fourth year course in medical informatics dr peter cantillon mr. ben kanagaratnum what is medical...
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Fourth Year Course in Medical Informatics
Dr Peter Cantillon
Mr. Ben Kanagaratnum
What is Medical Informatics?
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
Strategic learning
Perception
Memory and recall
Application in context
Interpretation
Processing 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?
•Managing information
•Greater speed and efficiency
•Facilitating evidence based practice
•Improving communication
•Shared environment with patients
•Momentum toward IT solutions
Why bother?
Why bother with medical informatics?????
Information explosion
Drowning in an ocean facts
Overloaded curriculum Running to stand still
Empowered patients
Medical uncertainty
Appendicitis
•Pain site, character, severity
•Associated symptoms
•Physical signs
•Low grade fever
Is medicine a science?
Is there uncertainty in medicine?
If so why is there uncertainty in medicine?
If so where does it occur in medical practice?
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
The true meaning of any utterance is that which is construed.....
•Doctor to doctor communication
•Doctor to nurse communication
•Doctor to patient communication
•Coding/defining medical phenomena
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?
Electronic patient record
Research and audit
Evidence based medicine
Communication
Diary and personal management
How is used?
Decision support systems
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?
How doctors make decisions
How medical “truth” is derived
Ensuring basic IT skills
Introduction to EBM
Review of relevant statistical knowledge
Medical uses of the internet and on-line databases
Electronic patient records
What this course is about?
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?
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