Attribut:Beschreibung-EN
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M
Know areas of application of medical information systems. Know relevant standards and systems. Model clinical information systems. Be able to consider data protection and security requirements. Understand central methodological approaches to the management of clinical information systems. +
At the end of the medical training there are physicians (experts) who are scientifically and practically educated, capable of independent and autonomous medical practice, of gaining knowledge independently, of further education and continuous training. As physicians, they apply the required knowledge, skills and abilities as well as professional conduct and integrate the various medical roles to provide professional patient care. (NKLM 2015) +
As scholars, physicians maintain and improve their professionalism through continuous lifelong learning and through critical evaluation and application of scientific information and its sources. They act as teachers for different target groups (e.g. patients, politicians, health professionals, academic institutions, teachers, students and colleagues) and contribute to the creation, dissemination, application and translation of new scientific knowledge and medical practices. (NKLM 2015) +
Physicians recognize the central importance of communication skills for the medical profession and health care and create a trustful doctor-patient relationship that includes the entire period of medical encounters and all forms of communication. In doing so, physicians master professional conversation management and structure the conversation from beginning to end, taking into account the respective tasks and types of conversation. They also recognize patients' intense or stressful emotions and can deal with them empathetically. They are familiar with the typical, sensitive subject areas and challenging clinical contexts in the medical profession and possess specific communicative knowledge, abilities and skills to act appropriately for the situation and the patient. Physicians can deal with both individual uncertainty and general uncertainty in medical decisions and address these accordingly. They have the competence to communicate errors and risks appropriately. In the context of doctor-patient interaction, they recognize and name healthy and risky behavioral patterns of patients and can support indicated behavioral changes by providing basic knowledge about appropriate counseling and therapy options. In their communicative actions they take into account socio-cultural and socio-economic influencing factors as well as limited communication prerequisites, which play an important role in medical situations. Physicians can effectively communicate with media representatives and the public. Through their role as communicators they have a positive influence on safety, adherence, outcome and satisfaction of patients (NKLM 2015) +
Physicians have committed themselves to the health and well-being of each individual and society on a scientific basis and with a strong ethical approach, high standards of personal conscientiousness and self-imposed professional rules. Each individual physician fulfills this obligation through ethically justified medical action based on the rules of his or her profession and legal regulations. Their actions are characterized by an awareness of the historical development of the medical profession and by great personal integrity. +
Physicians are important and active players in the healthcare system with a high degree of responsibility. They are familiar with the tasks and functions of the institutions, organizations, associations and structures of the health care system and know the essential legal foundations of health and patient care. They participate in the (medical-scientific and structural) improvement of health care, make decisions that in turn result in the allocation of resources and apply quality assurance/management measures. Effective career planning, self-organization and leadership skills are integral parts of this role. (NKLM 2015) +
The lecture imparts orientation knowledge about the medical procedure, the context of medical action (temporal, organizational, legal and economic guidelines or restrictions) as well as the characteristic features of clinical decision-making and medical knowledge. Students learn to identify challenges specific to medicine in typical scenarios and to relate them to their own (e.g. information technology) projects. +
Only a spelling correction +
Learning objectives (>1) joined, as they are duplicated +
Learning objective moved within a domain +
Physicians effectively cooperate with different scientific departments as well as with other professions to realize patient-oriented health care. Collaboration describes the different skills required to communicate with all persons (and organizations) involved in the care of patients in such a way that scientifically substantiated, best possible and efficient patient care is realized. In this context, physicians should be able to coordinate and integrate the diagnostic, advisory and therapeutic activities (measures) indicated for the benefit of patients. This includes general teamwork skills, cooperation with other professional groups and with medical colleagues from different medical disciplines and other scientists. In order to ensure continuity in patient care, intersectoral cooperation is also very important. (NKLM 2015) +
N
prepared by the Working Group "MI Teaching in Medicine" (Head: M. Dugas, J. Varghese) of the German Society for Medical Informatics, Biometry and Epidemiology e.V. (GMDS) +
prepared by the Working Group "MI Teaching in Medicine" (Head: M. Dugas, J. Varghese) of the German Society for Medical Informatics, Biometry and Epidemiology e.V. (GMDS) +
Learning objective inserted for internal structuring +
O
'''Content''' Medical documentation is the collection, development, organization and storage of information and knowledge in medicine. It is a prerequisite for medical care, research as well as for management and billing. Information and knowledge are documented in the form of terms. Classification systems and ontologies are required for semantic integration and ensure that the terms can be further used and processed. Contents of the lecture "Medical and genetic coding systems and basics of medical data management": · Goals of documentation and multiple usability of data, · Types of documentation systems and patient/health records, · Registries, · Medical classification systems, especially classifications and nomenclatures, · Diagnosis and therapy oriented case group systems for billing, · Legal basics of medical documentation. · Phenotype ontologies, · Ontologies for molecular factors and processes. Contents of the exercise: · Application of coding tools in medical practice. · Application of classifications (ICD, ICPM, coding rules). · Application of nomenclatures (e.g. SNOMED, MESH, LOINC) and practical exercises in coding. · Realization of a documentation system for a specific evaluation objective. · Field trips to medical documentation facilities, biobanks, and genetic research laboratories. Individual teaching units are designed by external speakers and partly in the form of e-learning. </br>'''Qualification goals''' After active participation in the module, the students will be able to: - explain the legal basis of medical documentation (including DSGVO and IT security law) (BMHI 0.1.1). - explain the need for medical and nursing documentation using examples. (BMHI 1.1.1) - explain the different types of medical documentation, their structure and areas of application, in particular the basic documentation of hospitals and medical practices (BMHI 1.1.2) - name the advantages and disadvantages of electronic documentation, their differences to paper documentation and the problems of media discontinuity (BMHI 1.1.3) - explain the tasks and function of the different types of electronic patient records (physician-initiated, facility-related or inter-facility) and the electronic health record (patient-initiated). (BMHI 1.1.6) - explain and exemplify the classification of diagnoses using the current version of ICD-GM (International Statistical Classification of Diseases and Related Health Problems, German Modification) for inpatient and outpatient settings. (BMHI 1.3.1) - explain and exemplarily apply the coding of measures, interventions and procedures using OPS. (BMHI 1.3.2) - explain the DRG system, the information and tools required to determine a DRG, and the metrics associated with the DRG system, including payment system and additional revenue (BMHI 1.3. 3) - explain nomenclatures, (controlled) vocabularies, terminologies, ontologies, and taxonomies for medicine, (e.g., SNOMED CT, LOINC; for nursing, ICNP, NANDA, and NIC and NOC, LEP; and for genetics, Gene Ontology (GO) (BMHI 1.4) - explain the importance of conceptual orders for medicine in general. (BMHI 1.4.1) - name and explain medical classifications and terminologies and how they are constructed and used. (BMHI 1.4.2)
P
Recommendations of the Working Group "Information Processing in Nursing" of the German Society for Medical Informatics, Biometry and Epidemiology (GMDS), the Austrian Society for Nursing Informatics (ÖGPI) and the Swiss Interest Group for Nursing Informatics (IGPI) +
R
Role of learning objective changed +