influencing change and training the trainers advancing ... · ©canada health infoway 2016 •...
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©Canada Health Infoway 2016
Influencing change and training the trainers
Advancing digital health in medical education
Presenter: Dr. Rashaad Bhyat Date: October 1, 2016
Contributors to this abstract: • Ms. Katherine Wisener • Dr. Kendall Ho • Dr. Rob Hayward • Dr. Candace Gibson • Dr. Rashaad Bhyat
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©Canada Health Infoway 2016 Dr. Rashaad Bhyat, Physician Leader, Clinical Adoption October 1, 2016
Advancing digital health in medical education:
Influencing change and training the trainers
Contributors to this abstract: • Ms. Katherine Wisener • Dr. Kendall Ho • Dr. Rob Hayward • Dr. Candace Gibson • Dr. Rashaad Bhyat
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©Canada Health Infoway 2016
I do not have an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications organization.
Je n’ai aucune affiliation (financière ou autre) avec une entreprise pharmaceutique, un fabricant d’appareils médicaux ou un cabinet de communication.
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Delete this box before presenting: Please keep only the applicable statement, shown above is Option 1 with Option 2 to follow on next slide. Note: Speakers who have no involvement with industry should inform the audience that they cannot identify any conflict of interest.
Supprimez cette boîte avant de faire votre présentation : Veuillez conserver uniquement l’énoncé pertinent; ci-dessus se trouve l’option 1, l’option 2 paraissant à la diapo suivante. Note: Les conférenciers qui n’ont aucun lien avec l’industrie doivent aviser leur auditoire qu’ils n’ont aucun conflit d’intérêts à déclarer.
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©Canada Health Infoway 2016
Next Generation Journey
2014-16
2011 I: Next Generation: Clinicians in Training
II: Medical Faculty Peer Leader Network, funded via Consumer Health Program
2016 III: Accelerating eHealth Integration in Medical Education
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©Canada Health Infoway 2016
• Ensure that clinicians in training are ready to practice in an digital health-enabled environment when they graduate
• To integrate digital health concepts and use expectations into the curricula design/ educational processes of the Faculties of Medicine, Nursing and Pharmacy
• AFMC - partner organization in Physicians-in-Training Project • “represents Canada's 17 faculties of medicine and is the voice of
academic medicine in this country”
Phase I: Next Generation - Clinicians in Training
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©Canada Health Infoway 2016
Phase I: AFMC Key Project Outcomes • Developed national eHealth competencies for
undergraduate medical education http://ow.ly/4ANo304Hiy0
• Influenced the CANMEDs 2015 Physician Competency Framework, toward inclusion of eHealth concepts http://ow.ly/cHva304Hj84
• Literature review, eHealth/informatics environmental scan including key recommendations
• Encouraged eHealth Scholarship: • Faculty Awards – 2012-2014 • Student Awards - Virtual Patient Challenge
• Created an online community through CHEC EDITORS
Jason R. FrankLinda SnellJonathan Sherbino
CanMEDS 2015 Physician Competency Framework
This framework is proudly endorsed by 12 Canadian medical organizations
The following organizations have contributed to and endorse the CanMEDS 2015 Physician Competency Framework.
774 Echo Drive, Ottawa ON K1S 5N8 Canada | TEL 613.730.8177 | TOLL FREE 1.800.668.3740 | EMAIL [email protected] | royalcollege.ca
ROYAL CO
LLEGE O
F PHYSICIAN
S AND
SURG
EON
S OF CAN
ADA | CAN
MED
S 2015 PHYSICIAN
COM
PETENCY FRAM
EWO
RK
This PDF is an excerpt from CanMEDS 2015 Physician Competency Framework
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©Canada Health Infoway 2016 7
Phase II: AFMC Medical Faculty Peer Network
Purpose of Faculty Peer Networks: to provide mentorship, engagement and influence culture change related to teaching the effective use of technology and Consumer Health solutions in clinical practice.
9 Peer Leaders were engaged across the four workshops and advocacy activities.
Specific goals of the Medical Faculty Peer Network: • create a series of online webinar workshops and supporting educational resources • continue efforts to advocate for awareness and integration of eHealth concepts into the medical education curriculum
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©Canada Health Infoway 2016
Shared'Info'Management'
Clinical'Info'Management'
Clinical'Decision'Management'
Health'Communica8ons'Management'
Learn' Work' Lead'Pa#en
t'focused.Digital.Health.Solu#on
s.
Privacy,.Confiden#ality,.Security.
•'Remote'Pa8ent'
Monitoring'''''''''''''''''''''
•'Health'Informa8on'
Portals'''''''''''''''''''''
•'Personal'Health'
Records'''''''''''''''''''''
•'e?Visits,'e?Views,'e?
