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Reflections on Medicine, Computer Science, and Clinical InformaticsGeoff Rutledge, MD, PhDCofounder and CMIO
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16,000 Physicians. No waiting room.
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Medicine, Computer Science, and Clinical Informatics
Intro and background
What is Biomedical Informatics?
Career paths in Biomedical Informatics
Lessons from Academia and Industry
HealthTap University
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My Path to Academic Informatics
Undergrad and Med School math physics computer science, then biology,
biochemistry and medicine A med school with a strong clinical tradition (McGill)
Clinical medicine Internal Medicine residency, practice of Emergency
Medicine at community hospitals Clinical faculty at UCSD and Stanford
Informatics Stanford program in Medical Information Sciences Faculty at Harvard Medical School
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What is Biomedical Informatics?
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Components of NLM Informatics Training Programs:
• Bioinformatics and/or computational biology
• Translational informatics and clinical research
• Structural informatics (imaging)
• Clinical informatics
• Public health informatics
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Biomedical Informatics
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Basic Research
Applied Research
Biomedical Informatics Methods, Techniques, and Theories
Imaging Informatics
Clinical InformaticsBioinformatics Public Health
Informatics
Molecular andCellularProcesses
Tissues andOrgans
Individuals(Patients)
PopulationsAnd Society
From E.H. Shortliffe
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Biomedical Informatics Research Areas
BiomedicalKnowledge
BiomedicalData
KnowledgeBase
InferencingSystem
DataBase
DataAcquisition
BiomedicalResearchPlanning &Data Analysis
KnowledgeAcquisition
TeachingHumanInterface
TreatmentPlanningDiagnosisInformation
RetrievalModel Dev.
ImageGeneration
Real-time acquisitionImagingSpeech/language/textSpecialized input devices
Machine learningText interpretationKnowledge engineering
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<domain name> Informatics
The practice of informatics, most generally, requires the presence of two components:
(1) A set of skills and methodologic tools derived from knowledge of the basic informational and computing sciences; and
(2) Knowledge, experience, and activity in one or more application domains. The coexistence of, and interactions between, these key components gives meaning and significance to informatics as a field
(Friedman, ACMI)
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Clinical Informatics
My motivation: Improve processes and outcomes of clinical care, using
automation
There are many paths and career options to accomplish this
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Career Paths in Biomedical Informatics
Academic Research, teaching, administration
Health-system operational roles EG CIO, CMIO, or director for information technology Digital library management
Corporate research and development For profit and non profit organizations
Business opportunities From startups to mid size to mega corporations
• Biotechnology/pharmaceutical companies• Medical/hospital information system companies• Online/mobile
Interactive Health
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What I Learned in Academia
Creating a credible research agenda while in a full time clinical faculty role is “challenging”
A research career requires dedicated time for gestation• Spend that time with a very smart group of researchers
The right mentor can make all the difference
Research opportunities/awards come easily to those who have all their ducks lined up
Right training Right institution Right mentors/advisors Right preliminary/foundational research
Your measure of success is publications Having high impact is good But productivity is measured by quantity Closely linked to future success in funding
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What I wish I had figured out sooner
How to pick your research topic First, pick your ideal next job
• Where is it? • Who will interview you for that job?• Who will be in the audience at your job talk?
Make sure your job talk will be compelling for the people in that audience
• If the results of your research are not interesting to your next employer, then you picked the wrong employer (or the wrong research)
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My Path to Industry:
Internet Startups The potential of the Internet for health was obvious 20 years ago Healtheon was an early entrant in Internet health Wellsphere pursued a model of wellness, and consumer health
information for the healthy
HealthTap Now 2 years old, has led the new era in Interactive
Health The power of mobile
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Moving From Academia to IndustryA well capitalized small company is an incredible opportunity
• An early phase company will change it’s business plan and objectives with some regularity
• You can redefine yourself regularly (you have to adapt)• Seize opportunities as they arise
Starting your own company is hard Requires a team effort, and knowledge of the hurdles It’s best to be either naïve or brilliant Success often depends on timing
What I wish I had learned sooner Business is business, retain your perspective Diversify
• Your personal stake in the business is already huge, maintain perspective (diversify)
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Observations On Working in Industry
Take time to figure out how the business works
Trust and respect are earned It is lethal to expect special treatment based on your credentials or prior
accomplishments
Be kind, respectful, and helpful to your colleagues
Put the company’s needs first Position everything you do as essential to the pursuit of company goals
Don’t ignore corporate politics Make yourself helpful/indispensible to others Figure out who is threatened by you – make them your advocate (and be aware
you could be blindsided)
Be flexible: Consider opportunities that involve work outside your areas of expertise/experience
Especially if there is no one better equipped to figure it out than you, and even more so if it is important to the future of the business
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MissionMeasurably prolong the life expectancyof humankind and improve people’s quality of life by enabling immediate access to the best health experts and their knowledge anytime, anywhere
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Get in touch with your
health
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What Patients Do
80% consumers go online
1.4 billion health searches/month (Google)
Health fastest growing mobile category
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But it’s Not Helpful
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What’s missing?
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Trusted
Physicians
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15,000
Physicians
116Specialties
50States
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25%of doctor visits are questions and answers
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The 1st Mobile Health Platform
TrustedPersonalizedHigh qualityImmediateUnlimited accessFree
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Peer Reviewed
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Publications
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Rich & engaging
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HealthTap’s Consumer Health Ontology
Interprets what people ask• Best answers• Relevant specialists• Related publications• Similar topics
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Consumer Health Vocabulary
A few of the observed spellings of “hemorrhoid”
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How It Works
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HealthTap University
Interact with and help real patients
Discover what patients mean when they ask questions
Learn from highly experienced, expert clinicians
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What HTU Students Say
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HealthTap University
To sign up to HealthTap University, send an email to:
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HealthTap
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The Future Is Finally Here but not evenly distributed
Imagine a world in which most doctors are available and accessible online
And every interaction that is more efficient when done electronically is available online
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Have Fun!