3rd
Annual Review
Agenda
11:30-12:00 Lunch
12:00-12:10 Welcome and Intros
12:10-12:45 Annual Progress Report (Guerlain)
12...
2
 The National Library of Medicine supports 18 training centers to train
scientific investigators and leaders in biomedi...
3
Current NLM-funded Biomedical Informatics
Training Programs
1. University of Colorado Denver/HSC Aurora (Denver, CO) [ne...
4
UVA T-15 Training Grant:UVA T-15 Training Grant:
“A Systems Approach to Medical Informatics”“A Systems Approach to Medic...
5
Program broadened in 2009 to include all research
and training at the intersection of systems
engineering and medicine
(...
Mission Statement
To train top-notch researchers who:
1. are able to apply the techniques of systems and
information engin...
1. To recruit and retain high-quality research students
2. To increase collaborative work between engineers and
clinicians...
8
Introductions!
9
• Name
• Department
• Research Interests
• An interesting fact that (almost) no one in
the room would know about you, th...
10
Advisory Board
• Chair
– Don E. Detmer, M.D., M.A. Professor of Public Health Sciences at UVA,
Immediate Past President...
11
Executive Committee
• Chair and Co-Chair
– Stephanie Guerlain, Ph.D., Associate Professor, Systems and
Information Engi...
12
Health Care Mentors
• Peggy Plews-Ogan, M.D. (Internal Medicine)
• John Voss, M.D. (Internal Medicine)
• Tracey Krupski...
13
Postdoctoal Trainees
• Sharon Meth, M.D.
• R. Lacey Colligan, M.D.,
M.Sc.
• Andy Ortiz, M.D.
• 2 slots, must be hired
b...
• Leigh Baumgart, M.S.
• Justin DeVoge, M.S.
• Collen Hughes, M.S.
• Akilah Hugine, M.S.
• Daine Lesniak, M.S.
• Aaron Wil...
15
M.S. Trainees*
• Kim Brantley
• Bill Carson
• Elmer Kim
• Angie Lee
• Isabelle Rivest
Current
*Not NLM-funded
16
Short-term Trainees
• Petheree Norman
• 3 slots, must be hired
between 7/1/10 - 6/1/11
Current Past
• Mangwi Atia
• Mic...
17
Year 3 Progress
• Recruited new students
- Aaron Williams, MS, Mark Farrington, MS, Tashima
Lambert, Petheree Williams ...
18
Trainees’ published/accepted manuscripts
1. Bauer D.T. & Guerlain S. (Accepted, 2010). Designing pharmacy-generated int...
19
Posters/Presentations
1. Bass, E, Perez, T, Meth, S, Plews-Ogan, M, Helms, A, Bartelt, L. (2010). Assessing the
quality...
Patent Applications Filed
1. Hughes, C. Patek, S. and Kovatchev B. "Method and System for Improving
the Accuracy of Contin...
Other Tech Transfer
1. Handoff of care tool (developed by MINDSET trainees Sledd, Devoge,
Springs, Brantley and Meth and m...
Curriculum Development
Offered SYS 7097: “Systems Engineering and Medical Informatics
Case Study Seminar on Management of ...
Marketing and Recruiting
• Created a Director of Recruiting:
– Executive Committee Member (G. Gerling) in charge of tracki...
Social Activities
• Formed a student Social Committee:
– To plan and organize celebrations, get-togethers and side trips
a...
Program Tracking
• Created a Director of Budgets:
– Executive Committee Member (E. Bass) in charge of tracking
budgets and...
New Funding
26
Expanded Role of Division of
Clinical Informatics
27
• New faculty lines and support staff
– Will be hiring in the next ye...
Summary of Year 3
28
• Program maturing:
– Publications
– Graduations
– Distributed management structure across students
a...
Goals for Year 4
29
• Continue to grow
• Market the program internally and externally
• Write successful renewal to NLM
3rd
Annual Review
Agenda
11:30-12:00 Lunch
12:00-12:10 Welcome and Intros
12:10-12:45 Annual Progress Report (Guerlain)
12...
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  • Using these tools, we conducted a trial of a preoperative team briefing and checklist for their capacity to produce shared mental models during laparoscopic surgery, as measured by completion of mission goals as observed by our lab’s observers, and scores on post-procedure questionnaires that query respondents regarding their knowledge of the patient they just cared for, and technical facts and judgements regarding the completed procedure.
