Brian R Holroyd1, Michael S Beeson2, Thomas Hughes3, Lisa Kurland4, Jonathan Sherbino5, Melinda Truesdale6, William Hersh7. 1. Department of Emergency Medicine University of Alberta Edmonton Alberta Canada. 2. Department of Emergency Medicine Northeast Ohio Medical University Akron OH. 3. John Radcliffe Hospital Oxford UK. 4. Department of Medical Sciences Örebro University Örebro Sweden. 5. Department of Medicine McMaster University Hamilton Ontario Canada. 6. Department of Medicine University of Melbourne Melbourne Victoria Australia. 7. Department of Medical Informatics & Clinical Epidemiology Oregon Health & Science University Portland OR.
Abstract
BACKGROUND: The field of clinical informatics (CI), and specifically the electronic health record, has been identified as a key facilitator to achieve a sustainable evidence-based health care system for the future. International graduate medical education (GME) programs have been challenged to ensure that their trainees are provided with appropriate skills to deliver effective and efficient health care in an evolving environment. OBJECTIVES: This study explored how international emergency medicine (EM) specialist training standards address competencies and training in relevant areas of CI. METHODS: A list of categories of CI competencies relative to EM was developed following a thematic review of published references documenting CI curriculum and competencies. Publicly available documents outlining core content, curriculum, and competencies from international organizations responsible for specialty GME and/or credentialing in EM for Australasia, Canada, Europe, the United Kingdom, and the United States were identified. These EM training standards were reviewed to identify inclusion of topics related to the relevant categories of CI competencies. RESULTS: A total of 23 EM curriculum documents were included in the review. Curricula content related to critical appraisal/evidence-based medicine, leadership, quality improvement, and privacy/security were included in all EM curricula. The CI topics related to fundamental computer skills, computerized provider order entry, and patient-centered informatics were only included in the EM curricula documents for the United States and were absent for the other jurisdictions. CONCLUSION: There is variation in the CI-related content of the international EM specialty training standards reviewed. Given the increasing importance of CI in the future delivery of health care, organizations responsible for training and credentialing specialist emergency physicians must ensure that their training standards incorporate relevant CI content, thus ensuring that their trainees gain competence in essential aspects of CI.
BACKGROUND: The field of clinical informatics (CI), and specifically the electronic health record, has been identified as a key facilitator to achieve a sustainable evidence-based health care system for the future. International graduate medical education (GME) programs have been challenged to ensure that their trainees are provided with appropriate skills to deliver effective and efficient health care in an evolving environment. OBJECTIVES: This study explored how international emergency medicine (EM) specialist training standards address competencies and training in relevant areas of CI. METHODS: A list of categories of CI competencies relative to EM was developed following a thematic review of published references documenting CI curriculum and competencies. Publicly available documents outlining core content, curriculum, and competencies from international organizations responsible for specialty GME and/or credentialing in EM for Australasia, Canada, Europe, the United Kingdom, and the United States were identified. These EM training standards were reviewed to identify inclusion of topics related to the relevant categories of CI competencies. RESULTS: A total of 23 EM curriculum documents were included in the review. Curricula content related to critical appraisal/evidence-based medicine, leadership, quality improvement, and privacy/security were included in all EM curricula. The CI topics related to fundamental computer skills, computerized provider order entry, and patient-centered informatics were only included in the EM curricula documents for the United States and were absent for the other jurisdictions. CONCLUSION: There is variation in the CI-related content of the international EM specialty training standards reviewed. Given the increasing importance of CI in the future delivery of health care, organizations responsible for training and credentialing specialist emergency physicians must ensure that their training standards incorporate relevant CI content, thus ensuring that their trainees gain competence in essential aspects of CI.
Authors: Cherri Hobgood; Venkataraman Anantharaman; Glen Bandiera; Peter Cameron; Pinchas Halpern; C James Holliman; Nicholas Jouriles; Darren Kilroy; Terrence Mulligan; Andrew Singer Journal: Emerg Med Australas Date: 2011-10 Impact factor: 2.151
Authors: Jason R Frank; Linda S Snell; Olle Ten Cate; Eric S Holmboe; Carol Carraccio; Susan R Swing; Peter Harris; Nicholas J Glasgow; Craig Campbell; Deepak Dath; Ronald M Harden; William Iobst; Donlin M Long; Rani Mungroo; Denyse L Richardson; Jonathan Sherbino; Ivan Silver; Sarah Taber; Martin Talbot; Kenneth A Harris Journal: Med Teach Date: 2010 Impact factor: 3.650
Authors: William F Iobst; Jonathan Sherbino; Olle Ten Cate; Denyse L Richardson; Deepak Dath; Susan R Swing; Peter Harris; Rani Mungroo; Eric S Holmboe; Jason R Frank Journal: Med Teach Date: 2010 Impact factor: 3.650
Authors: Reed M Gardner; J Marc Overhage; Elaine B Steen; Benson S Munger; John H Holmes; Jeffrey J Williamson; Don E Detmer Journal: J Am Med Inform Assoc Date: 2008-12-11 Impact factor: 4.497
Authors: Francis L Counselman; Kavita Babu; Mary Ann Edens; Diane L Gorgas; Cherri Hobgood; Catherine A Marco; Eric Katz; Kevin Rodgers; Leonard A Stallings; Michael C Wadman; Michael S Beeson; Julia N Keehbauch Journal: J Emerg Med Date: 2017-03-25 Impact factor: 1.484
Authors: William R Hersh; Paul N Gorman; Frances E Biagioli; Vishnu Mohan; Jeffrey A Gold; George C Mejicano Journal: Adv Med Educ Pract Date: 2014-07-01
Authors: Robert W Turer; Miguel Arribas; Sarah M Balgord; Stephanie Brooks; Laura R Hopson; Benjamin S Bassin; Richard Medlin Journal: AEM Educ Train Date: 2020-09-14