# People, process, technology: a framework for clinical informatics fellowship applicants to evaluate programs

## TL;DR

This paper introduces a framework for evaluating clinical informatics fellowships using three pillars: People, Process, and Technology.

## Contribution

The novel contribution is the PPT framework, adapted from organizational theory for fellowship evaluation.

## Key findings

- The PPT framework categorizes fellowship features into People, Process, and Technology.
- Website analysis showed inconsistent transparency and detail across programs.
- The framework helps applicants and programs align goals and offerings.

## Abstract

To propose a structured framework for evaluating and comparing clinical informatics fellowship programs using the People, Process, and Technology (PPT) model.

We adapted Leavitt’s organizational theory to create a three-pillar framework operationalized with features relevant to fellowship applicants and directors. We then applied this framework to a random sample of 18 program websites.

The PPT framework categorizes key fellowship characteristics into People (eg, mentorship, co-fellows, diversity), Process (eg, clinical duties, research emphasis, education), and Technology (eg, EHR systems, technical training, remote work). A visual grid illustrates variation in operational versus research focus and levels of mentorship. Website analysis revealed inconsistent transparency and detail.

The PPT framework provides a systematic, accessible approach for applicants to assess fellowship fit and for programs to communicate their strengths.

Standardizing fellowship descriptions using the PPT model may improve alignment between applicant goals and program offerings, enhancing both the application process and training experience.