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Biomedical Informatics
in Health Professions
Curricula at OSU

Peter J. Embi, MD, MS

Vice
-
Chair, Biomedical Informatics

The Ohio State University

AMIA Academic Forum

May
23
,
2012

2

2

Our Mission & Vision

Mission:

To improve people’s lives
through innovation in research,
education, and patient care.


Vision
:

To lead the advancement of
health and biomedicine through the
development, application, and
dissemination of novel biomedical
informatics theories
and methods
capable of

driving biological
discovery, generating and
translating knowledge, and
advancing personalized healthcare

The OSU Department of Biomedical Informatics is part
of one of the nations largest integrated academic
health centers, providing a
unique living laboratory
for informatics research and development

3

Supporting and Enabling Our Tripartite Mission

BMI
Program

Research

Education

Services

Strategic Plan for BMI Program Growth

Strategy 1:
Collaborate

across internal and
external partners to advance research programs
& platforms.

Strategy 2:
Enhance programmatic and
administrative infrastructure to
create a culture
of service
to the community.

Strategy 3:
Improve the management,
development and
utilization of vital resources

Strategy 4:
Recruit and retain talented faculty
through expedited processes, mentoring, and
support and performance management

Strategy 5:
Develop innovative education
programs
for students and healthcare
professionals that insure OSU is recognized as
a leader in producing measurably excellent
Informaticians

and healthcare professionals

Strategy 6:
Create greater awareness
of
OSU’s Department of Biomedical Informatics
locally, regionally, and nationally through
knowledge generation and dissemination

Creating a
Culture of
Science,
Discovery, &
Education

Collaborate to
advance
research
programs &
platforms

Create a
culture of
service

Improve
utilization of
resources

Retain and
grow talent

Produce
excellent
informaticians

Create
awareness

Alignment with OSUWMC Research Strategic Plan

Management,
Integration,
Delivery

Prediction

Prevention

Personalized
Care

Patient
Participation

4 P’s

Evidence
Generation

Data
Generation

Driving
Biological
Discovery

Bioinformatics

Computational
Biology

Generating &
Translating
Knowledge

Translational
Bioinformatics

Clinical
Research
Informatics

Advancing
Personalized
Healthcare

Clinical
Informatics

Imaging
Informatics

Human Factors

Knowledge Engineering

High Performance Computing

Cross
-
Cutting

Competencies

Innovation

Focus Areas

Data Science

Innovation Focus Areas

Current Faculty by Research Focus Area

Currently faculty focus and strengths lie in the areas of Clinical Informatics,
Translational Bioinformatics, and Clinical Research Informatics (n=13)

Strategic Plan for BMI Program Growth

Strategy 1:
Collaborate

across internal and
external partners to advance research programs
& platforms.

Strategy 2:
Enhance programmatic and
administrative infrastructure to
create a culture
of service
to the community.

Strategy 3:
Improve the management,
development and
utilization of vital resources

Strategy 4:
Recruit and retain talented faculty
through expedited processes, mentoring, and
support and performance management

Strategy 5:
Develop innovative education
programs
for students and healthcare
professionals that insure OSU is recognized as
a leader in producing measurably excellent
Informaticians

and healthcare professionals

Strategy 6:
Create greater awareness
of
OSU’s Department of Biomedical Informatics
locally, regionally, and nationally through
knowledge generation and dissemination

Creating a
Culture of
Science,
Discovery, &
Education

Collaborate to
advance
research
programs &
platforms

Create a
culture of
service

Improve
utilization of
resources

Retain and
grow talent

Produce
excellent
informaticians

Create
awareness


Engage in medical school curriculum planning efforts


Increase participation by BMI faculty in medical student teaching


Develop and implement a core curricula for health professions students

Develop informatics competencies at all trainee and
professional levels


Continue current IBGP
-

and CS/ECE
-
based MS/PhD mentorship and training
programs


Develop an interdisciplinary terminal masters program


Develop an interdisciplinary doctoral program


Develop an interdisciplinary certificate program


Develop and implement a fellowship in clinical informatics


Continue to develop distance
-
learning programs


Secure funding support for training programs

Train and support an informatics workforce

Strategy
5
:
Develop innovative education programs for
students and healthcare professionals that insure OSU
COM is recognized as a leader in producing measurably
excellent
Informaticians

and healthcare professionals

Phased Training Program Expansion

Expansion Phase
2

Interdisciplinary
BMI PhD
Program

Clinical
Informatics
Fellowship

Expansion Phase 1

Professional
Masters

Certificate
Program

Current State

Distance
Education
(CRI 10x10)

