Teaching Medical Informatics: Teaching on the Seams of Disciplines, Cultures, Traditions

Abstract:

This paper reviews different concepts of medical informatics and identifies two families of approaches to education in it: a “specialist” approach, whereby medical informatics is taught as a specialization track for established disciplines like medicine, computer science, nursing, engineering, etc., and a “generalistic” approach, whereby it is taught as an integrated discipline incorporating essential traits of the aforementioned disciplines. The pros and cons of these approaches are outlined. The need to accommodate specific requirements of education is emphasized and these are identified, together with an outline of particular challenges that we are facing.

Key-Words:

Medical Informatics - Computing Milieu - Education - Curriculum - Health Specialties

• REFERENCES

• [1] Blum B. A Framework for Medical Information Science (special issue). Med Inform 1984; 9: 167-304.
• [2] Braude RM. Environmental and Personal Factors in Secondary Career Choice of Graduates of Medical Informatics Training Programs, Dissertation. Lincoln Nebr: University of Nebraska 1987
• [3] Collen MF. Origins of medical informatics. West J Med 1986; 145: 778-785.
• [4] Koeppe P. Education in medical informatics in the Federal Republic of Germany. Meth Inf Med 1977; 16: 160.
• [5] Möhr JR. Training and education in medical informatics. In: Van Bemmel JH, Ball MJ, Wigertz O, eds. MEDINFO 83. Amsterdam: North Holland Publ Comp 1983: 1030-1035.
• [6] Möhr JR, Leven FJ, Rothemund M. Formal education in medical informatics. Review of ten years’ experience with a specialized university curriculum. Meth Inf Med 1982; 21: 169.
• [7] Reichertz PL. Curricula in medical informatics. Experiences in the Federal Republic of Germany. In: Pagès JC, Levy AH, Grémy F, Anderson J, eds. Meeting the Challenge: Information Science and Medical Education. Amsterdam: North Holland Publ Comp 1983: 79-95.
• [8] Reichertz PL. Preparing for change: concepts and education in medical informatics. Comp Meth and Progr in Biomed 1987; 25: 89-102.
• [9] Brauer W. Zehn Jahre Gesellschaft für Informatik e. V Informatikspektrum 1979; 2: 185-187.
• [10] Brauer W, Haacke W, Muench S. Studien- und Fors’chungsführer Informatik. Bonn: GMD 1980
• [11] Reichertz PL. Bericht über die konstituierende Sitzung der Arbeitsgruppe Elektronische Informationsverarbeitung in der Deutschen Gesellschaft für Medizinische Dokumentation und Statistik. Hannover: Medizinische Hochschule 1970
• [12] Wieland W. Diagnose: Überlegungen zur Medizin-theorie. Berlin: De Gruyter 1975
• [13] Anonymous. Brockhaus Enzyklopädie. Wiesbaden: Brockhaus F.A., 1968.
• [14] Evans RG. “We’ll take care of it for you” health care in the Canadian community. In: Graubard SR. Art and Science. Lanham Minn: University Press of America 1988: 155-189.
• [15] Scherrer J-R. Retrospective and prospective usefulness of HIS. In: Bakker AR, Ball MJ, Scherrer JR, Willems JL, eds. Towards New Hospital Information Systems. Amsterdam: North Holland Publ Comp 1988: 25-31.
• [16] Von Ferber Ch. Die Rolle des Arztes in der modernen Gesellschaft. Prakt Arzt 1971; 8: 1146
• [17] Naur P. Trends in computer science education. In: Siefkes D, ed. Gl 4. Jahrestagung 1974. Berlin: Springer Verlag 1975: 85.
• [18] Blum B. Clinical Information Systems. Berlin: Springer Verlag 1986
• [19] Peterson H, Gerdin-Jelger U. The history of hospital information systems. In: Bakker AR, Ball MJ, Scherrer JR, Willems JL, eds. Towards New Hospital Information Systems. Amsterdam: North Holland Publ Comp 1988: 11-17.
• [20] Warner HR. Computer-assisted Medical Decision-making. New York: Academic Press 1979
• [21] Blum BI. Information Systems for Patient Care, Computers and Medicine. New York: Springer Verlag 1984
• [22] Ball MJ, Douglas JV. Informatics in professional education. Meth Inf Med 1989; 28: 250-254.
• [23] Van Bemmel JH, Gelsema ES, Hasman A. Curricula in medical informatics - experience during 10 years in Amsterdam. In: Pagès JC, Grémy F, Levy AH, Anderson J, eds. Meeting the Challenge: Information Science and Medical Education. Amsterdam: North Holland Publ Comp 1983: 55.
