Domains, tasks, and knowledge for clinical informatics subspecialty practice: results of a practice analysis
Final Accepted Manuscript
AuthorSilverman, Howard D
Steen, Elaine B
Carpenito, Jacqueline N
Ondrula, Christopher J
Williamson, Jeffrey J
Fridsma, Douglas B
AffiliationUniv Arizona, Coll Med Phoenix, Dept Biomed Informat
Univ Arizona, Coll Med Phoenix, Dept Family & Community Med
Univ Arizona, Coll Med Phoenix, Dept Bioeth & Med Humanism
KeywordsPhysician Board Certification
clinical informatics subspecialty
delineation of practice
MetadataShow full item record
PublisherOXFORD UNIV PRESS
CitationHoward D Silverman, Elaine B Steen, Jacqueline N Carpenito, Christopher J Ondrula, Jeffrey J Williamson, Douglas B Fridsma, Domains, tasks, and knowledge for clinical informatics subspecialty practice: results of a practice analysis, Journal of the American Medical Informatics Association, Volume 26, Issue 7, July 2019, Pages 586–593, https://doi.org/10.1093/jamia/ocz051
Rights© The Author(s) 2019. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved.
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at firstname.lastname@example.org.
AbstractObjective: The study sought to develop a comprehensive and current description of what Clinical Informatics Subspecialty (CIS) physician diplomates do and what they need to know. Materials and Methods: Three independent subject matter expert panels drawn from and representative of the 1695 CIS diplomates certified by the American Board of Preventive Medicine contributed to the development of a draft CIS delineation of practice (DoP). An online survey was distributed to all CIS diplomates in July 2018 to validate the draft DoP. A total of 316 (18.8%) diplomates completed the survey. Survey respondents provided domain, task, and knowledge and skill (KS) ratings; qualitative feedback on the completeness of the DoP; and detailed professional background and demographic information. Results: This practice analysis resulted in a validated, comprehensive, and contemporary DoP comprising 5 domains, 42 tasks, and 139 KS statements. Discussion: The DoP that emerged from this study differs from the 2009 CIS Core Content in 2 respects. First, the DoP reflects the growth in amount, types, and utilization of health data through the addition of a practice domain, tasks, and KS statements focused on data analytics and governance. Second, the final DoP describes CIS practice in terms of tasks in addition to identifying knowledge required for competent practice. Conclusions: This study (1) articulates CIS diplomate tasks and knowledge used in practice, (2) provides data that will enable the American Board of Preventive Medicine CIS examination to align with current practice, (3) informs clinical informatics fellowship program requirements, and (4) provides insight into maintenance of certification requirements.
Note12 month embargo; published online: 30 April 2019
VersionFinal accepted manuscript
SponsorsAmerican Medical Informatics Association
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