    We have enrolled thirty two cases thus far with randomization by attending.
  • Using these tools, we conducted a trial of a preoperative team briefing and checklist for their capacity to produce shared mental models during laparoscopic surgery, as measured by completion of mission goals as observed by our lab’s observers, and scores on post-procedure questionnaires that query respondents regarding their knowledge of the patient they just cared for, and technical facts and judgements regarding the completed procedure.
    We have enrolled thirty two cases thus far with randomization by attending.
  • Click here to download slides from meeting.

    1. 1. 3rd Annual Review Agenda 11:30-12:00 Lunch 12:00-12:10 Welcome and Intros 12:10-12:45 Annual Progress Report (Guerlain) 12:45-1:30 Student Presentations (Lesniak, Baumgart) 1:30 - 2:15 Posters (outside health sciences library) 2:15 - 2:45 Diabetes Research Center (Patek) 2:45-3:05 Students and advisory board discussion (without exec committee) 3:05-3:25 Advisory Board finalizes recommendations 3:25-3:45 Group discussion (All) 3:45 Adjourn
    2. 2. 2  The National Library of Medicine supports 18 training centers to train scientific investigators and leaders in biomedical computing.  The areas of training must be in health related domains:  Health Care Delivery  Basic Biomedical Research  Clinical & Health Services Research  Public Health  Professional Education Focus of our grant: “clinical informatics” (with some research here as well)
    3. 3. 3 Current NLM-funded Biomedical Informatics Training Programs 1. University of Colorado Denver/HSC Aurora (Denver, CO) [new in 2007] 2. University of Virginia Charlottesville (Charlottesville, VA) [new in 2007] 3. University of California Irvine (Irvine, CA) 4. University of California Los Angeles (Los Angeles, CA) 5. Stanford University (Stanford, CA) 6. Yale University (New Haven, CT) 7. Regenstrief/Indiana University (Indianapolis, IN) 8. Harvard University (Medical School) (Boston, MA) 9. Johns Hopkins University (Baltimore, MD) 10.University of Missouri-Columbia (Columbia, MO) 11.Columbia University Health Sciences (New York, NY) 12.Oregon Health & Science University (Portland, OR) 13.University of Pittsburgh at Pittsburgh (Pittsburgh, PA) 14.Vanderbilt University (Nashville, TN) 15.Rice University (Houston, TX) 16.University of Utah (Salt Lake City, UT) 17.University of Washington (Seattle, WA) 18.University of Wisconsin Madison (Madison, WI) Strong barrier to entry. But, once funded, quite likely to be renewed over and over again.  We need to be in this group on the next go- around!
    4. 4. 4 UVA T-15 Training Grant:UVA T-15 Training Grant: “A Systems Approach to Medical Informatics”“A Systems Approach to Medical Informatics” ~$3M 5-year renewable grant to fund: Short-term minority trainees (~ 4 annually) Ph.D. students* (~ 7 annually) and Postdocs* (~2 annually) in Medical Informatics *Full-time trainees earn a degree in Systems & Information Engineering with research and mentorship focused on healthcare information topics. All trainees must be U.S. citizens or permanent residents. Our program directly addresses the IOM/NAE recommendation for building a better healthcare system by creating a multidisciplinary environment in which systems engineers and healthcare researchers collaboratively mentor trainees in medical informatics.
    5. 5. 5 Program broadened in 2009 to include all research and training at the intersection of systems engineering and medicine (Includes trainees & funding beyond NLM)
    6. 6. Mission Statement To train top-notch researchers who: 1. are able to apply the techniques of systems and information engineering and medical informatics to address major open problems in medicine and healthcare delivery, and 2. who are qualified for academic, governmental, and industry positions in which their technical skills and understanding of the biomedical domain will advance societal goals. 6
    7. 7. 1. To recruit and retain high-quality research students 2. To increase collaborative work between engineers and clinicians/medical researchers at UVa in areas of biomedical informatics. 3. To disseminate research in three types of venues: a) clinical and biomedical, b) engineering, c) traditional medical informatics. 4. To develop and maintain a curriculum that supports careers in biomedical and clinical informatics from a Systems Engineering perspective 5. To mentor students in the art of conducting academic research 6. To provide trainees with external experiences to meet outside researchers and industry contacts and to enable them to make an impression on their research community. 7. To transfer technologies, processes, and research artifacts to the market, to medical practices, and/or to other researchers 8. To place trainees in academic and research positions around the country 7 Sub-Goals
    8. 8. 8 Introductions!
