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Informatics and Advanced Medical Librarianship

Informatics and Advanced Medical Librarianship. David S. Ginn, Ph.D . Adjunct Faculty Simmons Graduate School of Library and Information Science Director, Boston University Medical Center Library Boston, MA. Feasibility Study.

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Informatics and Advanced Medical Librarianship

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  1. Informatics and Advanced Medical Librarianship David S. Ginn, Ph.D. Adjunct Faculty Simmons Graduate School of Library and Information Science Director, Boston University Medical Center Library Boston, MA

  2. David S. Ginn Ph.D. Feasibility Study • Survey/Analyze Courses and Programs in Medical Librarianship and Informatics • Opportunity for course(s) at GSLIS or collaboration • Beginning of discussions with GSLIS and others • Sample Course for GSLIS • Identification of potential sources of financial support for program implementation.

  3. David S. Ginn Ph.D. Definitions of Medical Informatics • Informatics is the field concerned with the cognitive, information processing, and communication tasks of medical practice, education, and research, including the information science and technology to support these tasks. Greenes and Shortliffe JAMA 263: 1114-1120, 1990

  4. David S. Ginn Ph.D. Definition of Medical Informatics • Medical Informatics is the branch of science concerned with the use of computers and communication technology to acquire, store, analyze, communicate, and display medical information and knowledge to facilitate understanding and improve the accuracy, timeliness, and reliability of decision-making. Warner, Sorenson and Bouhaddou, 1997

  5. David S. Ginn Ph.D. Definitions of Medical Informatics • The integrative discipline that arises from the synergistic application of computational, informational, cognitive, organizational, and other sciences whose primary focus is the acquisition, storage, and use of information in the health/biomedical domain. Hersh, 2004.

  6. David S. Ginn Ph.D. Types of Informatics Programs • Medical • Biomedical • Health • Bioinformatics • Health Care Administration • Nursing • Dental • Public Health • And others

  7. David S. Ginn Ph.D. A View of Health and Biomedical Informatics Informatics X and Y = Legal, Chemical, Social, etc. Health & Biomedical Informatics X Informatics Y Informatics Imaging Informatics Public Health Informatics Medical Informatics BioInformatics Cells and biomolecules People Organs Populations (Adapted from Shortliffe in Kukafka et al., JPHPM, 2001)

  8. David S. Ginn Ph.D. The Continuum of Librarianship to Informatics Curriculum Introductory Course Medical Librarianship Medical Informatics Internship or Independent Study Introduction to Medical Informatics Two or more Medical Librarianship Courses Medical Informatics Program

  9. David S. Ginn Ph.D. Introductory Medical Librarianship Course: Simmons College • Health Sciences Environment & Medical Terminology • Medical Education, Patient Care, and Research • Reference Sources in the Health Sciences • MeSH, Controlled Vocabularies, Medline, and other Databases • User Education and Problem-based Learning • The Internet as a Resource and Tool • CAI, Technology, and IAIMS • Evidence-Based Medicine in Clinical Care and Education • Consumer Health and Alternative Medicine Resources • Role of Professional Associations and Continuing Education

  10. David S. Ginn Ph.D. One Introductory Medical Librarianship Course Only • Emporia State U. • Indiana U. • Rutgers U. • San Jose State U. • Simmons College • Southern Connecticut State U. • SUNY Buffalo

  11. David S. Ginn Ph.D. One Intro Med Lib Course with Internship or Independent Study • City University Of New York • Louisiana State U. • UCLA • U. of Illinois at Urbana-Champaign • U. of Rhode Island • U. of South Carolina

  12. David S. Ginn Ph.D. Components of Expanded (Advanced) Medical Librarianship Programs • Intro Medical Librarianship Course • Reference Sources in the Health Sciences • Online Databases in the Health Sciences • Indexing and Abstracting • Consumer Health Sources and Services • Organization of Information for Clinical Care • Intro to Medical Informatics • Internship or Practicum • Independent Study

  13. David S. Ginn Ph.D. Advanced Medical Librarianship Program (2 or more courses) • Dominican U. • Drexel U. • Kent State U. • Long Island U. • Pratt Institute • Syracuse U. • Texas Women’s U. • U. of Maryland • U. of N. Carolina • U. of Oklahoma • U. of Pittsburgh • U. of Texas • Wayne State U.

