks
Clinical
Summer Clinical
Physiology
Practicum
Medical
(Block clinical
Biochemistry and experience in
Genetics
Geriatrics, Rural
Doctoring 1 (Lecture, Small Group, CLC, Preceptor)
Health or Urban
Underserved)
Orientation: Students given laptops - 4 hours on IT survival
skills.
PDAs distributed in Fall with 3 hours training and loading
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Year 1 Informatics Integration
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Anatomy:
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MicroAnatomy:
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Presentation Skills
NeuroAnatomy:
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Computer based training
Digital photography
Audience response system
Using library Resources
Digital photography
Biochemistry:
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Medical references:
Genetics databases, disease,
drug, DDx
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Doctoring 1:
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Online Medical References –
assessing the reliability and
validity of medical
information online
PDA operation and
maintenance
Clinical Data Collection
System training
PDA Medical References
PowerPoint skills
Lifelong learning –
ePortfolios
EBM concepts
3 OSCEs
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Year 2
Year 2 Curriculum
12 weeks
Core Principles
22 weeks
Organ Systems
General Pathology
and Immunology
Systemic Pathology & Laboratory
Medicine
General Medical
Pharmacology
General Medical
Microbiology
Systemic Medical Pharmacology
Systemic Medical Microbiology
Systemic Physiology
Doctoring 2
Psychosocial
Medicine
Review
Medicine and Behavior
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Health Issues
3 weeks
4 Weeks
Review
PathologyRadiology
Review
Pharmacology
Review
Microbiology
Review
USMLE
Step 1
Doctoring
Review
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Year 2 Informatics Integration
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Health Issues:
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Using MEDLINE
Finding full text eJournal
articles
Finding health statistics online
Writing a research paper
using EndNote
HIT systems and national
initiatives
Patient Safety
EBM principles/ epidemiology
Critical Review of the
literature
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Medicine and Behavior
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Pathology:
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Presentations
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Pharmacology:
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Presentation
 Drug references
 EBM – drug company
advertising
Doctoring 2:
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Patient Education materials
EMR chronic disease mgmt
EBM Principles
PDA practice
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Years 3 & 4
Year 3 Curriculum
Orient
6
8
6
weeks weeks weeks
Peds
Surg
Fam
Med
8
weeks
Comm
OSCE Medicine
3 weeks Int Med
6
6
weeks weeks
OB/
Gyn
Psych
Doctoring 3 and Longitudinal Clinical Experience (1 day per week)
Year 4 Curriculum
40 weeks
Advanced Family Medicine – 4 weeks
Emergency Medicine – 4 weeks
Geriatrics – 4 weeks
Advanced Internal Medicine – 4 weeks
Electives – 24 weeks
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OSCE
Year 3 Informatics Integration
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Doctoring 3:
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Longitudinal:
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D3 sessions:
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Paper
Community Medicine:
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Evidence based decision support tools
Surgery Clerkship:
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Using an EMR to manage chronic disease (SOAPware)
Finding evidence based guidelines
Presentation
All Clerkships: demonstrate ability to find information
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Assessment Strategies
ProveIt assess incoming skills
 Test questions
 Projects
 Papers, presentations, etc.
 Practicum
 OSCE stations (9 OSCEs total Yrs 1-3)
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Academic ePortfolio
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Informatics Web Site
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http://www.med.fsu.edu/informatics
Hits in 2006-2007 = 471,736
Average Hits per Day = 1,292
Visitors 66,843 from 170 countries
Document Downloads:
 Writing on the Pocket PC – 56,500
 Using Epocrates – 10,000
 PocketPC Operation – 8,800
 Decision Support – 8,700
 Using Drug Resources – 8,000
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Informatics Faculty Development
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Informatics Seminar Series – Certificate Series
1. Introduction to the Maguire e-Library and PDA Resources
2. Locating and Accessing Full Text Journal Articles
3. Selecting the Best Evidence-Based Medicine Resources
(Web and PDA)
4. Using Drug Resources (Web and PDA)
5. Using Disease Resources and Textbooks, Including
Reference e-Books (Web and PDA)
6. Using Calculators and Quick Decision Support References
(Web and PDA)
Orientation to FSU CoM Information Technology
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Informatics Faculty Development
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2006-2007
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41 workshops
10 sites: main campus, 6
regional campuses, 2
residencies, 2 remote sites
350 attended
2007-2008
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Planned 50+ workshops
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New Developments 2007-2008
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Informatics Curriculum Directors
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Orlando, Pensacola and Sarasota regional campuses
MD .2 FTE clinical faculty
Duties - at their regional campus
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Deliver Faculty Development in Informatics
D3 Longitudinal - EMR implementation
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Train, monitor and provide ongoing feedback
D3 Lecture informatics integration
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