    9. 9. 9 • Name • Department • Research Interests • An interesting fact that (almost) no one in the room would know about you, that you’re willing to share
    10. 10. 10 Advisory Board • Chair – Don E. Detmer, M.D., M.A. Professor of Public Health Sciences at UVA, Immediate Past President and CEO of the American Medical Informatics Association • Internal – Barry Horowitz, Ph.D. Professor and Chair of the UVA SIE Department – Bill Knaus, M.D., Professor and Chair of Public Health Sciences – Sarah Farrell, Ph.D., APRN, Associate Professor of Nursing and Public Health Sciences, Associate Dean for Academic Programs, School of Nursing – Marshall Ruffin, M.D., M.P.H., M.B.A. Chief Technology and Health Information Officer, UVA Health System • External – Richard I. Cook, M.D., Associate Professor of Anesthesiology and Director of the Cognitive Technologies Laboratory at the University of Chicago. – Jack W. Smith, M.D., Ph.D., Professor and Dean, University of Texas School of Health Information Sciences – Paul Tang, M.D., Chief Medical Information Officer, Palo Alto Medical Foundation, Consulting Associate Professor of Medicine (Biomedical Informatics), Stanford University
    11. 11. 11 Executive Committee • Chair and Co-Chair – Stephanie Guerlain, Ph.D., Associate Professor, Systems and Information Engineering – Jim Harrison, M.D., Ph.D. Associate Professor of Public Health Sciences and Pathology, Director of the Division of Clinical Informatics • Faculty in the Dept of Systems & Information Engineering – Ellen Bass, Ph.D., Associate Professor – Greg Gerling, Ph.D. Assistant Professor – Stephen Patek, Ph.D. Associate Professor • Faculty in the Dept of Public Health Sciences – Wendy Cohn, Ph.D., Associate Professor – Jason Lyman, M.D., M.S., Assistant Professor • Director and Associate Dean, Health Sciences Library – Gretchen Arnold, MLS, AHIP
    12. 12. 12 Health Care Mentors • Peggy Plews-Ogan, M.D. (Internal Medicine) • John Voss, M.D. (Internal Medicine) • Tracey Krupski, MD, MPH, (Urology) • Randy Jones, Ph.D, RN, (Nursing) • Reba Childress, MSN, FNP-BC (Nursing) • Keith Littlewood, M.D. (Anesthesiology) • Mark Kirk, M.D. (Emergency Medicine) • Ellen Lumpkin, Ph.D. (Neuroscience) • Tracey Hoke MD MSc (Pediatrics) • Steve Borowitz MD (Pediatrics) • Martha Hellems, M.D., M.S. (Pediatrics) • Beth Turrentine, R.N. (Surgery) • Jason Lyman, M.D., M.S. (Public Health Sciences) • Boris Kovatchev, Ph.D. (Psychiatry & Neurobehavioral Sciences) • Marcus Martin, M.D. (Chief Officer for Diversity and Equity, UVa)
    13. 13. 13 Postdoctoal Trainees • Sharon Meth, M.D. • R. Lacey Colligan, M.D., M.Sc. • Andy Ortiz, M.D. • 2 slots, must be hired between 7/1/10 - 6/1/11 Current Past • Kwangsik Nho, Ph.D, Anticipated Openings
    14. 14. • Leigh Baumgart, M.S. • Justin DeVoge, M.S. • Collen Hughes, M.S. • Akilah Hugine, M.S. • Daine Lesniak, M.S. • Aaron Williams, M.S. • Mark Farrington, M.S. • Lu Wang, M.S.* • Tipan Verella, M.S.* • 2 slots, must be hired between 7/1/10 - 6/1/11 • Barbara Mooney, M.A. • Matthew Wagner, M.S. • Dave Bauer, M.S. • Matthew Bolton, Ph.D. 14 Predoctoral Trainees Current Past Anticipated Openings *Not NLM-funded
    15. 15. 15 M.S. Trainees* • Kim Brantley • Bill Carson • Elmer Kim • Angie Lee • Isabelle Rivest Current *Not NLM-funded
    16. 16. 16 Short-term Trainees • Petheree Norman • 3 slots, must be hired between 7/1/10 - 6/1/11 Current Past • Mangwi Atia • Michael Cary • Alexandra Coso • Sherry Springs • Tipan Verella • Terlene Romney • Douglas Lewis • Ted Perez • Tashima Lambert Anticipated Openings
    17. 17. 17 Year 3 Progress • Recruited new students - Aaron Williams, MS, Mark Farrington, MS, Tashima Lambert, Petheree Williams and Douglas Lewis, BA • Recruited new mentors – Tracey Krupski, MD, MPH, Randy Jones, PhD, RN, Keith Littlewood, MD, Mark Kirk, MD, Martha Hellems, MD, MS, Beth Turrentine PhD, RN • Other potential mentors - Peter Beling, PhD, Bill Knaus, MD, Gerry Learmonth PhD • First trainee graduated - Matthew Bolton, Ph.D. • Hired as a research Scientist, NASA Ames/San Jose State University
