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"Our basic philosophy of medical education must be directed not toward creating a neurosurgeon, a family practitioner, a cardiologist, or a general pediatrician but toward creating an undifferentiated 'stem cell' physician who is so well prepared that he or she is fully capable of taking any career path after medical school. Every indication is that our goal is being met. The new curriculum is preparing students for the demands and responsibilities of a new era of medicine, science, and medical arts." -- from the Foreword, by Michael M. E. Johns, M.D. The curriculum taught in many U.S. medical schools today has been altered little since 1910. Now, spurred in part by the recent sweeping changes in health care delivery, medical schools are re-evaluating their curricula. The goal is to develop a program of medical education that not only reflects the latest scientific advances but also prepares physicians in the fields and specialties society now needs. This book provides an extensive description of the process and outcome of developing a completely new curriculum at the Johns Hopkins University School of Medicine. The book is organized around the subjects and courses taught: basic sciences, physician and society, medical informatics, and clinical medicine. Chapters also consider evaluation and reform of the curriculum. The contributors, Johns Hopkins faculty members who participated in developing the components of the curriculum, discuss differences between the old and new courses and programs, reasons for the changes, and the process used to plan and implement them. Throughout, the material is presented in a way that permits easy generalization and adaptation to other medical schools. Contributors: Catherine D. De Angelis, M.D. Diane M. Becker, Sc.D. Gert H. Brieger, M.D., Ph.D. Leon Gordis, M.D. H. Franklin Herlong, M.D. K. Joseph Hurt Michael M. E. Johns, M.D. Langford Kidd, M.D., F.R.C.P. Michael J. Klag, M.D. Harold P. Lehmann, M.D., Ph.D. Nancy Ryan Lowitt, M.D., Ed.M. Lucy A. Mead, Sc.M. Thomas D. Pollard, M.D. Henry M. Seidel, M.D. John H. Shatzer Jr., Ph.D. Patricia A. Thomas, M.D., F.A.C.P. Victor Velculescu Charles M. Wiener, M.D.
This book has been a long time in the making. The computerization activi ties described in these pages began in 1977 at the Department of Veterans Affairs (VA), but we devoted most of our focus and efforts to building and then implementing the extensive hospital information system known as the Decentralized Hospital Computer System (DHCP) throughout VA. Deliv ering the product has been our primary goal. We spent relatively little time documenting or describing our experiences or lessons learned. Except for some presentations at national meetings and a relatively few publications, almost none of which were in the standard trade journals read by Chief Information Officers (CIOs) and equivalent top managers in the private and nonprofit sectors, VA's accomplishments remained a well-kept secret. In 1988, Helly Orthner encouraged VA staff to consider writing a book, but the press of day-to-day activities always seemed to take precedence, and the book languished on the back burner.
Chapter 1 offers an overview of the basic computer technology. Each succeeding chapter, describes the problems in medicine, followed by a review in chronological sequence of why and how computers were applied to try to meet these problems. Only the technical aspects of computer hardware, software, and communications are discussed as they are necessary to explain how the technology was applied. This approach generally led to defining the objectives for applications of medical informatics. At the end of each chapter, the author summarizes his personal views and interpretations of the chapter contents. Although the concurrent evolution of medical informatics in Canada, Europe, and Japan certainly influenced workers in the United States, the scope of this historical review is limited to the development of medical informatics within the United States. Furthermore, this review is limited to electronic digital computers; it excludes mechanical, analog, and hybrid computers.
This is a meticulously detailed chronological record of significant events in the history of medical informatics and their impact on direct patient care and clinical research, offering a representative sampling of published contributions to the field. The History of Medical Informatics in the United States has been restructured within this new edition, reflecting the transformation medical informatics has undergone in the years since 1990. The systems that were once exclusively institutionally driven – hospital, multihospital, and outpatient information systems – are today joined by systems that are driven by clinical subspecialties, nursing, pathology, clinical laboratory, pharmacy, imaging, and more. At the core is the person – not the clinician, not the institution – whose health all these systems are designed to serve. A group of world-renowned authors have joined forces with Dr Marion Ball to bring Dr Collen’s incredible work to press. These recognized leaders in medical informatics, many of whom are recipients of the Morris F. Collen Award in Medical Informatics and were friends of or mentored by Dr Collen, carefully reviewed, editing and updating his draft chapters. This has resulted in the most thorough history of the subject imaginable, and also provides readers with a roadmap for the subject well into later in the century.
This book is the final result of a team effort involving a large number of international experts, coordinated and led by Dr. Marcelo Sosa-Iudicissa, in Brussels, Dr. Nora Oliveri, in Buenos Aires, Dr. Carlos A. Gamboa, in Washington, and Ms. Jean Roberts, in England. They have attracted and assembled together the contributions of 80 specialists from over 20 countries in North America, Europe and Latin America. This makes the present book a unique publication, presenting a true global vision of the opportunities opened up by the advent of the Internet for doctors, health professionals, planners and managers, as well as for patients and the public at large, wanting to know more and better about their own health maintenance and protection. It also presents a range of informatics and telematics applications available nowadays to medicine, examples on how people with a health concern are using the Internet in both industrialised and developing countries. This change, bringing empowerment through knowledge, is showing us the trend towards a New Health Paradigm in the In-formation Society. This book is aimed at medical practitioners, administrators, teachers and students who wish an authoritative state-of-the-art as well as how-to for commencing or enhancing wish done on the Internet. A self-contained CD-Rom is included with the book, providing readers with a flying start in accessing key information sounds.
This book reflects the evolution of a vibrant discipline in its chosen. The Impact of Nursing Knowledge on health Care Informatics. Nursing Informatics has changed the practice, defining new roles for nursing in education, research, patient care and administration. reaching out into industry, government and consultancies. The range of issues addressed in this book is extraordinary, including nursing language, cognitive skills, education and training, nursing research, systems design, decision support, patient record, patient management, standards and more. It also clarifies values, strategies and practices central to the profession of nursing. This book is a part of the global network, building bridges between teachers, students, clinicians, administrators and researchers around the world and creating a lasting bond.
New technology always raises compelling ethical questions. As those in medicine increasingly depend on computers and other intelligent machines, the intersection of ethics, computing and the health professions grows much more complex and significant. This book attempts systematically to identify and address the full range of ethical issues that arise when intelligent machines are used in medicine, nursing, psychology, and allied health professions. It maps and explores a variety of important issues and controversies, including ethics and evaluation in computational medicine, patient and provider confidentiality, responsibility for use of computers in medicine, appropriate use of decision support systems, outcomes of research and computational prognosis (including mortality predictions), and computer-based biomedical research - especially meta-analysis. This book is accessible to participants in the fields of bioethics and medical informatics. It is appropriate for physicians, nurses, administrators, ethicists, health attorneys, advanced undergraduates and graduate students.