  14. David S. Ginn Ph.D. Examples of Advanced or Expanded Programs • Pratt Institute School of Information and Library Science • Reference Materials and Services in the Health Sciences • Online Databases in the Health Sciences • Medical Librarianship • Seminar and Practicum • Research or Special Studies

  15. David S. Ginn Ph.D. Examples of Advanced or Expanded Programs • University of Maryland at College Park College of Library and Information Services • Indexing and Abstracting in the Health Sciences • Health Information Reference Sources • Consumer Health Information Sources and Services • Field Study in Library Service

  16. David S. Ginn Ph.D. Sample Components of Introduction to Medical Informatics • Introduction: definitions, literature, resources • Unified Medical Language System • Evidence-based Medicine • Integrated Academic Information Management Systems • Electronic Patient/Medical Record and other Clinical Information Systems • Multimedia and Imaging • Telemedicine and Telehealth • Decision Support Systems • Informatics in Related Biomedical or Healthcare Fields (Nursing, Public Health, Health Studies, Dental, Pharmacy, Bioinformatics • Consumer Health Informatics • Standards, Ethical Issues, Privacy, Security, Confidentiality, HPIAA • Medical Libraries and Informatics

  17. David S. Ginn Ph.D. One Informatics Course • Florida State U. • Syracuse U. • U. of Arizona • U. of Iowa • U. of Kentucky • U. of North Texas • U. of Pittsburgh • U. of Texas

  18. David S. Ginn Ph.D. Examples of Advanced or Expanded Programs • University of North Carolina at Chapel Hill School of Information and Library Science • Consumer Health Information & Services • Health Sciences Information • Health Sciences Information Environments • Supervised Field Study • Independent Study • Introduction to Medical Informatics

  19. David S. Ginn Ph.D. Examples of Advanced or Expanded Programs • University of North Texas School of Library and Information Sciences • Health Sciences Information Management • Medical Informatics • Organization of Information for Clinical Care • Field Experience • Consumer Health Information • Advanced Topics in Medical Informatics

  20. David S. Ginn Ph.D. Examples of Advanced or Expanded Programs • University of Pittsburgh School of Information Sciences • Online MLIS Program in Medical Librarianship • Health Consumer Sources and Services • Health Sciences Information Resources and Services • Applications in Medical Informatics • Independent Research • Field Experience

  21. David S. Ginn Ph.D. Advanced Informatics Programs (2 or more courses) • U. of Missouri-Columbia (6) • U. of North Texas (2) • U. of Washington Medical Informatics (10)

  22. David S. Ginn Ph.D. Sample Expanded Medical Informatics Program in School of Library and Information Sciences, Combined with School of Medicine • University of Washington Information School and School of Medicine Division of Biomedical and Health Informatics • Health Sciences Information, Needs, Resources and Environment • Special Topics in Library and Information Science • Directed Field Work • Medical Informatics • Computing Concepts for Medical Informatics • Biology for Informatics • Clinical Topics for Informaticists • Bioinformatics and Gene Sequence Analysis • Informatics Research and Evaluation Methods • Clinical Decision Support • Health Sciences Information, Needs, Resources and Environment • Selected Topics in Health Informatics • Special Topics in Biomed & Health • Integrated Systems

  23. David S. Ginn Ph.D. NLM Training Programs • University Medical Informatics Research Training Programs • Individual Informatics Research Fellowship • Individual Informationist Fellowship • Senior Informatics Research Fellowship • Senior Informationist Fellowship • IAIMS Fellowship

  24. David S. Ginn Ph.D. University Medical Informatics Research Training Programs Supported by the National Library of Medicine

