PDF herunterladen
Methods Inf Med 2009; 48(01): 66-75
DOI: 10.3414/ME9134
Original Articles
Schattauer GmbH

Challenges in the Evolution of the Medical Informatics Program at Heidelberg/Heilbronn (Germany)

P. Knaup
1   University of Heidelberg, Department of Medical Informatics, Heidelberg, Germany
,
M. Haag
2   University of Applied Sciences Heilbronn, Faculty for Informatics, Heilbronn, Germany
,
F. J. Leven
2   University of Applied Sciences Heilbronn, Faculty for Informatics, Heilbronn, Germany
,
H. Dickhaus
1   University of Heidelberg, Department of Medical Informatics, Heidelberg, Germany
2   University of Applied Sciences Heilbronn, Faculty for Informatics, Heilbronn, Germany
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
17. Januar 2018 (online)

    Lizenzen und Reprints

Summary

Objective: Health and medical informatics (HMI) is an evolving discipline. Therefore, evolving educational programs in HMI have to take a variety of requirements into account. The aim of this paper is to analyze these requirements and to compare them with the medical informatics program Heidelberg/Heilbronn, Germany.

Methods: Systematic analysis of the IMIA recommendations on educating HMI, the Bologna declaration, current technological and health care developments and the results of graduates surveys.

Results: The latest revision of the Heidelberg/ Heilbronn medical informatics program not only takes current developments into account but also realizes the IMIA recommendations, the Bologna declaration and graduates’ data and feedback obtained in structured surveys. The topics bioinformatics, IT security and tele-medicine were strengthened, taking major research and application trends into account. The program has been transformed into a consecutive bachelor/master program. It qualifies its graduates to work in the field of medical informatics as well as in informatics.

Conclusions: Medical informatics is a very broad field. Programs have to make concessions to scope: It is not possible to provide profound knowledge and skills in computer science and also teach a variety of application areas like bioinformatics, public health informatics and clinical informatics in depth within one medical informatics program. Many graduate programs in various nations concentrate on providing HMI skills to health care professionals.

