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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