The Power of Acting Locally: Possibilities raised by the CI Standard as a model for data

expression and data sharing

Sascha B. Cohen, UCSF / IliosScott Kroyer, E*Value

A Method of Universal Translation

The Challenges

Idiosyncratic vocabularies and taxonomies

Voynich ms. images courtesy of wikipedia (http://en.wikipedia.org/wiki/Voynich_manuscript/)

Highly individualized models

self-operating napkin, used courtesy of Rube Golberg, Inc. (RGI)

Multiple interpretations of shared models

(images shamelessly lifted from http://tywkiwdbi.blogspot.com/

(maybe)(sometimes)(except when they want something else)

“Walled garden” commercial solutions

Illustration by Joseph Schindelman. From DAHL, Roald. Charlie and the Chocolate Factory. New York: Alfred A. Knopf, 1964.

“No one ever goes in….and no one ever comes out”

Legacy data systems

Image courtesy of wikipedia.com (http://www.wikipedia/en/eniac)

http://honeysucklecreek.net

Nursingclio.org

The Opportunities

Source repository – Curriculum

Management System

Target Repository – Curriculum

Management System

Model 1: MigrationThe Models:XML / XSLT Standard-based I/O interface

Curriculum Management

Repository PRIME

Curriculum Management

Repository SECONDARY

Model 2: SynchronizationThe Models:XML Communication Layer (The Standard)

Curricular Program A

Curricular Program B

Model 3: Comparison

Comparison in visualized output

The Models:XML Communication Layer (The Standard)

ExamSoft

ILIOS

Model 4: Integration

NewInnovations

E*Value

SIS

Canvas

The Models:

Curriculum Source

repository

Model 5: Transformation

???

The Models:XML Communication Layer (The Standard)

Model 6: Publisher/Subscriber (Rosetta Stone)The Models:

CurriculumMapping Vendor

Assessment Vendor

Portfolio System

Evaluation Vendor

Business Intelligence

Institutional Systems

Curr

icul

um

In

vent

ory

The Examples#1: Visualizations

Used by permission of Brian Reid, Dartmouth University Geisel School of Medicine.

COHORT

COMPETENCY

COURSE

Each layer of the sunburst represents a different level of the curriculum hierarchy

Brain, Mind and BehaviorFoundations of Patient Care I

Foundations of Patient Care II

The Barriers

• Current implementation use-case specific to AAMC upload– PCRS complicates local use– Modeled for national, not local needs

• Still developing best practices– No definitive model for clerkship / clinical

experience depiction - yet• Cost– Adoption and deployment of new models takes

resources few of us have in abundance

• Open communication is threatening– And with good reason!

• Data ownership concerns• Regulatory and privacy concerns• “Why should we care?”– Our world is changing, models used in the past are

failing. We need to move beyond shoring up those broken models, and craft new ones.

– Interprofessional growth and demands are on the rise

• An answer to everything? NO. But an open door to strategic thinking for the future.

Interprofessionalism:Pharmacy

Dentistry

Continuing Education

Graduate Education

Nursing

Medicine

The Future of Academic Medicine:

Pharmacy

Dentistry

Continuing EducationGraduate Education

Nursing

Medicine