Student perspectives on health informatics in a medical curriculum: A case study

Authors

DOI:

https://doi.org/10.11157/fohpe.v25i1.764

Keywords:

health informatics, medical students, curriculum, digital health, ehealth

Abstract

Introduction: Health informatics (HI) is the study and practice of technology used to improve the quality and efficiency of healthcare. Formal HI teaching lacks visibility in most Australasian medical schools. In this study, medical students collected data from their peers and recent graduates on the teaching and learning of HI to inform development of a needs-based integrated HI curriculum.

Methods: This mixed-methods case study of our medical degree program used clinically relevant vignettes to explore student confidence and opinions on HI. Current HI learning was benchmarked against recommendations. Recent graduates from University of Otago Medical School participated in an online survey (n = 26), and five focus group interviews of final-year medical students (n = 17) were carried out by a peer student.

Results: More than half of the participants surveyed felt confident in most HI topics, though many were less confident in telemedicine, evaluating electronic resources for patient use, data communication and data storage. Most students recalled learning some HI principles and agreed these should be integrated within their degree. Students highlighted that HI curriculum development should consider students’ self-identity as digital natives and the need for clinically situated, relevant and authentic learning to avoid tensions between theoretical HI concepts and clinical environments.

Conclusion: Medical students are critical consumers of potential HI curriculum content and expressed clear preferences for clinically relevant and up-to-date HI content. Key challenges in developing an HI curriculum will be ensuring a student-centered, authentic, contemporary and future-focused curriculum, with relevance demonstrated to digital native students.

References

Aungst, T. D., & Patel, R. (2020). Integrating digital health into the curriculum: Considerations on the current landscape and future developments. Journal of Medical Education and Curricular Development, 7. https://doi.org/10.1177/2382120519901275

Bennett, S., Maton, K., & Kervin, L. (2008). The ‘digital natives’ debate: A critical review of the evidence. British Journal of Educational Technology, 39(5), 775–786. https://doi.org/10.1111/j.1467-8535.2007.00793.x

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Bryer, J., & Speerschneider, K. (2016). Likert: Analysis and visualization Likert items (R package version 1.3.5). https://CRAN.R-project.org/package=likert

Cheek, C., Hays, R., Smith, J., & Allen, P. (2018). Improving case study research in medical education: A systematised review. Medical Education, 52(5), 480–487. https://doi.org/10.1111/medu.13469

Coiera, E. (2015). Guide to health informatics (3rd ed.). CRC Press/Taylor & Francis Group. https://doi.org/10.1201/b13617

Creswell, J. W., Klassen, A. C., Plano Clark, V. L., & Clegg Smith, K. (2011). Best practices for mixed methods research in the health sciences. Office of Behavioral and Social Sciences Research. https://doi.org/10.1177/1473325013493540a

Crowe, S., Cresswell, K., Robertson, A., Huby, G., Avery, A., & Sheikh, A. (2011). The case study approach. BMC Medical Research Methodology, 11, Article 100. https://doi.org/10.1186/1471-2288-11-100

Cummings, E., Whetton, S., & Mather, C. (2017). Integrating health informatics into Australian higher education health profession curricula. In A. Shacak, E. M. Borycki, & S. P. Reis (Eds.), Health professionals' education in the age of clinical information systems, mobile computing and social networks (pp. 323–343). Academic Press. https://doi.org/10.1016/b978-0-12-805362-1.00016-4

de Wet, C., & Yelland, M. (2015). The challenges and opportunities in medical education for digital 'natives' and 'immigrants' in Scotland and abroad. Scottish Medical Journal, 60(4), 152–154. https://doi.org/10.1177/0036933015597177

Edirippulige, S., Brooks, P., Carati, C., Wade, V. A., Smith, A. C., Wickramasinghe, S., & Armfield, N. R. (2018). It’s important, but not important enough: eHealth as a curriculum priority in medical education in Australia. Journal of Telemedicine and Telecare, 24(10), 697–702. https://doi.org/10.1177/1357633X18793282

Ellaway, R. H., Coral, J., Topps, D., & Topps, M. (2015). Exploring digital professionalism. Medical Teacher, 37(9), 844–849. https://doi.org/10.3109/0142159X.2015.1044956

Fernando, J., & Lindley, J. (2018). Lessons learned from piloting mHealth informatics practice curriculum into a medical elective. Journal of the American Medical Informatics Association, 25(4), 380–384. https://doi.org/10.1093/jamia/ocx076

Fridsma, D. B. (2018). Health informatics: A required skill for 21st century clinicians. BMJ, 362, Article k3043. https://doi.org/10.1136/bmj.k3043

Giunti, G., Guisado-Fernandez, E., Belani, H., & Lacalle-Remigio, J. R. (2019). Mapping the access of future doctors to health information technologies training in the European Union: Cross-sectional descriptive study. Journal of Medical Internet Research, 21(8), Article 14086. https://doi.org/10.2196/14086

