Završno predavanje Medicinska informatika, studij medicine, akad. god. 2003./04., završno predavanje.

Završno predavanje

Medicinska informatika, studij medicine, akad. god. 2003./04., završno predavanje

http://www.cs.bell-labs.com/who/ches/map/

Povezivanje…

…povezivanje…

http://www.lumeta.com/

…i razdvajanje

http://www.unik.no/~robert/hifi/dvd/world.html

Globalizacija

Oregon Health & Science University2003 IMIA Working Group onEducation meeting, April 23-25, 2003Portland, USA

“Teach Globally, Learn Locally: Innovations in Health and Biomedical Informatics Education in the 21st Century”

The goals … biomedical informatics education… planning for the development of the IMIA “virtual university” that will enable…

E-časopisi

The computer, the telephone, the Web, video – these, and all that is still to come, are unquestionably powerful tools. Used badly, they waste time and money, and dehumanise our interactions with each other. Used well, guided by a clear understanding of basic informatics principles, they are neither to be feared, loved nor loathed. They are simply to be used. In the next century, the study of informatics will become as fundamental to the practice of medicine as anatomy has been to the last.

E. Coiera, 1998. (TIR)

http://www.informatics-review.com/thoughts/skills.html#Ten essential clinical informatics skills

Obrazovanje (medicinari)

Kako rabiti digitalnu znanost?

(VJEŠTINE)

Što jest digitalna znanost?

(ZNANJE)

NASTAVNIKPREDAVAČ

VODITELJKOORDINATOR

10 vještina (E. Coiera)Clinicians should be able to: 1. Understand the dynamic and uncertain nature of medical knowledge and know

how to keep personal knowledge and skills up-to-date 2. Search for and assess knowledge according to the statistical basis of scientific

evidence 3. Understand some of the logical and statistical models of the diagnostic process 4. Interpret uncertain clinical data and deal with artefact and error 5. Analyse and structure clinical decisions in terms of risks and benefits 6. Adapt and apply clinical knowledge to the individual circumstances of patients 7. Access, assess, select and apply a treatment guideline; adapt it to local

circumstances; and communicate and record variations in treatment plan and outcome

8. Structure and record clinical data in a form appropriate for the immediate clinical task, for communication with colleagues, or for epidemiological purposes

9. Select and utilize the most appropriate communication method for a given task (eg, face-to-face conversation, telephone, e-mail, video, voice-mail, letter)

10. Structure and communicate messages in a manner most suited to the recipient, task and chosen communication medium.

http://www.informatics-review.com/thoughts/skills.html#Ten essential clinical informatics skills

E-udžbenici, besplatni

http://bcs.whfreeman.com/biochem5/

http://www.harrisonsonline.com/

E-udžbenici, $

Izravno učenje s Interneta

http://www.diagnosticimaging.com/cme/articles/019.pdf

…sa testom znanja

http://www.mhsource.com/diagnostic/

Izravno (on-line)...

http://bmj.com/cgi/content/full/323/7304/75

http://www.riskscore.org.uk/

The Eagle Patient Simulator is a state-of-the-art realistic, hands-on simulator of the anesthetized or critically ill patient. A "hands-on” simulator is one in which the clinical environment and the patient are represented as real physical objects. A specially instrumented patient mannequin stands in for the patient, and real clinical equipment is used to make up the work environment. The modern

anesthesia simulator was invented here at Stanford University in 1986 by a group led by David M. Gaba, M.D., Associate Professor of Anesthesia.

Simulacije…

Similarly, the simulator comes with over twenty abnormal "events" which can be triggered. These include things like, "hypoxemia", "malignant hyperthermia", "anaphylaxis", "myocardial ischemia". For each event there are a variety of settings possible, governing how it is triggered, how severe it is and how quickly it will come on, and the relative intensity of the various possible manifestations....

Once the event's characteristics are tailored, it can be saved away under a new name. This enables instructors to create huge libraries of variants of the standard events. Up to three abnormal events can be running simultaneously. Thus, when different patients can be used, with hundreds of different events or their variants, there is nearly an infinite ability to replicate simple or challenging clinical situations.The simulator software provides other nice features. For example, Snap and Restore allows one to capture a scenario at any point in time and save it under a name. Thus, one can come back to that exact point at any time, picking up the simulation exactly where it left off.

The Eagle Patient Simulator (2001.)

http://pkpd.icon.palo-alto.med.va.gov/simulator/sim.htm

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usingcomputer

owningcomputer

using Internet using e-mail

perc

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Figure 1. Percentage of students using computer, owning their own computer,using Internet and e-mail through academic years 96/97 – 00/01

memed.medri.hr

http://www.cmj.hr/index.php?D=/44/1/69

E-tromboza!

e-Thrombosis, a new threat for the 21st century The risk of developing life-threatening blood

clots from sitting for long periods at a computer was revealed today in a case report from New Zealand. A young man who spent up to 18 hours a day sitting at his computer nearly died after developing a massive blood clot that formed in his leg veins, broke off and travelled to his lungs (pulmonary embolism).

TIR, Vol. 6 No. 7

Studentski seminari

dobro, zanimljive informacije malo tema van časopisa koje smo mi

ponudili najbolja: 4. skupina opća zapažanja

– gledati publiku tijekom izlaganja– čitanje vs. govor– pokazati na tekstu/slici što se govori– brzina – umjerena; paziti na vrijeme!

Studentski seminari

prikazi na računalu:– količina sadržaja (vrijeme na raspolaganju)– izradba “na brzinu” – preslika izvornog teksta – loše!– važno znati i razumijeti sadržaj, poznavati sve

izraze, kratice i tumačenja– jako bitno:

hrvatski književni jezik! – animacije

Studentski seminari

početak– “oprostite na puno teksta…”– “ja, nažalost, nisam…”– “bit ću kratak…”

završetak, zadnja rečenica, pitanje– “i to je to”

zanimanja za to što se radi

Ispit: gradivo

vježbe i seminari

Đuro Deželić

Medicinska informatika

HDMI, Zagreb, 1997.

Mladen Petrovečki i sur.

Dopunski tekstovi

mrežne stranice Katedre

Dopunsko gradivo

Degoulet P, Fieschi M.

Introduction to Clinical Informatics

Springer, 1997.

Van Bemmel JH, Musen MA.

Handbook of Medical Informatics

Springer, 1997.http://www.mieur.nl/mihandbook/r_3_2/handbook/home.htm

Medicinska informatika

http://mi.medri.hr/

[email protected]

Studenti se primaju utorkom i četvrtkom od 14-16 sati, ako drukčije nije navedeno na oglasnoj ploči!

Ispit

pismeni:

– test, 22 pitanja, 45 min

– primjer testa na mrežnim stranicama

usmeni:

– 5 pitanja

– objavljena na mrežnim stranicama

Posebnost 2003./04.

1. ne trebate ostavljati indeks 24h prije

ispita – morate ga imati sa sobom na ispitu

2. ocjena vrijedi samo za ispit u ponedjeljak,

14. lipnja 2004., 15h, predavaonica P2, za

sve studente osim:

3. “parcijala” – samo za ispit u subotu, 3.

srpnja 2004., 10h, predavaonica P2

4. ispitu moraju pristupiti svi studenti

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2B 4B 6B 1AB 3B 5AB 3A 4A 6A 2A

Hvala na suradnji, uspješno polaganje ispita!P O T P I S I

rezultati za generaciju 2003./04.u pripremi