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

Objectives: To propose a structured framework for evaluating and comparing clinical informatics fellowship programs using the People, Process, and Technology (PPT) model. Materials and Methods: 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. Results: 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. Discussion: The PPT framework provides a systematic, accessible approach for applicants to assess fellowship fit and for programs to communicate their strengths. Conclusion: Standardizing fellowship descriptions using the PPT model may improve alignment between applicant goals and program offerings, enhancing both the application process and training experience.