NewYork-Presbyterian Hospital (NYP) and Columbia University’s Department of Biomedical Informatics (DBMI) sponsor a Clinical Informatics Subspecialty Fellowship that is accredited by the Accreditation Council for Graduate Medical Education (ACGME). The fellowship is housed within the Internal Medicine program but is open to all specialties. This is a two-year fellowship, and one slot opens each year.
At the time of their appointment, fellows must be board-eligible in another clinical specialty. They will be allotted time for practice in that specialty to maintain their clinical expertise.
As the use of computerized applications and information science become increasingly intertwined with the delivery and practice of medicine, expertise in the field of clinical informatics is becoming essential to health care organizations. DBMI, one of the most venerable and well-known informatics departments, and its associated NYP Medical Informatics Services have a long history of leadership in education and research as well as practical, front-line IT service to the NYP and Columbia University Medical Center (CUMC) clinical services. Graduates from DBMI’s existing educational programs have gone on to become leaders in the field of clinical informatics.
Fellows benefit from the strong connections between NYP and DBMI and the strong culture of mentoring and teaching that prevails. Most of the fellowship program’s faculty have academic appointments in DBMI and therefore have time allotted for educational activities (directing and lecturing in courses, advising students, attending and giving departmental seminars, etc.). A number of the program’s faculty also have significant leadership responsibilities at NYP and CUMC, which will significantly facilitate the mentoring of fellows as they participate in various clinical informatics rotations and operational activities (Hripcsak – Director of Medical Informatics ServicesNYP and Chair, DBMIColumbia; Forman – Director, Information Services Department and Associate Director of Medical Informatics ServicesNYP; Sideli – CIO, Columbia University Medical Center; KupermanDirector, Interoperability InformaticsNYP; Fleischut-Chief Innovation Officer and Interim CMIO-NYP; Vawdrey-VP, Quality and Patient Safety-NYP).
DBMI offers a rich, multifaceted, applied clinical informatics educational experience to fellows. The department continues to build on a decadeslong track record designing fundamental architectural elements essential to clinical computing including an efficient transactional patient database, controlled medical terminology, a clinical data warehouse, plus standards for clinical decision support and data exchange. DBMI faculty and programmers recently developed and successfully implemented the third generation of a major clinical system for use at NYP, which is becoming the center of the Hospital’s clinical systems. The department has become one of the leading academic informatics units, offering masters and PhD degrees, didactic units in all four years of Columbia’s medical school curriculum, as well as a graduatelevel Professional Certification in Health Information Technology (HIT), and it continues to build a significant track record of scholarly publication and funded research. DBMI is considered both a basic science and a clinical department within Columbia’s College of Physicians and Surgeons, which facilitates investigation and research along a broad spectrum from the molecular level to that of the individual patient and beyond to that of populations of patients. This is especially relevant in precision medicine, which marries the department’s strengths in clinical informatics and genomic medicine.
Clinical resources are provided through a rich set of practical, project-oriented experiences at NYP, where supervising faculty use their expertise to provide information services, analyze and manage data, and provide new biological insights for clinicians and patients. Many of these innovations are then inserted into the clinical workflows changing the way medicine is practiced in realtime. NYP has been a leader in the implementation and use of EHR and related technologies, and program faculty members are actively involved in the support and enhancement of NYP’s clinical systems and the secondary use of data for quality improvement and research. Fellows will have direct exposure to venues where real-world informatics challenges and issues are discussed and addressed. In addition, NYP has made a commitment at the executive level to support the development of innovative health information technologies, and it is the Hospital’s expectation that clinical informatics fellows will participate directly and substantially in such projects.
Didactic sessions for clinical informatics fellows are drawn from DBMI’s Professional Certification in HIT and other selected course materials. Coursework covers the fundamentals of informatics, database design, electronic health records (EHRs), HIT policy, meaningful use of EHR’s, system infrastructure, clinical data workflow, project management, system implementation and support, data architecture, terminology management, system usability, decision support, patient engagement, risk management/privacy and security, HIT standards, healthcare data interoperability, Health Information Exchanges, using data for public health and quality improvement, plus data analytics and presentation.
Fellows attend and present in the weekly seminar run by DBMI faculty, which provides a forum for current informatics research and issues to be presented by faculty and students.
In addition to the DBMI seminar, the Informatics Intervention and Research Collaboration (I2RC), which meets weekly, provides trainees the opportunity to rigorously study clinical informatics challenges, translate knowledge into practice with a focus on demonstrable impact, plus builds and evaluates real-world solutions in a mentored, facilitated forum.
Fellows are located on the Health Sciences Campus of Columbia University and have full access to all of the scholarly resources of Columbia University Medical Center, including the Health Sciences Library.
Applications for a position starting in July 2018 can be made through ERAS (Electronic Residency Application Service). Our program appears under Clinical Informatics (Internal Medicine).
Program Coordinator: Marina Bonanno
Associate Program Director: Bruce Forman, MD
Program Director: George Hripcsak, MD, MS