Targeted
Coursework

Post
-
doctoral
Training

PhD Tracks
(IBGP)

NLM T15 + Institutional Resources

OSU


Educational Programs
-

Examples


College of Public Health programs



College of Medicine


MD Curriculum redesign




(College of Nursing)


(School of Health and Rehabilitative Sciences)

12

OSU College of Public Health
-

Cunz

Hall

First and Only
College
of Public Health in Ohio
Accredited by
the
Council
on Education for Public
Health (
CEPH)



OSU
CPH
-

Five
Divisions


Biostatistics



Environmental Health Sciences



Epidemiology



Health Behavior & Health Promotion



Health Services, Management & Policy


OSU CPH


Degree Programs


Graduate Degrees and Specializations Offered
:


PhD in Public Health (five
specializations)


MS in Public Health (three specializations
)


MPH (eight specializations
)


MHA


Newest specializations for MS and MPH


Biomedical Informatics


Jointly offered by BMI and CPH


Programs managed by BMI


Enrolling first classes Fall
2012

New Curriculum for OSU
College of Medicine

Class Size:
195
-
276
(
220
)

30% stay in Ohio for residency

50% of students from Ohio

College of Medicine

Current State
of Curriculum


Two Pre
-
Clinical Pathways for Foundational Science


Independent Study Pathway


Integrated Pathway


Clinical Analysis and Problem Solving


Traditional Med
3
year with
7
core clerkships


Med
4
year:
Emergency Medicine, Senior Ambulatory


Chronic Care, Sub
-
internship, Electives



Hallmarks of New

LSI Curriculum


Reinforce foundational science throughout
curriculum


Early clinical service
-
learning experiences


Emphasis on multi
-
modal learning and
assessing critical thinking skills and
research


Longitudinal
experiences


Self
-

directed learning


Faculty coaching


Longitudinal projects


Mastery based evaluations

19


Multiple opportunities to incorporate
informatics


Medicine is information intense


Physicians as information
managers


Leveraging integrated, longitudinal
aspects of new curriculum


Laying down principles


Injecting Informatics as thread


“Informatics” to teach general
topics

Advanced
Clinical
Management

4 Years

18
months

12 months

12
months

Longitudinal Projects

Interprofessional
Systems Based

Thinking

Longitudinal

Health Coach

Community

Health

Education

Patient

Safety

21

Lecture/Podcast/

E
-
learning

Independent

Study

Small Group

Discussion

Clinical

Setting

Clinical Foundations




Diagnoses:


Back Pain (B&M)


Stroke (Neuro)


CAD (CardioP)


Renal Disease (GI
-
R)


Pelvic Pain (E
-
R)


Cancer (HD)


Behavioral Science Issues


Lifestyle Behavioral Change


Social Isolation in the Elderly


Use of brand versus generic drugs


Depression


Sexuality


Psychoneuroimmunology


Patient Empanelling

23

Clinical Applications

24

Part
2
: Ground
School


Advanced Foundational Science


Advanced Clinical Skills using Standardized
Patients


Problem Solving and Clinical Reasoning in
small group setting through simulation

25

26

Advanced Clinical Management


Advanced Management in Hospital Based Care



Emergency Medicine


Sub Internship


Advanced Management in Ambulatory and Relationship Centered
Care


Advanced Outpatient


Chronic Care


Advanced Competencies Track


Advanced Clinical Track

27

Longitudinal

Projects

28


Project 1: e
-
portfolio


Project 2: Service Learning


Project 3: Health Coach


Project 4:
Quality/Safety; Inter
-
professional/Systems; Health Informatics




Faculty

Development

Basic and Advanced Simulation

Student Coaching for Success

Use of Innovative Teaching Technologies

Integrated Teaching