    18. 18. 18 Trainees’ published/accepted manuscripts 1. Bauer D.T. & Guerlain S. (Accepted, 2010). Designing pharmacy-generated intravenous medication labels to support the medication use process. International Journal of Industrial Ergonomics. 2. Bauer, D.T., Guerlain, S., & Brown, P.J. (In Press). The design and evaluation of a graphical laboratory data display. Journal of the American Medical Informatics Association. 3. Baumgart, L.A., Gerling, G.J. & Bass, E.J. (2010). Characterizing the range of simulated prostate abnormalities palpable by digital rectal examination. Cancer Epidemiology, 34(1), 79- 84. 4. Bolton, M. L., & Bass, E. J. (In Press). Formally verifying human-automation interaction as part of a system model: Limitations and tradeoffs. Innovations in Systems and Software Engineering: A NASA Journal. 5. Colligan, L., Anderson, J., Potts, H., Berman, J. (2010). Does the process map influence the outcome of quality improvement work? A comparison of a sequential flow diagram and a hierarchical task analysis diagram. BMC Health Services Research 10:7 6. Dunn Lopez, K., Gerling, G. J., Cary, M. P., Kanak, M. F. (In Press). Cognitive work analysis to evaluate the problem of patient falls in an inpatient setting. Journal of the American Medical Informatics Association 7. Guerlain, S., Hugine, A. & Wang, L. (2010). A comparison of four epinephrine auto-injector delivery systems: Usability and patient preference. Annals of Allergy, Asthma & Immunology 104,172–177 8. Hughes, C., Patek, S.D., Breton, M. and Kovatchev, B.P. (In Press). Anticipating the next meal using meal behavioral profiles: a hybrid model-based stochastic predictive control algorithm for T1DM. Computer Methods and Programs in Biomedicine 9. Wellnitz, S.A., Lesniak, D.L., Gerling, G.J., and Lumpkin, E.A. (Accepted) The regularity of sustained firing reveals two populations of slowly adapting touch receptors in mouse hairy skin
    19. 19. 19 Posters/Presentations 1. Bass, E, Perez, T, Meth, S, Plews-Ogan, M, Helms, A, Bartelt, L. (2010). Assessing the quality of resident sign-out using post-call surveys. Poster presentation at the 33rd Annual Meeting of the Society of General Internal Medicine, April 28-May 1, 2010. 2. Baumgart, LA, Gerling, GJ, and Bass, EJ, (2010). Psychophysical detection of inclusions with the bare finger amidst softness differentials, Proceedings of the 2010 IEEE Haptic Interfaces for Virtual Environment and Teleoperator Systems, Boston, MA, 17-20. 3. Bolton, M. L., & Bass, E. J. (2009). A method for the formal verification of human interactive systems. Proceedings of the 53rd Annual Meeting of the Human Factors and Ergonomics Society 764–768. 4. Bolton, M. L., & Bass, E. J. (2009). Enhanced operator function model: A generic human task behavior modeling language. Proceedings of the IEEE International Conference on Systems Man and Cybernetics, 2983–2990. 5. DeVoge, J.M., Bass, E. J., Atia, M, Bond, M., Waggoner-Fountain, L., & Borowitz, S.M. (2009). The development of a web-based resident sign-out training program. IEEE International Conference on Systems, Man, and Cybernetics 6. Hughes C. (2009). Information from insulin pumps improves continuous glucose monitoring-based detection and prevention of hypoglycemia. Poster Presentation at the Ninth Annual Diabetes Technology Meeting 7. S. D. Patek, Hughes C. Breton, M. & Kovatchev, B. P. (2009). Anticipating meals with behavioral profiles: towards stochastic model predictive control of T1DM. Seventh IFAC Symposium on Biological and Medical Systems. 8. Lesniak, D.R., Wellnitz, S.A., Gerling, G.J., Lumpkin, E.A. (2009). Statistical analysis and modeling of variance in the SA-I mechanoreceptor response to sustained indentation. 31st Annual International Conference of the IEEE Engineering in Medicine and Biology Society
