2019 March JAMIA Journal Club Webinar

March 14, 2019
Free for AMIA members; $50 for non-members.
Jeffery L. Belden, MD

Designing a medication timeline for patients and physicians

Lead author Jeffery L. Belden will discuss this month's JAMIA Journal Club selection:

Belden JL, et al. Designing a medication timeline for patients and physicians. J Am Med Inform Assoc. 2018 Dec 24. [Abstract]


Jeffery L. Belden
Professor of Clinical Family & Community Medicine
University of Missouri Health System
Columbia, MO

Jeff Belden, MD, is a Professor of Clinical Family & Community Medicine at the University of Missouri – Columbia. He has a special interest in improving EHR usability, and in the visual display of information. He was lead author of “Inspired EHRs: Designing for Clinicians,” a health IT developer's guide for EHR usability, online at inspiredEHRs.org.


  • 30-minute discussion between the authors and the JAMIA Student Editorial Board moderators including salient features of the published study and its potential impact on practice.
  • 30-minute discussion of questions submitted by listeners via the webinar tools and moderated by JAMIA Student Editorial Board members


JAMIA Journal Club managers and monthly moderators are JAMIA Student Editorial Board members:

Kelson Zawack, PhD, Postdoctoral Fellow, Biostatistics Department, Yale University, New Haven, CT 

Tiffany J. Callahan, MPH, PhD Candidate, Computational Bioscience Program at the University of Colorado Denver Anschutz Medical Campus, Aurora, CO


Kelson Zawack, PhD, Postdoctoral Fellow, Biostatistics Department, Yale University, New Haven, CT


The PubMed citation for the paper under discussion is:

Belden JL, et al. Designing a medication timeline for patients and physicians. J Am Med Inform Assoc. 2018 Dec 24. [Abstract]

Student Access

Students who are not AMIA members, but whose academic institutions are members of the Academic Forum, are eligible for a complimentary JAMIA Journal Club registration. Please contact Susanne Arnold at susanne@amia.org for the discount code. In the email, please include: full name, Academic Department, and the primary Academic Forum representative of that Academic Department. Note that AMIA Student memberships are $50, which allow access to JAMIA, all JAMIA Journal Clubs, and other webinars of interest to the biomedical informatics community. 

Statement of Purpose

In the United States, physicians are seeking ways to improve the safety of their electronic health records (EHRs), and to reduce the time, effort, and cognitive load while using them in the face of an aging population with an increasingly complex chronic disease burden. Physicians are facing increasing levels of burnout, partially due to dissatisfaction with the workload and lack of usability associated with using their EHRs.
A major issue in the outpatient setting is that ambulatory patients with chronic disease typically have multiple morbidities and may take many medications. Longer medication lists are more complex to read, and it is more difficult to perceive the historical treatment course. In primary care practices, there are unmet needs for reducing cognitive load and improving efficiency using the EHR. Making treatment decisions without the full array of necessary clinical patient information increases the risk of medication errors.

Clinical informaticians who share these issues in their own work settings will consider the evidence for a solution proposed in this JAMIA Journal Club. Lead author Jeffery L. Belden presents an approach that incorporates data visualization design principles in the EHR with outcomes including improved clinician speed and accuracy in ascertaining clinical information.

Target Audience

The target audience for this activity is professionals and students interested in biomedical and health informatics.

Learning Objectives

The general learning objective for all of the JAMIA Journal Club webinars is that participants will

  • Use a critical appraisal process to assess article validity and to gauge article findings' relevance to practice

After this live activity, the participant should be better able to:

  • Identify design principles associated with each of the medication timeline prototype's key features and appreciate the human cognition features that support the design choices.

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 live activity for a maximum of 1 AMA PRA Category 1 Credit(s)™ Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Criteria for Successful Completion

Completion of this live activity is demonstrated by:

  • Viewing the live webinar
  • Viewing CME information at registration
  • Optional submission of questions via webinar feature
  • Completion of the evaluation survey available after the webinar
  • Physicians only: request CME credit and download certificate

For a certificate of completion, contact Pesha@amia.org.

Note that the archived webinar does not offer continuing education credit. 

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

These faculty, planners, and staff who are in a position to control the content of this activity disclose that they and their life partners have no relevant financial relationships with commercial interests: 

JAMIA Journal Club Faculty: Jeffery Belden
JAMIA Journal Club planners: Michael Chiang, Kelson Zawack, Tiffany J. Callahan
AMIA staff: Susanne Arnold, Pesha Rubinstein

Contact Info

For questions about content or CE, email Pesha@amia.org. For questions about webinar access, email Susanne@amia.org