Medical informatics

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Medical informatics

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Medical informatics

  1. 1. MedicalInformatics Dr.T.V.Rao MD Professor Of Microbiology Dr.T.V.Rao MD 1
  2. 2. Albert Einstein•Imagination is more important than knowledge" Dr.T.V.Rao MD 2
  3. 3. Informatics• The application of information technologies to optimize the information management function within an organization Dr.T.V.Rao MD 3
  4. 4. Information technology• Any technology which processes and communicates data, includes: – computers, voice, data and image sensing and communications devices, graphics devices, multi-media storage, etc. – pen, paper, telephones and fax machines Dr.T.V.Rao MD 4
  5. 5. Medical Informatics"the science of analysis, documentation, steering, control and synthesis of information processes within the health care delivery system, especially in the classical environment and medical practice". Recihertz P Protokoll der Klausurtagung Ausbildungsziele, Inhalte und Methoden in der Medizinischen Informatik Ulm: Reisenberg/b. 1973 Dr.T.V.Rao MD 5
  6. 6. Health or Medical InformaticsThe terms medical informatics and health informaticshave been variously defined, but can be best understood asthe understanding, skills and tools that enable the sharingand use of information to deliver healthcare and promotehealth. Health informatics is now tending to replace thepreviously commoner term medical informatics, reflectinga widespread concern to define an information agenda forhealth services which recognises the role of citizens asagents in their own care, as well as the major information-handling roles of the non-medical healthcare professions. Dr.T.V.Rao MD 6BMIS (2002)
  7. 7. Medical Informatics Knowledge Clinical Information Management ManagementCommunication Decision Support Dr.T.V.Rao MD 7
  8. 8. Health Informatics• Health informatics is seen as to be concerned with the individual and group behaviour of health care personnel in their interaction with information and information technologies.• Medical informatics is seen to be rooted in medicine and computer science – the social, organizational, and policy aspects of information technology are not usually taken into consideration Dr.T.V.Rao MD 8
  9. 9. Health Informatics consists of • Information Technology – Health care – Research – Education • Fundamentals – Communication – Knowledge Management – Decision support – Clinical Information Management Dr.T.V.Rao MD 9
  10. 10. Are too slow adopting the change • Medical schools have long recognized the need to revise their teaching methodology, but have been slow to change. Dr.T.V.Rao MD 10
  11. 11. Why Learn Medical Informatics?• In the 1920-1930s the Radio was very cool.• In those days, the Radio was not a black box with buttons you have in your car.• To get a good reception, you had to know a little bit about electronics and things... Dr.T.V.Rao MD 11
  12. 12. Why Learn Medical Informatics?• Computers are fast and affordable today.• If you don’t know a little bit about what "coils” are inside -• you will get frustrated and will bother other people.• And yet we want computers and IT now! Dr.T.V.Rao MD 12
  13. 13. ICT based Leaning• As we have to use information and communication technologies (ICT) in education but how to do so, and how to ensure equitable access for teachers and learners, ICT removes problems concerning space and time. Computers are increasingly used in medical education. Dr.T.V.Rao MD 13
  14. 14. The first challenge• We have to prepare future physicians for the changing behaviors of patients, who are increasingly Internet- savvy and who sometimes appear to know more about their diseases than their own teachers Dr.T.V.Rao MD 14
  15. 15. The second challenge • This is closely linked to the first, is to raise awareness among physicians and Medical students in training of the many benefits of using ICT to Improve not only the quality of interventions and health care delivery but, from a broader perspective, the organization of the health care system itself Dr.T.V.Rao MD 15
  16. 16. The third challenge• Is to motivate medical students and practitioners to use ICT to find information, learn and develop. It is proposed that information• Literacy should be a mandatory skill for all medical students. The e-learning mode of training is also addressed. Although underemployed in most medical faculties, it represents the future of initial and continuous medical training. Virtual resources and communities, simulations and 3D animations are also discussed. Dr.T.V.Rao MD 16
