OHSU

Clinical Informatics Fellowship

Program Leadership

William Hersh, MD, Program Director
Thomas Yackel, MD, MPH, MS, Associate Program Director
Vishnu Mohan, MD, MBI, Associate Program Director

Andrea Ilg, Program Coordinator

About the Fellowship

OHSU is recruiting physicians for its newly established Clinical Informatics Fellowship. This fellowship will provide physicians with training in clinical informatics that will enable them to achieve board certification in the new subspecialty of clinical informatics, and will follow the format of the guidelines recently published by the Accreditation Council for Graduate Medical Education (ACGME). The fellowship is currently applying to obtain ACGME accreditation, which will be awarded to programs starting this year. Fellows will divide their time between informatics project work, didactic courses leading to the awarding of the Graduate Certificate in Biomedical Informatics, and clinical practice in their primary specialty.

We currently aim to recruit 1-2 fellows for the 2015 academic year. The fellowship is affiliated with the OHSU Department of Medicine, with additional administrative support provided by the OHSU Department of Medical Informatics & Clinical Epidemiology. Physicians of all medical specialties may apply.

Clinical informatics is the subspecialty of all medical specialties that transforms health care by analyzing, designing, implementing, and evaluating information and communication systems to improve patient care, enhance access to care, advance individual and population health outcomes, and strengthen the clinician-patient relationship. Eligibility for subspecialty certification is not limited to any particular medical specialty. The new specialty was launched in 2013, with physicians already working in the field able to sit for the certification exam by meeting prior practice requirements. Starting in 2018, this "grandfathering" pathway will go away, and only those completing an ACGME-accredited fellowship will be board-eligible.

This new fellowship does not replace any existing OHSU informatics fellowship or other informatics educational program. It is a new addition to the OHSU family of informatics educational opportunities that includes a graduate program, a research fellowship funded by training grants from the NLM and other sources, and clinical fellowships offered by the Portland VA and Kaiser Permanente Northwest.

For More Information

Please contact Andrea Ilg at ilgan@ohsu.edu. Application for 2015 admission will be available shortly.

Clinical Informatics Experience

An essential component of OHSU Clinical Informatics Fellowship program is the Clinical Informatics Experience (CIE), which will give fellows real-world experience managing an electronic health record. As part of their CIE, fellows will engage in progressively larger leadership responsibilities for clinical informatics work at OHSU, under the mentorship of practicing informaticians. The outcome of the clinical experience will be a leadership portfolio that will allow the fellow to demonstrate to future employers the type and quality of work he/she has completed. The components of the portfolio will be a series of goal-directed projects that demonstrate the effectiveness of the fellow in real-world experience.

Objective of the CIE

Participation in the CIE will develop subject matter expertise and leadership skills of future board certified clinical informaticians through exposure to practical experiences at OHSU in clinical informatics operations, quality management, service excellence, and general management

Operational Informatics Rotations

Operational informatics rotations will be connected to the fellow's home clinical department and will consist of projects mentored by a paired informatics medical director.  Certification or proficiency in the Epic electronic health record will be required to ensure the fellow functions at maximal effectiveness throughout the rotation. The program will assist the fellow in obtaining necessary Epic certification.

Leadership Development

Leadership development will consist of formal training and mentorship. Formal training options available to fellows include:

·      Participation in the OHSU Pathways to Leadership Program

·      Training in the lean improvement methodology

·      Participation and leadership of rapid process improvement events

·      Completion of the Institute for Healthcare Improvement (IHI) web-based instructional modules on quality improvement (www.improvementskills.org)

Fellowship Clinical Requirements

Year One

·      Administrative meeting attendance

o   Attend weekly EpicCare change management meetings

o   Attend monthly Clinical Decision Support Committee meeting

o   Attend monthly Health Information Committee meeting

Year Two

·      Administrative meeting attendance

o   Attend weekly EpicCare change management meetings

o   Attend monthly Clinical Decision Support Committee meeting

o   Attend monthly Health Information Committee meeting

·      Completion of 24 credits of coursework required for the OHSU Graduate Certificate in Biomedical Informatics (optionally, fellows may choose to pursue a master's degree in Biomedical Informatics)

·      Attendance and presentation of project at Epic Provider Advisory Council

Outcomes

Fellow will have received hands on training in clinical informatics and by the end of their training will be prepared for a position equivalent to a medical director of informatics.

Clinical Informatics Education

Fellows will be expected to participate in classroom experiences that aim to provide mastery of the core content of the field and successfully pass the clinical informatics board certification exam at the end of the program. The default educational experience will be the OHSU Graduate Certificate in Biomedical Informatics program, which provides 24 credits of coursework (8 three-credit courses, with some credit obtained for project work). (In consultation with the program, fellows may optionally pursue a master's degree that is a superset of the Graduate Certificate.) Fellows will also have the opportunity to be involved in clinical informatics education for medical students, residents, and other clinicians.

As OHSU is providing coursework to other informatics programs through its distance-learning program, fellows will be expected to participate in multi-site videoconferences. Fellows will also be expected to participate in weekly OHSU Informatics Conference on Thursdays.

Clinical Practice

Fellows will also be expected to maintain about 20% FTE practice in their primary clinical specialty. The fellowship program will work with the fellow to find a suitable practice setting.

For More Information

Contact Andrea Ilg, ilgan@ohsu.edu.