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8/1/2014
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Doctors Can Go Back To Tech School

Texas A&M-Dell academy to launch later this year aims to train medical pros on the latest healthcare technology -- and serve doctors moving into IT roles.

10 More Robots That Could Change Healthcare
10 More Robots That Could Change Healthcare
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One of the goals of Texas A&M's Health Science Center is to help doctors, medical students, and other healthcare professionals come to terms with the ways technology is changing their jobs. It will take a big step in that direction when it launches a new health technology academy later this year as part of its continuing medical education program.

A unit of Texas A&M University, TAMHSC operates on seven campuses statewide. TAMHSC is working with Dell to develop the academy, including collaborating on the curriculum.

The center initially will design the academy's curriculum to serve practicing physicians who want training in the latest healthcare information technologies. In the long term, the aim is to also serve undergraduate, graduate, and medical school students interested in careers in healthcare IT, said Dr. Paul Ogden, interim dean of medicine and interim VP for clinical affairs at TAMHSC, in an interview.

[Is that health app good for you? Read 10 Health Apps That Might Make You Sick.]

"There is a need [in healthcare] for folks who are IT people primarily and also physicians," Dr. Ogden says. "We've noticed that technology is rapidly changing and seems to be well ahead of where physicians are in most cases. Physicians are busy trying to maintain a clinical practice, are usually dealing with outdated technology, and have very little time to update it, or improve technology to improve patient care and make their practice more efficient. It's an area that needed innovation and education."

Some doctors "in older age groups" are slow to adopt technology, says Ogden. This challenge is compounded by clunky electronic health record (EHR) systems, many of which were built mainly to ensure that medical practices handle coding properly for insurance company billing. "Many physicians find [EHRs] difficult to transition to and very cumbersome when they try to do it."

The limits of EHRs are well publicized. In an open letter to health IT vendors posted on InformationWeek.com, Mory Weschler, chief IT strategist for Montefiore Medical Center in New York, addressed the key issues:

Hospital systems are investing hundreds of millions of dollars in an [EHR] system that physicians and other eligible providers are not flocking to use. Why is this the case? Why do some clinicians complain the system gets in the way of treating their patients? Why is it difficult to train clinicians on how to place an order or print a barcode for a blood draw? From a patient perspective -- and as consumers of what has been referred to as the world's most expensive healthcare system -- is it too much to ask for access to a longitudinal medical record?

Then there are the government deadlines pressing down on healthcare organizations -- adoption of ICD-10 diagnosis codes by October of this year, and compliance with Meaningful Use Stage 2 going into next year. According to the 2014 HIMSS Leadership Survey, 71% of the 298 healthcare IT leaders who responded said they expect to be able to attest to Meaningful Use 2 compliance this year, and another 19% expect to get there in 2015. The deadline for conversion of systems to support ICD-10 diagnosis codes is October 2014, as dictated by the Centers for Medicare and Medicaid Services, but only 16% of respondents say that achieving this conversion is a priority for their organizations.

According to Dr. Cliff Bleustein, managing director and global head of healthcare consulting for Dell,  two big IT challenges face physicians. "The first is learning how to use the technology itself, whether it's a tablet, a smartphone or EHRs," he told us. "Oftentimes, it requires learning the new system and how it operates. That's coupled with changing the way you work. You have to change the workflows and processes, and people have spent a tremendous amount of time establishing these. The introduction of new technologies requires a change in cultural mindset, policies and procedures, and changes in workflows. It’s different from current ways they do medicine."

With that challenge in mind, the TAMHSC courses will focus not only on technology, but also on the broader issues of change management, governance, compliance, and security. "It's important that organizations have an assessment around their security to see what they can do to make improvements," says Bleustein.

Ogden thinks technology is going to be a bigger and bigger part of every medical practice.

"All physicians should be on EHR in the next five years," he says. "I see physicians working with tablets and smartphones. They're using apps on their phones to monitor patients to track disease. We're seeing large chunks of information coming into the doctor's office externally from patient-monitoring devices that have to be evaluated and managed. The amount of information will be huge, and systems will need to be built around that in order to allow physicians to use it. It's not like an old paper record that sits in a drawer and nobody looks at."

What do you think? Are TAMHSC and Dell on the right track with their healthcare technology academy? Is it necessary for a new discipline to emerge that combines clinical know-how with technological skill, a sort of Dr. CIO? Also, what are your biggest concerns about EHRs and the increasingly tech-dependent state of healthcare? Share your thoughts with us in the comments section below.

