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Fifteen years medical information sciences: the Amsterdam curriculum.

OBJECTIVES: To inform the medical informatics community on the rational, goals, evolution and present contents of the Medical Information Sciences program of the University of Amsterdam and our achievements. METHODS: We elaborate on the history of our program, the philosophy, contents and organizational structure of the present-day curriculum. Besides, we describe the various didactic approaches in the program and the rational for these. Finally, we analyze the contents of our program in respect to the IMIA recommendations for dedicated programs in health and medical informatics. RESULTS AND CONCLUSIONS: Since its foundation in 1987, the program has undergone several major modifications. From a degree program following medical school it developed into a full-fledged, dedicated 4-year program on medical information sciences training high-school graduates for a master degree. The curriculum has been based from its outset within the University of Amsterdam-Faculty of Medicine. This organizational structure leaves ample opportunity for integration of the informatics-oriented components with the medical and health care-oriented components in the program. Student-centered approaches are heavily employed in the program, emphasizing students' critical appraisal and a style of life-long learning. Overall, our program follows the IMIA recommendations with slightly more focus on medicine and health care organization.

Education, Graduate↗

Citation analysis in journal rankings: medical informatics in the library and information science literature.

Medical informatics is an interdisciplinary field. Medical informatics articles will be found in the literature of various disciplines including library and information science publications. The purpose of this study was to provide an objectively ranked list of journals that publish medical informatics articles relevant to library and information science. Library Literature, Library and Information Science Abstracts, and Social Science Citation Index were used to identify articles published on the topic of medical informatics and to identify a ranked list of journals. This study also used citation analysis to identify the most frequently cited journals relevant to library and information science.

Bibliometrics↗

Health science information management. An approach to improving QA and clinical practice.

To help quality assurance (QA) professionals and clinical practitioners keep up with advances in health care knowledge and technology, we describe a prototype Health Science Information Management (HSIM) publication. We conceptualize HSIM to include: (a) identification of unique science information needs; (b) rapid retrieval of valid needed information; and (c) use the information to improve health care benefits. To more adequately accomplish these functions, we suggest that five specific categories of information will be essential: (1) reports of recent advances in Science Information Management methods; (2) original reports of Science Information Syntheses (SISs) providing information immediately applicable for QA; (3) previously published reports of "classic" SISs relevant to QA; (4) reviews of new technologies and products immediately applicable to quality management; (5) cumulative indexing of the above methods and products. Making the above information available to QA professionals might substantially improve the impact of quality management.

Abstracting and Indexing↗

Chemical information science coverage in Chemical Abstracts.

For many years Chemical Abstracts has included in its coverage publications on chemical documentation or chemical information science. Although the bulk of those publications can be found in section 20 of Chemical Abstracts, many relevant articles were found scattered among 39 other sections of CA in 1984-1985. In addition to the scattering of references in CA, the comprehensiveness of Chemical Abstracts as a secondary source for chemical information science is called into question. Data are provided on the journals that contributed the most references on chemical information science and on the languages of publication of relevant articles.

Abstracting and Indexing↗

Health information science at the University of Victoria: the first ten years.

The University of Victoria has the only program in Canada offering a Bachelor of Science degree in Health Information Science. To meet the requirements of the degree, students must complete 40 courses and 4 CO-OP work terms over 4.3 years. The School admits 30 students each September of which 60% are normally female. Seventy-five percent of the students come from British Columbia, ranging in age from 18 to 42 with the average age being 26 years. In addition to recent high school graduates, over 40% have previous degrees or diplomas, and 65% have over 5 years of work experience. The School's teaching team consists of 5 full-time faculty, 3 professional staff and 4 part-time faculty. The majority of the faculty have health backgrounds, totalling 135 person-years of practising health care experience. As of November 1992, the School had 113 graduates; 75% are employed in British Columbia, 18% are in other parts of Canada and 7% outside the country. Forty-five percent of the graduates work in government departments including community health agencies; 29% work in hospitals; 26% work in management consulting firms, software houses, or computer hardware firms. They work as systems/project analysts, systems consultants, research assistants, planning analysts, system-support staff, trainers/developers and client account representatives. Some are already in senior management positions.

Adult↗

The medical information sciences program of Amsterdam.

The medical information sciences program of Amsterdam has been in existence for 15 years now. Starting in 1987, the program has been modified several times. Now a full-fledged 4 years master program exists. Students are taught skills to adequately and systematically apply information and communication technologies in order to optimize health care information processing. The program is offered within the Faculty of Medicine of the University of Amsterdam. The structure and contents of the current program will be described.

Curriculum↗

Health science information management and continuing education of physicians. A survey of U.S. primary care practitioners and their opinion leaders.

