I want to get into informatics

Specialties Informatics

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We frequently get questions posted to this forum such as:

How do I get started in Nursing Informatics?

How do I get an entry level position in healthcare IT, NI?

How do I get a job in HIT, NI, IS.

The interview questions below give you an idea of some of the basic skill sets and role expectations for an average job in nursing/clinical/healthcare information systems. Several of these same questions would be asked if a hiring manager were interviewing a project manager, a clinical informatics specialist, a Nursing Informatics liasion, an implementation specialist, a applications specialist, a nurse informaticist or an IT trainer. I (as a former hiring manager) have asked these questions of candidates........ and been asked similiar questions as a candidate for various positions I've applied for in the past.

If you can answer 50% or more you have a good handle on what practicing in this specialty entails. If less than 50% -this should give you a starting point as to what skills you lack (and will need to acquire) for entry into and practice within this specialty. Good Luck!

See below for an example of interview questions for a clinical analyst position. Courtesy of Joan M. Smith, MSN, RN-BC, Clinical Project Leader submitted to the CARING listserve in Oct 2008

Interview Questions:

What clinic software applications have you used / built / maintained /

or supported?

How in past positions did you communicate with the clinical expert users regarding clinical content and design?

Who was responsible for approving system changes before you moved them

to live?

How do you tell a physician that the clinical system was not designed to doa particular function (such as keeping him logged into the clinical application at all times)?

Describe any creative things you may have done with clinical

software...for example you were able to configure it to do something

that it was not originally designed to do.

How autonomous were you in your role supporting the clinical

application?

Did you serve as an internal consultant to the clinicians, and

serve on clinical documentation committees?

Did you deal directly with vendor support?

Did you write and publish end user system procedures? Down

time procedures?

If the job description includes interfaces:

What interfaces (between which types of clinical systems) have

you supported?

Describe how you have tested a clinical interface in the past.

If the job description includes report writing / data retrieval:

What report writing applications have you used and to what

extent is your proficiency?

How do you verify the accuracy of the reports you have

generated?

If the job description includes training end users:

Have you ever created or developed computer based

instructional training programs and if so for what application and using what product?

Describe how you would prepare for a computer training class to teach order entry (or what ever topic is appropriate).

Preparation of training agenda.

Preparation of training handout and materials.

System preparation, loading training patients, loading users

etc.

Equipment testing of database, and peripherals.

What do you do to keep the class on alert and on track?

What would you do at the end of the class to demonstrate that

the participants had acquired a level of competency?

What Microsoft applications are you proficient in using?

Microsoft Project? How expansive was/were the project(s)?

Microsoft Visio? Share with us process flowcharts you have

created.

Microsoft Access? Share with us databases you have designed

and the reports you created from the data compiled.

Microsoft PowerPoint? Share with us presentations you have

created.

What was the most difficult situation you have encountered as an

analyst?

How did you deal with it at the time?

If you had to do it all over again what would you do differently?

Specializes in Informatics, Education, and Oncology.

Greetings RNCIPCT,

WOW! Lets take a deep breath..........

You seem very angry and I hear your frustration. I'm going to try to address some of your questions.

I'd first say lets give everyone the benefit of the doubt and say the issue is not related to "race" , Okay?

As I and others have posted on this forum many, many times - having an advance degree does not guarantee one a job within this industry/specialty. I have colleagues who have graduate degrees in medical, nursing and healthcare informatics and they are not working within the speciality and have been struggling (just like you) to find a job in informatics. So again although as you wrote you are:

- "finishing a Masters Degree in Clinical Informatics and Patient Centered Technologies (MS-CIPCT) at the prestigious University of Washington, in Seattle"

- "feel I am overly qualified for (in my opinion)"

these mean nothing to a hiring manager looking for experience.

With all due respect, I did not read where you have any actual OTJ experience or that you are currently working within the industry/speciality. Do you or are you? If the majority of your "qualifications" are your academic education that apparently is not enough.

The reality is hiring managers are looking for the right mix of qualifications, skills and motivation.

Having an advance degree does not entitle you to a job.

Again, no disrespect intended here. You wrote you are: "trying real hard" so take a deep breath and ditch the anger cause the reality is its not getting you what you want - is it? Perrhaps if you have interviewed for a role within informatics your anger, frustration, assumption and entitlement are coming across in a really negative way.

