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The medical informatics training and research environment at Columbia University has evolved considerably since we last wrote about our program for the Yearbook of Medical Informatics in 1995 [1]. In this article we provide a summary of the current state of the research and educational programs, beginning with their historical base, proceeding to the philosophical perspective on which the department is built, and closing with a discussion of the degree programs and curriculum.

Medical Informatics Training and Research at Columbia University