PURPOSE: To identify self-perceived problems in managing science information needs of U.S. primary practitioners and their opinion leaders. SAMPLE: A two-stage random sample of the American Medical Association's "Masterlist of Physicians" to identify 625 office-based physicians, including general practice, family practice, internal medicine, obstetrics and gynecology, and pediatrics, and 100 physician opinion leaders. DATA COLLECTION: A formal telephone survey was completed for 79% of practitioners and 90% of opinion leaders sampled, using a pretested instrument applied by trained telephone surveyors. RESULTS OF DATA ANALYSIS: Both practitioners and opinion leaders claimed that published reviews were the most useful means of identifying their information needs. When asked about use of six recent clinical advances, that is, "markers," for example, hemoglobin-A1C for diabetic control, as many as one fifth to one half were not using or were not aware of such an advance. Less than 1 in 3 practitioners personally searched the literature when information was needed; 2 in 3 claimed literature volume was unmanageable; 9 of 10 practitioners and opinion leaders assessed the scientific value of literature obtained, primarily from their own experience, with less than 1 in 10 contacting research methods specialists. Respondents suggested various innovations to better manage their science information needs in the future. CONCLUSIONS: Primary practitioners require substantial help in meeting current science information needs. Increase in such resources as "validated reviews" or "expert networks" might help meet these needs.

Education, Medical, Continuing↗

Physician-patient communication from the perspective of library and information science.

The physician-patient communication process has received little attention from library and information science (LIS) professionals. A limited review of other literature on this topic was undertaken to gain some understanding of the information exchange from an LIS perspective. The authors were interested in four issues, including how information is defined; how information-seeking behavior is portrayed; what barriers to information exist in the exchange process; and what role, if any, information plays in health outcomes. Studies have been conducted by researchers in various disciplines who have defined communication as a giving and seeking activity between the physician and the patient. Barriers to good communication, erected by either party or by both, prevent the participants from experiencing a satisfactory encounter. Because information can play a role in health outcomes, various strategies have been tried to improve the communication process. These studies provide a better understanding of the physician-patient encounter and suggest new areas of patient-centered research for LIS professionals.

Canada↗

Health information science at UVic: the student perspective.

The graduates and students of the School of Health Information Science (HIS) at the University of Victoria (UVic) have pioneered the Canadian sphere in health informatics since 1982. After six years of growth this co-operative education program has matured and establishment of a research base and graduate school has become a recent focus. In this context an evaluation of the HIS curriculum and co-op work experience from the student perspective was undertaken. Eighty-five persons, including 50 upper level students were surveyed. Thirty-five graduates were tracked and queried regarding their present employment, job satisfaction, future goals and perception of their professional status. In particular, students were queried on the retrospective value and/or shortcomings of the HIS co-op program. Their perceptions on the training that they have had or that they observe as leading to successful careers is documented. The student view on the ascribed role of 'change agent' and concerns regarding the lack of professional identity are noted. The implications of these findings on the future form of the Health Information Science curriculum and the direction of its educational model are subsequently discussed.

British Columbia↗

Computers, health care, and medical information science.

The clinical laboratory is examined as a microcosm of the entire health care delivery system. The introduction of computers into the clinical laboratory raises issues that are difficult to resolve by the methods of information science or medical science applied in isolation. The melding of these two disciplines, together with the contributions of other disciplines, has created a new field of study called medical information science. The emergence of this new discipline and some specific problem-solving approaches used in its application in the clinical laboratory are examined.

Clinical Laboratory Techniques↗

Education in science information management. The foundation for quality assurance in the 1990's.

This article explores the need for health care quality assurance professionals to keep up with scientific information related to both quality management and clinical medicine. Using data from a recent survey of this nation's primary practitioners and their national opinion leaders, the three basic functions of science information management are reviewed and related to QA tasks. The article suggests that education and training for QA professionals in "science information management" might substantially enhance their impact in terms of improved outcomes of health care. Finally, several basic educational goals are listed for those who wish to develop proficiency in this developing field of information management.

Data Collection↗

The School of Health Information Science at the University of Victoria: towards an intergrative model for health informatics education and research.

OBJECTIVES: There is an increasing need for well qualified health informatics practitioners and for educational programs that produce them. Since 1981, the School of Health Information Science at the University of Victoria has delivered a range of educational programs in health informatics. The School's objective has been to produce graduates who can assume a range of roles in health informatics, including managers, developers, researchers and evaluators of health care systems. METHODS: The approach taken by the School has been to provide an integrated 'holistic' approach to health informatics education that balances both theory and practice. The curriculum has emphasized interdisciplinary skills and has been based on a process of consultation with key stakeholders in both industry and academia. In addition, several new distance collaborative models for health informatics education (including a distributed MSc degree program) have been recently initiated through the University of Victoria with collaborating Canadian universities. RESULTS: To date, graduates of the programs offered have become highly sought after, with the demand for graduates of the programs continually exceeding the number of graduates. The core undergraduate curriculum has recently been undergone refinement to include training in new emerging areas of health informatics. In addition, a distributed MSc program has been successfully initiated by the School, currently with 23 students participating from dispersed geographical locations across Canada. CONCLUSIONS: The School of Health Information Science at the University of Victoria has been involved in providing unique interdisciplinary education in health informatics for over twenty years. The School continues to maintain its emphasis on integrated education, refining its curriculum and moving into new areas such as distance education and cross-Canadian collaborations.

Curriculum↗