Keywords

Medical informatics - health informatics - education
 

  • References

  • 1 Demiris G, Afrin LB, Speedie S, Courtney KL, Sondhi M, Vimarlund V. et al. Patient-centered applications: use of information technology to promote disease management and wellness. A white paper by the AMIA knowledge in motion working group. J Am Med Inform Assoc 2008; 15 (01) 8-13.
    CrossrefPubMedSuche in Google Scholar
  • 2 Shabo A. A global socio-economic-medico-legal model for the sustainability of longitudinal electronic health records. Part 1. Methods Inf Med 2006; 45 (03) 240-245.
    Thieme ConnectPubMedSuche in Google Scholar
  • 3 Shabo A. A Global Socio-economic-medico-legal Model for the Sustainability of Longitudinal Electronic Health Records – Part 2. Methods Inf Med 2006; 45 (05) 498-505.
    Thieme ConnectPubMedSuche in Google Scholar
  • 4 Davies FD. User acceptance of information technology: system characteristics, user perception, and behavioural impact. Int J Man-Machine Studies. 1993; factors for failure or success; 38: 475-487.
    PubMedSuche in Google Scholar
  • 5 Healy JC. The WHO eHealth Resolution – eHealth for all by 2015?. Methods Inf Med 2007; 46 (01) 2-4.
    Thieme ConnectPubMedSuche in Google Scholar
  • 6 Leven FJ, Knaup P, Schmidt D, Wetter T. Medical informatics at Heidelberg/Heilbronn: status – evaluation – new challenges in a specialised curriculum for medical informatics after thirty years of evolution. Int J Med Inform 2004; 73 (02) 117-125.
    CrossrefPubMedSuche in Google Scholar
  • 7 Haux R, Grant A, Hasman A, Hovenga E, Knaup P. Recommendations of the International Medical Informatics Association (IMIA) on Education in Health and Medical Informatics. Methods Inf Med 2000; 39: 267-277.
    Thieme ConnectPubMedSuche in Google Scholar
  • 8 Knaup P, Frey W, Haux R, Leven FJ. Medical Informatics Specialists: What Are their Job Profiles? Results of a Study on the First 1024 Medical Informatics Graduates of the Universities of Heidelberg and Heilbronn. Methods Inf Med 2003; 42 (05) 578-587.
    Thieme ConnectPubMedSuche in Google Scholar
  • 9 Frey W, Haux R, Leiner F, Leven FJ. Medical Informatics Heidelberg/Heilbronn: Graduates’ Experiences and Job Situation. Methods Inf Med 1994; 33 (03) 290-298.
    Thieme ConnectPubMedSuche in Google Scholar
  • 10 Huang QR. Competencies for graduate curricula in health, medical and biomedical informatics: a framework. Health Informatics J 2007; 13 (02) 89-103.
    CrossrefPubMedSuche in Google Scholar
  • 11 Protti DJ, van Bemmel JH, Gunzenhuser R, Haux R, Warner H, Douglas JV. et al. Can health/medical informatics be regarded as a separate discipline?. Methods Inf Med 1994; 33 (03) 318-326.
    Thieme ConnectPubMedSuche in Google Scholar
  • 12 Shahar Y. Medical Informatics: Between Science and Engineering, Between Academia and Industry. Methods Inf Med 2002; 41: 8-11.
    Thieme ConnectPubMedSuche in Google Scholar
  • 13 Talmon JL, Hasman A. Medical Informatics as a Discipline at the Beginning of the 21st Century. Methods Inf Med 2002; 41: 4-7.
    Thieme ConnectPubMedSuche in Google Scholar
  • 14 Lander ES, Linton LM, Birren B, Nusbaum C, Zody MC, Baldwin J. et al. Initial sequencing and analysis of the human genome. Nature 2001; 409 6822 860-921.
    CrossrefPubMedSuche in Google Scholar
  • 15 Venter JC, Adams MD, Myers EW, Li PW, Mural RJ, Sutton GG. et al. The sequence of the human genome. Science 2001; 291 5507 1304-1351.
    CrossrefPubMedSuche in Google Scholar
  • 16 Collins FS, McKusick VA. Implications of the Human Genome Project for medical science. JAMA 2001; 285 (05) 540-544.
    CrossrefPubMedSuche in Google Scholar
  • 17 Subramanian G, Adams MD, Venter JC, Broder S. Implications of the human genome for understanding human biology and medicine. JAMA 2001; 286 (18) 2296-2307.
    CrossrefPubMedSuche in Google Scholar