  17. 17. The fourth challenge.• A further challenge inherent to the use of ICT in medical education is how to implement this innovation into teaching and learning Dr.T.V.Rao MD 17
  18. 18. Objectives: To train all theMedical students and Faculty in the Medical information and Technology Dr.T.V.Rao MD 18
  19. 19. Medical Education is shifting to Problem based learning• There has been a philosophical shift in medical education in recent years.• Pioneered by the McMaster and Newcastle medical schools, there has been a move from the traditional lecture- focussed program to a problem-based approach (Harden). Dr.T.V.Rao MD 19
  20. 20. Information fluency is the intersection of information literacy, computer literacy and critical thinking. Dr.T.V.Rao MD 20
  21. 21. Computers – Medicine• Computer and power of computers in the science and medicine Dr.T.V.Rao MD 21
  22. 22. Modern Methods of www.search • Use of Internet, Modern methods in Internet search Dr.T.V.Rao MD 22
  23. 23. ICT – Medicine• Information and communicatio n technology for Medical professionals Dr.T.V.Rao MD 23
  24. 24. E-learning and Resources • Retrieval of Medical information • e-learning in Medicine • Podcasting and Video casting in Medicine Dr.T.V.Rao MD 24
  25. 25. Contributing on WWW• Contributing and sharing our knowledge on World Wide Web Dr.T.V.Rao MD 25
  26. 26. Medical Informatics Improves Educational Strategies• Didactic vs problem solving• Competencies – Word processing – Information retrieval – Information management – Data analysis – Presentation – Communication skills • E-mail, file transfer, web Dr.T.V.Rao MD 26
  27. 27. Knowledge is exploding and Patients are demanding Dr.T.V.Rao MD 27
  28. 28. Medical Education is shifting to Problem based learning• There has been a philosophical shift in medical education in recent years.• Pioneered by the McMaster and Newcastle medical schools, there has been a move from the traditional lecture- focussed program to a problem-based approach (Harden). Dr.T.V.Rao MD 28
  29. 29. Orientation by teachers is the primary goal • By making our primary goal the preparation of students to be medical information managers, we have a strong rationale for the inclusion of medical informatics applications into the curriculum. This goal also provides a criterion by which the appropriateness of curricular offerings can be judged and the outcomes of instruction can be evaluated. Dr.T.V.Rao MD 29
  30. 30. Informatics Use in Health Care• Communication • Decision Support – Telemedicine – Reminder systems – Tele-radiology – Diagnostic Expert Systems – Patient e-mail – Drug Interaction – Presentations • Information Management• Knowledge management – Electronic Medical Records – Journals – Consumer Health information – Billing transactions – Evidence-based medical – Ordering Systems information Dr.T.V.Rao MD 30
  31. 31. Computer-aided instruction• These include computer-aided instruction, learning about computers and their applications, use of computer-based information resources, use of computers as a tool and as a mechanism for information management, decision support and communication.) While medical informatics includes computer applications, it is not limited only to the use of computers, but includes the knowledge, skills and attitudes involved in seeking, manipulating and using biomedical information. Dr.T.V.Rao MD 31
  32. 32. Best strategy/practice?!Allow users/students to do the work themselves. Then, we shouldsimply follow up with them to make sure that they are successful. Socratic questioning (i.e., reference interview) is useful too! Dr.T.V.Rao MD 32
  33. 33. Faculty should provide electronic information• Faculty must identify the prerequisite information and skills that students need to enable them to access electronic information sources, as well as the course content the student needs to "know" and the information the student needs to "know how to access" electronically. Dr.T.V.Rao MD 33
  34. 34. Virtual reality in teaching a priority in Medical Education• The use of virtual reality in simulated procedures is a new application of computers in medical education and is as yet in its infancy. Procedures can be standardised and trainees able to test and practice their skills. Dr.T.V.Rao MD 34
  35. 35. Medical Informatics to be part of Curriculum• Medical informatics to be incorporated into medical school curricula in developing world. So Medical informatics allows physicians to access, analyze, and manage information so that they can make educated decisions in patient care .The use of computers and the related technology is essential for communication and information-sharing with colleagues, for public and patient education, and for professional development Dr.T.V.Rao MD 35
