• 10x10 with Nova Southeastern University

    Survey of Biomedical Informatics Course

10x10 with NSU: Course Description


The 10x10 program was started when former American Medical Informatics Association (AMIA) President Dr. Charles Safran asserted that the United States needs one physician and one nurse trained in medical informatics in each of the 6,000 hospitals in the United States.

The 10x10 program aims to provide introductory training to build the workforce that will enable information technology to improve the quality, safety, and cost-effectiveness of health care. Since the program was launched in 2005, over 3,500 people have completed the various 10x10 courses, some going on to advanced study in the field.

Course Goals

The NSU 10x10 course is designed to teach fundamental concepts in biomedical informatics. The concepts are illustrated through their integration into landmark projects of historical significance up to the development of contemporary systems. After completion of the course, the student should be able to define basic terminology and concepts in biomedical informatics; summarize seminal systems in the history of biomedical informatics; analyze problems using biomedical informatics evaluation methods; assess the qualities of biomedical information systems in the research and clinical arenas; and to apply those concepts via decision-making to the healthcare environment.

This on-line, interactive course is an introductory survey of the discipline of biomedical informatics.  This course will introduce the student to the use of computers for processing, organizing, retrieving and utilizing biomedical information at the molecular, biological system, clinical and healthcare organization levels through substantial, but not overwhelming, reading assignments.  The course is targeted at individuals with varied backgrounds including medical, nursing, pharmacy, administration, and computer science. The course will describe essential concepts in biomedical informatics that are derived from medicine, computer science and the social sciences.  The textbooks are as current as publications, editions, and publication times allow for each Term. This Term there is a new edition (4th) of the basic textbook by Edward H. Shortliffe. Please ensure that you purchase the 4th edition. It is available in hard cover and electronic form. 

There is no assumption the student is well versed in information technology, computer science, or biomedical information systems. However, students will be required to quickly obtain proficiency in the NSU Blackboard system to read instructor postings on the Blackboard homepage for this course, to submit Essay Assignments (upload Word files) and post Discussion Board assignments on-time, accurately, and at the graduate level of work. Students will be required to use the Live Classroom & Live Chat Room facilities on the dates/times as scheduled in the Assignments Section.

Course Logistics

The course is offered in two parts:

1. A 15-week Web-based component starting January 9, 2017. The Web-based portion is provided through voice-over power point presentations, readings, interactive discussion, group projects, and virtual live classroom sessions.  The course uses synchronous and interactive asynchronous online learning approaches.

2. An intensive, half-day in-person session held during the AMIA Annual Symposium in November in Washington, DC.  The Symposium takes place from November 4-8, 2017 in Washington, DC. The exact date of the in-person session is still to be determined. 

The course is designed to teach fundamental concepts in biomedical informatics.  The concepts are illustrated through their integration into landmark projects of historical significance up to the development of contemporary systems.  After completion of the course, the student should be able to define basic terminology and concepts in biomedical informatics; summarize seminal systems in the history of biomedical informatics; analyze problems using biomedical informatics evaluation methods; assess the qualities of biomedical information systems in the research and clinical arenas; and to apply those concepts via decision-making to the healthcare environment.

The course is taught in a combination of synchronous and asynchronous manners; i.e., there will be three synchronous virtue class sessions and asynchronous discussion throughout the course.

The course uses the following teaching modalities:

  • Voice-over-Powerpoint lectures - The key material is delivered via the internet using the Flash plug-in, which is freely available and already installed in almost all Web browsers.
  • Interactive threaded discussion - Students will engage in discussion on issues related to each week's course using the Blackboard's Live Classroom and interactive bulletin board. An on-line faculty moderator helps keep the discussion on track.
  • Reading assignments - Reading assignments consist of chapters from the required textbook as well as additional articles and other readings. Students are responsible for learning all content in the readings, whether discussed in the lectures or not.

Course Structure and Requirements

The course is taught online via the BlackBoard facility.  Students are to become familiar with BlackBoard (to include navigating the course homepage and all of its elements, reading assignment instructions and assignment submissions).

