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AHRQT  Training Program in Patient Safety and Quality
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Curriculum for the AHRQ Training Program

This page gives a schematic overview (go to overview) of the AHRQ Training Program Curriculum and explains the following:

  • core competencies that trainees are expected to gain from this training program  (go to core competencies)

  • required coursework for this training program (go to required coursework)

  • prerequisites in biomedicine, computer science, statistics, and scientific writing (go to prerequisites)

  • electives to strengthen basic knowledge for research in the areas of translating research into practice, patient safety and quality, quality improvement, and patient centered care (go to electives).

Overview of the AHRQ Training Program Curriculum:

AHRQ Curriculum schematic

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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Core Competencies

The AHRQ Training Program requires all students to acquire the basic set of core competencies shown in the figure below. These competencies are adapted from the AHRQ's own training model.


  #

Label

Core Competency

How Achieved in AHRQTP

  1

Breadth of HIT safety and QI theoretical and conceptual knowledge

Know how to apply alternative theoretical and conceptual models from a range of relevant disciplines to HIT safety and QI research, especially informatics, human factors engineering, engineering psychology, and biostatistics.

A variety of educational units, mentors, research opportunities and course offerings will ensure that trainees receive adequate didactic and experiential knowledge of relevant theoretical and conceptual models and their application. The core and elective curriculum will ensure that each begins their training with a broad knowledge of relevant theories and models.

  2

In-depth disciplinary knowledge and skills

Apply in-depth disciplinary knowledge and skills relevant to HIT safety and QI research.

Because trainees must satisfy all requirements for their specific educational unit, they will acquire in-depth disciplinary knowledge and skills that, when combined with the core AHRQTP courses and research mentoring, will enable them to apply their skills and knowledge to HIT safety and QI research. Through research mentoring, students will learn to apply their expertise to an independent research project.

  3

Application of foundational knowledge to HIT safety and QI

Use knowledge of the structures, performance, quality, policy, and environmental context of health and health care to formulate solutions for healthcare safety and quality problems.

The core of the AHRQTP expects trainees to either have or acquire a basic understanding of the US healthcare system. Courses such as HI 5309: Introduction to Clinical Healthcare offer an introduction for those who enter the program without previous knowledge of the healthcare system. These issues are covered in more depth in more advanced classes and through research projects that will often be done at one of the real-world training sites.

  4

Pose innovative HIT safety and QI questions

Pose innovative and important research questions, informed by systematic reviews of the literature, stakeholder needs, and relevant theoretical and conceptual models.

Systematic literature reviews are required in several of the more advanced classes and for advancement to doctoral candidacy in each of the educational units. By working with their faculty mentors, trainees will learn how to pose innovative and significant research questions prior to advancing to candidacy. Involving stakeholders is a fundamental requirement for human factors engineering (HFE) and is therefore covered in the core HFE class and several of the elective courses. Graduate level classes on scientific and grant proposal writing are also available to trainees and will be required for those who have little relevant experience.

  5

Interventional and observational study designs

Select appropriate interventional (experimental and quasi-experimental) or observational (qualitative, quantitative, or mixed methods) study designs to address specific HIT safety and QI issues.

The core curriculum and elective classes provide students knowledge of and experience with a wide range of interventional and observational study designs. Trainees will also have hands-on exposure to study design via development of their own research project (with the assistance of their mentors).

  6

Primary data collection methods

Know how to collect primary data obtained by survey, qualitative, or mixed methods.

Primary data collection methods are covered in the core and elective classes. For example, the core course on HFE covers both survey and observational data collection techniques, including qualitative and quantitative data collection.

  7

Secondary data acquisition methods

Know how to assemble secondary data from existing public and private sources.

The core QI course ensures that all trainees will have some experience with secondary data acquisition methods. Secondary data acquisition methods are also covered in several available elective courses, including epidemiology, QI, public health informatics, data mining,and  knowledge sharing.

  8

Conceptual models and operational measures

Use a conceptual model to specify study constructs for a HIT safety and QI research question and develop variables that reliably and validly measure these constructs.

The core research design course will give all students some experience in this area. Elective courses and research mentoring will further strengthen this competency. Trainees will also be exposed to examples through seminars and by reading the primary literature in classes.

  9

Implementation of research protocols

Implement research protocols with standardized procedures that ensure reproducibility of the science.

This will be met through the research design core course and through research mentoring of each trainee’s research project.

  10

Responsible Conduct of Research

Ensure the ethical and responsible conduct of research.

All trainees will be required to take a course on the ethical and responsible conduct of research.

  11

Multi-disciplinary teamwork

Work collaboratively in multi-disciplinary teams.

Due to the nature of HIT safety and QI research, all trainees will be required to work with a multidisciplinary team of researchers. Mentees will likely join projects of their mentors, and therefore will have the opportunity to observe first-hand how multi-disciplinary teams are managed and led by their mentors. Several of the elective courses also require multidisciplinary team-based projects.

  12

Data analysis

Use appropriate analytical methods to clarify associations between variables and to delineate causal inferences.

Basic competency is met through the core research design and analysis course and the prefoundations requirements of statistical knowledge and skills. Elective courses and the trainee’s research project complete this competency.

  13

Scientific communication

Effectively communicate the findings and implications of health services research through multiple modalities to technical and lay audiences.

