IPHIE Workshop

Globalizing Health and Biomedical Informatics Programs

Goals of the Workshop

• To define and conceptualize need for enriching and globalizing HI/BMI curricula

• To inform on IPHIE rationale, goals, achievements

• To provide recommendations for enriching HI/BMI curricula by integration of global elements

Outline of TopicsGeorge Demiris:

Need for and challenges to globalization of HI curricula

Monique Jaspers:IPHIE mission and achievements

Matthias Ganzinger:Transatlantic student/faculty exchanges

Genevieve Melton-Meaux :Recommendations for globalization of HI curricula

Faculty and student panel

Global Education• Technological advances and global developments in biomedicine

call for aspects of “global education” to be integrated into health informatics curricula.

• "the lifelong growth in understanding, through study and participation, of the world community and the interdependency of its peoples and systems-ecological, social, economic, and technological.”

• Informatics professionals whether in academic research or industry settings need to function as global citizens.

-Sny, C. 1980. Global education: An implementation plan and resource guide. Madison, Wis.: University of Wisconsin Press.-http://www.globaleducation.edu.au/global-education/what-is-global-ed.html

Perspectives of global education

• Interdependence and globalisation • Identity and cultural diversity in the context of

health • Social justice• Conflict resolution • Sustainable futures

Why adopt a global perspective?• take into account the “whole of human society and the

environments in which people live”• emerging and future trends in biomedicine and

technology• critical thinking and communication with diverse

audiences• an opportunity to explore important themes such as

change, interdependence, identity and diversity, rights and responsibilities, poverty and wealth, sustainability and global justice, global health and local health initiatives

• cooperative learning and action, and shared responsibility

Exposure to Diversity

• Health care systems, workflows and processes• Health policy and economics perspectives• Public health initiatives• Software and hardware standards and tools• Innovative Interventions and Strategies

Educational tools

• Applied approach– Not simply relying on lectures– Site visits

• Active Discussion• Group work

– Interdisciplinary, global teams

• Global mentors

Global context for Informatics• Consumer health informatics-defining the

consumer• Clinical Informatics- the role of the health care

model• Bioinformatics-emerging trends for genomic

medicine• Public Health Informatics-addressing local and

global health

Challenges• Balancing curricular needs for technical,

clinical and health policy needs• Creating global opportunities and

international partnerships• Fostering ongoing dialogue with international

partners• Overcoming logistical challenges, while

acknowledging educational requirements and policies

History• 1997: Amsterdam aimed to globalize BMI program • 1999: Formal collaboration with Heidelberg/Heilbronn• 2000: Visit to US sites:

• HI/BMI curriculum at master level• Research programs add ons• Tuition waved

• Utah and Minnesota added• 2001: UMIT created, third EU partner• 2006: Washington invited, third US partner• 2012: Taipei invited, first Asian partner

IPHIE partners:• United States Partner Institutions

– University of Utah– University of Minnesota – University of Washington

• European Partner Institutions– Amsterdam Medical College – Germany: Heidelberg-Heilbronn Universities – Austria: University of Medical Informatics and

Technologies• Taiwan institute:

– Taipei Medical University

Mission StatementIPHIE members appreciate the growing tendency for countries all over the world to harmonize their financial and economic markets as well as their health care systems. More importantly, many national health care systems and medical research areas are forced to deal with global problems that call for creative solutions on an international scale. IPHIE members recognize the useful role health and medical informatics can play in addressing these world-wide issues. For these reasons IPHIE members are convinced that students in health and medical informatics should be trained to meet the demands of an increasingly international medical environment

Health and medical informatics contribute significantly to high quality and efficient health care and high quality medical research. To advance and further develop the beneficial role of health and medical informatics in the medical field, high quality training of health and medical informatics specialists is crucial. IPHIE members, for several reasons, are convinced that a thoughtful international orientation of health and medical informatics students should be a vital and indispensable part of this training

Components• Annual Master Class

• Joint EU Course: Strategic Information Management

• International Summer School

• Individualized Exchanges

Annual Master Classes• Accommodations and program by

host• Each program invites:

– Four honors students, two faculty

• Week long certificate program– Lectures by BMI or other experts– Students’ research presentations– Health IT demonstrations and site

visits– International student workgroups and

assignments

Joint EU course

Joint EU course

Local part:

AMC

Heidelberg/Heilbronn

UMIT

Block 1: Theory Block 2: Clinical internships

International part:

2001: Heidelberg2002: Amsterdam2003: UMIT..2013: Amsterdam

Block 3: Theory, international group work, presentations

International Summer School

• Two weeks certificate course ‘Bridging healthcare with IT’

• Teaching outreach:– (bio)medical / health sciences students– USA, India, Africa, Europe..