I know you are frustrated and asking - "How do I get experience if they won't hire me and give me the opportunity?"

No one said life was going to be fair. You get your chance by being prepared when the opportunity comes your way.

You wrote: "I have been asked to take a certification in nursing informatics" Who "asked" you? If it was a potential hiring manager - whats the problem? You are trying to get your foot in the door, correct? Your graduate level work does make you eligible to sit for the certification exam, so take it. Again are you willing to do what is necessary (within legal and moral bounds) to obtain a job in this specialty or not? You are competing with people who are as you admit already doing it and dont have any advance degree. They dont have to know the definition of clinica informatics - they have the role you want so think about it.

Dear rninformatics:

First let me say that I have the outmost respect for you given your background and your advice for most of us on this forum. HAving said that, I understand that the field of informatics is a fairly new field and that getting experienced people (informaticists) can be a bit hard. All I want(ed) was an opportunity to learn and use the knowledge I have learned in school to learn new skills. I do not have any OJT what-so-ever in regards to informatics but then again, that is where my frustrations come from. But I am gald you heard my frustrations and gave me your advice. On a lighter note, I keep my frustrations to myself besides venting on a forum such as this one. I have registered for my NI certification and I am looking forward to having that done very soon. I am also looking at other organizations that are willing to offer entry level opportunities instead of just focusing on one company so that I can be prepared when the opportunity knocks on the door. Thank you again, I will try to stay postive and not let my frustrations get the best of me.

Specializes in informatics for 10 years.

hello RNCIPCT...

Believe me, you're not the only one in this situation. Through my blog I have gotten emails from people who graduated with a masters in nursing informatics or health informatics and they can't land jobs. They are very upset because according to them, they were told there were tons of jobs out there, and 3 plus months after graduation, they are still trying to land interviews.

Now, my own experience. I was a nurse working working the floors for 8 years, and since I'm a bit of a computer geek, I went back to school for computer science. I was hired by an IT company that had nothing to do with healthcare, and my job role was the basics of what takes place in informatics---application implementation, testing, and support.

After 2 plus years in the job, because of layoffs, I decided to look for a new job before I got clipped. I put out my resume on the job boards, and surprisingly to me, I was getting all these calls from hospitals interested in my experience.

However, after interviewing with a bunch of these places, they all told me the same...yea, you have clinical experience, and yea you have implemented projects in a business setting, but you have never implemented a project in a hospital, so we don't think you're the right person for this job.

Needless to say I was very furious when they told me that. And it was not one hospital, but around 7 or 8 of them. As if implementing a project in a hospital is some type of esoteric activity that only people like Einstein and Tesla can do. Matter of fact, my personal experience now tells me that implementing a project in a hospital is not as rigorous as doing it for a business...but I digress.

Fortunately for me, I didn't give up and I kept on applying for jobs and I got hired by a vendor who basically called me one day, interviewed me 2 days later, and gave me a job offer the next day. But prior to that call I had gone through close to 6 months of interviews and rejections which were deflating to the ego, but at least I think they made me a better interviewee. Funny thing was that their interview was so easy, and I think it was because I was grilled by many other hospitals so when I look back, the universe couldn't have done it any better to prepare me so that I could get that vendor job.

I specifically don't know details of your life, but maybe you want to expand your search of employers, and definitely apply to vendors. My experience with them is that they are more laxed than a lot of the hospitals because they understand that they can train (most) anybody, and make them good consultants.

When I got hired by a vendor, out of 60 of us in that hire group, only two of us were nurses. And not going to lie either. Some of those kids were a lot brighter than me and actually one of my good friends got promoted 3 times in 1.5 year while i was only promoted once. And yea, his degree out of college was history! And I believe that's why a vendor like epic will flat out tell their clients, go and hire new college grads who have high gpa's. Nursing degree is not required.

All I can tell you is, don't give up, but better yet, even when you don't get a job, think of the process as a learning experience that is getting you ready even for a better job out there.

I could give you some visualization techniques too, but that's outside the boundaries of this forum. hehehehe

Specializes in Informatics, Education, and Oncology.

