A few weeks ago I installed the Blausen Human Atlas HD application on my iPad. The application features some pretty incredible 3D images and video. The videos provide an animated narrative on a host of medical conditions and treatments. In addition the Blausen application offers a cool 3D rendering of the human body and a glossary of terms. The images contained in this blog really don’t do it justice, as the iPad’s screen does a very nice job of displaying images like these.
Workforce training and allocation for modernization of HIT
The most recent issue of Hospital Pharmacy (Vol 45, No 1, 2010) has an article by Fox and Felkey that discusses the demand that the ARRA will place on the current and future HIT workforce. According to the article “the workforce to shepherd implementation, training, and support [for the modernization of heath care delivery] simply does not exist today; consequently, we could face a situation where health systems and clinics are financially ready to adopt HIT but do not have the personnel to carry it out.” I believe this is absolutely true and have alluded to it in the past (here and here).
More importantly, the shortage of HIT personnel will be further exacerbated by the need for clinicians to enter the technology field. The article supports this thinking by saying that “some experts have suggested that clinically-trained individuals are more suited to the design, selection, implementation, and management of HIT because they have a fundamental understanding of the processes of health care delivery. Alternatively, individuals trained in IT are more technically inclined, but lack firsthand experience with health care delivery systems” Another truism and a problem that is certainly not unique to the HIT field. Companies like Microsoft, Google, GE, Siemens, etc hire pharmacists and other clinician for their unique experience in the health care industry.
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“What’d I miss?” – Week of August 9th
As usual there were a lot of things that happened during the week, and not all of it was pharmacy or technology related. Here’s a quick look at some of the stuff I found interesting.
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New drug education
Medicine And Technology: “We have seen so many new drugs and even new classes of drugs emerge over the last ten years. How do most physicians learn about new drugs? Many (certainly not all) community practitioners would say they learn what they need to know from the drug reps. Others indicate continuing medical education or CME activities as their main source of information regarding new drugs. Back in the “old days,” docs would also attend many promotional/marketing dinners and social functions to learn about new medications. Those days are ending as PhRMA code regulations get stricter. So what is the most effective way for physicians to learn about new drugs? They are so busy and easily overwhelmed by their workload that many have a difficult time keeping up with the latest science, the latest medical news, or even urgent FDA alerts and warnings.” – Any healthcare practitioner should be leery of using “drug-reps” or marketing dinners to educate themselves about new drug therapy. Remember, drug-reps are in it for the sales. In most cases they are not even healthcare professionals; pharmacist, nurse, physician. There are few truly unique breakthroughs in drug therapy each year and even fewer turn out to live up to expectations. Several years may be necessary to properly evaluate a medication’s place in therapy. I never understood the bandwagon approach to medication therapy, it’s irresponsible. Information on new drug therapy should come from primary literature or other reputable sources, such as the Pharmacist Letter, the Medical Letter, or from practice guidelines developed by professional organizations like the Infectious Disease Society of America (IDSA) and the American College of Chest Physicians (ACCP). Heck, this would be a good place to start reducing the cost of healthcare as many new “me too” medications with no proven benefit are often significantly more costly than their evidence-based counterpart. Why isn’t anyone talking about that?
Medical Informatics Training
Non-Clinical Jobs: “If you’re a physician [or pharmacist], at what point do you need “formal training” in medical informatics if you wish to pursue a career in health IT? It’s hard to answer, because it largely depends on how motivated you are to self-learn. Have you been keeping up with all the recent changes in health IT? Are you familiar with health IT language? Are you a member of HIMSS? Are you tech-savvy? Have you been actively involved in your hospital’s health IT committee? Do you hold any certifications in health IT? You’re probably not going to find a “crash course” on health IT that will teach you everything you need to know in a very short amount of time. However, if you’re willing to invest some time and energy into formal education , then you may want to take a look at some programs that leverage distance-learning and online classrooms.” – If you’re interested in formalized informatics education in California, check out Stanford or the University of California, San Francisco. You can get a list of available programs in North America here.
