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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 Classification

Value

Information Science Perception Interpretation Processing information Memory and recall


Strategic learning

Application in context

Information technology

Storing
Processing Analysing Information

Transmitting
Displaying

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 symptoms Is there uncertainty 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 ! MCQ (February 2002) (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?

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