Transcript Medical Informatics

Fourth Year Course in Medical Informatics
What is Medical Informatics?
Dr Peter Cantillon
Mr. Ben Kanagaratnum
Medical Informatics?
•What is Medical Informatics?
•Why bother with it?
•How is it used?
•What will this course be about?
•How will I be assessed?
•How will this course benefit me?
Medical Informatics is “the study of how
medical knowledge is created, shaped, shared
and applied.”
Enrico Coiera 1997
Information Science
Medical Informatics?
Information Technology
Types
Sources
Flow
Information Science
Processing
Value
Classification
Information Science
Perception
Interpretation
Processing information
Memory and recall
Application in context
Strategic learning
Information technology
•Storing
•Processing
•Analysing
•Transmitting
•Displaying
Information
Informatics
Information Science
Information Technology
Health Care
Incidental
Medical
Management
Clinical
Medical Informatics?
•What is Medical Informatics?
•Why bother with it?
•How is it used?
•What will this course be about?
•How will I be assessed?
•How will this course benefit me?
Why bother?
•Managing information
•Greater speed and efficiency
•Facilitating evidence based practice
•Improving communication
•Shared environment with patients
•Momentum toward IT solutions
Why bother with medical informatics?????
Overloaded curriculum
Running to stand still
Information explosion
Drowning in an ocean facts
Empowered patients
Medical uncertainty
Appendicitis
•Pain site, character, severity
Is medicine a science?
•Associated
Is there uncertaintysymptoms
in medicine?
If so why is there uncertainty in medicine?
•Physical signs
If so where does it occur in medical practice?
•Low grade fever
Medical uncertainty
40% removed at the appropriate time
30% perforated at the time of operation
30% “lily-white”
Making decisions within an uncertain context
Communicating information
•Doctor to doctor communication
•Doctor to nurse communication
•Doctor to patient communication
•Coding/defining medical phenomena
The true meaning of any utterance is that which is
construed.....
Is the saying “doctors differ and patients die” true??
•Inadequate communication
•Different information gathering skills
•Attention to detail
•Different interpretation skills
•In-built speciality biases
•Patient factors
Medical Informatics?
•What is Medical Informatics?
•Why bother with it?
•How is it used?
•What will this course be about?
•How will I be assessed?
•How will this course benefit me?
How is used?
Electronic patient record
Research and audit
Evidence based medicine
Communication
Diary and personal management
Decision support systems
Internet diagram
Virtual Private Networks
• Virtual Private Networks (VPNs) run over the Internet and
transparently encrypt the links between sites.
Dr. B. O Mahoney
Medical Informatics?
•What is Medical Informatics?
•Why bother with it?
•How is it used?
•What will this course be about?
•How will I be assessed?
•How will this course benefit me?
What this course is about?
Ensuring basic IT skills
Medical uses of the internet and on-line databases
Review of relevant statistical knowledge
How medical “truth” is derived
Introduction to EBM
How doctors make decisions
Electronic patient records
Medical Informatics?
•What is Medical Informatics?
•Why bother with it?
•How is it used?
•What will this course be about?
•How will I be assessed?
•How will this course benefit me?
Assessment
•Mini thesis (September-January)
•OSCE !
(February 2002)
•MCQ
(February 2002)
The Berman Prize is worth the effort
Medical Informatics?
•What is Medical Informatics?
•Why bother with it?
•How is it used?
•What will this course be about?
•How will I be assessed?
•How will this course benefit me?