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The Duke University Learning Health System Training Program

Project Description: The Duke University Hospital Learning Health System Training Program (LHSTP) will develop and pilot a systemic change in the provision of graduate medical education to better meet the needs of an LHS, preparing them to be practitioners of “evidence based medicine version 2.0 (EBM 2.0)”. We will train resident physicians in the skills needed to become physician data scientists who are able to understand and obtain individual patient and clinician practice level data from the LHS, analyze the data to inform current clinical questions and processes, integrate findings with published research evidence to practically solve clinical problems, use local data to support iterative organizational practical improvement, and ultimately transform individual and system-wide clinical practice patterns to realize the goal of providing high value care.

Our goal in the initial pilot is to design and implement a novel educational program that will train high-level users of the LHS. These individuals, referred to as “Trailblazers,” will be equipped with the skills necessary to build evidence and advance LHS-based initiatives across their disciplines and the Duke Health System. We plan intensive training in clinical data structure, informatics, data visualization, and statistics, allowing trainees to better understand existing patterns of care, and to alter clinical practice to improve quality, and patient outcomes. Lessons learned will be incorporated into a practical curriculum for wider dissemination at Duke and beyond, and into a second phase in the LHSTP development that focuses on equipping the more entry-level user of practice-based data with core basic LHS skills. With support from this award we will: 1) develop of core LHS curriculum 2) lead 5-10 physicians-in-training through the LHS curriculum 3) have each learner develop and implement a LHS-based project, with the initial PDSA cycles completed in AY2014-15.

Primary contact: Amy P. Abernethy, M.D., Ph.D.; Associate Professor of Medicine, Medical Oncology, Director, Center for Learning Healthcare
Institution: Duke University School of Medicine

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