  • 18 Kulikowski CA. The Micro-Macro Spectrum of Medical Informatics Challenges: From Molecular Medicine to Transforming Health Care in a Globalizing Society. Methods Inf Med 2002; 41: 20-24.
    Thieme ConnectPubMedSuche in Google Scholar
  • 19 Martin-Sanchez F, Iakovidis I, Norager S, Maojo V, De Groen P, Van Der Lei J. et al. Synergy between medical informatics and bioinformatics: facilitating genomic medicine for future health care. J Biomed Inform 2004; 37 (01) 30-42.
    CrossrefPubMedSuche in Google Scholar
  • 20 Maojo V, Martin-Sanchez F, Billhardt H, Iakovidis I, Kulikowski C. Establishing an agenda for biomedical informatics. Methods Inf Med 2003; 42 (02) 121-125.
    Thieme ConnectPubMedSuche in Google Scholar
  • 21 Altman RB. The interactions between clinical informatics and bioinformatics: a case study. J Am Med Inform Assoc 2000; 7 (05) 439-443.
    CrossrefPubMedSuche in Google Scholar
  • 22 Kohane IS. Bioinformatics and clinical informatics: the imperative to collaborate. J Am Med Inform Assoc 2000; 7 (05) 512-516.
    CrossrefPubMedSuche in Google Scholar
  • 23 Miller PL. Opportunities at the intersection of bioinformatics and health informatics: a case study. J Am Med Inform Assoc 2000; 7 (05) 431-438.
    CrossrefPubMedSuche in Google Scholar
  • 24 McDonald CJ. Hickam 2000: the maturation of, and linkages between, medical informatics and bioinformatics. J Lab Clin Med 2001; 138 (06) 359-366.
    CrossrefPubMedSuche in Google Scholar
  • 25 Maojo V, Kulikowski CA. Bioinformatics and medical informatics: collaborations on the road to genomic medicine?. J Am Med Inform Assoc 2003; 10 (06) 515-522.
    CrossrefPubMedSuche in Google Scholar
  • 26 Friedman CP, Altman RB, Kohane IS, McCormick KA, Miller PL, Ozbolt JG. et al. Training the next generation of informaticians: the impact of “BISTI” and bioinformatics – a report from the American College of Medical Informatics. J Am Med Inform Assoc 2004; 11 (03) 167-172.
    CrossrefPubMedSuche in Google Scholar
  • 27 Johnson SB, Friedman RA. Bridging the gap between biological and clinical informatics in a graduate training program. J Biomed Inform 2007; 40 (01) 59-66.
    CrossrefPubMedSuche in Google Scholar
  • 28 van Mulligen EM, Cases M, Hettne K, Molero E, Weeber M, Robertson KA. et al. Training multidisciplinary biomedical informatics students: three years of experience. J Am Med Inform Assoc 2008; 15 (02) 246-254.
    CrossrefPubMedSuche in Google Scholar
  • 29 Berner ES. Implementation challenges for clinical and research information systems: recommendations from the 2007 winter symposium of the American College of Medical Informatics. J Am Med Inform Assoc 2008; 15 (03) 281-282.
    CrossrefPubMedSuche in Google Scholar
  • 30 Coiera E. Four rules for the reinvention of health care. BMJ 2004; 328 7449 1197-1199.
    CrossrefPubMedSuche in Google Scholar
  • 31 Halamka JD, Mandl KD, Tang PC. Early experiences with personal health records. J Am Med Inform Assoc 2008; 15 (01) 1-7.
    CrossrefPubMedSuche in Google Scholar
  • 32 Mandl KD, Kohane IS. Tectonic shifts in the health information economy. N Engl J Med 2008; 358 (16) 1732-1737.
    CrossrefPubMedSuche in Google Scholar
  • 33 Steinbrook R. Personally controlled online health data – the next big thing in medical care?. N Engl J Med 2008; 358 (16) 1653-1656.
    CrossrefPubMedSuche in Google Scholar
  • 34 Orwat C, Graefe A, Faulwasser T. Towards pervasive computing in health care – a literature review. BMC Med Inform Decis Mak 2008; 8: 26.
    CrossrefPubMedSuche in Google Scholar
  • 35 Saranummi N, Wactlar H. Editorial: pervasive healthcare. Selected papers from the Pervasive Healthcare 2008 Conference, Tampere, Finland. Methods Inf Med 2008; 47 (03) 175-177.
    Thieme ConnectPubMedSuche in Google Scholar
  • 36 Coiera E. Putting the technical back into socio-technical systems research. Int J Med Inform 2007; 76 (01) 98-103.
    CrossrefPubMedSuche in Google Scholar
