E L E C T I V E S

COMPUTER APPLICATIONS IN CLINICAL PRACTICE AND RESEARCH

CS1  Medical Informatics - Montefiore Medical Center | CS2  Senior Elective in Image Analysis | CS9  Elective in Computerized Patient Record Systems | CS10  Elective in Computer Aided Instruction (CAI) | CS11  Elective in Computerized Patient Records Systems


CS1  Medical Informatics - Montefiore Medical Center

The Sleep-Wake Disorder Center offers a summer project in Medical Informatics. The student will use multimedia development tools to develop program material related to sleep disorders medicine for physician and patient education. The comprehensive multimedia textbook of sleep medicine which incorporates audio, video, animation, Medline references and abstracts is continuously being expanded as new multimedia modules are developed. The student will select an area of interest and help develop an educational module using tools, such as a multimedia authorizing program Asymmetrix Toolbook, Adobe Photoshop, Quark Express and video capture software.

In addition to CD ROM based multimedia software, the student may be involved in the development of multimedia on the World Wide Web using Netscape and Java applications. Pentium computers with 17" monitors plus appropriate video capture equipment and scanning equipment are available.

The student for this project should be comfortable with using IBM compatible computer equipment and having a working knowledge of commonly used computer programs, such as word processing or spreadsheets. Programming experience in multimedia authoring or other program is preferable although not essential. Some knowledge, or use, of the Internet and World Wide Web is preferable.

Dr. Michael J. Thorpy (920-4841)
All modules, Full or Half modules
Full-time Maximum 2 AECOM students - 2 Non-AECOM students
Students should contact Dr. Thorpy to arrange elective.

 

CS2  Senior Elective in Image Analysis

The project uses image analysis to study structure/function relationships in the brain. The rat motor system is the experimental model, and algorithms are applied to PET scan of human patients. The method used is 14 C deoxyglucose autoradiography to estimate glucose utilization, which is the basis of the PET scan methology for metabolic mapping. Typical problems are: 1) how to find the "significant feature" in an autoradiogram of PET scans using area measurements, contrast enhancement, color coding, 2) how to determine the alignment of opiate receptor "patches" and neural activity 3) most of the time in this clerkship would be spent experimenting with 3D Reconstructions image analysis systems on Macintosh and Silicon Graphics computers.

 

Dr. Lucy L. Brown (430-3728)
All Modules Except 1A & B, 2A & 2B
Full Modules ONLY, Full-Time
Students must contact department to arrange elective.

 

CS9  Elective in Computerized Patient Record Systems

This elective will introduce the student to the benefits and problems of implementing a Computerized Patient Record. The Institute of Medicine of the National Institutes of Health has published a position paper calling for the creation of Computerized Patient Records. There are numerous medical, legal, economic, and ethical issues that arise in trying to make such a major change in the way medical care is provided. Student may choose either to work with a small scale experimental patient record system or a large-scale hospital information system vocabulary project.

The Office of Computer Based Education is developing an experimental patient record system which is used by medical students in clinical clerkships. Because the system is experimental, student researchers will have freedom to try new ideas. Student will learn about the advantages and disadvantages of collecting medical information using relational databases and object orient programming systems. Students will also learn how the interface of a computer program can effect what data users will collect about their patients. Previous programming experience is required to work on this project.

The National Library of Medicine and the Agency for Health Care Policy Research are funding a multi-center cooperative effort to work on increasing the transportability of medical records. Prior work done at AECOM has focused on medical terminologies and automatic translation of structure and content. Students will have an opportunity to learn about structured vocabularies, relational databases, clinical information systems, and internet protocols. Issues related to patient confidentiality, medical record security, and research use of medical records will also be covered. Although not required, prior experience with programming or relational databases is recommended.

Dr. Christopher Cimino (430-4211)
All Modules except 2A and 4A
Full or Half Modules
Full or Part Time
Students should contact Dr. Cimino to arrange elective.

 

CS10  Elective in Computer Aided Instruction (CAI)

Computer Aided Instruction (CAI) makes use of technology to present educational information in ways that would otherwise be difficult or impossible. There are currently three CAI projects underway that students could get involved in.

Computers provide a way of displaying a large variety of images. At the same time, networks provide a way of providing those images at many locations. The World Wide Web and Hypertext Mark Up Language have become important tools for presenting educational material over the Internet. Standard course material (slides and text) can be converted to electronic form and structured and presented in creative ways. Students getting involved in this project would learn about creating CD-ROMs, photo retouching, optical character recognition, and hypertext authoring. No previous programming experience is necessary.

While the world wide web provides a method of making basic text and images available, more dynamic learning interactions are possible using Common Gateway Interfaces (CGIs) to a database. Currently under development is a database of medical images. Basic look up and editing functions are provided but this database provides a wealth of opportunities. Two areas in particular would be automatic photo-quizzes and companion case database that makes use of the images. Although not essential, some prior experience with an SQL database would be helpful.

A paradigm of human learning can be incorporated into a CAI program. If the paradigm has any validity, then students who use the program with the paradigm should learn more than those who use a program without the paradigm. Experiments such as this provide insight into how people learn, as well as how to create better teaching programs. A student working on this type of project should have previous programming experience.

Dr. Christopher Cimino (430-4211)
All Modules except 2A and 4A
Full or Half Module; Full or Part Time
Students should contact Dr. Cimino to arrange elective.

 

CS11  Elective in Computerized Patient Records Systems

This elective will introduce the student to the benefits and problems of implementing a Computerized Patient Record. The Institute of Medicine of the National Institutes of Health has published a position paper calling for the creation of Computerized Patient Records. There are numerous medical, legal, economic, and ethical issues that arise in trying to make such a major change in the way medical care is provided. Student may choose either to work with a small scale experimental patient record system or a large-scale hospital information system vocabulary project.

The Office of Computer Based Education is developing an experimental patient record system which is used by medical students in clinical clerkships. Because the system is experimental, student researchers will have freedom to try new ideas. Student will learn about the advantages and disadvantages of collecting medical information using relational databases and object orient programming systems. Students will also learn how the interface of a computer program can effect what data users will collect about their patients. Previous programming experience is required to work on the project.

The National Library of Medicine and the Agency for Health Care Policy Research are funding a multi-center cooperative effort to work on increasing the transportability of medical records. Prior work done at AECOM has focused on medical terminologies and automatic translation of structure and content. Students will have an opportunity to learn about structured vocabularies, relational databases, clinical information systems, and internet protocols. Issues related to patient confidentiality, medical record security, and research use of medical records will also be covered. Although not required, prior experience with programming or relational databases is recommended.

Dr. Christopher Cimino (430-4211)
All Modules except 2A and 4A
Full or Half Module, Full or Part Time