  25. David S. Ginn Ph.D. Harvard Program • Harvard-MIT Division of Health Sciences & Technology • Program in Biomedical Informatics • Collaboration with MGH, Beth Israel, BWH, and others • MS and PhD Degrees in Informatics and related

  26. David S. Ginn Ph.D. Informatics in the Local Area Boston/MA Bioinformatics Medical Informatics Harvard Boston U. Medical Schools Simmons UMass Tufts Health Informatics Advanced Librarianship

  27. David S. Ginn Ph.D. Boston Biomedical Informatics Programs • Harvard-MIT Program in Biomedical Informatics • Boston University Bioinformatics • Boston University Medical Center Clinical Informatics • NEMC (Tufts) Clinical Informatics • Northeastern Bioinformatics

  28. David S. Ginn Ph.D. Bioinformatics • Sample components of Bioinformatics Courses or Programs: From MLA CE for Librarians • Bioinformatics • Overview of Basic Molecular Biology • Genetics – Related Disorders • Bioinformatics Information Resources • Bioinformatics Sequence Searching

  29. David S. Ginn Ph.D. Boston University PhD Program in Bioinformatics • Systems Biology • Computational Modeling of Regulatory and Metabolic Networks • Comparative Genomics • Protein Design • Genomic and Proteomic Biotechnology • Microarray Engineering and Analysis • Pharmacogenomics • Structural Biology • Large Scale Modeling of Biological Systems • Computational Studies of Cancer and Neurological Disorders • Synthetic Gene Networks • Molecular Computing • Genetics

  30. David S. Ginn Ph.D. Select Areas of Bioinformatics at other institutions (from the 2004 Hemminger Survey, reprinted in JASIST, vol. 56, no. 5, 2005, pp. 531-537.) • Mathematical biology • Cell biotechnology • Protein mass spectrometry • Diabetes Informatics • Cell adhesion and signaling • Data Mining • Computational neuroscience • Molecular Genetics Databases • Molecular Sequence Analysis • Genetic Mapping • Genetic Engineering • Cancer Genomics • Mouse Genomics

  31. David S. Ginn Ph.D. Sample Components of Health Studies Informatics • University of Missouri – Columbia: Health Management and Informatics Programs: Residential and Executive • Data Repositories and System Integration • Information Security and Policy • Decision Support Systems for Health Care • Knowledge Management in Health Care

  32. David S. Ginn Ph.D. Sample Curricula at U. Missouri – Columbia • Design and Maintenance of Information • Systems in Health Services • Administration of Health Care Organizations • Statistical Methods in the Health Sciences • Health Care Economics • Data Repositories and System Integration • Enterprise Information Architecture • Theory and Application of Controlled Terminologies • Knowledge Management in Health Care • Methods & Research in Health Services Management • Information Security and Policy • Methods & Research in Health Services Management • Decision Support in Health Care Systems

  33. David S. Ginn Ph.D. Core Curriculum in Executive Health Informatics at U. Missouri - Columbia • Introduction to Health Informatics • Administration of Health Care Organizations • System Architecture • Economics of health Care • Research Methods • Decision Support • Controlled Terminology • Knowledge Management • Security • Data Repositories

  34. David S. Ginn Ph.D. Foundation Courses • Data Structures and Algorithms • Database Management Systems • Microeconomics • Statistical Analysis • Production Languages • Computer Networks • Networks and Telecommunications

  35. David S. Ginn Ph.D. Communication from Gerald Benoit/GSLIS to Connie Chow/Biology: Suggesting Components of a BS/MS program between CAS and GSLIS • Biological Knowledge: Genomics, Proteomics & Bioinformatics from Biology • Technical foundation from GSLIS: • Intro to Programming • Systems Analysis • DB • Stats • Informatics/IS: • Information Retrieval • XML • Applied Info Systems Design (w/ a bio project)

  36. David S. Ginn Ph.D. Nursing Informatics • New York University Division of Nursing: Master’s/Post-Masters Programs • Nursing Informatics: An Introduction • Assessment and Analysis of Clinical and Nursing Information Systems • Database Design and Decision Support on Clinical and Nursing Systems • Implementation, Management and Evaluation of Clinical and Nursing Information Systems • Terminal Practicum: Nursing Informatics Integration