"However, after interviewing with a bunch of these places, they all told me the same...yea, you have clinical experience, and yea you have implemented projects in a business setting, but you have never implemented a project in a hospital, so we don't think you're the right person for this job.

Needless to say I was very furious when they told me that. And it was not one hospital, but around 7 or 8 of them. As if implementing a project in a hospital is some type of esoteric activity that only people like Einstein and Tesla can do. Matter of fact, my personal experience now tells me that implementing a project in a hospital is not as rigorous as doing it for a business...but I digress."

There really is a difference in implementing clinical systems as opposed to business systems and there really is a difference in implementing clinical systems within the multiple different (acute care, physician office practice, outpt clinics, etc) clinical environments.

My budget is in the millions I'm not going to take a chance on hiring someone for a role that doesn’t have all the skills and experience I need for the project - when doing so would potentially jeopardize my entire project. I want to hedge my chances of success by trying to have all the people who already have all the needed skill sets so we can all hit the job running. I've interviewed people apply for the project manager role who dont even know what scope creep is. Or folks with clinical experience, non healthcare IT background who don't have a clue what customer focused behavior is right out of the gate PO the CMIO or physicians champion by not knowing how to speak and handle a doc.

Let’s face it, implementing systems is hard enough and has enough normal risks as it is without adding to the mix with someone who doesn’t have the needed experience and skills and then the experience dealing with the cultural/ social issues and changes that go along with implementing clinical systems or implementing systems within the clinical environment.

Related to students being told there are all these jobs out there. I agree partially but I also think the student has to be an educated consumer and investigate before they invest the time, money and effort. I have also found that frequently people graduate with a sense of entitle meant - "I have my graduate degree (with no previous experience doing this) and the universe owes me a high paying leadership job" Um no! :yawn:

What ever happened to entry level, paying your dues and climbing the ladder??? :idea:

How many times has someone posted to this forum, demanded all the answers and not done one iota of research on their own or shown any of the proactive information seeking behaviors we find ideal in a potential new hire?

Okay steps off her soap box.

Specializes in informatics for 10 years.
"However, after interviewing with a bunch of these places, they all told me the same...yea, you have clinical experience, and yea you have implemented projects in a business setting, but you have never implemented a project in a hospital, so we don't think you're the right person for this job.

Needless to say I was very furious when they told me that. And it was not one hospital, but around 7 or 8 of them. As if implementing a project in a hospital is some type of esoteric activity that only people like Einstein and Tesla can do. Matter of fact, my personal experience now tells me that implementing a project in a hospital is not as rigorous as doing it for a business...but I digress."

There really is a difference in implementing clinical systems as opposed to business systems and there really is a difference in implementing clinical systems within the multiple different (acute care, physician office practice, outpt clinics, etc) clinical environments.

Yes, but tell that to my self righteous, I deserve that job personality 6 years ago. :lol2::lol2:

My point is that back then I thought I was fully qualified for the job, and even then I was still turned down a few times, and it made me very angry cause I thought, 'why am i not qualified? I got IT and clinical experience.'

But as the cliché says, hindsight is 20/20. Those interviews prepared me for the vendor job interview and that turned out to be a really good experience.

My budget is in the millions I'm not going to take a chance on hiring someone for a role that doesn’t have all the skills and experience I need for the project - when doing so would potentially jeopardize my entire project. I want to hedge my chances of success by trying to have all the people who already have all the needed skill sets so we can all hit the job running. I've interviewed people apply for the project manager role who dont even know what scope creep is. Or folks with clinical experience, non healthcare IT background who don't have a clue what customer focused behavior is right out of the gate PO the CMIO or physicians champion by not knowing how to speak and handle a doc.

Let’s face it, implementing systems is hard enough and has enough normal risks as it is without adding to the mix with someone who doesn’t have the needed experience and skills and then the experience dealing with the cultural/ social issues and changes that go along with implementing clinical systems or implementing systems within the clinical environment.

Yes, but for those positions then you're looking for experienced candidates, not entry level candidates.

But I have noticed that when job postings go up and they do specify some type of specific experience, we still get some of entry level applicants. It seems that people are under the impression that just because they have an informatics degree they have that experience needed for the job, which is not the case as you state.

