Preparing Future Pediatric Care Providers with a Clinical Informatics Elective.


Journal

Applied clinical informatics
ISSN: 1869-0327
Titre abrégé: Appl Clin Inform
Pays: Germany
ID NLM: 101537732

Informations de publication

Date de publication:
May 2024
Historique:
medline: 6 6 2024
pubmed: 6 6 2024
entrez: 5 6 2024
Statut: ppublish

Résumé

 Clinical informatics (CI) has reshaped how medical information is shared, evaluated, and utilized in health care delivery. The widespread integration of electronic health records (EHRs) mandates proficiency among physicians and practitioners, yet medical trainees face a scarcity of opportunities for CI education.  We developed a CI rotation at a tertiary pediatric care center to teach categorical pediatric, pediatric-neurology, and medicine-pediatric residents foundational CI knowledge and applicable EHR skills.  Created in 2017 and redesigned in 2020, a CI rotation aimed to provide foundational CI knowledge, promote longitudinal learning, and encourage real-world application of CI skills/tools. Led by a team of five physician informaticist faculty, the curriculum offers personalized rotation schedules and individual sessions with faculty for each trainee. Trainees were tasked with completing an informatics project, knowledge assessment, and self-efficacy perception survey before and after rotation. Paired  Thirty-one residents have completed the elective with their projects contributing to diverse areas such as medical education, division-specific initiatives, documentation improvement, regulatory compliance, and operating plan goals. The mean knowledge assessment percentage score increased from 77% (11.6) to 92% (10.6; p ≤ 0.05). Residents' perception surveys demonstrated improved understanding and confidence across various informatics concepts and tools (p ≤ 0.05).  Medical trainees are increasingly interested in CI education and find it valuable. Our medical education curriculum was successful at increasing residents' understanding, self-efficacy, and confidence in utilizing CI concepts and EHR tools. Future data are needed to assess the impact such curricula have on graduates' proficiency and efficiency in the use of CI tools in the clinical workplace.

Sections du résumé

BACKGROUND BACKGROUND
 Clinical informatics (CI) has reshaped how medical information is shared, evaluated, and utilized in health care delivery. The widespread integration of electronic health records (EHRs) mandates proficiency among physicians and practitioners, yet medical trainees face a scarcity of opportunities for CI education.
OBJECTIVES OBJECTIVE
 We developed a CI rotation at a tertiary pediatric care center to teach categorical pediatric, pediatric-neurology, and medicine-pediatric residents foundational CI knowledge and applicable EHR skills.
METHODS METHODS
 Created in 2017 and redesigned in 2020, a CI rotation aimed to provide foundational CI knowledge, promote longitudinal learning, and encourage real-world application of CI skills/tools. Led by a team of five physician informaticist faculty, the curriculum offers personalized rotation schedules and individual sessions with faculty for each trainee. Trainees were tasked with completing an informatics project, knowledge assessment, and self-efficacy perception survey before and after rotation. Paired
RESULTS RESULTS
 Thirty-one residents have completed the elective with their projects contributing to diverse areas such as medical education, division-specific initiatives, documentation improvement, regulatory compliance, and operating plan goals. The mean knowledge assessment percentage score increased from 77% (11.6) to 92% (10.6; p ≤ 0.05). Residents' perception surveys demonstrated improved understanding and confidence across various informatics concepts and tools (p ≤ 0.05).
CONCLUSION CONCLUSIONS
 Medical trainees are increasingly interested in CI education and find it valuable. Our medical education curriculum was successful at increasing residents' understanding, self-efficacy, and confidence in utilizing CI concepts and EHR tools. Future data are needed to assess the impact such curricula have on graduates' proficiency and efficiency in the use of CI tools in the clinical workplace.

Identifiants

pubmed: 38839064
doi: 10.1055/s-0044-1786977
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

437-445

Informations de copyright

Thieme. All rights reserved.

Déclaration de conflit d'intérêts

None declared.

Auteurs

Tiranun Rungvivatjarus (T)

Department of Pediatrics, University of California - San Diego, San Diego, California, United States.
Department of Pediatrics, Rady Children's Hospital, San Diego, California, United States.

Mario Bialostozky (M)

Department of Pediatrics, University of California - San Diego, San Diego, California, United States.
Department of Pediatrics, Rady Children's Hospital, San Diego, California, United States.

Amy Z Chong (AZ)

Department of Pediatrics, University of California - San Diego, San Diego, California, United States.
Department of Pediatrics, Rady Children's Hospital, San Diego, California, United States.

Jeannie S Huang (JS)

Department of Pediatrics, University of California - San Diego, San Diego, California, United States.
Department of Pediatrics, Rady Children's Hospital, San Diego, California, United States.

Cynthia L Kuelbs (CL)

Department of Pediatrics, University of California - San Diego, San Diego, California, United States.
Department of Pediatrics, Rady Children's Hospital, San Diego, California, United States.

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