    20. 20. Patent Applications Filed 1. Hughes, C. Patek, S. and Kovatchev B. "Method and System for Improving the Accuracy of Continuous Glucose Sensors Using Insulin Delivery Observation in Diabetes” 2. Hughes, C. Patek, S. and Kovatchev B. "Method and System for the Safety Analysis and Supervision of Insulin Pump Action and other Modes of Insulin Delivery” 20
    21. 21. Other Tech Transfer 1. Handoff of care tool (developed by MINDSET trainees Sledd, Devoge, Springs, Brantley and Meth and mentors Bass and Borowitz): Used daily by the UVa Health System Departments of Pediatrics and Internal Medicine and soon, Family Medicine. System helping to inform the requirements for the functionality of a similar tool to be integrated into the EPIC EMR implementation. 2. New epinephrine auto-injector (developed by Intelliject, Inc. and evaluated in two studies by MINDSET trainees Hugine and Wang and mentor Guerlain) is in the FDA approval process as a new drug delivery system 3. Virginia Prostate Exam Simulator (developed and evaluated by MINDSET trainees Wang, Rigsbee, Lee, Carson, Rivest, and Baumgart and mentors Gerling, Martin and Childress) is being licensed. 21
    22. 22. Curriculum Development Offered SYS 7097: “Systems Engineering and Medical Informatics Case Study Seminar on Management of Hyperglycemia in the ICU”. •Designed to be the first in a series of “Case Study” courses, each of which will: – provide a vehicle for bringing researchers in engineering and medicine together for in-depth study of a health-related topic, – create the opportunity to learn from the diverse perspectives of researchers in different fields and – foster innovative solutions to challenging problems. •Formed a student Education Committee: – To provide input on educational activities and help with their organization, such as invited speakers, case study seminars, tours, tutorials, and poster sessions 22
    23. 23. Marketing and Recruiting • Created a Director of Recruiting: – Executive Committee Member (G. Gerling) in charge of tracking openings, project opportunities, and managing recruitment of trainees • Formed a student Marketing and Reporting Committee: – To design and publish a tri-annual newsletter and to help with tracking metrics for the MINDSET program • Formed a student Website Committee: – To design, publish and maintain the MINDSET website 23
    24. 24. Social Activities • Formed a student Social Committee: – To plan and organize celebrations, get-togethers and side trips at meetings At the Virginia Tech Highway Test Track, Blacksburg Annual badminton & barbeque party 24
    25. 25. Program Tracking • Created a Director of Budgets: – Executive Committee Member (E. Bass) in charge of tracking budgets and accounts • Collecting and formatting data to inform program evaluation 25
    26. 26. New Funding 26
    27. 27. Expanded Role of Division of Clinical Informatics 27 • New faculty lines and support staff – Will be hiring in the next year • Additional space – Including workspace for trainees in the health center and a usability testing laboratory
    28. 28. Summary of Year 3 28 • Program maturing: – Publications – Graduations – Distributed management structure across students and faculty – Case Study Seminar – Development of Metrics – New faculty, students, projects and funding
    29. 29. Goals for Year 4 29 • Continue to grow • Market the program internally and externally • Write successful renewal to NLM
    30. 30. 3rd Annual Review Agenda 11:30-12:00 Lunch 12:00-12:10 Welcome and Intros 12:10-12:45 Annual Progress Report (Guerlain) 12:45-1:30 Student Presentations (Lesniak, Baumgart) 1:30 - 2:15 Posters (outside health sciences library) 2:15 - 2:45 Diabetes Research Center (Patek) 2:45-3:05 Students and advisory board discussion (without exec committee) 3:05-3:25 Advisory Board finalizes recommendations 3:25-3:45 Group discussion (All) 3:45 Adjourn

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