  • 37 Coiera E, Hovenga EJ. Building a sustainable health system. IMIA Yearbook of Medical Informatics 2007. Methods Inf Med 2007; 46 (01) 11-18.
    PubMedSuche in Google Scholar
  • 38 Gagnon MP, Legare F, Fortin JP, Lamothe L, Labrecque M, Duplantie J. An integrated strategy of knowledge application for optimal e-health implementation: a multi-method study protocol. BMC Med Inform Decis Mak 2008; 8: 17.
    CrossrefPubMedSuche in Google Scholar
  • 39 Douglas JV, Hovenga EJ. Health and medical informatics competencies: call to participate in updating the IMIA recommendations. Methods Inf Med 2002; 41 (02) 86-88.
    Thieme ConnectPubMedSuche in Google Scholar
  • 40 Staggers N, Gassert CA, Curran C. Informatics competencies for nurses at four levels of practice. J Nurs Educ 2001; 40 (07) 303-316.
    PubMedSuche in Google Scholar
  • 41 McNeil BJ, Elfrink VL, Pierce ST, Beyea SC, Bickford CJ, Averill C. Nursing informatics knowledge and competencies: a national survey of nursing education programs in the United States. Int J Med Inform 2005; 74 11-12 1021-1030.
    CrossrefPubMedSuche in Google Scholar
  • 42 Curran CR. Informatics competencies for nurse practitioners. AACN Clin Issues 2003; 14 (03) 320-330.
    CrossrefPubMedSuche in Google Scholar
  • 43 Blumenthal JL, Mays BE, Weinfeld JM, Banks MA, Shaffer J. Defining and assessing medical informatics competencies. Med Ref Serv Q 2005; 24 (02) 95-102.
    CrossrefPubMedSuche in Google Scholar
  • 44 Covvey HD, Zitner D, Bernstein R, MacNeill JE. The development of model curricula for Health Informatics. Stud Health Technol Inform 2001; 84 Pt (02) 1009-1013.
    PubMedSuche in Google Scholar
  • 45 Saranto K, Hovenga EJ. Information literacy – what it is about? Literature review of the concept and the context. Int J Med Inform 2004; 73 (06) 503-513.
    CrossrefPubMedSuche in Google Scholar
  • 46 Garde S, Harrison D, Hovenga E. Skill needs for nurses in their role as health informatics professionals: a survey in the context of global health informatics education. Int J Med Inform 2005; 74 11–12 899-907.
    CrossrefPubMedSuche in Google Scholar
  • 47 Covvey HD, Fenton S, Mulholland D, Young K. Making health informatics competencies useful: an applied health informatics competency self-assessment system. Stud Health Technol Inform 2007; 129 Pt (02) 1357-1361.
    PubMedSuche in Google Scholar
  • 48 Möhr JR, Leven FJ, Rothemund M. Formal Education in Medical Informatics – Review of 10 Years’ Experience with a Specialized University Curriculum. Methods Inf Med 1982; 21: 169-180.
    Thieme ConnectPubMedSuche in Google Scholar
  • 49 Leven FJ, Klauck U. A Specialized Curriculum for Education in Medical Informatics: Review of 16 Years Experience with a Specialized University Curriculum. In: Salamon R, Protti D, Möhr JR. editors. International Symposium on Medical Informatics and Education. Victoria, B. C.: University Press; 1989. pp 552-557.
    Suche in Google Scholar
  • 50 Jaspers MW, Gardner RM, Gatewood LC, Haux R, Schmidt D, Wetter T. The International Partnership for Health Informatics Education: lessons learned from six years of experience. Methods Inf Med 2005; 44 (01) 25-31.
    Thieme ConnectPubMedSuche in Google Scholar
  • 51 Ammenwerth E, de Keizer N. A viewpoint on evidence-based health informatics, based on a pilot survey on evaluation studies in health care informatics. J Am Med Inform Assoc 2007; 14 (03) 368-371.
    CrossrefPubMedSuche in Google Scholar
  • 52 Moore RA, Berner ES. Comparing health/medical informatics graduate program curricula against two sets of professional criteria. J Healthc Inf Manag 2004; 18 (03) 44-50.
    PubMedSuche in Google Scholar
  • 53 Coiera E, Magrabi F, Sintchenko V, Zrimec T, McDonnell G, Chung G. et al. The Centre for Health Informatics at the University of New South Wales – a clinical informatics research centre. IMIA Year-book of Medical Informatics 2007. Methods Inf Med 2007; 46 (01) 141-148.
    PubMedSuche in Google Scholar