• Themes:– medical documentation and information processing– information systems in healthcare– Ehealth – medical classifications and terminologies..

Individual exchanges

•

• Student exchanges• MSc / PhD research

• Faculty exchanges:• Lectures, seminars• Research advising

Student and faculty evaluations:

‘The most wonderful MI experience’

‘This must continue’

‘The most exciting experiences take place as different worlds of the same

discipline meet and interact

IPHIE student and faculty exchange experiences

Matthias Ganzinger and

Thomas Wetter

Pioneers• 1999: 1st Masterclass

• 1999 AMS->HD/HN: Minne van der Haak, – now Dr. MvdH, Siemens, Erlangen (Germany)

• 2000 HD/HN->AMS: Antje Blohm

• 1999 SLC and MN join

• 2000 to MN:

–Jeroen van Dalen (AMS)

–Guess who?

„No, I don‘t speak Dutch“

„Yes, I‘d do it again.“

Pioneers1999: 1st Masterclass

•1999 AMS->HD/HN: Minne van der Haak, – now Dr. MvdH, Siemens, Erlangen (Germany)

•2000 HD/HN->AMS: Antje Blohm

•1999 SLC and MN join

•2000 to MN:

–Jeroen van Dalen (AMS)

–Matthias Ganzinger•2002 Thomas Wetter -> SLC

„No, I don‘t speak Dutch“

„Yes, I‘d do it again.“

Practice and statistics

44 student exchanges, mostly ~ ½ yr– 36 from Europe– 8 from US

Some learnt German or DutchUS to EU not covered by NLM grants

– Peak in 2005-06– 31 male– 6 of the 8 from US female

Stories

• Frequent traveler: Laël Gatewood (6* to HD)• Wanderer: George Demiris

– MSc from HD/HN– PhD from MN– Ass. Prof. Missouri– Prof at UW

• Truck and trailers:– Thomas Wetter‘s XChng to SLC -> 11 student XChngs

Awards• GMDS best student paper award 2007

– Former exchange student Maya Galazka

• Second best paper award MedInfo 2010– Former IPHIE fellow, now assistant professor at

AMC Linda Peute

Careers• ACMI fellows

– numerous IPHIE faculty

• Harvard professor– former exchange student Shobha Phansalkar

• Head Quality Management System, Roche Diagnostics International, Rotkreuz (CH)– former exchange student Jens Lauber

Love stories

Wedding in Las VegasMaya (née Galazka) and Thorsten Weires

Four exchange students found their wifesMinne van der Haak, Shaun Shakib, Baas de Veer , Manfred Graaf

One faculty found his son in lawThomas Wetter, Albert-Jan Schol

IPHIE

• International– Taipei Medical University now joining– Karolinska Institutet in preparation

• PHriendship– Much more than just partnership

• Inspiration• Excitement

Recommendations for globalization of HI curricula

Laël Gatewood PhD

Genevieve Melton-Meaux MD

Institute of Health Informatics

University of Minnesota

Outline• Build culture of globalization

• Recommendations– 1. Recognize benefits of globalization– 2. Add virtualized interactions– 3. Reduce exchange barriers– 4. Encourage joint research

• Summarize workshop presentations

• Discussion by IPHIE faculty and students

Promote Culture of Globalization

• Sponsor international conferences

• Consider international mentorships

• Create international fellowships

• Feature international work on resumes

• Form list of international opportunities

• Build bioethical, global use cases

Improve Virtual Interactions

• Publish one-page English Summaries– Seminars, Guests, Conferences, News– See Karolinska Institutet HIC example

• Share links to websites, pictures, events• Set up remote access for seminars• Consider social networking

Reduce Barriers to Exchange

• Arrange joint transfer credits

• Name dual coordinators and advisors

• Jointly review protocols and consent forms

• Add mechanisms for language support

• Support living in host communities

Initiate Joint Collaborations

• Share practice, teaching and research• Involve faculty and student participants

– International team membership– Interprofessional and interdisciplinary

• Investigate models for joint funding• Build infrastructure for global studies

Summarize IPHIE Workshop George Demiris:

Need for and challenges to globalization of HI curricula

Monique Jaspers:IPHIE mission and achievements

Matthias Ganzinger:Transatlantic student/faculty exchanges

Laël Gatewood and Genevieve Melton-Meaux:Recommendations for globalization of HI curricula

Faculty and student panel