There are three BlackBoard Live Classroom Sessions scheduled as per below. The purpose will be to present and clarify course material, enhance overall overall learning, provide a forum for real-time discussions and questions/answers. A computer [with audio in (microphone) and out (speakers or headphones) or else access to a telephone] and a high-speed Internet connection will be required to participate in the discussion.  

Live-Chat Sessions.  3 Online Synchronous Live Classroom Sessions will be Tuesdays 8 to 9 pm (Eastern). Check the syllabus and the Assignments Section of the BlackBoard webpage for this class, for specific dates or any changes (such as NSU weather related class cancellations).  A computer with audio in (microphone) and out (speakers or headphones) and a high-speed internet connection will be required to participate in the discussion.  

Attendance Policy
Students are to complete all online assignments on time and are to attend all Live Sessions as scheduled per HPD policy, and late assignments are subject to the grade reductions outlined below.  Failure to attend the scheduled live classes without prior arrangement with, and approval from, the instructor will be considered an unexcused absence and will be penalized (up to 15% of the total grade).  

Required Textbook

Textbook (required):  Edward H. Shortliffe, James I. Cimino, (Eds.), Biomedical Informatics: Computer Applications in Health Care and Biomedicine (4th edition), Springer, 2014. Note: both hard cover (ISBN: 978-1-4471-4473) and electronic versions (ISBN: 978-1-4471-4474-8) are readily available.

Other Recommended Resources:

Additional Resources: Readings, videos, and other material are posted in the Additional Readings (URL) section of the course homepage. They are not required readings, but do provide current real-world use examples of technologies presented in this course. Students should also check BlackBoard email and BlackBoard Announcements daily for course updates.  There are required Discussion Board (DB) assignments or quizzes based on the readings and completion of that work on-time is required.

Target Audience

The target audience for this Internet enduring material activity is physicians and other healthcare professionals who wish to learn more about the field of biomedical informatics. 

Course Learning Objectives

Upon completion of this course, the student will be able to:

  • Demonstrate in writing and verbally a basic understanding of the learned concepts of biomedical informatics and their direct application to healthcare.
  • Demonstrate the ability to compare, select, apply and integrate multiple technologies in and across a healthcare organization via leadership, clinical, administrative, or other staff positions.
  • Discuss key legal and and ethical issues that must be considered when implementing biomedical technology and supporting information systems to include initiatives such as the Electronic Health Record.
  • Differentiate multiple methods to evaluate the costs versus benefits of implementing biomedical information systems.
  • Produce evidence of a forward thinking ability to stay current in biomedical informatics.

Program Core Competencies

1. Identify the fundamentals of a telecommunication network design.
2. Develop practical health care applications using popular database management systems.
3. Evaluate information technology for integration into health care.
4. Utilize the knowledge, skills, and concepts of health information technology in evidence-based practice.
5. Apply principles of information security and policy formation.
6. Assess existing and emerging health information technologies.
7. Appraise health information exchange system standards.
8. Analyze project management strategies in health information technology.

Examination and Grading Policy 

There will be 5 quizzes, and weekly discussion board assignments. Always read daily the Assignments section of the BlackBoard Learn webpage for this course. Students will be evaluated on completion of quizzes, discussion board responses, and class participation. Grading will be based on student ability to reflect the learning goals and objectives in coursework. Important Note: Any assignments (both Discussion Board responses and quizzes) that are turned in late will be subject to an automatic 10% reduction in the grade per day the assignment is late, including weekends. Students that have not submitted their assigned work within five (5) days of the assignment due date, without prior arrangements with the instructor, will receive a grade of zero (0) for that assignment. 

Grading Policy -   Students will be evaluated on completion of quizzes, discussion board responses, and class participation. Grading will be based on student ability to reflect the learning goals and objectives in coursework. 

