Development and Refinement of a Learning Health Systems Training Program.
BACKGROUND
In the emerging Learning Health System (LHS), the application and generation of medical knowledge are a natural outgrowth of patient care. Achieving this ideal requires a physician workforce adept in information systems, quality improvement methods, and systems-based practice to be able to use existing data to inform future care. These skills are not currently taught in medical school or graduate medical education.


METHODS
We initiated a first-ever Learning Health Systems Training Program (LHSTP) for resident physicians. The curriculum builds analytical, informatics and systems engineering skills through an active-learning project utilizing health system data that culminates in a final presentation to health system leadership.


RESULTS
LHSTP has been in place for two years, with 14 participants from multiple medical disciplines. Challenges included scheduling, mentoring, data standardization, and iterative optimization of the curriculum for real-time instruction. Satisfaction surveys and feedback were solicited mid-year in year 2. Most respondents were satisfied with the program, and several participants wished to continue in the program in various capacities after their official completion.
We adapted our curriculum to successes and challenges encountered in the first two years. Modifications include a revised approach to teaching statistics, smaller cohorts, and more intensive mentorship. We continue to explore ways for our graduates to remain involved in the LHSTP and to disseminate this program to other institutions.


CONCLUSIONS
The LHSTP is a novel curriculum that trains physicians to lead towards the LHS. Successful methods have included diverse multidisciplinary educators, just in time instruction, tailored content, and mentored projects with local health system impact.
Duke University.
Nicholas G
NG
Wysham
Duke University.
Lynn
L
Howie
Duke University.
Krish
K
Patel
Duke University School of Medicine.
C Blake
CB
Cameron
Duke University Medical Center.
Gregory P
GP
Samsa
Duke University Medical Center.
Laura
L
Roe
Flatiron Health, Inc.
Amy P
AP
Abernethy
Duke University.
Aimee
A
Zaas
Data Use and Quality; Electronic Health Record; Learning Health System; Provider Education; Quality Improvement