Clinical Informatics SubSpecialty Fellowship

From the Chair, Department of Medical Informatics and Clinical Epidemiology

I am pleased to welcome applicants to OHSU's ACGME-accredited Clinical Informatics Fellowship Program. Unlike other clinical subspecialties, clinical informatics is a specialty of all medical specialties. We are seeking physicians who are board-certified or board-eligible in any specialty to apply to our training program in clinical informatics.

We anticipate that graduates of our program will likely obtain employment in the growing number of Chief Medical Information Officer (CMIO) or related leadership positions in healthcare and vendor organizations.

This clinical informatics fellowship is an addition to the suite of informatics educational offerings by OHSU and does not replace any existing offerings. We continue to have our graduate program (Graduate Certificate, two master's degrees, and PhD degree) as well as our other research fellowships, including the flagship program funded by the National Library of Medicine. Our student population will continue to include not only physicians, but also those from other healthcare professions, information technology, and a wide variety of other fields. Job opportunities in the biomedical and health informatics continue to be strong and well-compensated.

Sincerely,
William Hersh, MD
Professor and Chair, Department of Medical Informatics and Clinical Epidemiology


From the Program Director, Clinical Informatics Subspecialty Fellowship


We are now launching our application process for our third cohort of trainees to begin in July, 2017.

The clinical informatics subspecialty program at OHSU builds on our existing masters, PhD and NLM fellowship programs and offers a two year, full-time training experience that immerses housestaff in the clinical informatics environment here at OHSU and at our partner institutions.

Fellows gain broad, in-depth knowledge of the clinical informatics operational environment, and rotate through a variety of experiences that builds their informatics competencies. They also earn a formal graduate certificate in informatics, with the opportunity to progress towards a master's degree, if they so desire.

Clinical informatics fellows are an integral part of the vibrant learning culture here at OHSU, interacting with both on-campus as well as online DMICE students. They also interact closely with operational informaticians and CI leadership, have substantial opportunities to conduct research, and engage in scholarly activities within both DMICE and their clinical departments.

By the time their training is completed, Fellows will have received hands-on education in clinical informatics and will be prepared for a position equivalent to a medical director of informatics, and be well on their way towards becoming a leader in the field.

And of course, OHSU is located in Portland, Oregon: a vibrant city with its own unique flavor. We think that Portland is an ideal location to find both professional satisfaction and personal happiness, and we look forward to being a part of your future.

Sincerely,
Vishnu Mohan, MD MBI MBCS FACP
Program Director, Clinical Informatics Subspecialty Program

 


ABOUT THE FELLOWSHIP

OHSU is recruiting physicians for its Clinical Informatics Fellowship. As defined by ACGME, 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."

We are currently recruiting 3 fellows for the 2017-2018 academic year. The fellowship is affiliated with the OHSU Department of Medicine, with additional administrative support provided by the OHSU Department of Medical Informatics and Clinical Epidemiology. Physicians of all medical specialties may apply, and eligibility for subspecialty certification is not limited to any particular medical specialty.

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). Fellows will work through various rotations in different clinical informatics operational settings, not only at OHSU Hospital but also the Portland VA Medical Center. They will also take classes in the OHSU Graduate Certificate Program that will provide them the knowledge base of the field and prepare them for the board certification exam at the end of their fellowship. Fellows will also continue their clinical practice in their primary specialty.

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.

The new specialty was launched in 2013, with physicians already working in the field able to sit for the certification exam conducted by the American Board of Preventive Medicine (ABPM) by meeting prior practice requirements. Starting in 2018, this "grandfathering" pathway will be discontinued, and only those completing an ACGME-accredited fellowship will be board-eligible. OHSU was the third program in the country to receive accreditation in the country. 

DMICE has a large educational component, and features one of the most extensive and robust informatics course catalogs in the nation. Clinical informatics fellows participate in formal didactic learning with other DMICE students, and with fellows from several other CI fellowship programs that also use OHSU distance learning course materials for the didactic portion of their programs.

PROGRAM LEADERSHIP

Vishnu Mohan, MD, MBI, Program Director
William Hersh, MD, Associate Program Director
Thomas Yackel, MD, MPH, MS, Chief Health Information Officer and Associate Program Director
Crystal Goodman, Program Coordinator
Andrea Ilg, Program Manager


LEARNING EXPERIENCES

CLINICAL INFORMATICS ROTATIONS

Fellows rotate through a number of clinical informatics rotation at OHSU Hospital and Clinics and our partner institutions, including the Portland VA Medical Center and OCHIN.

Fellows will have broad exposure to both the front end as well as back end functionality of EpicCare at OHSU and VistA at the Portland VAMC.  Certification or proficiency in Epic and VistA use will be required to ensure the fellow functions at maximal effectiveness throughout their rotations. If necessary, the program will assist the fellow in obtaining necessary Epic certification.

The outcome of the clinical informatics 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.

SAMPLE ROTATION BLOCK SCHEDULE

Leadership Development

Leadership development will consist of formal training coupled with mentorship. Formal training options available to fellows include participation in leadership experiences offered by OHSU such as their Pathways to Leadership Program, training in LEAN improvement methodology, participation and leadership of rapid process improvement events and projects, and completion of the Institute for Healthcare Improvement (IHI) web-based instructional modules on quality improvement.

Fellows also attend regularly scheduled clinical informatics management meetings at OHSU, informatics committee meetings, and Health Information Committee meetings.

 

DIDACTIC CLINICAL INFORMATICS EDUCATION

Fellows are expected to participate in classroom experiences that aim to provide mastery of the core content of the field and enables them to successfully pass the clinical informatics board certification after completing 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). In consultation with the program director, 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.

Rather than follow the traditional "noon conference" model of didactic face-to-face learning prevalent in most clinical fellowship programs, Fellows participate in an "academic half-day" of didactic learning, including weekly OHSU Informatics Conferences, monthly Clinical Informatics Grand Rounds, regularly scheduled Fellows Meetings (which includes non-ACGME Fellows at DMICE), and at the Clinical informatics Journal Club organized by the Department. They also engage in the clinical informatics equivalent of a "chief of service" rounds, which offers them unique opportunities to interact with faculty.

CLINICAL PRACTICE

Fellows will also be expected to maintain about 10-15% FTE practice in their primary clinical specialty. The program will work with the Fellow to find a suitable practice setting.

Frequently asked questions

How to apply