  • 54 Greenes RA, Panchanathan S, Patel V, Silverman H, Shortliffe EH. Biomedical informatics in the desert – a new and unique program at Arizona State University. IMIA Yearbook of Medical Informatics 2008. Methods Inf Med. 2008; 47 (01) 150-156.
    PubMedSuche in Google Scholar
  • 55 Bennani Othmani M, Diouny S, Balar K. Medical informatics in Morocco: Casablanca Medical Informatics Laboratory. IMIA Yearbook of Medical Informatics 2007. Methods Inf Med. 2007; 46 (01) 138-140.
    PubMedSuche in Google Scholar
  • 56 Zvarova J. Biomedical informatics research and education at the EuroMISE Center. IMIA Yearbook of Medical Informatics 2006. Methods Inf Med 2006; 45 (01) 166-173.
    PubMedSuche in Google Scholar
  • 57 Severtson DJ, Pape L, Page Jr CD, Shavlik JW, Phillips Jr GN, Flatley Brennan P. Biomedical informatics training at the University of Wisconsin-Madison. IMIA Yearbook of Medical Informatics 2007. Methods Inf Med. 2007; 46 (01) 149-156.
    PubMedSuche in Google Scholar
  • 58 Dickhaus H. A Comparative Summary of Six Health/Medical Informatics Programs. Methods Inf Med 1994; 33 (03) 254-257.
    Thieme ConnectPubMedSuche in Google Scholar
  • 59 Kushniruk A, Lau F, Borycki E, Pratti D. The School of Health Information Science at the University of Victoria: towards an intergrative model for health informatics education and research. IMIA Year-book of Medical Informatics 2006. Methods Inf Med 2006; 45 (01) 159-165.
    PubMedSuche in Google Scholar
  • 60 Haux R. Biomedical and health informatics education at UMIT – approaches and strategies at a newly founded university. Int J Med Inform 2004; 73 (02) 127-138.
    CrossrefPubMedSuche in Google Scholar
  • 61 Jaspers MW, Hasman A. The new set-up of the medical informatics Master of Science program at the University of Amsterdam. Int J Med Inform 2007; 76 (03) S369-376.
    CrossrefPubMedSuche in Google Scholar
  • 62 Hersh W. Health and biomedical informatics: opportunities and challenges for a twenty-first century profession and its education. IMIA Yearbook of Medical Informatics 2008. Methods Inf Med 2008; 47 (01) 157-164.
    Thieme ConnectPubMedSuche in Google Scholar
  • 63 Hersh W, Williamson J. Educating 10,000 informaticians by 2010: the AMIA 10 × 10 program. Int J Med Inform 2007; 76 5-6 377-382.
    CrossrefPubMedSuche in Google Scholar
  • 64 White C, Booth A, Cooke J, Addison F. SCISTER act: delivering training in information skills for social-care professionals. Health Info Libr J 2005; 22 (01) 54-62.
    CrossrefPubMedSuche in Google Scholar
  • 65 Millen D, Lawton P, Hayes G, Taylor C. Registration and regulation of health informatics professionals in the UK National Health Service. Stud Health Technol Inform 2004; 107 Pt (02) 908-911.
    PubMedSuche in Google Scholar
  • 66 Mannan R, Murphy J, Jones M. Is primary care ready to embrace e-health? A qualitative study of staff in a London primary care trust. Inform Prim Care 2006; 14 (02) 121-131.
    PubMedSuche in Google Scholar
  • 67 Devitt N, Murphy J. A survey of the information management and technology training needs of doctors in an acute NHS trust in the United Kingdom. Health Info Libr J 2004; 21 (03) 164-172.
    CrossrefPubMedSuche in Google Scholar
  • 68 Clamp PJ, Virdi P, Vats A, Pothier DD. Information technology in ENT: are we ready to be ‘Connected For Health’?. J Laryngol Otol 2007; 121 (07) 687-691.
    PubMedSuche in Google Scholar
  • 69 Mantas J. Health and medical informatics education. Methods Inf Med 2007; 46 (01) 50-51.
    Thieme ConnectPubMedSuche in Google Scholar
  • 70 Demiris G. Interdisciplinary innovations in biomedical and health informatics graduate education. Methods Inf Med 2007; 46 (01) 63-66.
    Thieme ConnectPubMedSuche in Google Scholar
  • 71 Hersh WR. The full spectrum of biomedical informatics education at Oregon Health & Science University. Methods Inf Med 2007; 46 (01) 80-83.
    Thieme ConnectPubMedSuche in Google Scholar