• [24] Blois MS, Wassermann AI. A graduate academic program in medical information science. In: Anderson J, Forsythe JM, eds. In: MEDINFO 74. Amsterdam: North Holland Publ Comp 1974: 217-222.
• [25] Shortliffe EH, Fagan LM. Research and training in medical informatics: the Stanford experience. In: Salamon R, Möhr JR, Protti D, eds. Victoria BC: Proceedings Conference on Medical Informatics and Education 1989: 490-494.
• [26] Heller BR, Romano CA, Moray LR. Implementation of a graduate program in nursing informatics. In: Salamon R, Möhr JR, Protti D, eds. Victoria BC: Proceedings Conference on Medical Informatics and Education 1989: 400-403.
• [27] Glaser JP. Survey of graduate programs in medical information science. SIGBIO Newsletter 1987; 20: 7-56.
• [28] Reichertz PL, Koeppe P. Ausbildung in der Medizinischen Informatik. Berlin: Springer 1982
• [29] Pinciroli F. Medical informatics subjects in a biomedical engineering curriculum. In: Salamon R, Möhr JR, Protti D, eds. Victoria BC: Proceedings Conference on Medical Informatics and Education 1989: 486-489.
• [30] Wigertz O, Persson J, Ahlfeldt J. Teaching medical informatics to biomedical engineering students: experiences over 15 years. Meth Inf Med 1989; 28: 309-312.
• [31] Anderson SA. Flexible curricula for health information managers. In: Salamon R, Möhr JR, Protti D, eds. Victoria BC:, Proceedings Conference on Medical Informatics and Education 1989: 339-342.
• [32] EUis LBM, Gatewood LC. A training program in health computer science. In: Harris D, ed. Proceedings of the National Educational Computing Conference. Iowa: University of Iowa 1979: 311.
• [33] Glaser J, Gatewood L, Anderson J. A model of training needs in health information science. In: Blum B, ed. A Framework for Medical Information Science. Med Inform 1984; 9: 289-297.
• [34] Hazlett C. Personal Communication. 1987
• [35] Protti DJ. A new curriculum for an undergraduate program in health information science. In: Van Bemmel JH, Ball MJ, Wigertz O, eds. MEDINFO 83. Amsterdam: North Holland Publ Comp 1983: 1050-1052.
• [36] Coward JH. Description of training undergraduates in health information science using a co-operative education model. In: Salamon R, Möhr JR, Protti D, eds. Victoria BC: Proceedings Conference on Medical Informatics and Education 1989: 544-548.
• [37] Shortliffe EH. The science of biomedical computing. In: Pagès JC, Grémy F, Levy AH, Anderson J, eds. Meeting the Challenge: Information Science and Medical Education. Amsterdam: North Holland Publ Comp 1983: 3-10.
• [38] Leven FJ. Software engineering education in medical informatics. Meth Inf Med 1989; 28: 295-303.
• [39] Anglin CR. The health informatician as a change agent, a case in point. In: Proceedings of the AAMSI Congress 1989: 36-40.
• [40] Comer R. Discussion remark. In: Duncan KA, ed. Proceedings of the SIGBIO Symposium on Health Computing Careers. Baltimore: ACM 1981: 58.
• [41] Leven FJ, Möhr JR. Education in medical informatics - the role of the application area in a curriculum of applied informatics. In: O’Moore RR, Barber B, Reichertz PL, Roger F, eds. Medical Informatics Europe 1982. Berlin: Springer Verlag 1982: 652-661.
• [42] Anglin CR. Health information at UVic - student perspective. Meth Inf Med 1989; 28: 285-291.
• [43] Hellerich W. Personal Communication. 1988
• [44] Protti DJ. Teaching the introduction of informatics into a hospital by simulating the real world. Meth Inf Med 1989; 28: 281-284.
• [45] Neumann BR, Smith DS. Evaluation research on a distributed education model for health care managers. In: Salamon R, Möhr JR, Protti D, eds. Victoria BC: Proceedings Conference on Medical Informatics and Education 1989: 597-600.
• [46] Levy AH. Is informatics a basic medical science?. In: Shires DB, Wolf H, eds. MEDINFO 77. Amsterdam: North Holland Publ Comp; 1977: 979-981.
• [47] Reichertz PL. Protokoll der zweiten Sitzung der Arbeitsgruppe Elektronische Informationsverarbeitung in der Deutschen Gesellschaft für Medizinische Dokumentation und Statistik. Hannover: Medizinische Hochschule 1970