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Susan Nunziata works closely with the site's content team and contributors to guide topics, direct strategies, and pursue new ideas, all in the interest of sharing practicable insights with our community. Nunziata was most recently Director of Editorial for ... View Full Bio

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Laurianne
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Laurianne,
User Rank: Author
8/1/2014 | 12:58:56 PM
Telepresence role
A reader points out via Twitter that telepresence and e-learning programs are helping doctors get tech training as well. The issue of whether healthcare IT pros must have medical training is a hot one for our readers...what I have been told by healthcare CIOs is it helps but if you show passion for healthcare, you can work your way onto their teams. But contact people on the team directly so you don't get weeded out.
Susan_Nunziata
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Susan_Nunziata,
User Rank: Strategist
8/1/2014 | 1:55:07 PM
Re: Telepresence role
@Laurianne: That's excellent advice, and most of the CIOs and other IT folks I've met in healthcare do show that commitment and enthusiasm. One CIO I interviewed at a major healthcare organization a couple of years ago said, "I'm not responsible for technology, I'm responsible for helping to save people's lives."

It will be interesting to watch as new generations of tech savvy medical students continue to graduate, whether healthcare technology will remain as challenging as it seems to be right now for the practitioners.

What do you think?
Thomas Claburn
IW Pick
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Thomas Claburn,
User Rank: Author
8/1/2014 | 7:34:11 PM
Re: Telepresence role
Really, all employers should be encouraging employees to enhance their knowledge and skills using online courses or real-world schools. We should all strive to be learning all the time. Think of it as an exercise routine for our brains.
Li Tan
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Li Tan,
User Rank: Ninja
8/2/2014 | 7:00:59 AM
Re: Telepresence role
The world is becomming more and more integrated. For health pros, IT skill is an essential part as well. So it's of no surprise to see this trend. It will take sometime for health pros to get to used to this transformation. But it really depends on the individuals - how much passion you have?
Gary_EL
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Gary_EL,
User Rank: Ninja
8/2/2014 | 4:21:26 PM
Medical doctors have too much to do as it is
Medical doctors have too much to do as it is, and there is no shortage of unemployed IT pros around. Rehire those people and train them in the new technologies. The docs themselves only need to be trained to the absolute minimum, which is whatever can't be delegated to others on a practical basis. IT pros don't do brain surgery, and there is no need for doctors to become computer experts, unless they want to do it for fun as a hobby, in which case I recommend Arduino boards.
jastroff
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jastroff,
User Rank: Ninja
8/2/2014 | 7:19:06 PM
Re: Telepresence role
I agree, but I find that most of my doctors have stopped their IT education with email and health portals. I don't know where they will get the time for more technology training with their busy days.
PedroGonzales
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PedroGonzales,
User Rank: Ninja
8/3/2014 | 5:34:15 PM
Re: Telepresence role
I think doctors have no choice but adapt and try to learn how to use technology in their field better.  There is a strong government push to use technology to improve our health care.  Health workers who do not use their new medical technology can have a negative impact on their patients' lives.
Michelle
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Michelle,
User Rank: Strategist
8/3/2014 | 10:37:40 PM
Re: Medical doctors have too much to do as it is
That's an option. I suspect many physicians will spend time learning only the minimum they need to enter patient information to save time.
Susan Fourtané
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Susan Fourtané,
User Rank: Ninja
8/4/2014 | 2:13:14 AM
Re: Medical doctors have too much to do as it is
Gary, 

 "IT pros don't do brain surgery, and there is no need for doctors to become computer experts"

There is a need for doctors to learn how to do brain surgery in the 21st century. This means they need to learn how to use technology in the operation room. iPads, Google Glass, and robots are already being used to assist surgeons. It's the surgeon the one who needs to be operating the devices, not the IT pro. 

-Susan
Susan Fourtané
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Susan Fourtané,
User Rank: Ninja
8/4/2014 | 4:29:12 AM
There is a need for more healthcare technology academies
SusanN, 

"Are TAMHSC and Dell on the right track with their healthcare technology academy?"

Yes, they definitely are. More initiatives like this one is what is going to help physicians get into the health technology track, which they need to practice medicine in the 21st century. 

"Is it necessary for a new discipline to emerge that combines clinical know-how with technological skill, a sort of Dr. CIO?"

Maybe not a Dr. CIO, but something close to that. The fact is that a doctor without any technological knowledge who doesn't know how to use simple devices such as an iPad, Google Glass, or a surgical robot to assist them in their medical practice are going to be so behind that either learn quickly and adapt to the changes, or change career. 

"Also, what are your biggest concerns about EHRs and the increasingly tech-dependent state of healthcare?"

I don't have any concerns about EHRs other than thinking that the slow adoption by some physicians is really worrysome. EHRs are not something new. They have been around for many years now. And yet, the discussions around EHRs are always, always, always the same. :/ The good thing is that the state of EHRs adoption in Europe is much higher than in the US, and moving quickly. 

I don't have any concerns about the increasing tech-dependant state of heathcare either. On the contrary. I believe it is simply a logical consequence of today's tech-dependant society. This is not bad. It means advancement. It mean evolution. This requires adaptation, which is always necessary as part of any evolutionary process.   

Good questions, Susan. Do I get a golden star for answering to all the questions? :) Maybe a candy, too? :D

-SusanF
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