Clinical Informatics Certificate Program in Internal Medicine

This program is intended for a range of residents with any degree of special interest in the evolving world of clinical informatics, from aspiring informatics fellows to those who want to learn how to use the Epic electronic health record (EHR) more efficiently in their everyday practice and may be curious about furthering their knowledge of clinical informatics. Clinical informatics is a fast-growing field that is becoming more and more integral to physician practice. Participants will serve as a conduit of information from frontline residents to the clinical informatics team and vice versa, voicing concerns from practicing residents to the clinical informatics team and raising awareness about new EHR and other health information technology features and functions, changes in practice, downtime and other relevant developments. Residents will improve their efficiency with the EHR via training modules, badges and certificates that will help them in their day-to-day work and improving their marketability for the future. They will be go-to sources for their fellow residents for any Epic or other health information technology related questions. This experience will serve as initial exposure to the field of clinical informatics and would be a good steppingstone for anyone thinking about an eventual clinical informatics fellowship.

Internal Medicine residents can apply during their intern year, and two are selected for this certificate program by December 31st of their PGY1 year. If you are a prospective applicant interested in this clinical informatics certificate program, we invite you to apply to the Internal Medicine Residency Program through the categorical, Leadership in Medical Education Pathway (LMEP) or Primary Care of Vulnerable Populations (PCVP) tracks.

YEAR 1: Clinical informatics elective 
YEAR 2: Clinical informatics related QI project involvement
YEAR 3: Clinical Informatics related grand rounds presentation

 

Longitudinal experiences:

  • Assistant Director of Clinical Informatics for Internal Medicine Residency
  • Quarterly meeting with Clinical Informatics mentor
  • Assist with new resident EHR training

 

Ad hoc experiences:

  • TriNetX and Cosmos self-training
  • Complete 7 Epic UserWeb Physician SmartUser modules and associated projects
  • Submit a clinical informatics related project to a local, regional, or national informatics related conference
  • Complete Physician Builder Core courses and accompanying projects (optional)

 

Timeline with Years 1, 2, 3, and Longitudinal

  • Understand what technological tools are available at MetroHealth for the effective sharing and collaboration over confidential patient data for direct patient care and research purposes.
  • Develop a deeper understanding of Epic through training modules for certificates and badges (for example SmartTools, InBasket, Clinical Decision Support, and Orders) which will facilitate EHR efficiency.
  • Understand the workflow that is required for changes to be made at the EHR level.
  • Use tools available to help protect the confidentiality that is expected with sensitive patient data.
  • Use informatics tools to assess quality of care currently being given, as well as determine areas for growth and improvement.
  • Understand the role of clinical decision-making assistance tools in clinical practice.
  • Understand the strengths and limitations of the available EHR data analytics platforms (SlicerDicer, Cosmos, TriNetX) and have a basic understanding of how to use them to answer clinical questions.
  • To understand how healthcare disparities can be both exacerbated and alleviated with the use of new technology in the clinical informatics space, and to be conscious of this when implementing new technology.
  • Develop a basic level understanding of reimbursement and become conscientious of the effect that different payers may have on the care a patient receives.
  • Develop an understanding of the healthcare system, including a basic understanding of population health and clinical research.
  • Complete a 4-week clinical informatics elective, preferably during the spring of intern year or at the beginning of PGY2 year.
  • Complete TriNetX and SlicerDicer/Cosmos self-training courses. 
  • Assist with Epic training of fellow incoming residents, especially between 1st and 2nd year and 2nd and 3rd year.
  • Assume the role and responsibilities of an Assistant Director of Clinical Informatics for the Internal Medicine Residency Program (attend one 1-hour monthly meeting the 2nd Thursday from 7-8am and act as a liaison between your residency program and the larger clinical informatics team).
  • Attend regular monthly Assistant and Associate Director of Clinical Informatics meetings (attend at least 8 out of 12 per year, asynchronous accommodations may be made in special circumstances).
  • Attend quarterly meetings with assigned clinical informatics mentor (a clinical informatics attending physician in the Department of Medicine with mutually aligned interests to the resident).
  • Complete any 8 Epic UserWeb Physician SmartUser modules and associated projects.
  • Participate in an informatics related project/role during the internal medicine residency PGY2 Quality Improvement (QI) project.
  • Complete a Senior Grand Rounds on a clinical informatics related internal medicine topic during PGY3 year.
  • Submit a clinical informatics related project to a local, regional, or national informatics related conference (e.g American Medical Informatics Association (AMIA), Healthcare Information Management and Systems Society (HIMSS), Association of Medical Directors of Information Services (AMDIS), Epic Users’ Group Meeting/Epic eXperts’ Group Meeting (UGM/XGM), etc.).

(Optional)

  • Complete Physician Builder Core courses certifications through 4 online courses and successful completion of accompanying projects offered by the Epic corporation.

David Kaelber, MD

David Kaelber, MD, PhD, MPH

Chief Health Informatics Officer

Professor of Internal Medicine, Pediatrics, and Population and Quantitative Health Sciences, Case Western Reserve University
Chief Medical Informatics Office/Vice-President of Health Informatic, The MetroHealth System
Clinical Informatics Fellowship Program Director, The MetroHealth System