  37. David S. Ginn Ph.D. Duke University School of Nursing Nursing InformaticsMSN (Online) Program • Overview of Health Care Information Systems • Informatics Issues and Standards • Applied Informatics Theories • Informatics Infrastructure for Safe Patient Care • Informatics Capstone Seminar • Clinical Informatics Residency

  38. David S. Ginn Ph.D. University of Colorado Nursing • Philosophical, Theoretical and Ethical Issues • Evidenced-Based Practice Human Technology Interface • Health Systems, Policy & Social Justice • Management Information for Decision Support • Information Systems Life • Nursing Terminologies • Advanced Nursing Practicum: Healthcare Informatics • Database Management Systems • Knowledge Systems • Health Communications • Telehealth Applications

  39. David S. Ginn Ph.D. Simmons Options (Not Mutually Exclusive) • Status Quo • Add Internship or Independent Study to Intro Course • Expand to 2 or more Medical Librarianship Courses • Add Intro to Medical Informatics (in GSLIS or cross-listed) • Collaborate with/Support Simmons Health Studies or Biology Informatics • Develop Full Informatics Program

  40. David S. Ginn Ph.D. Benefits and Drawbacks of Various Options • Maintain 1 Intro MedLib Course • Benefits • Enrollment limited - Neither Advance Med Lib nor Informatics a “cash cow” • No additional work • Drawbacks • Limits ability to fully develop in this area • Intro is necessarily a ‘Survey’ course

  41. David S. Ginn Ph.D. Benefits and Drawbacks of Various Options • Add Internship or Independent Study • Benefits • Real experience in a practice-based profession • Better preparation for first professional position • Drawbacks • Challenge of identifying environments and experiences of real value • Training investment for short-term experiences • Payment?

  42. David S. Ginn Ph.D. Benefits and Drawbacks of Various Options • Additional Courses in Med Librarianship • Benefits • More in-depth study in specific areas • Drawbacks • Enrollment questions • Need to consider hiring full-time faculty with expertise in the specialty

  43. David S. Ginn Ph.D. Benefits and Drawbacks of Various Options • Add Intro Informatics in GSLIS/cross-list? • Benefits • Acknowledges current/future direction of field(s) • Enriches overall Simmons Program • Provides more significant and appropriate experience in medical/health-rich Eastern Mass • Challenges • Expertise needed to deliver • ‘Laboratory’ environments needed • Intro is necessarily a ‘Survey’ course -- maintaining relevance to heterogeneous enrollment

  44. David S. Ginn Ph.D. Benefits and Drawbacks of Various Options • Provide GSLIS Support or Collaborate with other Simmons Schools • Benefits • Information skills expertise resides in GSLIS; Subject or discipline expertise in Schools • Enriches overall Simmons Program • Challenges • Additional work

  45. David S. Ginn Ph.D. Another model Informatics Advanced Medical Librarianship Librarianship HealthStudies or Biosciences

  46. David S. Ginn Ph.D. Suggestions/Recommendations • Continue Discussions in and out of GSLIS and Simmons • Determine Purpose and Goals of Potential Courses/Programs • Be Realistic about Enrollment

  47. David S. Ginn Ph.D. Another Issue to Consider • Employment • Jobs Outlook: Rising, still developing • Informatics knowledge, familiarity, experience important for Medical Librarian positions • Informatics positions • AMIA Job Exchange • Bioinformatics Job forum • Informatics Careers

  48. David S. Ginn Ph.D. Another Issue to Consider • Employment • Clinical Information Systems Specialist • Health Informatics Faculty • Biomedical Informatics Leadership Position • Informatics Librarian • Director, Academic Medical Library • Nursing Informatics Specialist • Electronic Health Records Systems Advisor

  49. David S. Ginn Ph.D. Questions

  50. David S. Ginn Ph.D. Thank You!

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