The core curriculum requires that each trainee either demonstrate proficiency with scientific writing or take a class in scientific writing. Required presentations at seminars and research conferences will give trainees first-hand experience with oral scientific communication.

  14

Stakeholder collaboration and knowledge translation

Understand the importance of collaborating with policymakers, organizations, and communities to plan, conduct, and translate research into policy and practice.

The importance of stakeholder collaboration and knowledge translation will be emphasized in several of the core courses (such as the course in biomedicine, human factors engineering, and QI) and through research collaboration with our training sites.


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Required Coursework

Current UTHSC-H course offerings may be found here.

List of participating departments and research centers at the five participating institutions.

 

Core of five (5) required classes:

Foundation: required of all trainees

HI 5311            Foundations of Health Information Sciences II (offered in the spring semester; Foundations I is not a prerequisite)


Core: Quality and Safety

Trainees must take one course from each of the following categories (or an equivalent pre-approved course from their home institution):

Research Design and Evaluation

HI 5351            Research Design and Evaluation in Health Informatics 

MS                   Research Design Workshop

PMCH 6485     Introduction to Research Design and Technology



Quality Improvement

HI 6001            Outcomes and Quality in Healthcare (offered in spring 2009)

MS                  Quality Improvement

 

Human Factors Engineering

HI 6001            Health Information Technology for Patient Safety 



Core: Responsible Conduct of Research

All trainees must take one of the following (or an equivalent pre-approved course from their home institution):

MS                   Ethical and Regulatory Aspects of Clinical Research

GS1 10051       The Ethical Dimensions of the Biomedical Sciences

Grad 513          Science as a Profession (BCM)

BIOE/BIOS 594  Training in the Responsible Conduct of Research (Rice University)

MEHU 6101      Ethics in Scientific Research (UTMB)

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Prerequisites:

Trainees who lack background in one or more of the following areas will be required to take one or more of the following courses. These courses may be substituted with equivalent courses from the student’s home institution with permission of the AHRQ Training Program Committee and the trainee’s mentors. Current UTHSC-H course offerings may be found here.



Healthcare/Biomedicine

HI 5001            Molecules to Man in Health Informatics         

HI 5309            Introduction to Clinical Healthcare



Math and Statistics

HI 5352            Statistical Methods in Health Informatics 

HI 5001            Essential Mathematics for Biomedicine

MS                   Biostatistics for Clinical Investigators

Psyc 502         Advanced Psychological Statistics I (Rice University)

PMCH 6443     Statistical Methodology 1



Computer Science

HI 5001            Special Topics: Data Structures and Algorithms

HI 5312            Information Technology for Biomedicine       

 

Scientific Writing

HI 6313            Scientific Writing in Healthcare 

MS                   Scientific Writing and Grant Preparation

Students may also be advised (or required for some degree programs such as SHIS) to take a grant writing course, such as:

HI 7301            Grant Writing 


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Electives:

Below are examples of recommended electives.


Quality and Safety Electives

HI 5302            Cognitive Science in Health Informatics        

HI 5303            Decision Making in Health Care 

HI 5350            Evaluation of Health Care Systems   

HI 5301            Information Systems in the Delivery of Health Care  

HI 5354            Cognitive Engineering in Health Informatics I            

HI 6001            Special Topics: Clinical Datamining  

HI 6001            Special Topics: Reasoning and Decision Making     

HI 6301            Health Data Display   

HI 6305            Social Dynamics and Health Information 

HI 6307            Cognitive Engineering in Health Informatics II           

HI 6309            Healthcare Interface Design  

MS                  Observational Studies

MS                  Interventional Studies

MS                   Health Services Research

Psyc 521         Perception

Psyc 522         Information Processing and Attention

Psyc 524         Memory

Psyc 527         Thinking

Psyc 541         Human Computer Interaction

Psyc 640         Topics in Human Factors/HCI (Methods)

PMCH 6330     Introduction to Epidemiology

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Other Electives

HI 5001            Special Topics: Introduction to Health Data and Electronic Health Records

HI 5001            Special Topics: Scientific Visualization

HI 5001            Principles of Public Health Informatics

HI 5002            Directed Study in Health Informatics

HI 5304            Advanced Database Concepts          

HI 5307            Systems Analysis for Health Informatics

HI 5308            Introduction to Object-Oriented Systems Development in Health Informatics     

HI 5353            Health Informatics Data Analysis

HI 6300            Advanced Health Information Systems

HI 6302            Knowledge Modeling and Engineering in Health Informatics I

HI 6303            Introduction to Telehealth

HI 6306            Comparative Taxonomy

HI 6308            Consumer Informatics

HI 6311            Advanced Decision Analysis I

HI 6351            Knowledge Acquisition

HI 7050            Research in Health Informatics

HI 7150            Research Seminar

HI 7200            Supervised Research            

MS                   Literature Appraisal

MS                  Research Seminars

PMCH 6401     Issues in Preventive Medicine and Community Health - Survey and Analysis

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The Gulf Coast Consortia
The Gulf Coast Consortia for Bioinformatics

Gulf Coast Consortia  ll  c/o Rice University  ll  6100 Main Street, MS-141
Houston, TX 77005
phone 713-348-4752

The Gulf Coast Consortia for Bioinformatics The Gulf Coast Consortia for Bioinformatics The Gulf Coast Consortia for Bioinformatics
Baylor College of Medicine UTMB Internal Medicine Rice University University of Houston MD Anderson Cancer Center UT-Houston