  36. 36. Continued efforts by Faculty will create interest• Continued efforts must be made to teach them the skills necessary so that they can benefit from available and evolving technology. In addition, we recommend that students be introduced to computer-based testing early in their medical school careers to improve their comfort levels with this medium Dr.T.V.Rao MD 36
  37. 37. So, I think information fluency is … communicating, problem solving, evaluating, analyzing, synthesizing, and reflecting on the entire process.… having the ability to think critically while being able to apply thisthinking across a variety of “literacies” (e.g., information,technological, cultural, scientific etc.) in order to “fosterunderstanding, support sound decision-making, and guide action” inthe classroom and beyond! Dr.T.V.Rao MD 37
  38. 38. Students should develop interest in electronic information • Students attitudes toward their education may also have to change. Students need to learn that they must be information seekers as well as information managers. They also need to acquire knowledge about relevant sources of information, and the skills to access electronic information. Dr.T.V.Rao MD 38
  39. 39. Medical Informatics makes the better Health Managers• Our primary goal the preparation of students to be medical information managers, we have a strong rationale for the inclusion of medical informatics applications into the curriculum. Dr.T.V.Rao MD 39
  40. 40. Progress of Medical Informatics• Many Medical Informatics research centres developed computerized medical record systems• Incorporating Medical Informatics design principles.• With the shift to clinician-driven designs…• Many of these survived today and others are making a resurgence Dr.T.V.Rao MD 40
  41. 41. Patient data is most important source of information Change from Hard copy to Soft copies• As medical knowledge continues to expand rapidly with demands for more efficient coordination of patient data become paramount, and the pressures for improved practice and application of evidence based medicine increases, medical informatics will have increasing influence in our working lives as clinicians. Dr.T.V.Rao MD 41
  42. 42. An information literate individual …Determines the extent of information needed.Accesses the needed information effectively and efficiently.Evaluates information and its sources critically.Incorporates selected information into one’s knowledge base.Uses information effectively to accomplish a specific purpose.Understands the economic, legal, and social issues surrounding the use of information, and access and use information ethically and legally. Source: ACRL Information Literacy Competency Standards for Higher Education Dr.T.V.Rao MD 42
  43. 43. No matter what the future bringswe will always need the skills to think critically about whatever information is in front of us –regardless of format. Technologycannot truly comprehend for us! Dr.T.V.Rao MD 43
  44. 44. Information technology is not a remedy for all ills in Medical Education• Information technology must not be viewed as a potential cure to the current ailments of medical education. It may be part of the solution and should be treated as such Dr.T.V.Rao MD 44
  45. 45. Training Our Medicos a Priority• Medical informatics certainly helps to fill the gaps in teaching methods. Training our Medicos in ICT will change the perceptions of Health care and Delivery system. Dr.T.V.Rao MD 45
  46. 46. e- books and e-resources• Electronic learning (e- learning) is moving from textbooks in electronic format (that are increasingly enhanced by the use of multimedia adjuncts) to a truly interactive medium that can be delivered to meet the educational needs of students and postgraduate learners Dr.T.V.Rao MD 46
  47. 47. Indian Journal of Medical Informatics (IJMI)• Indian Journal of Medical Informatics (IJMI) is an Open Access, peer-reviewed, online journal adopting a broad definition of "medical informatics" and focusing on the applied aspects of computers to healthcare delivery. Dr.T.V.Rao MD 47
  48. 48. Summary• Medical Informatics discipline is not new• Yet appears to only be in its infancy in terms of enhancing medical practice• Medical Informatics has the potential to benefit patient care as much as a newly discovered drug / therapy• Yet direct benefits will not come in classic form – therapeutic interventions. Dr.T.V.Rao MD 48
  49. 49. • Created by Dr.T.V.Rao MD for ‘e’ learning resources for Medical professionals in Developing World • Email • doctortvrao@gmail.com Dr.T.V.Rao MD 49

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