Overall Course Grading Structure

Basis % of Final Grade
Quizzes (5) 50%
Discussion Board Responses (Weekly) 50%
Total 100%
Grading will be based on numeric scores (numbers, percentages), which are converted to letter grades. This conversion is reflected in the table below:

Grade Conversion

0-100 Scale Letter Grade Scale/Quality Points Scale
94-100 A  (4.0)
90-93 A-  (3.7)
87-89 B+  (3.3)
84-86 B  (3.0)
80-83 B-  (2.7)
77-79 C+  (2.3)
73-76 C  (2.0)
70-72 C-  (1.7)
Below 70

F  (0.0)

Course and Instructor Evaluation Policy:  Evaluation of the course and instructor shall be carried out at the end of the course. The results will be analyzed and presented to the Curriculum Committee and reviewed by the Instructor. .

Plagiarism Reminder: According to the Nova Southeastern University Student Handbook (http://www.nova.edu/cwis/studentaffairs/forms/ustudenthandbook.pdf), plagiarism is defined as "the adoption or reproduction of ideas, words, or statements of another person as one's own without proper acknowledgment." It is plagiarism to represent another person's work, words, or ideas as one's own without use of a center-recognized method of citation.  Knowingly giving or allowing one's work to be copied, giving out exam or essay questions or answers, or releasing or selling term papers is also prohibited.  Violations of conduct standards, including plagiarism or allowing one's work to be copied, may be grounds for dismissal from the program and/or course with a failing grade.  In brief, do not represent the work of others as being your own.

The on-line part of the course is accessed via the interactive web-based BlackBoardTM learning environment and Live Classroom. At the onset of the course, each student is provided a login and password by the Nova Southeastern University College of Osteopathic Medicine distance learning staff to access the course online. Students will be expected to spend 4-8 hours per week on the course (2-3 hours of lecture plus 2-5 hours of independent work/interaction with colleagues in preparation for and following the lecture).

Course Schedule - Winter 2017

The course schedule below outlines the topics covered during the session along with the assigned readings and dates of the Live Sessions. Students are responsible to check the weekly Assignment postings in BlackBoard of this course for the Discussion Board assignments and quizzes described above in the Grading Policy section. The BlackBoard Announcement facility will also be used for updates to the course schedule. There will also be additional materials posted in the Additional Readings section that are designed to provide real-world examples of the concepts learned. These materials will be optional, but students may find these materials helpful in providing further understanding of the key course concepts.

Dates Topic Readings
January 9, 2017

*Introduction to Biomedical Informatics
Live Session: January 10, 2017 8 pm Eastern

Chapter 1

January 16, 2017

*Biomedical Computing: Concepts; Engineering and System Design
*Software Engineering for Healthcare

Chapters 5 & 6 


January 23, 2017

*Overview of Biomedical Data

Chapter 2

January 30, 2017

*Standards in Biomedical Informatics

Chapter 7

February 6, 2017

*Electronic Health Record Systems

Chapter 12

February 13, 2017

*Biomedical Decision Making

Chapter 3

February 20, 2017

*Clinical Decision Support Systems
Live Session: 2/21

Chapter 22

February 27, 2017

*Management of Information in Healthcare Organizations

Chapter 14

March 6, 2017

*Biomedical Imaging Informatics
*Imaging Systems in Radiology

Chapters 9 & 20

March 13, 2017

*Patient Monitoring Systems

Chapters 18 & 19

March 20, 2017

*Ethics in Biomedical and Health Informatics
*Evaluation of Biomedical and Health Information Resources

Chapters 10 & 11

March 27, 2017

*Health Information Infrastructure
*Public Health Informatics
*Consumer Health Informatics and Personal Health Records
Live Session: 3/28

Chapters 13, 16 & 17

April 3, 2017 *Bioinformatics

Chapter 24

April 10, 2017 *Translational Bioinformatics Chapter 25
April 17, 2017 *Health Information Technology Policy
*Future of Informatics in Biomedicine
Chapters 27 & 28

Always check the discussion board frequently for updates, live chat or classroom scheduling, and other important information. You will be expected to check the discussion board postings frequently without additional reminders.  Always contact the instructor by BlackBoard email with questions and to set-up a telephone call.  If you run into technical issues with course materials or access to Blackboard, contact the Nova Online Computing Help Desk at 1-800-541-6682 ext. 24357 or http://www.nova.edu/help/.

The on-line portion of the course will run from January to April 2017.


