The Laboratory of Computer Science (LCS) directs a post-doctoral training program (fellowship) in medical informatics as part of the Boston Program in Biomedical Informatics. The fellowship was formally established in the Boston area in 1986 with funding from the National Library of Medicine (NLM). Although there are several shared activities and seminars among the NLM fellowships in Boston, the individual fellow is directly associated with only one of the several laboratories, and spends almost all of his or her time in the individual institutional training program. The directors of the LCS fellowship program are Drs. Octo Barnett, Henry Chueh, and William Lester.
The fellowship lasts for a minimum of two years, and most fellows choose to remain for a third year, on mutual agreement between each individual fellow and the LCS. The training is a combination of formal course work and an intensive apprenticeship experience in specifying and developing research projects.
Many alumni of the LCS fellowship now hold academic posts in hospitals and universities, while others have become Chief Information Officers (CIOs) or consultants.
Trainees are encouraged to take one course each term as a way to enrich their knowledge of the field and provide a formal academic focus. Such courses are reimbursed through the fellowship program if taken at the Massachusetts Institute of Technology (MIT), Harvard University (which has an excellent set of evening courses in the Extension School), or the Harvard School of Public Health (HSPH).
It is possible to obtain a Master of Science Degree in Medical Informatics through the Harvard-MIT Division of Health Sciences (HST) or a Master of Public Health degree through HSPH.
In recent years, some fellows in the LCS program have continued to take responsibility for patient care on a limited basis. Each fellow has to determine his or her optimal balance among continuing clinical experience, taking academic courses, and completing and publishing a significant research project.
Other graduate degree programs from Harvard and MIT are also available to LCS fellows.
Each fellow works closely with the program directors in specifying a problem and designing a project.This usually occurs during the first two to four months of the training program.The only requirement is that the trainee's project be closely related to a project which is of interest to the laboratory, in an area where the laboratory has independent financial support.The fellow usually works with a team of computer scientists and other physicians in the LCS in undertaking the development of his or her research project. However, the fellow is expected to become proficient enough in computer programming to be able to carry out relatively independent project development.
The research training is similar to a graduate thesis in that the trainee is expected to have primary responsibility for the specification and execution of a project, to write up the research, to present it at national meetings, and to prepare manuscripts for publication.The expectation for individuals who go through this training program is that they will continue in academic medicine (with a strong focus on medical informatics) and will spend a significant portion of their professional careers in the development and support of computer-based applications in medical care, education, and research.
Fellows who have completed residency may take advantage of the opportunity to moonlight in the Massachusetts General Hospital Medical Walk-In Unit (MWIU).In the MWIU, adults requiring urgent care are seen on a first-come, first-served basis, without needing an appointment.
Stipends are available for United States citizens and permanent residents through support by the National Library of Medicine. Tuition and fees, health insurance, and travel expenses are provided for supported fellows.Other individuals who are not US citizens or permanent residents may be considered for fellowship status under special circumstances, but must have their own external sources of financial support.