Moidu K, Leehy M A, Steinberg I, Einreinhofer S, Falsone J J, Cleary J, Nair S, Mazur E
Department of Medicine, Norwalk Hospital, Connecticut, USA.
Proc AMIA Annu Fall Symp. 1996:55-9.
In 1992, Informatics training was integrated into the medical residency program at Norwalk Hospital. The program objective was to familiarize the residents with clinical applications of information technology that could enhance their productivity in clinical practice. In its first year, the curriculum was theory oriented. Evaluation of the program at the end of the first year led to a significant restructuring of the program format and curriculum. The trainees did not find theory to be of immediate clinical value, in the second year the program emphasis was redirected toward the development of practical skills. Next year, in 1993, 'Informatics Clinics' were initiated to develop practical Informatics skills that would be useful in a clinical setting. This approach was more successful but did not offer a complete solution. The degree to which the concepts and methods learned are clinically utilized by residents will depend upon the degree of reinforcement provided in the clinical residency years. In addition, there is a need for the development of assessment standards for the evaluation of Informatics literacy levels. In the absence of assessment standards the level of Informatics literacy in medical graduates remains undetermined Consequently, it is difficult to determine whether the training received has transformed expectations into reality.
1992年，信息学培训被纳入诺沃克医院的医学住院医师培训项目。该项目的目标是让住院医师熟悉信息技术的临床应用，从而提高他们在临床实践中的工作效率。第一年，课程以理论为主。在第一年结束时对该项目进行评估后，对项目形式和课程进行了重大调整。学员们发现理论没有直接的临床价值，因此在第二年，项目重点转向了实践技能的培养。1993年，也就是第二年，开设了“信息学诊所”，以培养在临床环境中有用的实用信息学技能。这种方法更成功，但并没有提供一个完整的解决方案。住院医师对所学概念和方法的临床应用程度将取决于临床住院培训期间所提供的强化程度。此外，还需要制定评估标准来评估信息学素养水平。由于缺乏评估标准，医学毕业生的信息学素养水平仍然无法确定。因此，很难确定所接受的培训是否已将期望转化为现实。