But that's why i also like to say, apply to vendors if you can because unlike many hospitals, they will take inexperienced candidates and train them up.

Related to students being told there are all these jobs out there. I agree partially but I also think the student has to be an educated consumer and investigate before they invest the time, money and effort. I have also found that frequently people graduate with a sense of entitle meant - "I have my graduate degree (with no previous experience doing this) and the universe owes me a high paying leadership job" Um no! :yawn:

What ever happened to entry level, paying your dues and climbing the ladder??? :idea:

How many times has someone posted to this forum, demanded all the answers and not done one iota of research on their own or shown any of the proactive information seeking behaviors we find ideal in a potential new hire?

Okay steps off her soap box.

And absolutely right. When I see the posting, "I want to become an informatics RN...looking for help..." first thing that comes to my mind: I'll just sit here and wait for rninformatics to come and set them straight because obviously they didn't bother to read the stickies or do a search in the forum. :cool:

Bottomline, is a very competitive world out there right now, and a positive attitude and perseverance will eventually prevail. I think other posters on this forum have also been in RNCIPCT 's situation, and eventually they got a job.

Hello both (rninformatics and ikarus7401):

Both of you have given me the best advice I could wish for when starting out in this field. After "talking" to rinformatics I relaized that i had not done my research yet.actually at all. I must confess, I did feel entitled to these types of jobs and I thought that because I have the education, I should have no problems landing a job in informatics..big mistake. I have now started doing my research and reallized that simple things such as entering a Clinical Analyst instead of Clinical informaticist on a search engine makes a huge difference. I am also working on my resume..my 2 paged resume (lol) that had very little to do with IT/informatics, and it rightfuly should because I have very little to no OTJ experience in this field. I f need be I would seek the services of a professional in getting a well written resume. All I am trying to ay is that, I wish many of the new graduates knew what I know now, iyts not as easy as if seems to get these jobs and contrary to what we are being told in graduate school that jobs are out there just waiting for us to finish school and get hired. I have had a little luck with my very little research that I have done so far epic corporation recently posted this on theri website "Clinical Informatics - RN, NP, PA" -(http://careers.epic.com/position-263), and I just got an email back to do an online test, I guess its some type of an "IQ test"..lol not sure its just what I could gather from friends. I haven't taken it yet but I am planning to this week. So there, my journey has started, I think I am prepared for heartaches, my ego being bruised, dissapointments BUT I know all this is just going to prepeare me for THAT job that will hopefuly come my way one day. Thank you both.

Specializes in Telemetry.

RNCIPCT,

Did the UW program also offer you help in training for SQL, HL7 or other programs like Microsoft access, visio etc? Where did you get your clinical internship at? EPIC could be a good start, it may help if you have been an EPIC super user or have some prior experience with it in a clinical setting.

Thanks & Good luck! :up:

WagnerRN:

AT UW we did significant amount of work in MS Access (mostly database building), Excel, visio, and computer repair and maintaenance. Majority of the curriculum was about understanding the US healthcare system and Managing organizational effectiveness. We did indepth work on EHR/EMR system build and implementation. I am actually doing another seperate certificate program in computer security and programming languages at UW, there are so many vital certificate programs in IT/computersystems that will boost your understanding of computer systems. As an informatician, it is important to understand that you will not be building or doing any computer systems analysis, unless you want to. Most of your work will be developing workflows and acting as a liaison between builders and the clinicians. Most organizations have programmers that will deal with build and such, its important though to know a little bit about building systems and programming, that way you do not get lost during meetings with these department personnel. Does that help?

Specializes in Telemetry.

Thank you for the information. What about the informatics practicum/internship? What are the typical clinical internship placements that are given? Microsoft, EPIC, or local hospitals?

I am not doing an internship at the moment. I am working on my Theses at Harborview Medical Center, Seattle WA. Typically, after the program, if you are lucky you might get an internship job in EPIC, CERNER, AllScript or local hospitals. Many times that would be your way to get your foot in the door. In our program, there's no typical internship placements (can be arranged though), BUT, now that I think about it, you may call, write or go to an organization of your choice and ask to intern, of course with your institutions support, I think very few or even no credible organization would intern individual(s) that are not affiliated with a college or university. Good Luck!

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