Gray, K. (2016). Public health platforms: An emerging informatics approach to health professional learning and development. Journal of Public Health Research, 5(1), Article 665. https://doi.org/10.4081/jphr.2016.665

Gray, K., Dattakumar, A., Maeder, A., Butler-Henderson, K., & Chenery, H. (2014). Advancing Ehealth education for the clinical health professions: Final report 2014. Office For Learning And Teaching. https://research.bond.edu.au/en/publications/advancing-ehealth-education-for-the-clinical-health-professions-f

Hafferty, F. W. (1998). Beyond curriculum reform: Confronting medicine's hidden curriculum. Academic Medicine, 73(4), 403–407. https://doi.org/10.1097/00001888-199804000-00013

Honey, M. L. L., Aspden, T. J., Brackley, K. E., Haua, R., Sheed, L., Ashmore-Price, H., & Chan, A. (2018). Patients' internet use in New Zealand for information about medicines: Implications for policy and practice. Health Policy and Technology, 7(2), 119–124. https://doi.org/10.1016/j.hlpt.2018.03.003

Kirschner, P. A., & De Bruyckere, P. (2017). The myths of the digital native and the multitasker. Teaching and Teacher Education, 67, 135–142. https://doi.org/10.1016/j.tate.2017.06.001

Lam, M., Hines, M., Lowe, R., Nagarajan, S., Keep, M., Penman, M., & Power, E. (2016). Preparedness for eHealth: Health sciences students’ knowledge, skills, and confidence. Journal of Information Technology Education: Research, 15, 305–334. https://doi.org/10.28945/3523

Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Sage Publications.

Mars, M., Morris, C., & Scott, R. E. (2019). WhatsApp guidelines: What guidelines? A literature review. Journal of Telemedicine and Telecare, 25(9), 524–529. https://doi.org/10.1177/1357633X19873233

McGlade, K. J., McKeveney, C. J., Crawford, V. L. S., & Brannigan, P. (2001). Preparing tomorrow’s doctors: The impact of a special study module in medical informatics. Medical Education, 35(1), 62–67. https://doi.org/10.1111/j.1365-2923.2001.00840.x

Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: A systematic review based on current evidence. BMC Public Health, 20(1), Article 1193. https://doi.org/10.1186/s12889-020-09301-4

Patton, M. Q. (2015). Qualitative research and evaluation methods: Integrating theory and practice (4th ed.). Sage Publications.

Poncette, A. S., Glauert, D. L., Mosch, L., Braune, K., Balzer, F., & Back, D. A. (2020). Undergraduate medical competencies in digital health and curricular module development: Mixed methods study. Journal of Medical Internet Research, 22(10), Article e22161. https://doi.org/10.2196/22161

Prensky, M. (2001). Digital natives, digital immigrants Part 2: Do they really think differently? On the Horizon, 9(6), 1–6. https://doi.org/10.1108/10748120110424843

Qudah, B., & Luetsch, K. (2019). The influence of mobile health applications on patient–healthcare provider relationships: A systematic, narrative review. Patient Education and Counselling, 102(6), 1080–1089. https://doi.org/10.1016/j.pec.2019.01.021

R Core Team. (2021). R: A language and environment for statistical computing [Computer software]. R Foundation for Statistical Computing. https://www.R-project.org/

Rowlands, I., Nicholas, D., Williams, P., Huntington, P., Fieldhouse, M., Gunter, B., Withey, R., Jamali, H. R., Dobrowolski, T., & Tenopir, C. (2008). The Google generation: The information behaviour of the researcher of the future. Aslib Proceedings, 60(4), 290–310. https://doi.org/10.1108/00012530810887953

Sandelowski, M. (1995). Sample size in qualitative research. Research in Nursing Health, 18(2), 179–183. https://doi.org/10.1002/nur.4770180211

Stake, R. E. (1995). The art of case study research. Sage Publications.

Storrar, N., Hope, D., & Cameron, H. (2019). Student perspective on outcomes and process: Recommendations for implementing competency-based medical education. Medical Teacher, 41(2), 161–166. https://doi.org/10.1080/0142159X.2018.1450496

Topol, E. (2019). The Topol review: Preparing the healthcare workforce to deliver the digital future. Health Education England.

Walpole, S., Taylor, P., & Banerjee, A. (2016). Health informatics in UK medical education: An online survey of current practice. JRSM Open, 8(1). https://doi.org/10.1177/2054270416682674

Williams, L. Z. J., & Grainger, R. (2020). Discussion paper: Social accountability for students in a machine learning era. Focus on Health Professional Education: A Multi-Professional Journal, 21(1), 114–120. https://doi.org/10.11157/fohpe.v21i1.363

Downloads

Published

2024-03-28

How to Cite

Townsley, H., Sumner, B., O'Neill, A., Kenwright, D., Wilkinson, T., & Grainger, R. (2024). Student perspectives on health informatics in a medical curriculum: A case study. Focus on Health Professional Education: A Multi-Professional Journal, 25(1), 17–36. https://doi.org/10.11157/fohpe.v25i1.764

Issue

Section

Articles