A Systematic Approach to the Design and Implementation of Clinical Informatics Fellowship Programs

Abstract

Clinical Informatics (CI), a medical subspecialty since 2011, has grown from the initial four fellowship programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) in 2014 to more than 50 and counting in the present day. In parallel, the literature guiding Clinical Informatics Fellowship training and the curriculum evolved from the original core content published in 2009 to the more recent CI Subspecialty Delineation of Practice and the updated ACGME Milestones 2.0 for CI. In this paper, we outline this evolution and its impact on CIF Curricula. We then propose a framework, specific processes, and tools to standardize the design and optimize the implementation of CIF programs.

Keywords

Clinical Informatics - Professional training - Education - Curriculum Development - Training requirements

Protection of Human and Animal Subjects

Human and/or animal subjects were not included in the project.

Publication History

Received: 05 June 2023

Accepted: 20 September 2023

Article published online:
06 December 2023

• References

• 1 Kulikowski CA, Shortliffe EH, Currie LM. et al. AMIA Board white paper: definition of biomedical informatics and specification of core competencies for graduate education in the discipline. J Am Med Inform Assoc 2012; 19 (06) 931-938
• 2 Accessed August 4, 2023 at: https://amia.org/about-amia/why-informatics/informatics-research-and-practice
• 3 Hersh W, Wright A. What workforce is needed to implement the health information technology agenda? Analysis from the HIMSS analytics database. AMIA Annu Symp Proc 2008; 2008: 303-307
• 4 Hersh W. The health information technology workforce: estimations of demands and a framework for requirements. Appl Clin Inform 2010; 1 (02) 197-212
• 5 Gardner RM, Overhage JM, Steen EB. et al; AMIA Board of Directors. Core content for the subspecialty of clinical informatics. J Am Med Inform Assoc 2009; 16 (02) 153-157
• 6 Safran C, Shabot MM, Munger BS. et al; AMIA Board of Directors. Program requirements for fellowship education in the subspecialty of clinical informatics. J Am Med Inform Assoc 2009; 16 (02) 158-166
• 7 Longhurst CA, Pageler NM, Palma JP. et al. Early experiences of accredited clinical informatics fellowships. J Am Med Inform Assoc 2016; 23 (04) 829-834
• 8 Kim E, Van Cain M, Hron J. Survey of clinical informatics fellows graduating 2016-2024: experiences before and during fellowship. J Am Med Inform Assoc 2023; 30 (10) 1608-1613
• 9 Silverman H, Lehmann CU, Munger B. Milestones: critical elements in clinical informatics fellowship programs. Appl Clin Inform 2016; 7 (01) 177-190
• 10 Accessed August 4, 2023 at: https://www.acgme.org/about/overview/#:~:text=The%20Accreditation%20Council%20for%20Graduate,medical%20care%20to%20all%20Americans
• 11 Silverman HD, Steen EB, Carpenito JN, Ondrula CJ, Williamson JJ, Fridsma DB. Domains, tasks, and knowledge for clinical informatics subspecialty practice: results of a practice analysis. J Am Med Inform Assoc 2019; 26 (07) 586-593
• 12 Berner E. Ed. Informatics Education in Healthcare, Lessons Learned. 2nd ed.. Springer; 2020: 215-218
• 13 Accessed August 4, 2023 at: https://apps.acgme.org/ads/Public/Reports/Report/1
• 14 Accessed August 4, 2023 at: https://www.acgme.org/globalassets/pdfs/milestones/clinicalinformaticsmilestones2.0.pdf
• 15 Accessed August 4, 2023 at: https://www.acgme.org/globalassets/pdfs/milestones/clinicalinformaticssupplementalguide.pdf
• 16 Edgar L, Roberts S, Holmboe E. Milestones 2.0: a step forward. J Grad Med Educ 2018; 10 (03) 367-369
• 17 Accessed August 4, 2023 at: https://www.theabpm.org/become-certified/exam-content/clinical-informatics-content-outline/
• 18 Accessed August 4, 2023 at: https://www.acgme.org/globalassets/PDFs/Guide_to_the_Construction_of_the_Block_Diagram_3.30.17.pdf
• 19 Accessed August 4, 2023 at: https://www.acgme.org/globalassets/PFAssets/ProgramRequirements/381_ClinicalInformatics_2020.pdf?ver=2020-06-29-163724-707&ver=2020-06-29-163724-707 Section V.A.1.c, page 27
• 20 Davies A, Mueller J, Moulton G. Core competencies for clinical informaticians: a systematic review. Int J Med Inform 2020; 141: 104237