Requests,'e?Booking'
• 'Communi8es'of'Prac8ce,'Online'
Collaboratories'and'Team'
Workspaces'
• 'Social'SoIware'for'Mul8disciplinary'Care'Planning'
• ''Shared'Problem?Solving'Tools'
• ''Knowledge'Management'
Applica8ons'
• 'Organizing'Informa8on'for'
Sharing'–'Coding'&'Classifica8on'
• 'Digital'Professionalism'
• 'Safe'Compu8ng'
• 'Consent'to'Informa8on'
Release'&'Audit'
• 'Health'Informa8on'
Legisla8on'
• 'Secondary'Informa8on'
Uses'
• 'Digital'Professionalism'
•'Electronic'Medical'Records'''''''''''''''''''''
•'Electronic'Health'Records''''''''''''''''''''
•'Personal'Health'Records''''''''''''''''''''
•'Pa8ent'Portals''
•'Enterprise'Informa8on'
Systems''
•'Clinical'Data'Exchange,'
Minimum'Data'Sets'and'
Interoperability'
•'Conceptual'Framework''''''''''''''''''''
•'Medical'Error'and'eSafety''''''''''''''''''''
•'Poten8al'Harms'of'Decision'
Support'Systems''
•'Medico?legal'Implica8ons'of'
Informa8on'Technologies'
•'Asynchronous'Communica8on'
(email,'discussions,'etc.)''''''''''''''''''''
•'Synchronous'Communica8on'
(telephony,'web?conferencing,'etc.)''''''''''''''''''''
•'E?Visits'''''''''''''''''''''
•'Clinical'Collabora8on'Simula8ons''''''''''''''''''''
•'Telehealth'Applica8ons'
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Medical Faculty Peer Leader Network
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©Canada Health Infoway 2016 9
Consumer Health Investment Program Infowayisinves.nginconsumerhealthsolu.onsthatCanadiansaremostlikelytouseandthosewithhighpa.entandhealthsystemvalue
eBooking,allowingpa.entstochooseappointmentsconvenientforthem,receivereminders,andmakechangeswhenneeded
eVisits,includingsecuremessagingandvideovisits
eRenewalssopa.entscanrequestprescrip.onrenewalsonline
Onlineaccesstohealthrecords,e.g.laboratorytestresults,children’simmuniza.ons,andothercomponentswithhighvalue
Telehomecare,allowingtheelectronictransmissionofpa.entdata(e.g.symptoms,vitalsigns)fromapa.ent’shometoahealthcareproviderformonitoringandsupportoveraspecified.meperiod
!!
"
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©Canada Health Infoway 2016
Workshops • CME accredited by BOTH the CFPC and the RCPSC
Workshop Module # of participants (live & post-workshop
via vod/podcasts)Personal & Shared Information
Management132
Clinical Decision Management 551
Clinical Information Management 66
Health Communication Management
82
Totals 831
Phase II: Key Project Outcomes
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©Canada Health Infoway 2016
Advocacy:
Type of outreach / advocacy & awareness activities
Total number of engagements Estimated reach (individuals)
Articles, abstracts, newsletters, conferences
12 1,400
Faculty of Medicine Engagement (Deans & Key faculty at 17 medical
schools)
37 68
Meeting with Undergraduate Deans 1 21
Meetings with, presentations to key faculty at medical schools and
partner organizations
45 234
Totals 95 1723
Phase II: Key Project Outcomes
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©Canada Health Infoway 2016
• Creation of an online Toolkit based on workshops: http://ow.ly/ZKryB • Workshops reached educators at 15 of 17 medical faculties • 76 percent of Peer Leaders surveyed agreed that project increased
medical educator’s ability for integration and adoption of eHealth / informatics into the curriculum.
• 73 percent of colleagues/workshop participants surveyed plan to integrate workshop learnings into their teaching
• Valuable connections made with partner organizations such as: – The MCC, to advance assessment of eHealth competence MD licensure
exams. – The CFPC, RCPSC, and Western U’s CPD office re: CME/CPD accreditation
AFMC Phase II: Evaluation Highlights
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©Canada Health Infoway 2016
• Project Timelines • Peer Leader & Colleague retention
Challenges
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• Improved timelines and resourcing • Recruit more eHealth experts to 'carry the torch'; continue to
engage students, residents and fellows • Be open to interprofessional collaboration • CPD for clinicians in the field is needed • Involve patients / consumers
Recommendations
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©Canada Health Infoway 2016 14
What's Next? • Phase III goals:
• Develop an expanded, enhanced toolkit • Disseminate the AFMC-Infoway Toolkit – further potential use
• Bridge classroom and clinic with examples • Workshop at CCME 2017 planned • Promote use of the toolkit across all 17 faculties
• Continue advocacy efforts • Work with the Medical Council of Canada
• Sustainability efforts
• Please join our community on CHEC!
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©Canada Health Infoway 2016
• Download the ICRE App,
• Visit the evaluation area in the Main Lobby, near Registration, or
• Go to: http://www.royalcollege.ca/icre-evaluations to complete the session evaluation.
Help us improve. Your input matters.
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Aidez-nous à nous améliorer. Votre opinion compte!
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