OHSU

Clinical Informatics SubSpecialty Fellowship

From the Director

I am pleased to welcome applicants to OHSU’s new Clinical Informatics Fellowship Program. We are seeking physicians who are board-certified or board-eligible in any specialty for our new training program in clinical informatics, a subspecialty of all medical specialties.

Our Clinical Informatics Fellowship Program has received initial accreditation by the Accreditation Council for Graduate Medical Education (ACGME). We are now launching our application process for an initial group of trainees to begin in July, 2015. Many graduates will likely obtain employment in the growing number of Chief Medical Information Officer (CMIO) or related positions in healthcare and vendor organizations.

It is important to note that 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 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.

We look forward to receiving applications and having our first fellows start next summer!

Sincerely,

William Hersh, MD
Program Director, Clinical Informatics Fellowship
Professor and Chair, Department of Medical Informatics and Clinical Epidemiology


ABOUT THE FELLOWSHIP

OHSU is recruiting physicians for its newly established 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 2 fellows for the 2015-2016 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, 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. Last year, seven OHSU faculty physicians became board-certified in the new clinical informatics subspecialty.
OHSU was the third program in the country to receive accreditation in the country. Several other programs are also in the process of seeking accreditation, and a number of them will be using OHSU distance learning course materials for the didactic portion of their programs. (This summer, the first two fellows in the Stanford Packard Children's Hospital program took the introductory biomedical informatics course from OHSU.)

PROGRAM LEADERSHIP

William Hersh, MD, Program Director

Vishnu Mohan, MD, MBI, Associate Program Director

Thomas Yackel, MD, MPH, MS, Chief Health Information Officer and Associate Program Director

Andrea Ilg, Program Coordinator

 

FOR MORE INFORMATION

APPLY NOW

Application deadline is January 15, 2015.
Or contact Andrea Ilg, ilgan@ohsu.edu.

LEARNING EXPERIENCES

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 in an operational environment, 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

Fellows will develop subject matter expertise and leadership skills expected of future board certified clinical informaticians through exposure to practical experiences in clinical informatics operations, quality management, service excellence, and general management.

Operational Informatics Rotations

Operational informatics rotations will occur in the healthcare delivery environment, and fellows will be mentored by an informatics medical director.  Certification or proficiency in the Epi Care electronic health record will be required to ensure the fellow functions at maximal effectiveness throughout the rotation. If necessary, 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 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
  • Completion of the Institute for Healthcare Improvement (IHI) web-based instructional modules on quality improvement
  • Fellows will attend weekly EpicCare change management meetings at OHSU, monthly Clinical Decision Support Committee meetings, and monthly Health Information Committee meetings.

SAMPLE ROTATION BLOCK SCHEDULE

DIDACTIC 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 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, 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 clinical informatics fellowship informatics programs through its distance-learning program, fellows will be expected to participate in multi-site learning experiences. Fellows will also be expected to participate in weekly OHSU Informatics Conference on Thursdays, in regularly scheduled Fellows Meetings (which includes non-ACGME Fellows at DMICE) and at the Clinical informatics Journal Club organized by the Department.

CLINICAL PRACTICE

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

EXPECTED OUTCOME

By the time 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.

FOR MORE INFORMATION 

APPLY NOW

Application deadline  is January 15, 2015.
Or contact Andrea Ilg, ilgan@ohsu.edu.