The Director and Lead instructor for the Nova Southeastern 10x10 course is Jennie Q. Lou MD, MSc.
Professor and Program Director, Biomedical Informatics Program
Professor of Public Health and Internal Medicine
Office phone - (954) 262-1619
Room: 1526, 3200 South University Drive
Email:  jlou@nova.edu
Office hours by appointment

Additional Faculty for the Nova Southeastern 10x10 course include:

Daniel K. Hatton, PhD, MSc.
Adjunct Associate Professor, Biomedical Informatics Program
Email: dh199@nova.edu
Office Phone: Email via BlackBoard to set up telephone calls
Location: Located off campus in San Diego, CA
Virtual Office hours by Appointment

The best way to reach the director and instructor is via email at jlou@nova.edu and dh199@nova.edu.  

Beyond 10x10

The goal of the AMIA 10x10 program is to train future leaders in the development, dissemination, and evaluation of information technology as it relates to the healthcare environment. The 10x10 program alone will not make one a full-time professional in informatics (any more than a semester of medicine or nursing will make one a doctor or nurse!). The program is being structured, however, to allow those who complete the course to carry the credits forward into other graduate programs in informatics. The details need to be arranged with each individual program.

More details about further training opportunities are available on Nova Southeastern University College of Osteopathic Medicine's website at http://medicine.nova.edu.

*For further questions or immediate assistance please contact Susanne Arnold at: susanne@amia.org

Accreditation Statement

The American Medical Informatics Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement

The American Medical Informatics Association designates this enduring material for a maximum of 48 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Estimated Time Expected to Complete Activity

Estimated time to complete this activity: 48 hours

Criteria for Successful Completion

Completion of this enduring material is demonstrated by participation in all online sessions, completion of all course quizzes, participation in discussion board responses, completion of participant survey, attendance at an in-person session for class participants with the faculty is optional (if one is scheduled).  

Commercial Support

No commercial support was received for this activity.

Disclosure Policy

As a provider accredited by the ACCME, AMIA requires that everyone who is in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest for 12 months prior to the educational activity.

The ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

Faculty and planners who refuse to disclose relevant financial relationships will be disqualified from participating in the CME activity. For an individual with no relevant financial relationship(s), the participants must be informed that no conflicts of interest or financial relationship(s) exist.

AMIA uses a number of methods to resolve potential conflicts of interest, including: limiting content of the presentation to that which has been reviewed by one or more peer reviewers; ensuring that all scientific research referred to conforms to generally accepted standards of experimental design, data collection, and analysis; undertaking review of the educational activity by a content reviewer to evaluate for potential bias, balance in presentation, evidence-based content or other indicators of integrity, and absence of bias; monitoring the educational activity to evaluate for commercial bias in the presentation; and/or reviewing participant feedback to evaluate for commercial bias in the activity.

Disclosures for this Activity

Jennie Q. Lou, MD, MSc., discloses that neither she nor her spouse have relevant financial relationships with commercial interests. 
Christine Nelson, discloses that neither she nor her spouse have relevant financial relationships with commercial interests.
Daniel K. Hatton discloses that neither he nor his spouse have relevant financial relationships with commercial interests.

Instructions for Claiming CME Credit

The instructor will send a list of all participants who satisfied course requirements to AMIA.  Participant will communicate with Susanne Arnold, Education Program Manager, susanne@amia.org, about completing the evaluation and receiving the CME certificate.

CME site (MyAMIA) works best with IE 8 or above version, Chrome, and Firefox.

  • Login to the AMIA site
  • Go to “My Events" under Membership/Activities
  • Click “Apply for Credits" link for meeting or event you attended.
  • Follow the instructions on the Credit Registration page.
  • Physicians: To print out your certificate, go to "My CME/CE Credits" under Membership/Activities.
  • Other attendees: if you require a certificate of participation, please contact pesha@amia.org

Hardware/Software Requirements

  • A computer with an Internet connection.
  • Internet Explorer 8 or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • HTML5-capable browser for video or audio play or download
  • Additional software such as PowerPoint® or Adobe Acrobat Reader software

Contact Information

For questions about the 10x10 course please contact Susanne Arnold, Education Program Manager at susanne@amia.org or (301) 657-1291.